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
