The paying of eRxs per eRxs is only an issue for small mom and pop pharmacies. No way does RiteAid and CVS and Hannaford pay per script. They just have a one-time fee. Otherwise, they would certainly complain when I send five scripts by themselves, then another one canceling them all.
I guess pediatrics is different. And, I guess my nurse doesn't know. She does all the electronic refills. I wouldn't even do those if I had my way. But, when I see a fax request, I just delete it. The patient will call. I know I call my doctor.
But, I suppose with FP/Int, there are a lot more refills.