Answer a Change Request (TheraNest)

The Pharmacy Change Requests list displays prescriptions that a pharmacist has requested substitutions or changes for prior to filling, or that require a prior authorization. Approve, Deny or Replace pharmacy change requests from the Tasks page. 

Check out this Prescriber Guide to Rx Change to learn more about responding to change requests. 

NOTE: Use the Show CS checkbox to include or hide scheduled drugs on the Tasks page. Select or deselect the Show CS checkbox, then click the Filter button. 

Use the Print icon at the top left to print the Tasks page. The page will display with any filters selected.

Jump to Section: [Approve Change Request] [Deny Change Request] [Replace Change Request]

Approve Change Request

1. Click on the Patient Name in the Pharmacy Change Request section from the Tasks page. If a replacement has been requested, a list of Replacement Options opens.
   
2. Review the proposed Replacement Options.
   

   NOTE: The pharmacy may suggest multiple medication options for the change request.

3. Review Interactions at the top of the page.
4. Review Active Medications, Previous Medications and Allergies at the bottom of the page.
5. Click the Detail button to see important medication details about the medication originally prescribed by the provider. 
   
6. Click the Radio Button to select a Replacement Option from the list.
7. Click the Approve button.
   
   
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Deny Change Request

1. Click on the Patient Name in the Pharmacy Change Request section from the Tasks page. If a replacement has been requested, a list of Replacement Options opens.
   
2. Click the Deny button.
   
   
   
3. Select a Denial Reason from the list. 
   

   NOTE: If none of the options on the Denial Reason list apply, write the reason for denial in the Notes to Pharmacist field. 

4. Click the Deny button.
   

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Replace Change Request

If the pharmacist has requested a replacement, but you do not want to prescribe any of the suggested options, you can search for another medication. 

1. Click on the Patient Name in the Pharmacy Change Request section from the Tasks page. If a replacement has been requested, a list of Replacement Options opens.
   
2. Click the Replace button.
   
3. Enter the name of the medication in the Drug Search field.
4. Enter the form of the medication in the Form field.
5. Click the Continue button. The sig builder opens.
   
   
   
   
6. Enter sig directions and dispense information, then click the Replace button. 
   
7. Click the Approve button. 
   

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