Pharmacy Practice
What is the trigger/ order point?
Minimum stock level before medication auto reorders
What is automatic ordering?
A system reorders meds when stock gets low
What does FIFO mean?
First in First out oldest stock is moved to the front new stock is put in the back
Why check expiration dates?
Prevents dispensing expired medications but you have to check the fridge first
What are return forms?
Forms to send medication back to manufacturer for credit
What is CMS?
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 patient get discounts on medication from manufacturers
What is good RX?
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?
A coverage gap where patient pays more after reaching the spending limit
What is catastrophic coverage?
Finale stage where Medicare pay for almost all the cost
What does the CDC do for 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 yearly?
Virus strains change
What is ACIP?
Advisory committee on immunizations practices
Should you premedicate before vaccines?
No
Requirements to give immunizations?
Cpr certified and have epipen
How long should a patient wait after a vaccine?
15 mins after shot unless covid which is 30 mins
What is 3rd party pharmacy?
When pharmacy and insurance are in contact with each other
PBM- Pharmacy Benefit manager that process claims
What is the 75% rule?
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?
Ages 65+, disabled, and ESRD
What is formulary?
A list of medication that is covered
What is a primary vendor?
A main supplier or warehouse
What is a jobber?
Its a secondary supplier
What is the most effective ordering style?
Electronic ordering
And the least?
Walking and checking the shelves
34OB program
Government discount program for clinic on specialty meds
What does OIG stand for and what do they invest
Office of inspector general
Fraud retaliation sexual harassment and misconduct
They invest in ensuring compliance with healthcare regulations, protecting the integrity of government healthcare programs from fraud, waste, and abuse.