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Pharmacy Operations
| Question | Answer |
|---|---|
| What is not required for safeguarding Sch. II? | Transportation and payment records |
| There are three different types of drug names: | Generic, Brand, and Chemical |
| Info about NDC, AWP, dosage, package size, and manufacturer info can be found in: | Red Book |
| Information about NDC can be found in both the: | Red Book and Blue Book |
| The first five numbers of an NDC identify: | manufacturer |
| The second four numbers of an NDC identify: | name, strength and dosage form |
| The last two numbers of an NDC identify: | package size |
| Another name for Bar Code: | Uniform Product Code |
| A short abbreviation | Mnemonic Code |
| Contains info about product development, quality control, production, labeling, and storage | USP - NF |
| Reference to look up formulas | Remington's Pharmaceutical Sciences |
| Parental Product Reference Materials | Handbook on Injectable Drugs, Guide to Parenteral Admixtures |
| Contains Info about new drugs and drug to drug interactions | Facts and Comparisons |
| A good resource to refer to is: | Manfacturer supplied information and PPI |
| Provides information about brand to generic cross referencing, available medication dosage form, and manufacturer contact info | American Drug Index |
| Commercially published compilation of manufacturer's prescribing information (PPI) | Physician's Desk Reference |
| Identifies drug products approved by FDA | Orange Book |
| Drugs that the FDA considers to be therapeutically equivalent and substitutable | A - Rated Drugs |
| Why are some containers amber in color? | To protect the contents from light |
| What are the two types of closures? | Child resistant and non-safety |
| What are some exceptions to the Poison Prevention Packaging Act of 1970? | If the physician or pt requests non-safety, obtain pt's signature in writing, Rx dispensed to care facilities if staff dispensing, and if manufacturers of OTC are allowed to market non safety if intended for elderly or handicapped |
| The authority to prescribe is determined at: | state level |
| This organization is responsible for infection control. | CDC (Center for Disease Control) |
| Process of preventing the transmission of blood-borne pathogens | Universal Precautions |
| Commonly used methods for verbally authorized Sch. II Rx | Mailed Rx |
| United States Postal Service permit mailing of Sch. II Rx if: | Mailer or adressee is registered with DEA and if they are exempt from DEA, if inner container is marked and sealed, if the container has the name and address of prescriber or pharmacy, and if there no markings that reveal contents |
| Only prescribers with ____ can prescribe Sch. II or Controlled Drugs. | DEA numbers |
| Patient info may only be released to: | Patient Representative, prescriber or other licensed praticitioner, pharmacist, Board, others with pt consent |
| Can a pharmacy tech take verbal Rx? | No. |
| Can pharmacy tech transfer Rx to another pharmacy or drug interactions? | No, only the pharmacist can. |
| Can the technician give medical advice? | No, counseling should be done by the pharmacist. |
| All labels and products should be: | checked by a pharmacist. |
| The pharmacy technician is _______ to the supervising pharmacist. | accountable |
| The importance of immunization; | is to prevent diseases |
| How long does it take for the vaccine to activate? | two weeks |
| This form is required to be given to the patient when they receive a vaccine. | Vaccine Information Statement (VIS) |
| Are tiny air bubbles a concern? | No, but large air bubbles do need to be removed. |
| Pharmacist may substitute a generic product for a brand name product only if: | Physician didn't write DAW, purchaser requests or agrees, substitute has less or equal price, if savings are passed onto consumer or third party payer, label must have manufactuer's name and "generic equivalent", and bioavailability |
| A document or listing of committee approved pharmaceuticals and therapeutics in stock. | Formulary |
| What are formularies used for? | They are used as a guide for payment schedules. |
| What is the goal of a formulary? | To manage cost of rational drug therapy. |
| The two methods of measuring liquids: | conical and cylindrical |
| Which liquid measuring method is more accurate? | cylindrical |
| These drugs require package inserts | oral contraceptives and inhalers |
| On the spot compounding. | Extemporaneous |
| Good documentations of receipt and distribution are: | commerical invoices and narcotic inventory record |
| Preparing and packaging for more than one patient | Bulk compoundig |
| Controlled Room temp is defined as: | 15 - 30 degree C and 59 - 86 degrees F |
| Refrigeration is defined as: | 2 - 8 degrees C and 46-59 degrees F |
| What type of capsules are used for extemporaneous compounding? | Gelatin caps |
| Class A balance: | 6 mg, weighs 120 mg and 15 gm |
