Medication order entry and filling process Flashcards
What is the overview of the filling process?
1) Receiving the prescription:
- -a. walk in, call in, e-prescribing, fax are a method of receipt
- -b. patient profile: medical history, name, sex, age, allergies
- -c. prescription info: prescribers name, office address, NPI number, DEA number
2. Interpreting the prescription:
- -a. identify name, dose, route, amount of refills and frequency
3. Entering information into the computer
- -a. correct info must be put into the DAW
- -b. calculate day supply for medication
- -c. Third party adjudication (payment method)
- -d. drug utilization/ evaluation
4. Filling the prescription
- -a. check prescription label against NDC number and scan UPC code to make sure its correct
- -b. measure or count medication; if done manually count by 5 and put into a proper container
- -c. Place label on container; place completed prescription on top of original prescription and then checked by pharmacist
- -d. complete prescription placed in appropriate bin
- -e. bulk medication bottles return to shelf
5. Patient consultation
- -a. ask if patient has any questions. If so, tell pharmacist to inform patient
- -b. pharmacist tech not permitted to counsel patients
What is in required patient info?
- patient info: name, address, sex, age, phone number
- billing info: who is responsible for paying for the prescription
- disease state and health condition; drug-disease interaction
- medication patient is taking: prescription or alteration medication
- drug allergies: medication allergies possessed by patient
What is in a required prescriber information?
- name of prescriber
- address of office
- DEA number
- NPI number
- state license
What is in a patient prescription info?
- date prescription was written
- patient name and address
- medication, dose form and strength
- subscription
- physician signatures
What is in a required medication order form?
-date of order
-prescription info
info on medication
-patient info
-duration of therapy
prescriber signature
What is a prescription refill information?
- patient name
- patient contact info
- patient date of birth
- patient home telephone number
- prescription number
- medication info
What are the steps into data entry in prescription processing?
- to find a patient in the computer, their last name first, then their first name
- —–if they same name, then date of birth is used to distinguish between the two
- Patient’s 3rd party insurance card username card will contain BIN number, plan group number, and patient ID number
- patient’s relationship to the card holder must be entered with codes
- —– 01: cardholder
- —–02: spouse
- ——03: dependent
- to look up a phycisian’s name, enter their last name, then their first name. or you can use DEA NUMBER or NPI number distinguishes other doctors with the same name
- when the drug name is entered, the NDC number must be the same as it was dispensed
What are auxilliary labels?
additional information such as special instructions, warnings and storage conditions
Name the types of unit-dose packaging
- unit dose system
- modified unit-dose system; ex: bingo card which are blister packages
- blended unit-dose system
How do you store unit dose medication?
- rotate first in, first out process
- temperature not exceed 25 degrees Celsius
- final product should be checked for instability caused by color and odor
How do you return goods?
- returned meds should be credited patient’s account
- redispensed meds may be redispensed because they are in the unit-dose packages
What happens in reprocessing?
- transfer medication from one unit-dose container to another is NOT permitted
- removing the blister card from the cardboard carrier and placing it in another cardboard carrier is permitted
Who determines the beyond use date?
the manufacturer determines the beyond use date
when is the beyond use date used?
It is used when repacking a bulk container into a unit dose form
What are the 2 methods to determine a beyond-use dose form?
- 6 months or 1/4 of the manufacturer’s expiration date, or which ever is less
- as long as one year as long as the drug does not exceed safety margins of drug manufacturer
