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56 Cards in this Set
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- Back
- 3rd side (hint)
National Drug Code |
NDC |
Assigned to each drug by manufacturer. |
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Prescribing FDA-approved medications for uses other than their intended indication. |
Off-label Usage |
Blood pressure medication can also be used as heart medication. |
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Method of grouping drugs based on similar chemical structures, mechanisms of action, or pharmacologic effect. |
Drug Classification |
Drugs grouped based on similarities. |
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Specific disease or condition drug is intended to treat. |
Therapeutic Indication |
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Alphabetical listing of names and subjects with page references for ease of use. |
Index |
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Book that determines whether a generic medication is the same as a brand name medication. |
Orange Book |
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Book that finds prescription and non-prescription medication average and wholesale cost and pricing. |
Red Book |
Finds prices for prescriptions and non-prescriptions. |
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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. |
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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. |
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HIPAA |
Health Insurance Portability and Accountability Act |
Privacy for patients |
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DUR |
Drug Utilization Review |
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Type of insurance where patients select primary care provider (PCP). Needs referrals to see specialists. (Aetna, Cigna, Kaiser, TRICARE (CHAMPUS) |
Health Maintenance Organization (HMO) |
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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) |
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Government insurance for people 65+ years. Provides hospital, medical and prescription insurance. |
Medicare |
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Insurance for people with low income and disabilities. Eligibility depends on State. |
Medicaid |
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Type of insurance for U.S. Military and Families. |
TRICARE |
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Civilian Health Program for Vet Families. |
CHAMPV |
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Company covers work injuries, no patient payment. |
Worker's Compensation |
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Process of transmitting a prescription electronically to the proper insurance company or third party biller for approval and billing. |
Adjudication |
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Request for reimbursement from healthcare provider to ensure provider for products or services rendered. |
Claim |
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Portion of cost of a service or product that patient pays out of pocket each time it is provided. |
Co-Pay |
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Set amount client pays up front before insurance coverage applies. |
Deductible |
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DAW |
Dispense As Written |
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Number of days a dispensed quantity of medication will last. |
Days Supply |
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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) |
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This number further refines the BIN, specifying the exact processing required for the claim. |
PCN (Processor Control Number) |
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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 |
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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 |
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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 |
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How many letters and digits in a DEA number? |
Two letters and 7 digits |
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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. |
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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. |
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DEA form used for ordering C-II drugs; filled in triplicate with specific copies distributed accordingly. |
DEA Form-222 |
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DEA form to Utilize the disposal of controlled Substances. |
DEA Form-41 |
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DEA form used for reporting theft or loss of controlled Substances. |
DEA Form-106 |
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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 |
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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) |
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PPI |
Patient Package Insert |
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What is the primary functions of the respiratory system? |
Transport air to and from the lungs. Supply oxygen to the blood. |
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How much percentage of solid tissue is the lungs? |
10% |
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What consists of the upper respiratory tract? |
Nose/Nasal Cavity Paranasal sinuses Pharynx Larynx |
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What is inhaled and exhaled during the breathing process? |
Oxygen is inhaled. Carbon dioxide is exhaled. |
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What is the diaphragm? |
Dome shaped muscle at the chest bottom. |
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What consists of the lower respiratory tract? |
Trachea Two lungs Bronchi Bronchioles Alveoli
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What is a cold? |
Viral infection inflaming nose and throat membranes. |
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What is a common symptom of colds, flu, and respiratory issues? |
Coughs |
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What is H1N1 known as? |
Swine flu |
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What are the four types of influenza viruses? |
A, B, C, D |
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What is the difference between a cold and a flu? |
Colds are caused by viral infections, while flu's are caused by viruses. |
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What is rhinitis? |
Inflammation of nasal membranes and runny nose. |
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What is an Anticholinergic? |
Substance that blocks the action of acetylcholine neurotransmitters. Used to treat COPD and overactive bladder. |
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What does COPD stand for? |
Chronic Obstructive Pulmonary Disease |
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What is bronchitis ? |
Inflammation of the lining of the bronchial tubes. |
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What does Medicare part A cover? |
Hospital insurance |
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What does Medicare Part B cover? |
Medical insurance |
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What does Medicare Part D cover? |
Prescription drug insurance |
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