OBRA LAW/DRUG ORDER REQUIREMENTS Flashcards
What does OBRA stand for?
Ominibus Budget Reconciliation Act.
Name the objective of OBRA.
Save taxpayers money by funding prescriptions using taxpayer dollars.
What requirement of the state Medicaid programs must be conducted after the dispensing of a drug according to OBRA?
Retrospective Drug Utilization Review.
What is the abbreviation for Drug Utilization Review?
DUR.
Name the objective of a retrospective DUR.
Identify inappropriate use of drugs.
Generate cost saving by making corrections.
True or False
In a Retrospective DUR, prescription problems can be corrected before they happen.
False.
In a Retrospective DUR, prescriptions that have been sent out are reviewed for errors.
A Retrospective DUR is conducted by doing which of the following:
a) Reviewing prescribing patterns of patients.
b) Reviewing prescribing patterns of practitioners.
c) Monitoring scripts that fall inside of the normal DUR guidelines.
d) Monitoring scripts that fall outside the normal DUR guidelines.
b) Reviewing prescribing patterns of practitioners. and
d) Monitoring scripts that fall outside the normal DUR guidelines.
True or False
In a Prospective DUR, prescriptions are reviewed for errors after they have been dispensed.
False.
In a Prospective DUR, a pharmacist reviews prescription prior to being dispensed to prevent future problems.
What are the phases of Prospective DUR?
Review/correct patient profile issues.
Provide prescription counsel for each Medicaid patient.
In which OBRA process is the pharmacist involved?
a) Prospective DUR
b) Retrospective DUR
a) Prospective DUR
Name the problems to watch for during the Prospective DUR of the OBRA process.
Clinical abuse or misuse. Script duplication. Incorrect dosage or usage duration. Drug-drug interactions. Drug-disease & Drug-allergy contraindications.
Who is allowed to counsel patients in the pharmacy?
The pharmacist.
True or False
If a technician has been authorized by the state to request pharmacist counseling services for a patient and the patient accepts, the pharmacist can ultimately decline this request.
False
Only the patient can refuse the right, the pharmacist cannot deny the obligation.
OBRA requires which of the following documents to be easily retrievable upon request:
a) pharmacist’s comments relevant to individual’s drug therapy
b) pharmacist’s comments relevant to individual’s dog therapy
c) patient’s name, address, phone, DOB, & race
d) patient’s name, address, phone, DOB & gender
e) minor history of diseases, allergies, drug reactions, concurrent medications
f) significant history of diseases, allergies, drug reactions, concurrent medications
a) pharmacist’s comments relevant to individual’s drug therapy
d) patient’s name, address, phone, DOB & gender
f) significant history of diseases, allergies, drug reactions, concurrent medications
Name the information that must be written on the face of a controlled substance.
Patient’s full name and address.
Prescriber’s full name and office address.
Prescriber’s DEA #.
Date and Qty. written out.
What two dates must be written on a Medicare prescription?
Date the script is generated.
Date the script is signed.
True or False
If the dates written on a Medicare prescription are the same, you aren’t required to write them twice on the prescription.
False.
Both dates are required to be written regardless.
What are the requirements that must be included on a Medicare prescription?
Patient’s full name and address.
Prescriber’s full name and office address.
Date and qty written out.
Disease code of product used.
Exact directions and product name.
Prescriber’s NPI #
Prescriber’s handwritten signature and date signed next to each other.
Why was the IPLEDGE Registry established?
To prevent use of isotretinoin during pregnancy.
