PMA 105 Inventory Maintenence Study Guide

Non-formulary Drug/Billing

billed differently then formulary drug (paid out-of-pocket)

Special Medication Order

comes directly from manufacturer (expensive)

Availability of Products

availability of product must be known to those who ask

(IND) Investigational New Drug Application Component

how drug is manufacturedD

DME

durable medical managment

Pharmacy Technicians Role in Investigational Drug

• count/prepare medication

• deliver medication

  • no administration

GPO

ground purchasing organization

Investigational Phases

• P1: 20-80 volunteers, record pharmacokinetics

• P2: 100 volunteer, overall safety/indication

• P3: 1000 volunteer, risks/benefits, last 1-4 years, new drug application sent to FDA

• P4: marketing, manufacture submit safety data to FDA periodically

Completed Prescription

alphabetically organized by last name (depending on pharmacy)

DEA form 106 (theft)

report stolen/lost of controlled substance

Automated Systems

save time, money, decrease error

Formulary

set list of drug approved by FDA

Recall Reason

mislabeling, contamination, potential harm to patient

Expiring medication

3-6 months out, open bottle, no returnLot

Lot Number in Recall

trach batches, recall and legal purpose

Returning Controlled Substance

physical documentation and must be signed by 2 pharmacist (pharmacist/intern)

Par Level

minimal level when each stock item needs to be automatic replenishment

Velocity Reports

now fast medication sells and move (pair is set using velocity reports)

Show and Tell Techniques

patient education/counseling technique-pharmacist teach patient how to use medication

Unused Controlled Substance

documented, witnessed and signed

Outdate Returned to Wholesale

nothing expired 9 months - unopen medication return to wholesaler for credits/new medication

P&T (Pharmacy Therapeutic) Commitees

decides formulary/investigational drug

X

marked all open bottles with X

Delivering Controlled Substance to Unit

must be checked and signed off

Non-Formulary Drug Pachaging

must have barcode

Recall Classes`

• Class 1: urgent/immediate - potential death

• Class 2: moderate danger - adverse health event medically reversible

  • Class 3: least dangerous - product quality issueD

Diversion Prevention

barrier, regulation. locked cabinets, barcode scanning

FIFO

first in first out (stock rotation)

Borrowing Medication

used as last resort to back order/ short supply (borrowed from another pharmacy if low on medication

Want Book

ongoing list of medication, supplies, etc. needed to be ordered for pharmacy

Returning Medication

waste of time, resources money, no credit given (hinderance)

How Often Are Expiration Checked

Monthly

Database Management System

manage patient data (manage daily)/store/collect prescription data every day

Manual Inspection Occur

physically checking stock daily (see something - do something)

Primary Wholesaler

main distributor of purchasing medication- discounts. scheduled deliveries, automatic online ordering

Drug listing Act of 1972

nac number given to every medication

Purpose of Par Level

set ideal stock count

IRB (institutional Review Board)

makes new drugs

Alternative Sources for Purchasing Medication

cant purchase medication from other pharmacy to sell

Temperature Storage

recorded/documented daily

Controlled Substance Record Keeping

automated dispensing system

Discrepancies to Pharmacy Buyer

notify pharmacy buyer if order doesn’t look right with ordering list

MAR

medication administration records

Cll Handled By Pharmacist

• order Cll/maintaining record

• stores medication

• signed

Perpetual Inventory Systems

continuous count of all controlled substance

Storage Condition Limits

• temp

• humidity

• light

IND Applications Comes After

animal research

Administration Investigational Drug

nurses

Returning Excess Inventory

return to supplier for refund/credit

Prime Vendor

agreement to purchase certain amount daily (second supplier)

Separating Non-Formulary Drugs

mixed with normal stock

Expired Medication Back to Vendor

at least 9 months before expiration

Return are Often

hinderance