Question | Answer |
Medicare Part A (Hospital Insurance) | COVERS INPATIENT CARE AT A HOSPITAL,
SKILLED NURSING FACILITY AND HOSPICE. PART A ALSO COVERS SERVICES LIKE LAB TESTS,
SURGERY, DOCTORS VISITS, AND HOME HEALTH CARE. |
MEDICARE PART B ( MEDICAL INSURANCE) | COVERS DOCTOR AND OTHER HEALTH CARE
PROVIDERS SERVICES, OUPATIENT CARE, DURABLE MEDICAL EQUIPMENT (DME), HOME
HEALTH CARE, AND SOME PREVENTATIVE SERVICES. |
Medicare Part C (Prescription Drug Coverage) | ) MEDICARE PRESPCRIPTION DRUG COVERAGE
EITHER THROUGH ADDING A MEDICARE PRESCRIPTION DRUG PLAN (PART D) OR GETTING A
MEDICARE ADVANTAGE PLAN (PART C) SUCH AS AN HMO OR PPO THAT OFFERS MEDICARE
PRESCRITPTION DRUG COVERAGE. |
Medicare Part D | PRESCRIPTION DRUG COVERAGE WITH OTHER COVERAGE SUCH AS EMPLOYER OR
UNION HEALTH COVERAGE |
REVERSE DISTRIBUTOR | A REVERSE DISTRIBUTOR FOR PHARMACEUTICALS PICKS UP EXPIRED
AND DAMAGED DRUGS FOR DISPOSAL AS PHARMACEUTICAL WASTE AND DOES NOT
DISTRIBUTE NOR TRANSPORTS DRUGS. |
BIN (BANK IDENTIFICATION NUMBER) | IDENTIFY WHICHCOMPANY REIMBURSES THE
PHARMACY FOR THE MEDICATION.MOST PHARMACIES HAVE A LIST OF BINNUMBERS.A
6 DIGIT NUMBER WHICH TELLS THE PHARMACYWHERE THE CLAIMSHOULD BE SENT.THE
PRIMARY ROUTING MECHANISM FOR A REAL-THIRD PARTY PRESCRIPTION Claim |
POS | POINT OF SALE SYSTEM MADE UP OF A COMPUTER, MONITOR AND OF SOFTWARE FOR
RETAIL PURPOSES AND IT HELPS THE PHARMACY DETERMINE THE PATIENT’S CO-PAYMENT. |
BCMA | BAR CODE MEDICAL ADMINISTRATION IS A TYPE OF TECHNOLOGY THAT DOCUMENTS
ADMINISTRATION OF MEDICATION USING ELECTRONIC SENSORS. BCMA SOFTWARE IS
DESIGNED TO IMPROVE THE ACCURACY OF THE ADMIISTRATION PROCESS. |
CMS | CENTERS FOR MEDICAID AND MEDICAL SERVICES |
Needles | 1. “THE ONE HAND SCOOP” METHOD OF RECAPPING IS SAFER THAN USING TWO HANDS
2. MMUNIZATION NEEDLES ARE NEVER RECAPPED |
SYRINGES: | 1CC/ML=100 units. A TUBERCULIN SYRINGE IS USED TO MEASURE ANYTHING LESS
THAN 1ML OR LESS THAN 100 UNITS. |
SPECIAL IV TUBING | S RECOMMENDED FOR THE ADMINISTRATION OF NITROGLYCERIN |
TALL MAN LETTERING | IS USED WHEN WRITING PART OF A DRUG’S NAME IN UPPER CASE
LETTERS TO HELP DISTINGUISH SOUND-ALIKE, LOOK-ALIKE DRUGS FROM ONE ANOTHER IN
ORDER TO AVOID MEDICATION ERRORS. FOR EXAMPLE: prednisoLONE / predniSONE |
LOOK ALIKE/SOUND ALIKE MEDICATIONS ALSO KNOWS AS SALADS: | MEDICATIONS THAT LOOK
ALIKE AND SOUND ALIKE ARE ADDRESSED IN THE ACCREDITATION STANDARDS OF THE JOINT
COMMISSION BECAUSE THESE PRODUCTS HAVE A HIGH ERROR RISK DUE TO PICKING ERRORS.
