RxChange Messages

NextGen® Enterprise EHR Help

RxChange Messages

An Rx Change message is initiated by pharmacies by the Surescripts® network. The pharmacy electronically sends the message to the original prescriber when the pharmacy identifies a need to change the medication that was initially prescribed. The message allows for the electronic interchange and communication between the pharmacist and the prescriber to help ensure the patient gets the most appropriate medication for the diagnosis. Some examples of when the pharmacy could request an RxChange are when there is a DUR concern, formulary coverage has changed, a generic option is available, or a prior authorization is required for the prescribed medication. In some cases, the pharmacy provides the medication alternatives as part of the RxChange message. The prescriber can prescribe another medication when the pharmacy is out of stock of my patients prescription or can provide any missing provider information needed for the patients prescription. The prescriber has the ability to review the c

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

NextGen® Enterprise EHR Help

Receive RxChange Notification Messages

Setup to receive Rx Change notification messages involves setup by administrator and by the user. The administrator should do the following: Verify that the retail pharmacy participates in Rx Change transactions. To update pharmacy records, perform a pharmacy download. For the appropriate service level, enroll the Surescripts provider for Rx Change. You can verify enrollment by checking the eRx provider status. Assign the RxChange task type, eRx workgroup, and category to the provider. Rx Change messages can be sent from the pharmacy to the prescribing provider or to the Rx Change workgroup setup for the prescribing provider. Verify the user needs access to Clinical Tasking Inbox is this a security right? Verify the user has Operations > Medications > eRxsecurity rights in the System Administrator application. Make sure NextGen® Communication Services(NCS) is running. You do not need to make changes to the processes. NCS processes the RxChange request and returns either a status or an

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

RxChange Messages

RxChange Message Types Use Cases

RxChange Response Types

Receive RxChange Notification Messages

RxChange Message Types Use Cases

RxChange Response Types

RxChange Messages

RxChange Messages

RxChange Message Types Use Cases

RxChange Response Types

Receive RxChange Notification Messages

RxChange Message Types Use Cases

RxChange Response Types