If we (Doc and I) use 1 refill, it only fills the one with no additional refills. So basically just this one time. You can also deny and write a new script, or deny all together. Or one refill and write a note in the note section stating that patient needs an apt for additional refills (that's my favorite! I wish we could template that). So far it's worked like a charm. Patients who need to come in for a yearly still get meds and enough time to make an apt without having to go to six different places to find that out. Also no more calls asking why their medication was denied. Or at least 90% less calls like that.