> ## Documentation Index
> Fetch the complete documentation index at: https://docs.ottorx.co/llms.txt
> Use this file to discover all available pages before exploring further.

# Script renewals

> Review and respond to pharmacy renewal requests in the prescriber portal.

When a patient's prescription is out of refills or no longer fillable, your pharmacy can request a renewal directly in OttoRx instead of faxing or calling. You review each request and send a renewed prescription from the portal.

## Where to find renewal requests

Renewal requests appear in several places:

| Location               | What you see                                     |
| ---------------------- | ------------------------------------------------ |
| **Renewals** (sidebar) | Full list of pending and recent renewal requests |
| **Home**               | **Script renewals** tile with your pending count |
| **Notification bell**  | **Refill requests** dropdown for quick review    |

<Note>
  The sidebar and page use **Script renewals**; the notification bell uses **Refill requests** for the same workflow.
</Note>

## Review a pending renewal

<Steps>
  <Step title="Open the request">
    Go to **Renewals** or click a request in the notification bell. Each row shows the patient, medication, source Rx reference, and any note from the pharmacy.
  </Step>

  <Step title="Decline or renew">
    Click **Decline** to reject the request (you can add a reason), or **Review & renew** to open the prescription builder with the cart prefilled from the original order.
  </Step>

  <Step title="Complete checkout">
    The builder opens in **Review renewal** mode with the patient and line items already loaded. Adjust strength, quantity, refills, and directions as needed, then send the renewed prescription to the pharmacy.
  </Step>
</Steps>

## Request statuses

| Status             | Meaning                                                 |
| ------------------ | ------------------------------------------------------- |
| **Pending review** | Waiting for you to approve or decline                   |
| **Approved**       | You sent a renewed prescription                         |
| **Declined**       | You declined the pharmacy's request                     |
| **Cancelled**      | The pharmacy cancelled the request before you responded |

Closed requests appear under **Recent responses** on the **Renewals** page.

## What the pharmacy sees

After you send a renewed prescription, the pharmacy sees the new order in their queue and can link it to the original renewal request. If you decline, the pharmacy is notified and can follow up by phone or message.