NewRxRequest/NewRxResponseDenied
3 min
NewRxRequest/NewRxResponseDenied Overview
A NewRxRequest can be sent from the pharmacy to the prescriber to request a new prescription for a patient. The patient may request this from a pharmacy, even if they have not had the prescription at that pharmacy previously. The prescriber responds either by sending a NewRx, which indicates approval, or a NewRxResponseDenied if they do not wish to approve the request.
NewRxRequest/NewRxResponseDenied Requirements
- In order to utilize NewRxRequest messages, service levels for NewRx, NewRxRequest, and NewRxResponseDenied must be enabled.
- A NewRxResponseDenied message must contain a DenialReason or a ReasonCode.
- The MessageID from the NewRxRequest is to be returned in the NewRx or NewRxResponseDenied RelatesToMessageID field.
NewRxRequest/NewRxResponseDenied Best Practices
- Scenarios for utilizing this message include requesting a medication:
- by the specific drug name, strength and form
- by the drug class or drug category
- by condition being treated
- that was not filled and has expired
- by a different prescriber
- The NewRxRequest requires a DrugDescription to be sent. This should be populated with the compendia drug name, strength and form, when known, or it can be populated with the actual drug class or the specific type of medication being requested. Supplemental information such as drug code or drug class, diagnosis or Sig will assist the prescriber in determining the correct medication being requested. Incomplete or non-discrete information could impact the ability of the prescriber to respond to the request.
- For NewRxRequests routing:
- Pharmacists should review all requests prior to submitting to the prescriber.
- Prescriber location should be associated to the SPI with the appropriate service level where the patient encounters occurred.
- Prescribers should respond to NewRxRequests within 72 hours.
- If a message is received by a prescriber with a RequestExpirationDate, the receiving system should not send a response after that date.
- If request is no longer necessary, then a subsequent message with the Retraction/Withdrawal indicator included in the header should be used. For more information, see the MessageIndicatorFlag element in the Message Header ElementsMessage Header Elements section.
- If a response will not be accepted by a pharmacy after a specific time limit, then that date should be populated in the RequestExpirationDate.
- The Note element should only be used to convey information that cannot be captured in the discrete elements.