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56 Cards in this Set

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National Drug Code

NDC

Assigned to each drug by manufacturer.

Prescribing FDA-approved medications for uses other than their intended indication.

Off-label Usage

Blood pressure medication can also be used as heart medication.

Method of grouping drugs based on similar chemical structures, mechanisms of action, or pharmacologic effect.

Drug Classification

Drugs grouped based on similarities.

Specific disease or condition drug is intended to treat.

Therapeutic Indication

Alphabetical listing of names and subjects with page references for ease of use.

Index

Book that determines whether a generic medication is the same as a brand name medication.

Orange Book

Book that finds prescription and non-prescription medication average and wholesale cost and pricing.

Red Book

Finds prices for prescriptions and non-prescriptions.

Sheets that contains the dangers or chemicals and actions to take if exposed.

Safety Data Sheets (SDSs)

What to do if exposed to chemicals and dangers.

Uses telecommunications technology to provide pharmaceutical care to patients in rural and medically undeserved areas from a distance.

Telepharmacy

Provides pharmacy care through telephone for certain areas.

HIPAA

Health Insurance Portability and Accountability Act

Privacy for patients

DUR

Drug Utilization Review

Type of insurance where patients select primary care provider (PCP). Needs referrals to see specialists. (Aetna, Cigna, Kaiser, TRICARE (CHAMPUS)

Health Maintenance Organization (HMO)

Type of insurance where patients don't need referrals to see specialist. Have In and Out of Network providers. (Blue Shield/Bluetooth Cross, United Healthcare)

Preferred Provider Organizations (PPO)

Government insurance for people 65+ years. Provides hospital, medical and prescription insurance.

Medicare

Insurance for people with low income and disabilities. Eligibility depends on State.

Medicaid

Type of insurance for U.S. Military and Families.

TRICARE

Civilian Health Program for Vet Families.

CHAMPV

Company covers work injuries, no patient payment.

Worker's Compensation

Process of transmitting a prescription electronically to the proper insurance company or third party biller for approval and billing.

Adjudication

Request for reimbursement from healthcare provider to ensure provider for products or services rendered.

Claim

Portion of cost of a service or product that patient pays out of pocket each time it is provided.

Co-Pay

Set amount client pays up front before insurance coverage applies.

Deductible

DAW

Dispense As Written

Number of days a dispensed quantity of medication will last.

Days Supply

A six digit number that Health Plans use to process electronic Pharmacy claims. It helps identify the specific third-party payer.

Processor Bank Identification Number (BIN)

This number further refines the BIN, specifying the exact processing required for the claim.

PCN (Processor Control Number)

The numbers on the insurance card where it identifies each member of an insurance plan. It ensures the right patient is billed and receives coverage.

Member Identification Number

A code that differentiates individuals within the same family on a Health Plan. It's crucial for precise billing especially for family plans.

Person Code

Type of number that specifies the exact Pharmacy benefits that an individual or group is entitled to. It helps categorize members into the correct benefit structures.

Rx Group Number

How many letters and digits in a DEA number?

Two letters and 7 digits

How to check DEA Number?

Add digits 1,3, and 5.


Add digits 2,4, and 6 and multiply by 2.


Add 1st and 2nd values together.


Make sure the total has the same digit as the last number of the DEA Number.

What is the daily sale limits of ephedrine, pseudoephedrine, and phenylpropanolamine products?

*30 Day Purchase Limit


*Sales limits (3.6 g/day, 9 g/month.)


*Maintains sales logs electronically or in written form for at least two years.

DEA form used for ordering C-II drugs; filled in triplicate with specific copies distributed accordingly.

DEA Form-222

DEA form to Utilize the disposal of controlled Substances.

DEA Form-41

DEA form used for reporting theft or loss of controlled Substances.

DEA Form-106

How many years should inventory of controlled substances be completed?



Exact counts for C-II Substances and estimates for C-III to C-V.

2 Years

Which scheduled drug is stored in double-locked, tamper-proof cabinets?



Less strict substances can be stored in secure areas within the pharmacy.

Schedule II (C-II)

PPI

Patient Package Insert

What is the primary functions of the respiratory system?

Transport air to and from the lungs.



Supply oxygen to the blood.

How much percentage of solid tissue is the lungs?

10%

What consists of the upper respiratory tract?

Nose/Nasal Cavity


Paranasal sinuses


Pharynx


Larynx

What is inhaled and exhaled during the breathing process?

Oxygen is inhaled.



Carbon dioxide is exhaled.

What is the diaphragm?

Dome shaped muscle at the chest bottom.

What consists of the lower respiratory tract?

Trachea


Two lungs


Bronchi


Bronchioles


Alveoli


What is a cold?

Viral infection inflaming nose and throat membranes.

What is a common symptom of colds, flu, and respiratory issues?

Coughs

What is H1N1 known as?

Swine flu

What are the four types of influenza viruses?

A, B, C, D

What is the difference between a cold and a flu?

Colds are caused by viral infections, while flu's are caused by viruses.

What is rhinitis?

Inflammation of nasal membranes and runny nose.

What is an Anticholinergic?

Substance that blocks the action of acetylcholine neurotransmitters. Used to treat COPD and overactive bladder.

What does COPD stand for?

Chronic Obstructive Pulmonary Disease

What is bronchitis ?

Inflammation of the lining of the bronchial tubes.

What does Medicare part A cover?

Hospital insurance

What does Medicare Part B cover?

Medical insurance

What does Medicare Part D cover?

Prescription drug insurance