PPP Intro Flashcards
A ________ is any paid work that someone does
job
Profession is something more specialized its something that offers _________, __________, and other opportunities for growth, its also regulated.
autonomy, prestige
Profession of pharmacy requires education, requires formal training.
Professionalism
Knowledge and ________of a profession
Commiment to __________of skills and knowledge
Service orientation
Pride in the profession
Covenantal relationship w/ the client
Creativity and innovation
Conscience and trustworthiness
Accountability for his/her work
Ethically sound decision making
Leadership
skills
self-improvement
____________:The active demonstration of the traits of a professional
Professionalism
History of Pharmacy
Prescription origin
Latin term: praescriptus
Prae=_________
Scribere=_______
before
to write
Recipere- “to _____” or “_______thus”
take
Prescription Elements
Name and address of __________
Name and address of ___________
Registration number of practitioner
Date of issuance/date written
Name, dosage, and strength per dosage
Quantity
Directions for ____ (SIG)
Statement indicating number of times to be
_________
patient
prescriber
use
refilled
Drug Enforcement Administration (DEA)
assigns identifiers to healthcare providers
– DEA Numbers (i.e.: AB1234567)
1st Letter
2nd Letter
Centers for ______________(CMS) assigns identifiers to healthcare providers – National Provider
Identifiers (NPIs)
Medicare and Medicaid Services
DEA Number Validity
Calculation
EXAMPLES: MH0471754, XS7356505,
AK7037763, BS7356504
Step 1: add 1st, 3rd, 5th digits of DEA#
Step 2: add 2nd, 4th, 6th digits
Step 3: multiply result of Step two x2
Step 4: add result of Step 1 to Step 3
Last digit of this sum = last digit of DEA#
Match?
Yes = valid No = invalid
Institute for Safe Medication Practices (ISMP)
Global leader in _________________
Voluntary medication error reporting program (MERP)
Initiatives
patient safety
Label Elements
Patient’s full name
Date of _________
_________ name and address
Filling pharmacist’s initials
________ # of prescription
Name of prescribing practitioner
Drug name and strength
Directions for use and cautionary statements
Quantity
Use by date
filling
pharmacy
Serial
Verification
How To (after allergy(ies) and interaction(s) check):
Check NAME, DOB and telephone#, address if
on prescription
Date issued (vs. date filled)
Drug name, strength, dosage form
Quantity
Directions
Refills authorized
Prescriber signature/name and office location
Verification Pearls
Rights of Medication Administration
Do not type and verify the same prescription, if
possible
Do not guess EVER
Always look for mistakes on every prescription
Does the prescription make SENSE?
Errors
Prescription, Dispensing, Administration,Monitoring
Professional insurance
Counseling
What is the purpose?
What are the benefits?
Prime Questions:
1. What were you told this medication is _____?
2. How were you told to _____ this medication?
3. What were you told to _______ from this
medication?
for
use
expect
Auxiliary Labels
What is most important?
How to determine?
A ______code specifies the prescriber’s instruction for dispensing a specific medication or allowing the substitution of a generic equivalent.
DAW
The DAW code submitted (by the pharmacy) within the claim will factor into how the __________ payer reimburses or pays the ___________ for that prescription claim
third party payer reimburses
pharmacy
When the DAW code is missing, invalid, or incorrect, it may have a negative impact on the pharmacy as well as the patient
Reimbursement Rate – Invalid or inappropriate DAW code usage may result in generic rate payments of brand-name drugs, which may cause _________ for the pharmacy
losses
Formulary Selection – Dispensing drugs that are not on the payer’s formulary list may result in _________ copays for the patient, as well as generic reimbursement to the pharmacy on brand-name drugs
higher
Claim Rejections – Missing or invalid DAW code rejections cause extra processing time and rebilling in the pharmacy, along with workflow interruptions and ________ in the delivery of patients’
medication
delays
DAW ______ – No Product Selection Indicated
DAW 0
DAW _____– Substitution Not Allowed by Prescriber
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