11. TL:DR - Other Settings

Question 1

Correctional Facilities Dispensing Rules

Answer 1

considered an institutional pharmacy in AL

Question 2

Veterinary/animal dispensing rules

Answer 2

veterinarians - prescribing is limited to scope of practice (animals)

Question 3

Emergency Room/Urgent Care Dispensing Rules

Answer 3

Regulated as an institutional pharmacy in AL

Question 4

What is the definition of off-site vaccine order entry processing?

Answer 4

means by which licensed pharmacist, tech, or intern may remotely access their own pharmacy’s database from outside pharmacy in order to process vaccinations provided that the pharmacy establishes controls to protect security/privacy

Question 5

Off-site Vaccine Order Entry is limited to

Answer 5

1. interpreting or clarifying vaccine orders
2. Data entry of the vaccine order information
3. Performing drug regimen review
4. Providing clinical vaccine information concerning a patient’s immunizations

Question 6

off-site vaccine processing does NOT include order entry or dispensing of

Answer 6

legend or controlled substance prescriptions

Question 7

off-site vaccine order entry processing of vaccines shall be completed in

Answer 7

real-time at the remote site where the vaccine is being administered, after which the technology used to complete the vaccine processing is returned to the pharmacy for secure storage within the permitted pharmacy

Question 8

The entity conducting the onsite audit will give the pharmacy written notice at least ____ weeks before conducting the initial onsite audit for each cycle.

Answer 8

2 weeks (PBMs?)

Question 9

For onsite audits, a pharmacy benefit anger shall also provide a list of material that is copied or removed during the course of an audit to the pharmacy. The pharmacy shall produce any items during the course of the audit or within ______ days of the audit

Answer 9

30 days

Question 10

Where not superseded by state or federal law, the period covered by an audit may not exceed ____ years from the date the claim was submitted or adjudicated

Answer 10

2

Question 11

The entity shall provide the pharmacy with a written report of the audit and comply with all of the following

Answer 11

1. preliminary audit report shall be delivered to the pharmacy within 90 days after the conclusion of the audit
2. a pharmacy shall be allowed at least 30 days following receipt of the preliminary audit report in which to produce documentation to address discrepancies found
3. final audit report shall be delivered to the pharmacy within 180 days after receipt of the preliminary report/appeal

Question 12

how many days after the receipt of the preliminary audit report do pharmacies have to address discrepancies in audits?

Answer 12

30 days

Question 13

A final audit report shall be delivered to the pharmacy within ____ days of the preliminary report/appeal

Answer 13

180 days