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Terminology week 6
| Term | Definition |
|---|---|
| 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 |
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