FOR EXAMPLE: LOREZEPAM/CLONAZEPAN |
ASHP GUIDELINES | STATE THAT A QUALITY IMPROVEMENT PROGRAM FOR HOME CARE
SHOULD MONITOR PATIENTS PHYSICAL EXAMINATIONS AND LABORATORY VALUES. |
iPLEDGE | A DRUG RESTRICTED PROGRAM DEDICATED TO PREVENT FETAL EXPOSURE DRUGS
INCLUDED IN THIS LIST ARE:CLARAVIS- ACCUTANE, AMNESTEEN, SOTRET, ABSORICA, ZENATANE AND MYORISAN. |
POTTASSIUM CHLORIDE INJECTION 10mEq/5ML 30 Ml | l WOULD BE CONSIDERED A HIGH ALERT
MEDICATION FOR A PHARMACY TECHNICIAN ASSSIGNED TO STOCK REPLENISHMENT BECAUSE
THIS IS A DRUG IN THE (ISMP) AND IT BEARS A HEIGHTENED RISK OF CAUSING SIGNIFICANT
PATIENT HARM WHEN THEY ARE USED IN ERROR.. |
ISMP (INSTITUTE FOR SAFE MEDICATION PRACTICES) w | www.ismp.org |
NON –FORMULARY MEDICATION | THE REQUIREMENT THAT A NON-FORMULARY MEDICATION BE COVERED ONLY IF APPROVED
BY THE THIRD PARTY PAYER IS CALLED: PRIOR AUTHORIZATION |
WATER CONTAINING FORMULATIONS | IN THE ABSENCE OF STABILITY INFORMATION WATER
CONTAINING FORMULATIONS (PREPARED FROM INGREDIENTS IN SOLID FORM) SHOULD BE
ASSIGNED BY A BEYOND USE DATE THAT IS NO LATER THAN 14 DAYS WHEN STORED AT COLD
TEMPERATURE. |
OUTPATIENT PRESCRITPIONS | OUTPATIENT PRESCRIPTIONS REQUIRE PHYSICIANS PHONE
NUMBER AND ADDRESS. |
PHARMACY MANAGEMENT | PRODUCTIVITY REPORTS ARE PRIMARILY USED BY PHARMACY
MANAGEMENT TO EVALUATE AND IMPROVE WORKFLOW |
PRESCRIPTION BALANCES | CLASS “A” BALANCE HAS A SENSITIVITY REQUIREMENT OF 6mg. |
THE RED BOOK | THE RED BOOK BRINGS THE LATES PRICING AND PRODUCT INFORMATION IT
COVERS THE FULL SPECTRUM OF CURRENT DRUG PRICING POLICIES. |
THE ORANGE BOOK | THE ORANGE BOOK COMPARES THERAPEUTICAL EQUIVALENCE SO THE
LETTER “AB” RATING INDICATES THAT PRODUCTS ARE CONSIDERED BIOEQUIVALENT |
FLOW HOODS | VERTICAL FLOWHOODS ARE USED TO PREPARE CYTOTOXIC DRUGS OR
CHEMOTHERAPY MEDIATIONS. VERTICAL FLOWHOODS ARE ALSO CALLED BIOLOGICAL SAFETY
CABINETS. |
THIRD PARTY | THIS IS ANOTHER PARTY OR THE INSURANCE BESIDES THE PHARMACY THAT
PAYS TO AN EXTENT THE COST OF MEDICINE. |
THIRD PARTIES | THERE ARE MANY THIRD PARTIES WITH MANY PLANS TO MEET DIFFERENT
NEEDS OF THEIR CUSTOMERS. ALL THIRD PARTIES HAVE ONE OF THREE DIFFERENT TYPES OF
PAYMENTS: CO-PAYMENT, VARIABLE RATE AND A PERCENTAGE OF COST OF THE MEDICATION. |
CO-PAYMENT | THIS TYPE OF PAYMENT CHARGES A FLAT RATE REGARDLESS OF THE COST OF
THE MEDICATION. THERE IS USUALLY A SET PAYMENTFOR BRAND DRUGS OR NON- PREFERRED
