Do NOT cash out RTS. You'll only make it harder for everybody else. Several years ago, there was an IC+ enhancement that was supposed to automatically put the refill too soon date into the "fill date" field. It works about 90% fo the time, so a big time saver. Just go through them to make sure resubmit date (ie, fill date) is correct. If RTS is > 7days, rx needs to be stored...go to fill screen and save...will go to stored after you data review. Sometimes there are RTS hidden in the TPR queue as a DUR reject (not to be confused with the DUR queue). Look at the DUR detail and sometimes they put the resubmit date in there. With experience, you'll know what I'm talking about. As far as actual DURs, you're the licensed pharmacist, so it's your call on how you want to handle it. If it's a new rx from the ER for tramadol and you get an interaction for the sertraline they're on. Look at the profile. If it's the first time, I'd flag it for consulation (ie, CAP) and discuss with pt when they pick up. If they've had it a million times, override DUR with "viewed pt profile." Again, you're the RPh on duty, so your discretion is what counts. I would say to keep retrying all TPRs. Perhaps there was a prior auth that was approved, but the pharmacy wasn't notified. If it rejects, just put an exception comment that claim still rejected on mm/dd/yy. You should be able to crank thru those pretty fast, especially is you see the same ones for several nights in a row. Likewise, if a prior auth request has been sitting in there > 7 days and still not going thru. Create exception. Go back and annotate that rx was stored on mm/dd/yy bc prior auth was not approved and store rx as previoulsy mentioned.
To me, cleaning out the work queue is clearing everything for that day when you get off at 8 am (granted there may be some refills entered in from 7-8 that you didn't get to bc people were coming in). If you can clear further ahead, it's a bonus and will make your next shift a little easier, especially if you know there is an order coming and you have to help get those put away as well. Coming in on a Monday night is always going to be the heaviest volume day, so just get by on that day if you have to and the rest should be a little easier. Get honest feedback from the RXM when your paths cross. Ask what you more you can do to help, what could you have done better. Every RXM runs things just a little differently, but communication goes a long way too. FWIW, I've been an RXM for a high volume 24 hour store for many years, so speaking from experience here.
If you have an insurance issue because it's Blue Cross of the Little Sisters of the Poor and you have trouble adjudicating, you many want to loan a day's worth of medicine (exercising good fiscal reasoning) and give to Sr Tech in the AM. Chances are he or she can fix it in a jiffy or will call help desk. Just explain to the customer that you're not too familiar with insurance but you don't want them to leave there empty handed. You really don't have the time or personnel on duty to deal with insurance problems.