A Change Request is an electronic request coming from a pharmacy.
Accessing Your Change Requests
Click the messages icon on the top-right of the page, then click Rx Change Requests.
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Responding To Change Requests
Step 1: Access your Change Request page by following the directions outlined above or clicking on a Change Request link (provided to you). Locate the Action drop-down menu.
Pharmacy Messages - Change Request page (click to enlarge)
Step 2: There are several actions you can take within the Action drop-down box. The actions changes depending on the type of prescription the message pertains to. Select the message type from the tabs below:
Approved by payer – approves the medication prescribed by the provider (*PRIOR AUTHORIZATION CONFIRMATION NUMBER is required).
Denied by payer – will deny the request and sends a denial message to the pharmacy. You must select a Denial Reason from the drop-down selections.
Forward – allows you to forward the request to another provider in practice.
Prior authorization not attempted – will deny the request and sends a denial message to the pharmacy.
Cancel - deny the change request and cancel the original prescription – will deny the request and cancels the original prescription.
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Approve selected alternative – approves the alternative that was selected based on the pharmacy’s suggestion.
Deny - deny the change request and keep original prescription – denies the change request and keeps the original prescription.
Forward – allows you to forward the request to another provider in practice.
Modify suggested - allows you to change the prescription details and/or pharmacy information. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Choose a new drug: allows you to choose a different drug to prescribe. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Cancel - deny the change request and cancel the original prescription – will deny the request and cancels the original prescription.
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Approve selected alternative – approves the alternative that was selected based on the pharmacy’s suggestion.
Deny - deny the change request and keep original prescription – denies the change request and keeps the original prescription.
Forward – allows you to forward the request to another provider in practice.
Modify suggested - allows you to change the prescription details and/or pharmacy information. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Choose a new drug: allows you to choose a different drug to prescribe. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Cancel - deny the change request and cancel the original prescription – will deny the request and cancels the original prescription.
(click to enlarge)
Approve selected alternative – approves the alternative that was selected based on the pharmacy’s suggestion.
Deny - deny the change request and keep original prescription – denies the change request and keeps the original prescription.
Forward – allows you to forward the request to another provider in practice.
Modify suggested - allows you to change the prescription details and/or pharmacy information. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Choose a new drug: allows you to choose a different drug to prescribe. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Cancel - deny the change request and cancel the original prescription – will deny the request and cancels the original prescription.
(click to enlarge)
Approve selected alternative – approves the alternative that was selected based on the pharmacy’s suggestion.
Deny - deny the change request and keep original prescription – denies the change request and keeps the original prescription.
Forward – allows you to forward the request to another provider in practice.
Modify suggested - allows you to change the prescription details and/or pharmacy information. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Choose a new drug: allows you to choose a different drug to prescribe. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Cancel - deny the change request and cancel the original prescription – will deny the request and cancels the original prescription.
(click to enlarge)
Approve selected alternative – approves the alternative that was selected based on the pharmacy’s suggestion.
Deny - deny the change request and keep original prescription – denies the change request and keeps the original prescription.
Forward – allows you to forward the request to another provider in practice.
Modify suggested - allows you to change the prescription details and/or pharmacy information. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Choose a new drug: allows you to choose a different drug to prescribe. When this is selected and the prescription is changed, the prescription becomes a pending prescription in the appropriate provider’s prescription report. This will alert the pharmacy that the requested change has been denied, but a new prescription will follow.
Cancel - deny the change request and cancel the original prescription – will deny the request and cancels the original prescription.
(click to enlarge)
Validate – approves the medication prescribed by the provider (*prescriber identification is required).
Deny - deny the change request and keep original prescription – denies the change request and keeps the original prescription.
Cancel - deny the change request and cancel the original prescription – will deny the request and cancels the original prescription.
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Step 3: Once you have selected your desired action, enter your Signature password, then click Send.
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Example
Pharmacies may send Change Requests to ask providers to approve a generic substitute for the medication prescribed. This is a common request if pharmacies run out of the brand-name drug providers described in the prescription.