Laws/Regulations
Billing
Medication Safety
Sterile & Non-sterile comp
Inventory
100

This act required drug labeling to include directions for use, warnings, and safety concerns, as well as classifying offenses as misbranding or adulterating. 

Federal Food, Drug, and Cosmetic Act of 1938

100

This insurance has small copays, usually no deductibles, low premiums, and requires a PCP with little flexibility in selection of providers. 

Health Maintenance Organizations (HMO)

100

These are written summaries of patient information about specific risks and benefits. These provide clinical information about the drug and are written in consumer friendly terminology. According to FDA, all estrogen-containing meds and oral contraceptives must have these. 

Patient Package Inserts (PPIs)

100

This technique used in non sterile compounding is the trituration of a powder drug with a solvent in which the drug is insoluble with he solvent. 

levigation

100

The amount of drug that is automatically reordered and levels of meds that must be kept at hand in the pharmacy at any given time

PAR or periodic automatic replenishment levels

200

This law requires all medication in US to be safe, pure and effective and established procedures for both drug application ad investigational drugs. It requires drug manufacturers to be responsible for good manufacturing practices (GMP)

Kefauver-Harris Amendment of 1962

200

This is an additional policy that covers the gaps in ht original medicare program.

Medigap (medicare supplemental policy)

200

The use of Tall man lettering and separation of drugs on the shelf are strategies used to avoid errors with what medications?

look-alike/sound-alike meds

200

This technique in non-sterile compounding is used in mixing 2 ingredients of unequal quantities, where one begins with he smallest quantity and adds an equal amount of ingredient having the larger quantity. 

geometric dilution 

200
A drug distribution system that combines unit-dose meds, which are blister packaged onto multiple-dose card instead of being placed in a box.

synonymous with punch cards, bingo cards and blister cards

modified unit-dose system 

300

This law assigned each drug a specific 11-digit number, aka NDC to identify it. The first 5 numbers are manufacturer, the next 4 are drug, and last 2 are packaging. 

Drug Listing Act of 1972

300

What does BIN stand for and what is it? 

Bank Identification Number

a 6 digit number used to identify the company that will reimburse the pharmacy for prescription being filled 

300

This is a structured, comprehensive review strategy employe by pharmacists to review pt's prescriptions, health history and meds data. These reviews are performed on every prescription, help maintain accuracy in drug therapy and improve patient outcomes.

DUR or Drug Utilization Review 

300

A test performed on compounded products to ensure that o contamination has occurred during the preparation phase

Media-fill test

300

This drug does not have FDA permission to be legally marketed or sold but FDA may allow dispensing of the drug for a particular situation when all methods of treatment have been exhausted. 

investigational drug 

400

This law encouraged the creation of both generic and new medications by streamlining the process for generic drug approval and by extending patient licenses.

The Drug price competition and patent term restoration act of 1984 (aka HATCH-WAXMAN)

400

A term used to refer to the process of paying or denying claims submitted after comparing the claim to the pt's benefit or coverage requirements. 

Adjudication

400
What are the 5 patient right of medication safety?

Right drug, dose, dosage form, route of administration and time 

400

This type of laminar flow hood removes all of the cntaminatedair to the outside atmosphere after it passes through the HEPA filter. This air is not recirculated within the hood or returned to the parenteral rom atmosphere. 

Type B2 hoods

400

What type of inventory indicated the actual quantity of a specific quantity of med on hand at a particular moment in time?

perpetual inventory 

500

This law established extensive revisions to Medicaid and medicare Conditions of Participation regarding long-term care facilities and pharmacy. 

These include: Pt receiving antipsychotic meds must receive gradual dose tapering, no unnecessary meds, antipsychotics are not be used and documented unless pt diagnosed with specific condition etc

OBRA'87

500

which DAW code should be assigned to a prescription where the physician has approved of dispensing the generic drug but the patient has requested the brand name medication?

DAW 2

500

What type of error is the following: 

occurs during preparation of prescription or result of pharmacist making an incorrect decision during the screening of pt, during DUR, or counseling a patient

Examples include errors in prescription interpret ion, transcription, and performing pharmacy calculations 

Dispensing errors 

500

What type of hazardous waste lists are discarded commercial chemical products and are defined as chemical substance that is the commercially pure grade, a technical grade, or a formulation in which the chemical is the sole active ingredient 

P- and U-List Waste

500

This tuber is assigned but the drug manufacturer to identify a given batch of medication 

lot number 

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