Prescription Refills

Prescription Refills

Before you come to your regular appointment, you should look over your medications, diabetes supplies, inhalers, etc. to determine if you need to request any new / refill of prescriptions at your appointment.

We do require office visits on a regular basis for all of our patients taking prescription medication. The interval will vary depending on the condition being treated and the type of medication prescribed. Please be sure you have enough medication to last until your next scheduled visit.

It is very important to request your prescriptions during your office visit. Please bring all your prescription bottles (or an updated medication list) with you to your appointment. This is important to make sure that:

  1. you are taking the correct medications and the correct doses, and
  2. we have an up-to-date list of your medications.

We will carefully review your medications and write refills at your office visit. We will also ask you to review the new prescriptions to make sure that they are written correctly.

As part of our new policy, we will offer the following options for prescription refills:

    1. We can electronically transmit your
    2. prescription to your pharmacy
    3. We can provide written prescription.
    4. We can call in certain medications to your requested pharmacy
    5. We can provide you with a written prescription for you to fax-in to a mail-order pharmacy.
    6. We do not accept faxed prescription requests from pharmacies.

Our policy is to call in appropriate requests for prescription refills within 2 business days (not including weekends and holidays). We will have written prescriptions available within 3 business days. Please check with your pharmacy before calling our office to check on your prescription.

  1. Please notify our staff if your request is urgent or if you are out of medication.
  2. If  you  call  to  request  a  refill  but  are  overdue  for  a  follow-up  visit  and/or  blood  work  (necessary  formonitoring  the  safety  or  effectiveness  of  a  medication),  the  provider  may  agree  to  call  in  enough medication to a local pharmacy to last until we are able to schedule an office visit. There is a $10 fee per prescription  for  this  service. It  is  your  responsibility  to  schedule  an  appointment  before  you  run  out  of medication. You should schedule your next visit before you leave our office.

We understand that there might be a situation when you do have to call us for a prescription. Please look at the list below and see what you can do to avoid incurring a prescription refill fee.

  • Are you changing to a new local pharmacy? You should call your new pharmacy and request that your prescriptions be transferred from your old pharmacy. We sometimes do not have to write new prescriptions.
  • Are you going on an extended vacation and need to use an out-of-town pharmacy? You need to call the NEW pharmacy that you will be using and have them contact your hometown pharmacy to have your prescriptions transferred. When you return home, you have to reverse the process.
  • Are you changing to a new mail order pharmacy? Some pharmacies will transfer your prescriptions to the new pharmacy. If you still have refills on your current prescriptions, please check with your current mail order pharmacy to see if your prescriptions can be transferred.

NOTES

REFILLING A PRESCRIPTION

Every request for a refill requires the following steps: 

  1. Phone message transcribed or fax printed
  2. Phone message or fax is brought to medical record
  3. Patient's chart is pulled from medical records and verified
  4. Request is attached to chart
  5. Chart is brought to nurse
  6. Nurse reviews chart for pertinent information
    1. Verifies chart and request
    2. Is medication a controlled substance
    3. When were last labs done?
    4. When was patient last seen?
  7. Chart brought to doctor
  8. Doctor reviews chart
    1. Verifies chart and request
    2. Reviews patient's labs and medical history
    3. Does medication itself require labs or levels to be checked
    4. Does medication have risk for dependency or abuse
    5. Is medication scheduled (use and distribution restricted)
    6. Is there a risk for interaction with other medications
    7. Does medication have new FDA guidelines or recommendations
    8. Does the benefit of continuing medications outweigh risks
  9. Doctor makes decisions about whether or not to fill prescription request and whether or not to give subsequent refills
    1. Does patient need follow-up appointment?
  10. Doctor documents decision in chart
  11. Doctor writes prescription
  12. Chart returned to nurse
  13. Nurse calls or faxes in prescription
  14. Nurse documents prescription and pharmacy in chart
  15. Chart returned to medical records.