That is pretty much my understanding also. It reverts to fax if the receiving pharmacy is not online. Sadly it is not smart enough to revert to fax for schedule III-V drugs. I have not used the pharmacy refill request much as our policy is to prescribe the number of refills we think a patient needs and prefer to hear from the patient why refills are needed before a scheduled visit. All inall I do like e-prescribing but will say that after two years it has become ALMOST as quick as writing them by hand.