It must be very confusing for the pharmacies to have so many different systems.
We have not turned on electronic refill because one of our clinicians refuses to do electronic prescribing -- but also, it is sort of handy to use the faxed requests as an easy way to communicate with the pharmacists. We write notes back and forth when necessary.
Patients are told that ALL requests for refills must come from the pharmacy.
The pharmacy faxes us a refill request through updox.
We then authorize the refill, change the Rx as needed, or deny it by going to Rx writer in Amazing Charts.
It is pretty efficient, helps keep the med list updated, and allows for verification of patient status as well as two-way communication with pharmacist.