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64 Cards in this Set
- Front
- Back
PCN (in insurance) |
Processor Control Number -used as 2nd identifier in insurance claims |
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NPI |
National Provider Identifier -a unique 10-digit identification number issued to health care providers to transmit health information. |
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AWP |
Average Wholesale Price -refers to the average purchase price of a medication at the wholesale level. |
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NCPDP |
National Council for Prescription Drug Programs rganization that developed rejection codes that are used when billing a third-party payer. |
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HMO |
Health Maintenance Organization -insurance plans can a patient choose a primary care physician from a network of providers, and that physician coordinates his/her care? |
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DME |
Durable Medical Equipment -any equipment that provides therapeutic benefits to a patient in need because of a medical condition or illness. These are things such as wheelchairs, hospital beds, traction equipment, canes, crutches, walkers, kidney machines, ventilators, oxygen, monitors, pressure mattresses, lifts, nebulizers, bili blankets, and bili lights. |
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MAC |
MAC (Max Allowable Cost) refers to the maximum amount that a plan will pay for generic drugs and brand name drugs that have a generic available. |
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PPO |
Preferred Orovider Organization |
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CMS |
CMS (Centers for Medicare and Medicaid Services). On3 who issued NPI |
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BIN |
Bank Identification Number |
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AAC |
Actual acquisition cost -refers to the actual cost that a pharmacy paid for a medication. |
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NCPDP |
The National Council for Prescription Drug Programs an ANSI-accredited, standards development organization providing healthcare solutions. Through use of a consensus-building process, they create national standards for real-time, electronic exchange of healthcare information. Their focus is on information exchange for prescribing, dispensing, monitoring, managing, and paying for medications and pharmacy services. |
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PSTAC |
Pharmacist Services Technical Advisory Coalition founded to improve the coding infrastructure used to support the billing of pharmacists’ professional services. |
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OSHA |
Occupational Safety and Health Administration |
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EPA |
Environmental Protection agency establishes guidelines for the disposal of hazardous waste. |
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Kefauver-Harris Amendment |
requires that manufacturers provide proof of drug effectiveness and safety. |
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HIPAA |
Health Insurance Portability and Accountability Act Responsible for the protection of privacy |
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Durham,-Humphrey Amendment |
authorized verbal prescriptions and refills of prescription drugs, established separate categories for prescription and over-the-counter drugs, and required that all drugs be labeled with adequate directions for use unless they include the label, “Caution: Federal Law Prohibits Dispensing Without a Prescription.” |
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Omnibus Budget Reconciliation Act |
requires the maintenance of a patient profile in any pharmacy setting. |
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Orange book |
Information on the generic equivalence of drugs can be found in which of the following resources |
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ISMP |
Institute for Safe Medication Practices nonprofit organization devoted entirely to preventing medication errors. |
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Incorrect dosages, drug-disease contraindications, and drug interactions are issues that are addressed by |
DUR Drug Utilization Reviews |
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TJC |
organizations requires the segregation of medications in order to prevent medication errors and to promote the proper use of medications? |
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mandates what is addressed in a pharmacy’s infection control policy. |
TJC |
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oversee the Vaccine Adverse Event Reporting System. |
CDC FDA |
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MAR |
Medication Administration Record record of all the drugs administered to a patient in a facility by a healthcare professional |
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DAR |
Drug Accountability Record must be completed when dispensing IND |
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Red book |
contains drug pricing information such as the average wholesale price (AWP) and suggested retail price. |
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AWP |
Average Wholesale Price average purchase price of a medication at the wholesale level. |
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AAC |
Actual Acquisition Cost refers to the actual cost that a pharmacy paid for a medication. |
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employer-sponsored benefit that allows employees to use pre-tax dollars to pay for eligible health care expenses |
FSA Flexible Spending accounts |
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If a patient requests that medication be dispensed in a “non-child-resistant” container, the pharmacy should do which of the following? |
Document the info in px record |
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ALCOHOL USP |
95% ethyl alcohol |
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Failing to include information that is necessary for the safe use of a medication is |
Error of ommision |
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"Peri" |
Surround |
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Risks of health information technology include the following: |
Implementation may not be carefully planned, systems may not be updated consistently, and bar codes may be mislabeled. |
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proactive method that analyzes the design of a system to identify where and how it might fail. |
failure mode and effects analysis |
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When working in a horizontal laminar flow hood, nothing should pass ___________ a sterile object. |
Behind |
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root cause analysis |
continuous quality improvement tool, findings from the analysis can be used to prevent future errors, and it is retrospective. |
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required air quality for a primary engineering control (PEC). |
ISO 5 |
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describes when a laminar flow hood should be turned on? |
Continuously |
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Tylenol w/ Codeine schedule |
Sched 2 |
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Prescriptions for non-controlled medications are valid for ______________ from the date written. |
12months |
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According to USP <795>, the beyond-use date for solids and non-aqueous liquids prepared from commercially available dosage forms is ______________ in the absence of other data. |
25% of the remaining expiration date of the commercial product, or six months, whichever is earlier. |
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error-reporting program that is an Internet-accessible method that allows hospitals to anonymously report and track errors within their organizations. |
MedMarx |
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The injection port of an IV bag should be positioned in which of the following directions while compounding in a laminar flow hood? |
Towards HEPA filter |
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any harm or injury caused by the use of a medication. |
Adverse drug events |
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Lovenox GN |
Enoxaparin |
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autoimmune disease in which the thyroid is overactive, and produces excessive amounts of thyroid hormones: |
Graves disease |
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If two drugs are taken together and one of them intensifies the action of the other, what type of drug interaction has occurred?
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Potentiation |
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when the effect of two drugs together is greater than the sum of their individual effects |
Synergism |
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Prof service code: Sent f ok r appropriate reimbursement of Zostavax |
MA medication Administration |
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Pro service code: indicates prescriber consulted |
MO |
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Result of service code meaning Rx has been clarified but not filled |
2B |
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Result of service code meaning Rx filled with diff dose |
1C |
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Axid GN |
NIZAtidine |
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PEPCID GN |
Famotidine |
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Tagamet GN |
Cimetidine |
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Zantaz GN |
Ranitidine |
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hormone stimulates bone and muscle growth in men? |
Testosterone |
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section of the drug monograph would you find an abbreviated summary of the most clinically adverse reactions |
Warning and precautions |
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Insurance companies enact plan limitations to control drug use, which of the following is a limitation for a mail order pharmacy for days’ supply |
Days supply restriction for a mail order supplies is 90 days. Retail pharmacies will have a 30 day limit. |
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is used to identify and define inventory items based on their usage? |
ABC Analysis |
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dispense as written codes indicates an override? |
DAW 6 |