PHM 101 Ch 14 and 15 CA

in an ________ when a medication is ordered that is not on the formulary the medications may be ordered without additional permission

open formulary

programs sponsored by pharmaceutical manufactures to help provide medications for the needy is/are

patient assistance programs

a system that maintains a continuous record of every item in inventory so that it always shows the stock on hand is called

perpetual inventory system

_______ refers to the minimum and maximum stock levels used to determine when a reorder is placed and for how much

reorder points

companies that return expired and discontinued drugs for a pharmacy for credit are called

reverse distributors

the ______ requires safe disposal of medications

safe water drinking act

each unit dose package contains

the name of drug, strength, and the expiration date

_____ and _______ provides healthcare benefits for eligible uniformed service members, retirees, and family members

tricare and CHAMPUS

____ is an expression for the rate at which inventory is used and is generally expressed in number of days

turnover

a package containing a single dose of medication is called

unit dose package

a _______ claim form is standardized form accepted by insurers for prescription drugs

universal

an inventory system in which the item is deducted from inventory as it is dispensed is called a/an

point of sale

______ provides coverage for some spouses and children of disabled or deceased US veterans who are not eligible for TRICARE

CHAMPVA

meds by mail is a _____ program

CHAMPVA

medicare is administered by the

CMS

the CPT codes for billing MTM services provided by pharmacists are

99605, 99606, 99607

the _____ is a purchasing program for qualified health centers and hospitals

340 B drug pricing program

most drugs are kept at room temperature between______ and refrigerated between _______

59-86F; 36-46F

more than _____ of pharmaceutical manufacturers sales are directly to drug wholesalers

75%

the rules of COB ensure that benefit coverage for a claim dose not exceed ____ of the total cost

100%

disease state management services can be billed on the CMS

1500 form

fast movers account for approximately 80% of a pharmacy's orders and prescriptions

80%

a _______ is automatically assigned by the purchaser to each order for identification

purchase order number

pyxis Med/ supply station is a good example of a

ADC

the code for services when billing pharmacist provided MTMs services is the

Current procedural terminology codes

________ mandates the use of an electronic tracking system so that pharmacies and wholesalers know where a medication was manufactured and were it was shipped

DSCSA

_____ are a network of providers for which costs are covered inside but not outside of the network

HMO

the type of managed care program the is the most restrictive is

HMO

the _____ provides standards for what information should be included on health care cards as well as the formatting of such information

NCPDP

the ______ publishes very detailed guidelines on how to safely and legally handle chemotherapy and other hazardous drugs

NIOSH

the number used to identify the provider of MTM service when billing for services under medicare part D is the

NPI

an example of a robotic dispensing machine that produces prescription labels is

Parata Max

OSHA required notices on hazardous substances that provide hazard, handling, clean up, and first aid info are called

SDSs

____ substances require a special order form for reordering

Schedule II

automated dispensing systems that travel throughout a facility and deliver drugs to various nursing units and departments are

mobile robots

____ is a health care benefits plan for eligible veterans

VA

_____ benefits cover prescriptions written by ____ doctors and filled at ___ pharmacies with a mail order option through_______

VA;VA;VA; the consolidated mail outpatient pharmacy program

a goal of _____ is to ensure that drugs are available when they are needed

a good inventory system

_____ is essential in checking in medications received from suppliers

accuracy

generic drugs are usually tier

one

most medications are received from the supplier in _______

bulk stock bottles

certain hazardous substances_______be shipped by air

cannot

________ are used to efficiently store bulk or unit dose medications

carousels

all medicaid programs have a ______ formulary

closed

an agreement for cost sharing between the insures and insured is called

co insurance

_____ is items stocked in the pharmacy not paid for until used or dispensed to a patient

consignment

_______must be continually monitored and documented

controlled substances stock

the process for using a computer to determine the exact coverage for a prescription with the appropriate third party is called

online adjudication

a ______ represents a set amount that must be paid by the patient for each benefit period before the insurer will cover additional expenses

deductible

conditions most often targeted for disease state management include

diabetes, hypertension, and asthma

a _____ means that the patient pays a different copay for generic and brand drugs

dual copay

_______ issues have a substantial influence on health care and pharmacy practice

financial

a list of medications that are covered by a third party program is a

formulary

a listing of the medications that are approved for use within a system is an

formulary

_____ must be routinely reviewed to evaluate newer products as well as safety profiles for current medications

formulary medication

in an alpha generic organization drugs are stored alphabetically by

generic name

______ set up checks and balances so that the same person does not perform both ordering and receiving

good ordering practices

the number or code on an insurance card that identifies the employer of the insured individual is the

group number

shipments of broken or damaged stock should be tracked and reported to the wholesaler or supplier_______

immediately

a listing of goods or items that a business will use in its normal operation is called an

inventory

in receiving an order, it is important to be alert for drugs that have been incorrectly picked, received damaged, and are outdated or missing so orders are reconciled

item by item

if the patient has a dual co pay the patient usually pays ______ for generic drugs compared to brand name drugs

lower copay

drugs must be stored according to ________

manufacturers specifications

the federal stare insurance program administered by the states that provides health care for the needy is

medicaid

examples of public health insurance are

medicare and medicaid

______ covers inpatient hospital expenses for patients who meet certain conditions and it may also cover some hospice expenses

medicare part a

the component of medicare that covers doctors services and other medical services that are not covered under medicare part a is

medicare part b

______ is the common name for the medicare prescription drug plan

medicare part d

the component of medicare that covers MTM services is

medicare part d