I don't use automatic prescription renewals but others in our user group mentioned the same issue. I don't think there is any way to avoid it as the program exists now, but it should be an easy fix if we can get the development people to agree. (The solution is to make the default NOT to send all). If you agree with that solution, please email AC or go through your program (on the mainscreen, go to Help...report a bug) and make that request.