I am not sure if these refills are only after hours. When they call to the office after hours, they get three options. One is for refills, which goes right to our MA via email.
As far as when they ask me, I have a slide show on a 48 inch flat screen, which is informative and rather funny. That particular slide just says,
HOW DO WE PROVIDE REFILLS AFTER HOURS?
THATS SIMPLE. WE DON'T.
WE DO NOT REFILL ANY MEDICATION AFTER HOURS.
I don't even answer those pages unless it is for asthma meds.
And, when I do, I simply refill them through eRx and don't call them. I almost NEVER call a patient about refills.