Faxing Prior-Authorization Requests

In addition to generating Refill Requests, QuickSCRIP is also able to generate Prior-Authorization forms that you can send to your doctor.

PA Reqests in FILL and EDIT

Generating a PA Request in QuickSCRIP is very simple.

Go to the RXFILL or EDIT Screen (1 or 6 of the Rx Processing Menu). Search for the prescription you would like to generate a PA Request for. At the bottom of the screen (where you would enter your initials) enter either @2, @3, @M or @T.

• @2 Generates a PA form for a Medicaid claim and prints it on your designated report printer.
• @3 Generates a PA form for a Third-Party claim and prints it on your designated report printer.
• @M Generates a PA form for a Medicaid claim and sends it to Activefax.
• @T Generates a PA form for a Third-Party claim and sends it to Activefax.

Customizing your PA Request form

While all pharmacies are setup with a default PA format, we can customize this document to better meet your individual pharmacy needs. Please contact us if you are interested in having your PA request form modified. Information can be added, removed, rearranged, or re-sized.

We will need a copy of your current form, along with notes on any changes you need. Please specify if the document prints on a laser printer, an okidata or pin-fed printer, or is a form generated in Activefax.