DRUGS (A DRUG THAT IS NOT ON THE FORMULARY) AS WELL AS GENERICS |
MEDICAID | A STATE/FEDERAL PROGRAM OF ASSISTANCE FOR THE POOR |
MEDICARE | A FEDERAL PROGRAM OF HEALTH INSURANCE FOR PEOPLE OVER 65 YEARS OF AGE |
HEALTH MAINTENANCE ORGANIZATION (HMO): | A NETWORK OF HEALTH CARE PROVIDERS IN
WHICH PATIENTS MUST STAY WITHIN THE NETWORK SO THAT EXPENSES CAN BE EASILY
CONTROLLED. |
PREFERRED PROVIDER ORGANIZATION(PPO) | A NETWORK OF HEALTCHARE PROVIDERS IN
WHICH PATIENTS MAY USE SERVICES OUTSIDE THE NETWORK, HOWEVER, THE EXPENSES WILL
BE LESS IF THEY CHOOSE TO STAY WITHN THE NETWORK. |
PHARMACY BENEFITS MANAGER (PBM): | A COMPANY WHOSE BUSINESS IS TO PROVIDE DRUG
BENEFIT PROGRAMS TO INSURANCE COMPANIES. THEY USE THEIR SIZE TO NEGOTIATE WITH
DRUG MAKERS AND PHARMACIES. |
THE PHYSICIANS DESK REFERENCE (PDR) | IS A PUBLICATION THAT PROVIDES A COMPLETE
COMPILATION OS THE INFORMATION THAT IS FOUND ON PRESCRIPTION MEDICATION. THIS
COMPLIATION IS UPDATED ANNUALLY AND CAN BE FOUND IN BOOKSTORES AND LIBRARIES. |
THE MERCK INDEX: | AN ENCYCLOPEDIA OF CHEMICALS, DRUGS AND BIOLOGICALS WITH OVER 10,000
MONOGRAPHS ON SINGLE SUBSTANCES OR GROUPS OF RELATED COMPOUNDS. |
THE UNITED STATES PHARMACOPEIA AND THE NATIONAL FORMULARY (USP-NF) | IS A BOOK OF PUBLIC
PHARMACOPEIAL STANDARDS. IT CONTAINS STANDARDS FOR (CHEMICAL AND BIOLOGICAL DRUG
SUBSTANCES, DOSAGE FORMS, AND COMPOUNDED PREPARATIONS) EXCIPIENTS, MEDICAL DEVICES
AND DIETARY SUPPLEMENTS. |
DRUG FACTS AND COMPARISONS | THIS BOOK PROVIDES UP-TO-DATE, COMPREHENSIVE
INFORMATION ON OVER 22,000 Rx AND 6.000 OTC PRODUCTS GROUPED BY THERAPEUTIC CATEGORY
FOR EASE OF COMPARISON. |
CHOLESTYRAMINE POWDER | IS EXECPT FROM THE POISON PREVENTION PACKAGING. |
COORDINATION OF BENEFITS | IS USED WHEN A PATIENT HAS PRIMARY AND SECONDARY INSURANCE. |
DRUG ENFORCMENT AGENCY
(DEA) | ACCORDING TO THE DEA ALL RECORD RELATED TO CONTROLLED SUBSTANCES MUST BE MAINTAINED
AND BE AVAILABLE FOR INSPECTION FOR A MINIMUM OF 2 YEARS. |
DEA 222 | IS USED FOR THE PURCHASING AND RETURNING OF OUTDATED CII DRUGS. |
DEA 106 FORM | IS UDED TO REPORT LOST OR STOLEN CONTROLLED SUBTANCES. |
DEA 41 | IS USED TO DOCUMENT THE DESTRUCTION OF CONTROLLED SUBSTANCES. |
DEA 224 | IS NEEDED FOR FOR A PHARMACY TO DISPENSE CONTROLLED SUBSTANCES |
DEA 363 | IS NEEDED TO OPERATE A CONTROLLED SUBSTANCE TREATMENT PROGRAM OR
COMPOUND CONTROLLED SUBSTANCES |
DEA225 | IS NEEDED TO MANUFACTURE OR DISTRIBUTE CONTROLLED SUBSTANCES |