diff --git a/backend/src/routes/doctorOrders.js b/backend/src/routes/doctorOrders.js
index a2e2921..3c8e0a0 100644
--- a/backend/src/routes/doctorOrders.js
+++ b/backend/src/routes/doctorOrders.js
@@ -257,7 +257,7 @@ const getGuidanceResponse = async order => {
 
   // Make the etasu call with the auth number if it exists, if not call with patient and medication
   let body = {};
-  if (order.authNumber !== '') {
+  if (order.authNumber !== '' && !env.USE_INTERMEDIARY) {
     body = {
       resourceType: 'Parameters',
       parameter: [