Rx · 551011d
Marcus T.
Adalimumab 40mg/0.4mL
Owner · PA · Jordan
Specialty pharmacies
High-touch therapies, with the PA work organized.
Specialty therapies live or die by prior auth follow-up and prescriber coordination. Refillops keeps every step owned, dated, and visible.
Where it hurts
The blockers slowing this counter down.
- Prior auths sit in inboxes between the payer, prescriber, and patient.
- Refusals and step therapy requirements get lost in long email threads.
- Patients are anxious for updates and call repeatedly.
- Hand-offs between intake, PA, and dispensing lose context.
The workflow
How Refillops fits this team's day.
Step 01
Intake
New referral lands with prescriber and payer in view.
Step 02
PA request
Template drafted with required clinical attachments.
Step 03
Track + escalate
SLA timers nudge when a step is overdue.
Step 04
Dispense + follow
Notify patient, schedule shipment, log adherence.
Common blockers
The reasons prescriptions stall here.
PA requested
Submitted to payer, waiting response.
Step therapy
Documentation of prior therapy required.
PA denied
Appeal pathway or alternate therapy review needed.
Prescriber clarif.
Awaiting prescriber confirmation on dose or duration.
Payer change
Plan switched mid-therapy; resubmit required.
Approved
Coverage confirmed; schedule first shipment.
How Refillops helps
What changes when it's running.
- Every PA has a tracked status, owner, and SLA — not an inbox thread.
- Patient updates go out in clear, calm language between PA milestones.
- Prescriber outreach is drafted with the right clinical context attached.
- Hand-offs between intake, PA, and dispensing keep all history visible.
What the team sees
The blocked queue, this team's edition.
PA requested
Rx · 551093d
Priya R.
Etanercept 50mg
Owner · PA · Jordan
Rx · 5511812h
Hugo D.
Ustekinumab 90mg
Owner · Pharmacist · Kim
Rx · 55124—
Sara K.
Sumatriptan 6mg
Owner · Dispense
Common workflow example — illustrative, not a real customer or patient.
Implementation-ready checklist
Roll it out without disrupting the counter.
- 1List your top payers and reject reasons by therapy class.
- 2Define SLA timers per PA step (request, submit, follow-up, appeal).
- 3Standardize patient SMS templates for each PA milestone.
- 4Decide which PA actions require pharmacist review before send.
- 5Set up weekly PA review for denials and aging cases.
- 6Roll up PA throughput by owner monthly.