Let's say a wealthy patient is going out of the country for 6 months and their only Rx is a prescription for 1 box of diastat gel with 5 refills.
Let's say they have, on average, 2 serious seizures a month.
Their doctor calls you and states that they approve of, insist that, and need you to fill all of the fills that day.
Their computer is broken, their hands are broken so they can't write, and when you ask them to give you the rx verbally the doctor loses their voice and can't speak.
You then process all six fills as separate fills.
Are they all the original fill?
Do the 5 refills only become refills after the patient signs for the first fill?
What is a refill?