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PHRM 100 – IMM > IMM 14: MTM in CP II – Minor Ailments > Flashcards

IMM 14: MTM in CP II – Minor Ailments Flashcards

1
Q

What is a minor ailment?

A

common or self-limiting or uncomplicated conditions which can be diagnosed and managed without medical intervention

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2
Q

When can pharmacists prescribe for minor ailments?

A

pharmacists can make a diagnosis and prescribe drug to treat a disease, disorder, or condition specified in Schedule A if the patient’s signs and symptoms indicate the condition:

  • presents low risk of masking an underlying disease, disease, or condition – and
  • can be readily diagnosed without the need for laboratory and imaging tests – and
  • can be reasonably expected to resolve with only short-term or episodic treatment
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3
Q

Acne

A

topical drugs

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4
Q

Allergic Rhinitis

A
  • intranasal drugs – including antihistamine drugs
  • ophthalmic drugs – including antihistamine drugs
  • oral antihistamine drugs
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5
Q

Conjunctivitis
(allergic, bacterial, or viral)

A

ophthalmic drugs

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6
Q

Dermatitis
(allergic, atopic, contact, diaper, or seborrheic)

A

topical drugs

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7
Q

Dysmenorrhea

A

NSAIDs

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8
Q

Dyspepsia

A

gastric acid-reducing drugs

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9
Q

Fungal Infections
(onychomycosis, tinea corporis infection, tinea cruris infection, or tinea pedis infection)

A

topical drugs

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10
Q

Gastroesophageal Reflux Disease

A

gastric acid-reducing drugs

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11
Q

Headache

A

NSAIDs

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12
Q

Hemorrhoids

A

topical drugs

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13
Q

Herpes Labiallis

A
  • topical drugs – including antiviral drugs
  • other types of antiviral drugs
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14
Q

Impetigo

A

topical drugs

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15
Q

MSK Pain

A

NSAIDs

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16
Q

Nicotine Dependence

A

nicotine cessation drugs

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17
Q

Oral Ulcers
(canker sores, aphthous ulcers)

A

topical drugs

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18
Q

Oropharyngeal Candidiasis

A

antifungal drugs

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19
Q

Shingles

A

antiviral drugs

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20
Q

Threads or Pinworms

A

anthelmintic drugs

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21
Q

UTI (uncomplicated)

A

antibiotic drugs

22
Q

Urticaria
(including insect bites)

A
  • topical drugs – including antihistamine drugs
  • other types of antihistamine drugs
23
Q

Vaginal Candidiasis

A

antifungal drugs

24
Q

Topical Drugs

A
  • acne
  • dermatitis
  • fungal infections
  • hemorrhoids
  • herpes labiallis
  • impetigo
  • oral ulcers
  • urticaria
25
Q

Ophthalmic Drugs

A
  • allergic rhinitis
  • conjunctivitis
26
Q

NSAIDs

A
  • dysmenorrhea
  • headache
  • MSK pain
27
Q

Gastric Acid-Reducing Drugs

A
  • dyspepsia
  • gastroesophageal reflux disease
28
Q

Antiviral Drugs

A
  • herpes labiallis
  • shingles
29
Q

Antifungal Drugs

A
  • oropharyngeal candidiasis
  • vaginal candidiasis
30
Q

Antihistamine Drugs – Topical

A
  • urticaria
31
Q

Antihistamine Drugs – Intranasal

A
  • allergic rhinitis
32
Q

Antihistamine Drugs – Ophthalmic

A
  • allergic rhinitis
33
Q

Antihistamine Drugs – Oral

A
  • allergic rhinitis
34
Q

What is the MACS fee that BC pharmacies can claim?

A

$20

35
Q

Can BC pharmacies claim MACS fee if no prescription was given?

A

yes

36
Q

BC pharmacies can claim MACS fee for providing service to whom?

A

eligible BC residents

  • have BC PHN
  • not covered under PharmaCare Plan B (long-term care)
  • have clinical need for service – patient must self-identify as having a minor ailment or contraception need and initiate a request for MACS
37
Q

What are the 3 required activities to claim a MACS fee?

A
  • carry out MACS with the patient in-person
  • provide MACS in a suitable area that patient accepts as respectful of their right to privacy, and meets their requirements for cultural safety
  • document MACS in accordance with Pharmacare policies using MACS form or form that captures same information
38
Q

What are the 4 PINS describing the outcome of the MACS assessment when claiming MACS fee?

A
  • RX
  • RX other HCP
  • no RX
  • no RX other HCP
39
Q

RX

A
  • Schedule 1 drug being prescribed
  • patient was not advised to seek medical attention from another HCP
40
Q

RX other HCP

A
  • Schedule 1 drug being prescribed
  • patient was advised to seek medical attention from another HCP
41
Q

no RX

A
  • recommended non-prescription and/or non-pharmacological advice
  • patient was not advised to seek medical attention from another HCP
42
Q

no RX other HCP

A
  • recommended non-prescription and/or non-pharmacological advice
  • patient was advised to seek medical attention from another HCP
43
Q

How do you claim a MACS fee?

A
  • claim must be submitted on the date service was provided
  • in Practitioner ID field, enter Pharmacist College Registration ID
  • in SIG field, enter 10-digit pharmacy phone number at start (to facilitate sharing of information within patient’s circle of care)
44
Q

What is the minimum time interval between MACS assessments?

A

3 days – minimum interval between assessments for the same minor ailment/contraception for the same patient

  • ie. if claim is submitted on Monday, patient will be eligible again on Friday (3-day interval is Tues, Wed, Thurs)
45
Q

What services are not eligible for MACS fees?

A
  • ineligible patients
  • virtual services
46
Q

Can pharmacies charge patients directly for MACS if the patient is not eligible for MACS?

A

yes

  • ineligible patients can choose to receive the service under a private-pay model – they must be informed about the fee and reason for the charge prior to provision of service
  • pharmacy to use non-benefit MACS or virtual non-benefit MACS PIN
  • must enter the pharmacy phone number and minor ailment assessed at start of SIG field
47
Q

What must be included when submitting prescriptions for schedule 1 drugs resulting from MACS?

A
  • in practitioner ID field, enter prescribing pharmacist’s college registration ID
  • include PS (professional care service) intervention code
48
Q

Can pharmacists in health authorities and primary care networks claim for MACS assessment?

A

NO – but they can prescribe

49
Q

How are OTC consults and minor ailment services similar?

A
  • pharmacist provides pharmaceutical care: information gathering, patient assessment, recommendation, monitoring and follow up as appropriate
  • may result in OTC recommendation, non-pharm advice or referral
50
Q

How are OTC consults and minor ailment services different?

A
  • minor ailment services are reimbursed by Pharmacare
  • minor ailment services may result in Schedule 1 drug being prescribed
  • minor ailment services require pharmacist to complete all required steps including documentation

PHRM 100 – IMM (22 decks)

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