Pharmacy Technician Chpts 4, 14, 15

For information on professional standards regarding the roles and responsibilities of pharmacy technicians, go to the

Bureau of Labor Statistic

Medicare is administered by the

CMS

A standard form used by health-care providers to bill for services is

CMS-1500

Although no federal law mandates pharmacies to maintain any specific pharmacy literature, OSHA requires pharmacies to have _____ on hand

SDSs

What is the most likely reason for a rejected claim with the message "refills not covered"?

The insurance plan has mail order requirements

A patient would like to order their medications online. To which website would a pharmacy technician direct them?

nabp.org

Generic drugs are usually in tier

one

_____ contact hour(s) of continuing education in pharmacy law is/are required every two years to maintain PTCB certification.

one

Patient assist programs are offered by

pharmaceutical manufacturers

Companies that administer drug benefit programs are called

pharmacy benefit managers

Medicare Part D covers

prescription drugs

Closed formulary programs, such as Medicaid, may cover drugs not on the formulary through a process called

prior authorization

One way to obtain coverage of a non-formulary medication is

prior authorization

Formulary medication are routinely reviewed to

review safety of older products and evaluate newer products

A generic term used for computerized medication dispensing machines used in hospitals is a/an

ADC

Which pharmacy drug reference would you search for an indication for an off-label medication?

AHFS Drug Information

When there is a question on insurance coverage for an online claim, the pharmacy technician can

telephone the insurance plan's pharmacy help desk

In an open formulary, when a medication is ordered that is not on the formulary

the medication may be ordered without obtaining additional permission

The prescription drug co-pay is paid by

the patient

When a technician receives a rejected claim "Invalid Person Code", this probably means

the persons code entered does not match the birth date and/or sex in the insurer's computer

Another party, besides the patient or the pharmacy, that pays some or all of the cost of the medication is a/an

third-party

A goal of inventory management is

to ensure that drugs are available when they are needed

Coordination of benefits occurs when there is/are

two different health insurance plans that provide coverage for the same prescriptions

A package that contains a single dose of a medication is called a/an

unit dose package

Proper disposal or destruction of nonreturnable medications includes

using a company that meets EPA regulations

Safe handling of chemotherapy medications can be found in a publication by

NIOSH

The CPT codes for billing Medication Therapy Management services provided by pharmacist are

99605, 99606, and 99607

When reconciling an order, if a technician detects discrepancies, the supplier should be notified

immediately

A bar code on a manufacturer's product

includes the product's NDC number

Safety Data Sheets (SDS) provide

information concerning hazardous substances

a list of the goods or items a business will use in its normal operation is called a/an

inventory

If a supplier's terms are 30 days net,

it would be best to have a turnover less than 30 days

Consignment stock is

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

"Fast movers" account for approximately what percent of a pharmacy's orders and prescriptions?

80%

A technician looking for therapeutic equivalence information on a brand or generic drug should consult which reference?

"Orange Book"

The common name for the FDA's Approved Drug Products with Therapeutic Equivalent Evaluations is the

"Orange Book"

The rules for coordination of benefits ensure that the benefit coverage for a claim does not exceed _____ of the total cost.

100%

The prescription is written for Augmentin 500 mg #45, with directions to take 1 tablet 3 times a day. What is the days supply?

15

You're filling a prescription for enalapril 10 mg #30, i tab every day. What is the days supply?

30

The temperature of a refrigerator in a pharmacy should generally be

36-46 degrees Fahrenheit

Most drugs are kept at room temperature between

59-86 degrees Fahrenheit

What can a technician do if a prescription claim is rejected for invalid days supply?

Dispense a lesser amount and adjust refills

Which common reference would a pharmacy technician search to compare medications in the same therapeutic class for a patient on a restricted formulary?

Drug Facts and Comparisons

The general chapters <1> through <999> of the USP-NF are enforced by (the)

FDA

A/an _____ is a network of providers for which costs are covered inside, but not outside of the network

HMO

Which type of managed care program usually has the most restrictions?

HMO

The FDA-approved paper handouts are required by the FDA with certain prescription products:

Medication Guides (MedGuides)

Which organization is devoted entirely to medication safety and error prevention?

ISMP

Which resource would a technician use to find a list of high-alert medications?

ISMP

How would a pharmacy technician store controlled substances?

In locked areas or within the regular stock

An adverse drug event can be reported to the FDA through (the)

MedWatch

Medications on the REMS list require one or a combination of the following: a ______________, a ______________, elements to ensure safe use, and/or an implementation plan.

Medication Guide, communication plan

A pharmacy can obtain SDS from the

OSHA

A/an _____ is a network of providers where costs outside the network may be partially reimbursed and the patient's primary care physician need not be a member.

PPO

Which type of managed care program is least likely to require generic substitution?

PPO

A pharmacy technician is searching for PTCE information, a practice exam, and a guidebook to help prepare for the PTCE should contact the

PTCB

_____ is an inventory system in which the item is deducted from inventory as it is sold or dispensed.

Point-of-sale system

To what pharmacy reference would you direct a physician who is looking for prescription information on major pharmaceuticals similar to drug package inserts?

Prescribers' Digital Reference

A purchase order number is

a number used to identify an order

A company that administers a drug benefit program is

a pharmacy benefit manager

The 340B Drug Pricing program is

a purchasing program for qualified clinics and hospitals

A therapeutically equivalent drug is

chemically different but with similar actions and effects

Plans in which the patient pays a different amount depending on whether a generic or brand name medication is dispensed have

dual co-pays

Central fill facilities support prescription dispensing by

filling and packaging prescriptions for delivery to pharmacies

In an alpha-generic organization, drugs are stored alphabetically by

generic name with corresponding trade versions placed next to the generic drug.

All of the following are used to store medications except

glove boxes

Best practices for ordering medications include

having different people place the order and check it in.