📌 Note: This is currently a beta feature, available to a few CHR beta users to test and provide feedback. It will be available to more users once the beta period is complete.

If you recently sent an e-prescription to a pharmacy through PrescribeIT® and you want to change the medication or the prescription is no longer required, you must send a cancellation request to the pharmacy. Because the pharmacy has already received the prescription you must wait for their response, for example, confirming that the prescription has not already been picked up by the patient.

You can send a cancellation request within 24 hours of sending the e-prescription and if you have not received a dispense notification.

1. Follow the normal process for cancelling a prescription:

a) From the patient's chart, click Start/Open > Prescriptions.

b) Click the menu icon (3 dots) > Cancel Rx to the right of the prescription you wish to cancel. Alternatively, select the prescription to open it and then click Cancel - Invalidate this Prescription.

2. In the Cancel Medications window, select the Reason for Cancellation from the list and optionally add any Notes.

3. By default, the same cancellation reason and any notes you enter are included in the cancel request for all the selected medications. If you are cancelling multiple medications for different reasons, click the Apply the same reason and notes to all selected medications toggle to turn it off. Then specify a cancellation reason for each medication separately.

4. Clear the checkbox for any medications that you do not want to send a cancellation request for.

5. Click Cancel Medications and, when prompted to confirm, click Send cancellation request.

📌 Note: If it has been more than 24 hours since you sent the e-prescription, the button in the confirmation window is Cancel medications and the cancellation is recorded locally and not sent to the pharmacy.

The medications remain active on the patient's chart until the pharmacy approves the cancel request. In the Prescriptions list, the status shows as eRx Cancel Request Pending and the icon changes to a clock icon.

6. The pharmacy can respond with one of three possible responses: approve, deny, or revoke remaining refills.

The prescription is cancelled and the status shows eRX Cancelled. You do not need to take any further action.

You receive a PrescribeIT Rx Cancel Request Denied message in your inbox. The status of the prescription is eRX Cancellation Denied. Cancel locally. The medication remains active until you cancel it locally.

You receive a PrescribeIT Rx Cancel Request Denied: Remaining Refills Revoked message in your inbox. The status of the prescription is eRX Cancellation Denied. Cancel locally. The medication remains active until you cancel it locally.

If the pharmacy has not responded to your cancel request within two hours, you receive an urgent PrescribeIT Rx Cancel Response Not Received message in your inbox. The status of the prescription is eRX Cancel Request Response not received. Cancel locally. The medication remains active until you cancel it locally.

7. If the pharmacy responded with denied, revoke remaining refills, or if they did not respond within two hours, you should cancel the medication locally.

a) From the inbox message, click View Prescription to open the prescription in the chart.

b) Click Cancel - Invalidate this Prescription.

c) Choose the Reason for Cancellation and click Cancel Medications.

d) A message appears indicating that the medications will be cancelled only in the CHR and no message is sent to the pharmacy. Click Cancel medications locally.

e) Contact the patient to tell them to stop taking the medication and notify the pharmacy of the cancellation.

📌 Note: If the central switch (Shared Health Exchange) receives an error that the cancellation request could not be delivered to the pharmacy, the request is converted to a fax and sent. This helps ensure that the pharmacy receives the cancellation request even if there is a technical issue that prevents it from being sent electronically. If this happens, you receive a message in your inbox notifying you that the cancel request was faxed and you will not receive a response from the pharmacy. The medications are automatically marked as cancelled.