If there is no response from the doctor, what should you do?

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When a prescription needs the doctor’s approval or response before it can be filled, you should keep it active and keep the patient informed. If there’s no reply from the doctor, the appropriate step is to tell the patient that you’re awaiting a response and that the prescription can’t be filled yet. You should continue attempting to reach the doctor and document those outreach attempts, rather than cancel or delete the prescription. Cancelling or deleting would prematurely stop the process and could lead to missed therapy or compliance issues. Keep the prescription in the system as pending authorization and update the patient as soon as you have new information, escalating to a pharmacist or supervisor if needed.