RxChange Messages

NextGen® Enterprise EHR Help

Electronic Prescriptions

You can electronically submit a prescription directly to a selected pharmacy. The ePrescribing feature uses the Surescripts retail and mail-order networks of pharmacies and must be set up through File Maintenance and System Administrator. You should remember the following points before submitting prescriptions electronically: Any medication you submit electronically must have a valid patient's Rx eligibility request, a valid SIG, a numeric quantity value, and a unit type. When resubmitting (including responding to refill requests) a medication previously prescribed without a valid unit type, you must update the unit type to a valid value. You can submit controlled substances electronically only if ePCS is set up. User-defined medications are not supported with Surescripts. You cannot send a medication that is not DEA Schedule 0 without the required setup. If you need supervision, you cannot send a prescription without selecting the appropriate supervising physician. Electronically Subm

NextGen® Enterprise EHR Help

Prescription Fill (RxFill) Status Notifications

To improve your assessment of a patient’s medication adherence, you can review notifications about a patient’s prescription fill status. You cannot respond to these notifications. The RxFill notifications that NextGen® Enterprise EHR receives from pharmacies can help you identify when a patient’s prescription has been fully dispensed, partially dispensed, or not dispensed. Note: Prescribers should anticipate that RxFill messages will only be received for a portion of the prescriptions the physician writes. If no RxFill message is received for a prescription, the system cannot assume that the prescription has not been dispensed or that the patient is not compliant. Workflow of RxFill The provider's high level workflow to send RxFill notifications received from the pharmacy to get only the relevant notifications needed for the patient. Workflow of RxFill Indicator Change The provider's high level workflow to send RxFill Indicator change XML messages to the pharmacy. Receive Rx Fill Notif

NextGen® Enterprise EHR Help

Electronic Prescribing (eRx) Refill Requests

When you electronically submit patient medication prescriptions to a pharmacy, you may receive a refill request from that pharmacy. These refill requests are unsolicited and until you respond to a request, you have no other interaction with the pharmacy that requested the refill. Each refill request creates a task in the Workflow module and the Manage Refills window in the Medications module. For more information on working with eRx refill requests in the Medications module, go to the NextGen Healthcare Success Community, and download the latest Medications and Medication Allergies Modules User Guide forNextGen®Enterprise EHR and ePrescribing User Guide forNextGen®Enterprise EHR. NextGen® Enterprise EHR evaluates the status of the medication in the patient's chart. If the request can be matched to an existing patient, the information appears with the option to approve or deny the request. An alert appears if a matched refill request is linked to an inactive medication. Note: A mismatch

NextGen® Enterprise EHR Help

Real-Time Prescription Benefit

The Medications module supports the Real-Time Prescription Benefit (RTPB) feature when you prescribe new medications. Note: The RTPB feature is supported only with Surescripts. The RTPB feature enables you to view the estimated cost of the prescribed medication for patients based on their specific formulary and benefit coverage. This feature also enables you to view the available alternative medications. You can select a cost-efficient alternative medication and replace the originally requested medication. Estimated Patient Cost The RTPB feature is available if the following conditions are met: The RTPB universal preference and user preference are enabled. Patient has Rx eligibility. Patient has an active pharmacy benefit manager (PBM) coverage. Patient's PBM participates in RTPB. Note: If the Medications module or the patient's pharmacy does not respond, the Benefit Information Unavailable. Retry? link appears. This link indicates that you can retry using the same details or you can s

NextGen® Enterprise EHR Help

RxChange Message Types Use Cases

A pharmacy sends an RxChange request message to request a change to a new or fillable prescription. Providers who are currently enrolled in the RxChange service level can receive new RxChange request types from the pharmacy. A provider can respond to a RxChange request for the RxChange messages in the Workflow > Clinical Tasking > Inbox. The RxChange message types use cases are: Out of Stock A provider can respond to the Out of Stock RxChange request from the pharmacy, and prescribe an alternate medication for the out-of-stock prescription items. This use case is used to request a prescriber to authorize a change to the original prescription if the pharmacy is out of stock of the requested medication. Prescriber Authorization A provider can respond to the Prescriber Authorization RxChange request from the pharmacy to validate any missing provider information needed for the patient’s prescription. This use case is used to request prescriber authorization information such as confirming t

NextGen® Enterprise EHR Help

RxChange Response Types

The current RxChange response types are updated with the National Council for Prescription Drug Programs (NCPDP) SCRIPT 2017071 Standards. The providers can continue using the RxChange transaction and remain compliant with NCPDP standards. The RxChange response types are: RxChange Response Type Description Approved Accepts the pharmacy's request. The original medication becomes inactive and a new medication entry is created. Approved with Changes Enables the provider to make changes to the pharmacy's request before responding. The original medication becomes inactive and a new medication entry is created. Deny Does not make any changes to either the original medication or the patient's records. Validated Enables the provider to select Approve and send a Validated response. This response is applicable only to the Prescriber Authorization request. Denied Enables the provider to select Deny and send a Denial response and select a reason for denial. This response is applicable only to the

RxChange Messages

Recommendations

Electronic Prescriptions

Prescription Fill (RxFill) Status Notifications

Electronic Prescribing (eRx) Refill Requests

Real-Time Prescription Benefit

RxChange Message Types Use Cases

RxChange Response Types

Electronic Prescriptions

Prescription Fill (RxFill) Status Notifications

Electronic Prescribing (eRx) Refill Requests

Real-Time Prescription Benefit

RxChange Message Types Use Cases

RxChange Response Types