A prescriber would fill out patient, prescriber, and program elements into an online form that then transmits the information to the service provider.
To combat this issue, many manufacturers, service providers, and vendors are starting to offer online tools to submit referrals virtually. In this case, a verbal pharmacist-to-pharmacist transfer or a fax transfer is required, which is a much less streamlined process than an automated triage that refers patients in large batches and includes images of prescription referral forms. This is when e-prescribing is not as intuitive because the prescription can’t make it to the destination specialty pharmacy within a prescription transfer. The issue arises when this e-prescription is sent to the service provider in lieu of a referral.
This is done via a verified e-signature through an electronic health record (EHR) that is integrated with platforms, such as SureScripts or eRx, which are valid ways to prescribe per pharmacy state board rules. Electronic prescribing, or e-prescribing, is the most obvious solution when it comes to sending a prescription to a specialty pharmacy. This has led specialty manufacturers and service providers to push for different ways to accept referrals. Many prescribers do not have fax capabilities from remote environments and may not be able to electronically fax referrals either. The need for tools to streamline the referral process is becoming increasingly evident. However, COVID-19 has greatly disrupted this process and is leading the industry to think outside the box by offering alternative ways to refer patients for treatment. Although it was an old-fashioned, paper-based process, it mostly got the job done. Prescribers would then sign the prescription section of the referral and fax it to the service provider who processed and triaged it to a specialty pharmacy for commercial processing. A patient signature was required for HIPAA authorization and other forms of consent. Prescriber offices kept a stack of prescription referral forms at the office that were filled out when a referral was needed. Historically, specialty referrals have been largely manual. Depending on the disease state and physician specialty, many prescribers have adapted to remote work and prescribing from alternate locations. Many physicians started looking for different methods to reach their patients through telemedicine and video chats. As the country slowly reopened, most health care providers started to change their prescribing habits, including prescribing treatments without in-person consultations. In the early phase of the pandemic, a drop in referral volume was evident due to shutdowns. Patient service providers and specialty pharmacies are facing challenges to facilitate prescribing of specialty medications, knowing that prescribers are looking for new and easy ways to refer their patients for products and services. These impacts were seen in specialty and HUB operations early on, but it has become increasingly apparent that COVID-19’s effects are long-lasting.
COVID-19 has impacted many industries including health care.
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