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PHM 101

Chapter's 13 and 14

QuestionAnswer
What is the goal of inventory management? to ensure drugs are available when needed and that contract or special pricing is followed
Who regulates the distribution of controlled substances? FDA
When should you notify the supplier if there are any discrepancies when receiving an order? Immediately
What should be the temperature of the refrigerator? 40-42 degrees F
What should be the room temperature? 59-86 degrees F
What is the main difference between open and closed formularies? Open is one that allows purchase of any medication that is prescribed. Closed is a limited list of approved meds.
What is the percentage of fast movers in the pharmacy's order and prescriptions? 80%
What number is on bar codes and is used to identify most medications? NDC
What does DME stand for? Durable Medical Equipment
What is an example of DME? Wheel Chair
What is an example of Non-DME? Syringes
What does PBM stand for? Pharmacy Benefit Managers
What is the name of the medicare prescription drug plan? Medicare Part D
DAW indicator 0 No DAW
DAW indicator 1 DAW handwritten on the prescription by the prescriber
DAW indicator 2 Patient requested brand
DAW indicator 3 Pharmacist selected brand
DAW indicator 4 Generic not in stock
DAW indicator 5 Brand name dispensed but priced as generic
DAW indicator 6 N/A
DAW indicator 7 Substitution not allowed; brand mandated by law
DAW indicator 8 Generic not available
The reasons for rejected claims 1.dependent exceeds age limit as specified by plan 2.invalid birth date 3.invalid sex 4.prescriber is not a network provider 5.unable to connect with insurer's computer 6.patient not covered 7.refill too soon 8.refills not covered 9.NDC not covered
Created by: Tara3184
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