Physician Refill Prescriptions Authorization

Form Template

Prescription medication refills can be tricky.

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Controlled substances are under strict regulations and require a patient to get a prescription from their doctor.

For refills of controlled substances, the patient must obtain a refill authorization from the doctor before the pharmacy will refill the order. This is typically required when the person has no more refills left on the original prescription.

The Physician Refill Prescription Authorization Request Form mobile app is a digital version of the traditional physician refill authorization request form which can be completed on any smartphone, tablet or desktop computer. It is comprised of four basic screens: authorization request, medication, physician signature and comments. This mobile app tracks basic information; deliver to, from, patient, medication, Rx number, refills/prn and comments.

This is a great way to speed the process along. Enter all necessary information into the Physician Refill Prescription Authorization Request Form and have your physician quickly sign off in the app once they have reviewed all of the details.

This app can be used by patients themselves, or downloaded by pharmacists and those working in pharmacy services to share with customers who come in asking for refills but need to obtain authorizations from their health care providers.

There are even more best-selling physician refill mobile apps you might enjoy.

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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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