eRx Refill Authorization

•Click Append or Right-click & select Append

•Select Click here to do full Update
•Select eSM Rx Refill and click OK
•If the document is unsigned; you will be prompted to sign it
Locate eRx Request •Select ONE action below and follow the steps to complete the authorization

•Select Approved
•Verify Dispensing Approved and modify if necessary
•Check the box Refill Response Complete
•Click End
APPROVED
•Ensure box is checked to Sign clinical list changes
•Sign Document

•Select Denial Reason

•If reason is not listed, select Other and free text Denial Reason
•Click End
•Ensure box is checked to Sign clinical list changes
DENIED •Sign Document

•Click Add/Change Medication

•Remove DENIED medication
•Add medication to REPLACE denied medication
•Note to Pharmacist field; note "D/C [drug name]"
•Click End
DENIED NEW TO FOLLOW •Ensure box is checked to Sign clinical list changes
•Sign Document