Fundamentals of Pharmacy Operations

Pharmacy

________ must register with Health Canada to purchase and dispense controlled substances.

Designated Manager

a pharmacist who is responsible for purchasing, receiving, storing, distributing, and disposing of drugs and medications in the pharmacy, including narcotics;

max quantities

Min /________ are noted for each product.

PBMs reimburse pharmacies

________ based on the AWP multiplied by some factor, and pay a dispensing fee for each prescription.

INventory Management

method used to ensure merchandise assortment is ideal.

Pharmacists

are to record and keep records of their purchases and sales transactions.

define inventory

the stock of medication a pharmacy keeps immediately on hand

Scanned prescription

prompts offer for pharmacist counseling

Scanned Schedule V drugs

prompts questioning for additional patient information

Scanned nonprescription drug

adds sales tax

Cash

Register computes amount of change, technician places large bills under change drawer, technician must be able to identify counterfeit bills

Personal Checks

Write in drivers license information on check, verify amount of check and signature, check reader immediately access bank account and screens for insufficient funds, patient charger for insufficient funds

Credit card

Type of loan paid off at the end of the month or finance charge accrues, patient may not need to sign a receipt if less than $50 charge

Flex Cards

Medical credit card for prescription co-pays, and for prescribed OTCs

Profit

business has more income than expenses

Acquisition cost

amount pharmacy pays for drug from wholesaler

Inventory

entire stock of pharmaceutical products on hand for sale at any given time in a community pharmacy

Inventory Value

total value of drugs and merchandise in stock on a given day

Purchasing

ordering products for use or sale by the pharmacy

Computerized inventory control

software that automatically generated purchase orders when inventory drops to a minimum preset level aka PAR level

Primary Wholesaler Purchasing

a pharmacy can contract with a wholesaler to be their primary supplier, pharmacy gets daily delivers, automatic online ordering

Prime Vendor Purchasing

a pharmacy that uses 2 or more main suppliers can set up a prime vendor purchasing contract with one vendor to get a discount for high volume purchasing

Just-in-time Purchasing

keep inventory costs to a minimum by maintaining low stock levels, and purchasing drugs in small quantities as needed frequent reordering

Posting

process of reconciling invoice and updating inventory in pharmacy database after delivery

Rotating Stock

when adding new stock bottles to shelf, put them in the back and the old ones in front

Designated Manager

a pharmacist who is responsible for purchasing, receiving, storing, distributing, and disposing of drugs and medications in the pharmacy, including narcotics;

Narcotic Signer

a pharmacist designated by the pharmacy to order and sign for narcotics

Inventory

the stock of medication a pharmacy keeps immediately on hand

INventory Management

method used to ensure merchandise assortment is ideal

This means that all drugs are likely to br needed are both on hand and useable

that is not expired, damaged, contaminated, or otherwise made unfit for use

AKA

stock-record card system

inventory management

method used to ensure merchandise assortment is ideal

Sole Proprietorship

Legally the owner and the proprietor are the same

Partnership

formed by groups of two or more people who enter into a legal agreement

Corporations

legal entity that exists with legal rights and privileges of an individual

what pharmacy is independently owned community pharmacy affiliated with central office and pay fees to use a recognized name

Independant Banner store

what type of pharmacy can Patients bring prescriptions to a remote kiosk where they speak with a pharmacist using a telephone receiver and webcam

Remote Dispensing Pharmacy

what is posting

process of reconciling invoice and updating inventory in pharmacy database after delivery

adjudication

online submissions of a claim to determine if eligible

who is a plan member

Individual members who receive benefits under a plan- usually employees

benefit

the drugs that the plan will reimburse costs for.

claim

a demand to the insurer by the insured person for \n the payment of drug costs under a policy

deductible

1. the amount that must be paid by the insured
2. before drug benefits become payable by the insurer.


1. Example: the first $200 each year

what is a cap

the maximum amount the insurer will pay for medications in a specified time period. Plans may have a yearly cap or a lifetime cap.

ERROR Messages from Blue Cross: Drug is a non-Benefit

insurance plan does not cover that drug

Future refills require prior approval : Future refills require special authorization

special authorization is a form that is to be completed by your doctor

Eligible for special authorization: Special authorization is required

the form has not yet been submitted by the doctor

Application is temporarily unavailable

the sight is down and you cannot submit a claim

copay

the portion of the drug cost that the insured has to pay. It’s usually a fixed dollar amount per prescription.

what do seniors have to pay under NBPDP

up to $9.05 per prescription with a max of $500 per year

what do people on social development pay per prescription

$4

special auth

is given when the doctor submits a form for your drug to be covered under your insurance