Pharmacy Practice

What is the trigger/order point in medication management?

Minimum stock level before medication auto reorders.

What is automatic ordering?

A system reorders meds when stock gets low.

What does FIFO mean in inventory management?

First in First out; oldest stock is moved to the front, new stock is put in the back.

Why is it important to check expiration dates on medications?

Prevents dispensing expired medications.

What are return forms in a pharmacy context?

Forms to send medication back to manufacturer for credit.

What does CMS stand for?

Centers for Medicare and Medicaid Services.

What is CMS form 1500 used for?

MTM billing using CPT codes.

What are CPT codes?

Current Procedural Technology codes.

What Is PAP?

Patient Assistance Program which helps patients get discounts on medication from manufacturers.

What is GoodRx?

A service that compares pharmacy prices.

What is Tricare?

Insurance for active military and veterans.

What are specialty medicines?

Medicine for complex diseases such as cancer.

What does Medicare Part D cover?

Prescription drugs.

What is the donut hole in Medicare?

A coverage gap where patient pays more after reaching the spending limit.

What is catastrophic coverage?

Final stage where Medicare pays for almost all costs.

What does the CDC do regarding vaccines?

Creates vaccine schedule from birth till 18 and adults.

What is the IM site for vaccines?

Deltoid.

What are vaccines made of?

Biologics from living organisms.

How do vaccines work?

Presents antigens so the body makes antibodies.

What was the deadliest pandemic?

Spanish flu from 1918-1920.

What percent is needed for herd immunity?

80%.

Why is the flu vaccine administered yearly?

Virus strains change.

What is ACIP?

Advisory Committee on Immunization Practices.

Should you premedicate before vaccines?

No.

What are the requirements to give immunizations?

CPR certified and have an epinephrine auto-injector.

How long should a patient wait after receiving a vaccine?

15 minutes after the shot unless it is a COVID vaccine which is 30 minutes.

What is a third-party pharmacy?

When pharmacy and insurance are in contact with each other.

What is a PBM?

Pharmacy Benefit Manager that processes claims.

What is the 75% rule in pharmacy?

75% of the script needs to be used before a refill can be made.

What are online adjudications?

Electronic claim processing.

Who can get Medicare?

Individuals aged 65+, disabled, and those with End-Stage Renal Disease (ESRD).

What is formulary in health insurance?

A list of medications that is covered.

What is a primary vendor in pharmacy?

A main supplier or warehouse.

What is a jobber in pharmacy terms?

A secondary supplier.

What is the most effective ordering style?

Electronic ordering.

What is the least effective ordering style?

Walking and checking the shelves.

What is the 340B program?

Government discount program for clinics on specialty medications.

What does OIG stand for, and what do they investigate?

Office of Inspector General; they investigate fraud, retaliation, sexual harassment, and misconduct.