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Ch. 13 t&d
Chapter 13 terms and definitions and other keywords
| Term | Definition |
|---|---|
| Average Wholesale Price (AWP) | Average price at which a drug is sold; the data is compiled from info provided by manufacturers, distributors, and pharmacies. The AWP is often used to calculate reimbursement. |
| Red Book (pg300-301) - AWP | The Average Wholesale Price can be found in the Drug Topics Red Book. Use this book to obtain the price of a medication. The Red Book is available electronically, which allows for real-time updates on price changes. |
| Limitation of Plan Exceeded (302-303) | Refers to a patient who has exhausted their benefits for the time or quantity limit of a drug specified by the insurance plan. However, the patient can contact the insurance to request an extention. Exceptions for diabetes, HIV, and AIDS exist. |
| Fast Mover (307) | Drugs kept in a separate area because of high volume of use. These are ordered in high quantities, or are ordered more often. |
| Slow Mover (307) | Drugs that are not commonly prescribed. They must be checked regularly to check if the dates are close to expiring. |
| Special Orders (307) | Drugs used by few patients, but may be important for proper treatment. These are usually ordered at the time of use, and some of them may be nonformulary. |
| Which of the following is responsible for developing the formulary used by an institution? | Pharmacy and Therapeutics committee |
| Medicare does NOT cover: | Children. |
| Medicaid does NOT cover: | Single working persons with above-average income. |
| Which health plan covers in-network-provider visits only? | Health maintenance organization (HMO) |
| Which regulatory body can issue a drug recall? | FDA |
| Insurance claims that are transmitted electronically to the insurance provider are called | Adjudicated claims. |
| Various types of agents ordered for a pharmacy may include | Formulary drugs, Hazardous substances, Cytotoxic drugs |
| Which program makes prescription drugs available through private insurance plans? | Medicare Part D |
| An inventory system that automatically orders stock as it is used is called | POS |
| When a workers’ compensation claim arrives at the pharmacy, the technician must | obtain information from the patient’s human resources department. |
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