1. Pharmacy faxes refill or patient calls the office
2. Princess takes a message if pt calls office – patient’s problem, where she can be reached, what medicine, what pharmacy
3. Princess pulls chart
4. Princess attaches refill request or note to front of chart and lays it in doctor’s inbox
5. Dr. Lasermed checks
A. when patient was last seen (no refills if more than one year for some meds, 6 months for others … by law)
B. when patient last received the medicine
C. is it legal to refill over the phone / fax
D. is there any reason why this patient should not have the medicine now? Is she overdue for a visit or test? Should she still have some medicine?
IF the medication is approved,
6. either the fax is filled out, or the pharmacy is called.
7. There are two separate places in the chart where this needs to be noted – on the progress notes and on our “medication sheet”. This is a separate part of our chart that has every medication prescribed since the mid 1990s.
8. The chart is returned to Princess, who checks to make sure all of this was done.
9. A bill is generated if necessary – ya think?
10. The chart is filed.
IF the medication is not approved, the patient and pharmacy are called and an appointment is scheduled.
This is a SIMPLE medication refill.
Wanna hear about a prior authorization? I thought not.