IMM 14: MTM in CP II – Minor Ailments Flashcards
What is a minor ailment?
common or self-limiting or uncomplicated conditions which can be diagnosed and managed without medical intervention
When can pharmacists prescribe for minor ailments?
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
Acne
topical drugs
Allergic Rhinitis
- intranasal drugs – including antihistamine drugs
- ophthalmic drugs – including antihistamine drugs
- oral antihistamine drugs
Conjunctivitis
(allergic, bacterial, or viral)
ophthalmic drugs
Dermatitis
(allergic, atopic, contact, diaper, or seborrheic)
topical drugs
Dysmenorrhea
NSAIDs
Dyspepsia
gastric acid-reducing drugs
Fungal Infections
(onychomycosis, tinea corporis infection, tinea cruris infection, or tinea pedis infection)
topical drugs
Gastroesophageal Reflux Disease
gastric acid-reducing drugs
Headache
NSAIDs
Hemorrhoids
topical drugs
Herpes Labiallis
- topical drugs – including antiviral drugs
- other types of antiviral drugs
Impetigo
topical drugs
MSK Pain
NSAIDs
Nicotine Dependence
nicotine cessation drugs
Oral Ulcers
(canker sores, aphthous ulcers)
topical drugs
Oropharyngeal Candidiasis
antifungal drugs
Shingles
antiviral drugs
Threads or Pinworms
anthelmintic drugs
UTI (uncomplicated)
antibiotic drugs
Urticaria
(including insect bites)
- topical drugs – including antihistamine drugs
- other types of antihistamine drugs
Vaginal Candidiasis
antifungal drugs
Topical Drugs
- acne
- dermatitis
- fungal infections
- hemorrhoids
- herpes labiallis
- impetigo
- oral ulcers
- urticaria
Ophthalmic Drugs
- allergic rhinitis
- conjunctivitis
NSAIDs
- dysmenorrhea
- headache
- MSK pain
Gastric Acid-Reducing Drugs
- dyspepsia
- gastroesophageal reflux disease
Antiviral Drugs
- herpes labiallis
- shingles
Antifungal Drugs
- oropharyngeal candidiasis
- vaginal candidiasis
Antihistamine Drugs – Topical
- urticaria
Antihistamine Drugs – Intranasal
- allergic rhinitis
Antihistamine Drugs – Ophthalmic
- allergic rhinitis
Antihistamine Drugs – Oral
- allergic rhinitis
What is the MACS fee that BC pharmacies can claim?
$20
Can BC pharmacies claim MACS fee if no prescription was given?
yes
BC pharmacies can claim MACS fee for providing service to whom?
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
What are the 3 required activities to claim a MACS fee?
- 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
What are the 4 PINS describing the outcome of the MACS assessment when claiming MACS fee?
- RX
- RX other HCP
- no RX
- no RX other HCP
RX
- Schedule 1 drug being prescribed
- patient was not advised to seek medical attention from another HCP
RX other HCP
- Schedule 1 drug being prescribed
- patient was advised to seek medical attention from another HCP
no RX
- recommended non-prescription and/or non-pharmacological advice
- patient was not advised to seek medical attention from another HCP
no RX other HCP
- recommended non-prescription and/or non-pharmacological advice
- patient was advised to seek medical attention from another HCP
How do you claim a MACS fee?
- 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)
What is the minimum time interval between MACS assessments?
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)
What services are not eligible for MACS fees?
- ineligible patients
- virtual services
Can pharmacies charge patients directly for MACS if the patient is not eligible for MACS?
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
What must be included when submitting prescriptions for schedule 1 drugs resulting from MACS?
- in practitioner ID field, enter prescribing pharmacist’s college registration ID
- include PS (professional care service) intervention code
Can pharmacists in health authorities and primary care networks claim for MACS assessment?
NO – but they can prescribe
How are OTC consults and minor ailment services similar?
- 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
How are OTC consults and minor ailment services different?
- 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
