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Individuals eligible for both Medicaid and Medicare
pay no premium or deductivle and have no gap in coverage. They pay $1 per perscription for generics and $3 for brand names
Institutional pharmacy practice
may be defined as the provision of pateint-focused pharmacy services in a structured setting
Why are formularies designed
specify which medications a pharmacy will dispense, while inventory policies and procedures allow the pharmacy to properly account for its inventory and appropriately manage medications that require attention
formulary system
method for evaluating and selecting suitable drug products for an organized health setting
automatic interchange
substitutes one medication for another that is not generic equal but has a similar therapuetic and toxicologic effect
wholesalers
resell pharmaceuticals which have been purchased directly from the manufactureer to oharmacies, do not manufacture pharmaceuticals they are a distributing process
record completion
last part of purchasing process
borrowing pharmaceuticals
borrowing from one pharmacy to another is highly discouraged
investigational medicines
dispensing records and dose accountability are required
pharmacy compounding
refers to the task of preparing and packing a prescription order for a specific patient
TC graduate indicates
that the volume measured on the sacle is equal to the volume
reading a miniscus
bottom of the meniscus while holding the graduate at eye level
policy
describes what needs to be done and sets limits
what should documentation include
a record of who prepared the product, lot numbers, quantities of ingredients used, the assigned beyond-use date and any special storage requirements
Phase I: clinical investigation
clinnical investigation in a small number of pateints to determine the preferred route of administration and safe dosage
phase 2
limited number of patients for a specific disease treatment or prevention of disease to further determine drug's safety
phase 3
expanded to further test for safety and efficacy of the drug
phase 4
post-marketing surveillance continues after a drug is marketed. Manufacturer must report to FDA all serious adverse drug reactions, along with other info including additional drug safety data.