| Class B balance: | 30 mg, weights 650 mg and 120 gm |
| A process of checks and balances | Quality control |
| Includes Goals, policies, procedures and mission statment | Strategic planning |
| process for monitoring, evaluating and improving the quality of pharmacy services | Quality assurance |
| procedure where products are purchased in a sufficient to keep up with demand while controlling inventory size | Inventory control |
| the number of times a product is purchased, sold, and replaced | turnover rate |
| When dealing with emergency orders, you should know your ___________ for ordering, | timetables |
| A good method to obtain emergency stock is to: | borrow from another institution |
| A book of drugs and OTC products that are needed to be ordered in the pharmacy | Want Book |
| Class I Recall: | strong likelihood that the drug will cause adverse effects |
| Class II Recall: | chance that the product may cause a temporary adverse effect |
| Class III Recall: | not likely to cause adverse effect |
| Class IV: | there is no Class IV recall |
| If a medication has expired, what should the technician do? | They should follow the manufacturer's return policy or pharmacy's return policy. |
| All drugs are sent back to: | reverse distributor |
| What does POS (Point of Sale) systems do? | They provide sale reports. |
| The HITECH Act: | enforces HIPAA |
| a point of care utilizing bar code reading technology to monitor the bedside administration of medications | eMAR (electronic medication administration record) |
| Medication taken without permission | Drug theft |
| Medication taken without a valid Rx | Drug diversion |
| Patients are required to pay a specific amount | Copayment |
| Set dollar amount that patient has to pay before insurance pays | Deductibles |
| Patient pays a percentage of total cost | Coinsurance |
| What indicates which PBM (Pharmacy Benefit Manager) a pharmacist sends a Rx to? | the BIN number |
| What is a Pharmacy Benefit Manager? | companies that handle Rx billing |
| What organization is responsible for developing and maintaining UCFs (Universal Claim Forms)? | National Council of Prescribing Drug Programs |
| Processor to whom which most prescription claims are submitted | Fiscal Intermediaries |
| Process by which a health insurance company determines if it should be the primary or secondary payer of medical claims for a patient who has more coverage from more than one health insurance policy | Coordination of Benefits |
| Based on past claims history by a single patient, groups of patients or drugs | Retrospective |
| Compares new Rx with what patient has been previously taking | Concurrent |
| Pharmacist verifcation | Prospective |
| Medication covered payment plan | Reimbursement Formulary |
| DAW 0 | no DAW, substitution allowed |
| DAW 1 | specifies branded version of drug |
| DAW 2 | Patient requested |
| DAW 3 | Pharmacist selected Brand |
| DAW 4 | Generic not in stock |
| DAW 5 | Brand dispensed, priced as generic |
| DAW 6 | override |
| DAW 7 | Substitution not allowed |
| DAW 8 | generic not available |
| DAW 9 | other |
| ObamaCare is offically called: | Patient Protection and Affordable Care Act |
| This part of Medicare is the hospital insurance portion | Medicare Part A |
| This part of Medicare is the medical insurance portion | Medicare Part B |
| This part of Medicare provides Medicare benefits through private health insurance companies | Medicare Part C |
| Medicare Part D does not cover: | - Drugs that are covered under Part A and B - Benzodiazepines, Barbiturates |
| This program supports low income families | Medicaid |
| This program supports the elderly | Medicare |
| Any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in control of a professional | Medical error |
| Anything that goes wrong or an injury occurs due to a medicaiotn | Adverse effects |
| The Joint Commission advises that commonly misinterpreted abbreviations should be: | written out |
| Technicians should pay close attention to drugs with different _________forms, | salt |
| Offers a list of error-prone abbreviations, symbols, and dose designations. | ISMP (Institute for Safe Medication Practices) |
| Educational/promotional initiative to encourage healthcare providers to identify and report adverse event | MEDWATCH |
| 5 rights of medication: | Right patient, time, drug, dose, route |
| This program restricts the distribution of Isotretinion (treats acne). | iPledge |
| Physicians and pharmacies are required to register with one of these three programs in order to prescribe and dispense Clozaril. | CARE, TEVA, Clozapine Rx Access System |
| What does Clozaril treat? | schiziophrenia |
| Thalomid is only available through: | REMS |
| What is Thalomid used for? | Multiple myeloma |
| Why is Thalmoid so restrictive? | Because it's potential to cause embryo fetal danger |
Created by:
Michelle Lee
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