TYPES OF PHARMACY
AKA: ambulatory or community pharmacy
Retail Pharmacy
prescriptions are dropped off, refills are requested, and all patient information is verified
Drop Off Counter
has authority to suspend or revoke license of pharmacist or pharmacy technician at any time
SBOP (State Board of Pharmacy)
do not require a prescription for purchase
OTC medications
59-86 degrees Fahrenheit
Room Temperature
required for all prescriptions that are for controlled drugs
DEA numbers
dispense as written; no generic drug can be substituted
DAW
3rd group of NDC numbers
package size
a company that operates four or more pharmacies: CVS, Walgreens, Walmart
Chain Pharmacy
where new prescriptions are entered and insurance billing and claims are processed
Computer Workstation
regulates the control of legal and illegal narcotics
Drug Enforcement Agency (DEA)
cannot be received by a CPhT
Phone-In Prescriptions
36-46 degrees Fahrenheit
Refrigeration Temperature
the date that the prescription was written
Date prescribed
section of prescription that indicates if a patient can have generic or less expensive equivalent of the medication being dispensed
Product Selection Permitted (DAW)
1st group of NDC numbers
manufacturer
owned by an individual; the owner buys the name of the pharmacy
Franchise Pharmacy
mandated by SBOP to be posted in pharmacy area at all times
Licenses, Registrations, and Certifications
prescriber must use a tamper-resistant prescription pad
CMS requirement for Medicare/Medicaid prescriptions
pharmacist may supply up to 72 hours of a medication for a refill when is needs to be approved by a physician
72 hours
-13 to -14 degrees Fahrenheit
Freezer Temperature
directions for use of a prescription
SIG
10 elements; prescriber info, Pt name and address, Date prescribed, drug name and strength, dose and quantity, route, sig/directions, # of refills, product selection, prescriber's signature
Basic Elements of a Prescription
2nd group of NDC numbers
drug, strength, and dosage form
AKA neighborhood pharmacy: independent and privately owned
Neighborhood Pharmacy
Provides medication, devices and aids that do not require a prescription
Front End
Risk evaluation and mitigation strategies- required risk management plans that use risk-minimization strategies that are beyond the professional labeling to make sure that the benefits of certain medication outweigh their risks
REMS
process of electronically transmitting a prescription to the insurance company for approval and payment
adjudication
must be kept in locked storage at all times per DEA regulations
C-I and C-II prescriptions
must be present for a prescription to be valid; probably forged if written in BLUE ink
Prescriber signature
There must be a paper trail for the DEA and SBOP
Transfer of prescriptions
most frequently forged or altered prescriptions
C-II and C-III
affiliated with a health care system such as a hospital, clinic, or other ambulatory care facility
Outpatient Pharmacy
Elements to assure safe use- required medical interventions or actions that health care professionals need to execute prior prescribing or dispensing medications to a patient
ETASU
75% of medication must be used prior to insurance companies and pharmacies refilling a med
Refills
an affect an unborn baby
Teratogenic Effects
MD, PA, DDS, and CNP
Authorized Prescribers
substitute allowed, but patient wants brand name
DAW 2
substitution not allowed; has to be how prescriber wrote it
DAW 1
no product selection indicated; patient can have brand or generic
DAW 0