CVS Pharmacy Technician Exam

Blue Trash Bags

PHI (Personal Health Information) and PII (Personally Identifiable Information)- name, address, DOB, social security number, prescription number, and any medical information

PII

Personally Identifiable Information

PHI

Personal Health Information

Green Trash Bags

Empty amber viles, prescription bottles, and boxes.

Clear Bags

Regular garbage.

HIPAA

A privacy act that helps maintain privacy and security of the PHI of patients.

DAW Codes

Dispense as Written. 3 main codes we see in the pharmacy.

DAW 0

No product selection indicated.

DAW 1

Substitution not allowed by prescriber.

DAW 2

Patient requested product dispensed.

Out of Stock Scans

Completed every Saturday (the day before order day). Done to verify what we actually have in stock and what we don't.

What you must do before placing an order

Complete all Rx Return to Stock (because you might have it)

Processed overstock, damaged, or outdated items (because it may look like you have more than you actually do)

Straighten and face the pharmacy (things may be there but misplaced).

What you must do to ensure an accurate order

Cycle counts, Label Maintenance, Out of Stock Scans, and Review Reports must be performed consistently and accurately.

Cycle Counts

Reports generated in the RF machine to ensure we have the correct amount of medication on hand.

2 types of Cycle Counts

Store Initiated and System Generated

Store Initiated

When you notice a shortage of medication and input it into the RF machine manually.

System Generated

A report that generates every day and must be completed by 10AM

TIL

Target Inventory Level- necessary to create value for your store and the patients.

BOH

Balance on Hand- the quantity of drugs in the pharmacy.

BOO

Balance on Order- how much of a product you want to order.

Low BOH

If your BOH is low, an order will be needed so that it meets the amount of drugs your store needs for the patients.

AIMRx

Advanced Inventory Management for the Pharmacy. The report we use for the CVS Warehouse.

Care Check Plus Program

A program that targets certain prescriptions as they are processed through our computer. Educates the patients on their medication, condition, and may give them coupons for over the counter medications related to tneir prescription.

Pick Up

Serve customers picking up their prescription(s) in the pharmacy.

Drop Off

Critical piece of the prescription fulfillment process. The customer's first interaction with the pharmacy. Input prescriptions, edit/run insurance, manage OT, make service calls to patients when necessary.

Drive-Thru

Responsible for both Drop Off and Pick Up tasks.

Production

Fills prescriptions to keep the process flowing and ensure medications are filled when promised.

1 OZ= ?ML

30 ML

2 OZ= ?ML

60 ML

3 OZ= ?ML

90 ML

4 OZ= ?ML

120 ML

5 OZ= ?ML

150 ML

6 OZ= ?ML

180 ML

7 OZ= ?ML

210 ML

8 OZ= ?ML

240 ML

16 OZ= ?ML

480 ML

Offer to Council

We give patients the option to discuss their medication with any and every prescription.

Minimum Age Requirement to Work in the pharmacy in NJ

18 years old.

Medicaid

Copy of either $1.10, $2.20, or $3.30 (depending on patient income). Covers ONLY generic medication.

MUST BE A HARD COPY PRESCRIPTION.

NJ- Dark Blue card with silver line.

ID # starts with 7's.

CONDER CODE in place of BIN #.

Medicare Part B

DME and Diabetic supplies. SOME asthma medication.

HARD COPY ONLY.

Needs a diagnostic code with specific directions.

Medicare Part D

Prescription insurance.

Most commonly used insurance at CVS.

CVS Code of Conduct

Intended to help resolve ethics and compliance issues by providing the information, tools, and resources necessary to make good decisions.

What medication is associated with iPledge?

Isotretinonin, which is sold under the trade names "Roaccutane", "Claravis", "Absorica", "Amnesteem", "Myorisan", "Sotret", or "Zenatane".

This program is intended to prevent the use of the drug during pregnancy due to the high risk of birth defects.

Outside Vendors

"Cardinals". Red totes.

Delivers Mon-Fri.

Can enter orders up to 8PM for next day delivery.

Order days are Sun-Thurs

5-12 Totes upon delivery.

2 Type of Cardinal Orders

Voluntary and Mandatory.

Voluntary Orders

Done at any time.

Mandatory Orders

Done Sun-Thurs.

NDC #

Placed on all prescription packages.

1st 5 digits of NDC#

Identify the manufacturer.

Middle 4 digits

Identify the medication name.

Last 2 digits

Identify the package size.

Non-formulary list vs Formulary list

List of what medications are covered (formulary) and are not covered (non-formulary) with insurance. Every insurance has its own formulary list with different tiers, or levels of costs. The higher the tier, the. Ore expensive the medication.

Partial- do we accept a full copayment?

For partial fills, we do not accept a full copayment until the full medication is available for the patient.

How many seconds do we have to acknowledge a customer at drive-thru?

20 seconds.

DUR Rejects

Drug Utilization Review. An authorized, structured ongoing review of prescribing, dispensing, and use of medication. Encompasses a drug review against predetermined criteria that results in change to drug therapy when these criteria are not met.

Rejects we get from insurance for many different reasons, such as a medication being refilled too soon, too high of a dosage, wrong amount of days or quantity of medication.

a

Ear

o

Eye

u

Both/each

d

Right

s

Left

au

Both ears

ou

Both eyes

od

Right eye

os

Left eye

ad

Right ear

as

Left ear

ac

Before meal

pc

After meal

gtt(s)

Drop(s)

po

By mouth

ud

As directed

prn

As needed

c with line over it

With

s

Without

pro pain

As needed for pain

AAA

Apply to affected area

pr

Rectally

ap

Apply

q

Every

qd

Every day

BID

Twice a day

TID

Three times a day

QID

Four times a day

QOD

Every other day

q4

Every 4 hours

q4-6

Every 4-6 hours

HS

At bedtime

qAM

Every morning

qPM

Every evening

stat

Immediately

fxd

For 10 days

śś (squiggles)

Half

Topical

Apply to affected area

Oral

Take, chew, or give

Suppository

Unwrap or insert

Eye drop

Instill/place one drop

Ear drop

Place one drop

Inhaler

Inhale one puff

Injectiom

Inject one mil.

Dosage x Frequency x Day Supply

Determining the Quantity Dispensed.