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Terminology week 6

Adjudication Electronic insurance billing for medication payment
Antifungal Used to treat a fungal infection
Average wholesale price Average price at which is drug is sold
Candida Type of fungus
Closed formulary List of medication that are the only ones reimbursement is allowed for under the patient's insurance plan
co-pay Portion of the prescription bill that the patient is responsible for paying
Dermatophytes Group of fungi responsible for most fungal infection of the skin, hair, and nails
Drug Topics Red Book Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products
Drug utilization review Process by which pharmacists ensure proper medication utilization
Formulary A list of preapproved medication that are covered under under a prescription plan and considered to be the most cost-effective
Fungus Primitive plant that reproduces by budding, releasing, spores or fusing hyphae
Health Insurance Portability and Accountability Act Federal guidelines for the protection of a patient's personal health information
Material safety data sheets Information sheets supplied to the pharmacy from the manufacturer of chemical products
Medicare Modernization Act Enactment of prescription drug coverage provided for persons covered under Medicare
Mycoses General term for fungal infections
National Drug Code Ten-digit number given to all drop identification purposes
National Provider Identifier Number assigned to any health care provider that is used for the purpose of standardizing health data tranmissions
Onychomycosis Fungal infection involving the fingernails or toenails
Open formulary Formulary list that is unrestricted in the types of drug choices offered or that can be prescribed and reimbursed under the benefit plan
Patient profile Document listing necessory patient persona and health information
Pharmacy and therapeutics committee Medical staff who provide necessary information and advice to the institution
Point of sale Where the sale or service takes place
Prior Authorization Insurance-required approval for a restricted non-formulary medication
Ringworm Group of tinea infections involving the body or scalp that have a characteristic ring-like shape
Trade, brand, or proprietary drug name Name a company assigns for marketing and identification purposes to a commercial drug product
Treatment authorization request Similar to preauthorization process used for medicare and medicaid
Medicaid Government-managed insurance program providing care to individuals meeting specific requirements
Medicare Government-managed insurance program providing care to individuals generally 65 or older
Medigap Plans Supplemental insurance policies provided through private companies to cover costs not reimbursed by Medicare
Vulvovaginal candidiases Yeast vaginitis
Workers's compensation Government-required medical overage for workers injured on the job, paid by the employer
Created by: 1662466248