CPhT Ch 8 + 13

auxillary label

label that provides supplementary information

behind-the-counter (btc)

medications kept behind the pharmacy counter for pharmacists to supervise

chain pharmacy

corporate owned group

DAW code

numerical set of codes that is used when filling a prescription

e-prescribing

computer to computer transfer of a prescription

prescription

an order of medication issued by a physician

refill

permission by prescriber to replenish a prescription

repackaging

to reduce the amount of medication taken from a bulk bottle

sig

directions on a prescription that explains how the patient takes the medication

subscription

provides specific instruction on how to compound a medication

superscription

heading of a prescription

adjudication

process by which a prescription is submitted electronically to a third-party payer for the pharmacy to be reimbursed

closed formulary

tight restriction of medication use to the medication included on the formulary list

copay

portion of the prescription bill that the pt is responsible for paying

DUE

drug utilization evaluation

NDC

national drug code

open formulary

a list that is essentially unrestricted

PAR

Periodic automatic replenishment

patient profile

POS

point of sale

what determines coverage on a drug?

AWP + Copay

what is the middle section of ndc?

product code

what are examples of franchises?

medicine mart, medicine shop

NPI

national provider identifier

prescriptions can only be transfered how many times?

once

insurance determines what?

how much a patient should pay

what drugs are identifiers?

trade, brand, and proprietary

how many times a year do drug takebacks happen?

2 times

why is insurance likely to cover a medicine

typically generic

propietary name can also be refered to as?

brand or trade

what are the rules behind the combat methamphiatmine act?

quantity limitations, age limitations, psuedo behind the counter, btc so it can be supervised

government funded insurance

tricare, champva, medicare, medicaid

what do you do with unwanted meds?

coffee grounds, kitty litter, no flushing down toilet

what do you need to dispense controlled substances?

DEA number

DAW 0:

no product selection indicated

DAW 1:

substitution not allowed by provider

DAW 2:

substitution allowed, patient requested product dispensed

inscription

medication name, dosage form, strength and quantity

what year was medicare and medicaid implemented?

1965

medicare part B consists of?

doctor appointments, outpatient visits

acceptable reasons for using nonchildproof lids:

patient asks you not to do childproof caps, filling nitroglycerin

deductible

dollar amount tou have to pay before costs come down

what are the reasons why a drug needs a prior authorization?

price, new drug, uncommon

medicare part a consists of?

hospital or inpatient

medicare part d consists of?

drug prescriptions

backorder

out of stock

plan limitation

limit on refills, quantity limit for a limited time period

reasons for returning a drug to warehouse/manufacturer?

drug recalls, damaged stock, expired stock, medications about to expire (9 month expiration date)