Processing an Output RX Flashcards
Community Pharmacy Services:
Dispensing medications and supplies
Utilizing guiding principles
Drug therapy problems
Drug and disease state management
Adherence
Business Aspects:
Inventory management
Supply management
Cost management
Patient Counseling and Education:
Prescription counseling
Non-prescription counseling
Health and wellness education
Vaccination counseling and administration
Blood pressure monitoring
Self-care education
Testing services
Community Pharmacy Other Services:
Compounding services
Speciality services
Medication therapy management (MTM)
Collaborative drug therapy management (CDTM)
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Ancillary Help:
Unlicensed personnel (cashier/tech)
Technicians:
Registered with the state
Can perform various pharmacy duties
Must be supervised by a pharmacist at all times
Interns
Registered with the state
Must have completed their first professional year of a pharmacy program
Can perform all the duties of a pharmacist under supervision
Pharmacists
nterpret and evaluate prescriptions
Measure, weigh, and compound medications
Screen and administer vaccinations
Dispense medications as required by law
Counsel and educate patients
HIPAA (Health Insurance Portability and Accountability Act):
Protection of health information (PHI)
Safeguarding individually identifiable health information
individually identifiable health information related to:
Past, present, or future physical or mental health or condition
Provision of health care to the individual
Past, present, or future payment for health care
Common Identifiers:
Name, address, date of birth (DOB), Social Security Number (SS#)
HIPPA’s Impact on Pharmacies:
Applicable to anyone providing treatment, payment, and operations in healthcare
Notice of HIPAA law must be provided to patients at the first encounter or as soon as practical
Patient Information:
Collecting and documenting patient data
Includes patient profile, medication information, prescription orders, allergies, health status, address, and insurance details
Essential for providing effective healthcare services
Patient Profile:
Contains crucial patient information
Must be maintained for 5 years from the most recent entry
Reviewed for potential drug therapy problems, interactions, dosage errors, allergies, abuse or misuse, and insurance details
Documentation Systems:
arious systems used (e.g., Intercom +, Rx Connect, Nexgen, McKesson Pharmacy Software, PioneerRx, MicroMerchant - PrimeRx)
Consistent and accurate record-keeping is vital
Insurance Information:
ncludes Bank Identification Number (BIN #), Processor Control Number (PCN #), identification number, group codes
Distinguishes medical vs. pharmacy coverage
Safety Cap:
Ensures medication safety
Differentiates from non-safety caps
Addresses patient preferences
Contact Preferences:
How patients prefer to be contacted
Facilitates communication between the pharmacy and patients
Limited English Proficiency (LEP):
Any pharmacy in a group larger than 8 (NYS) or larger than 4 (NYC) is required to have free written and oral “translation” services to an individual who “identifies as being, or is evidently, unable to speak, read or write english at a level that permits such individual to understand health related and pharmaceutical information communicated in english in a primary language
Standing Orders:
Allows non-prescribing healthcare providers to prescribe under a set protocol for a specific group or population
Commonly used for vaccinations, naloxone, pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), etc.
Verbal Prescription Order:
Only interns or pharmacists may receive orders from prescribers or their representatives
Requires proper documentation
Date received
Initials of the recipient
Full signature required for controlled substances
Good Habits: Verify the identity of the caller
Always verify and repeat back prescription details
Check the patient profile and medication stock for accuracy
Controlled Substance Act (CSA):
Divided into 5 schedules based on:
Accepted medical use
Abuse potential
Likelihood of causing dependence when abused
Controlled Substance Schedules:
chedule I: High potential for abuse, no accepted medical use (e.g., heroin)
Schedule II: High potential for abuse, accepted medical use with severe restrictions (e.g., opioids)
Schedule III: Less abuse potential, accepted medical use (e.g., some opioids)
Schedule IV: Lower abuse potential, accepted medical use (e.g., benzodiazepines)
Schedule V: Lowest abuse potential, accepted medical use (e.g., cough preparations with less than 200 mg codeine per 100 ml or per 100 gm)
Controlled Substance Law:
The law allows for the dispensing of a controlled substance when the patient has only a seven days’ supply or less remaining of their previously prescribed medication. In other words, the patient can request a refill or a new prescription when they have only a week’s worth of medication left.
Fills and Refills
Must be filled within 30 days of the date ordered.
Cannot be filled for more than a 30-day supply.
Some exemptions may apply.
Number of refills depends on the schedule; cannot exceed 5 refills.
Clinical and Legal Assessment:
ncludes patient name, address, age, date written, medication name and strength, dosage form, quantity prescribed, directions for use (SIG), prescriber’s name, address, telephone number, profession (MD, DO, DDS, DMD, DVM, RPA, NP), and prescriber’s signature (may be electronic).
Electronic Rx may require the NPI number of the prescriber.
Brand Name:
Drug marketed under a proprietary trademark-protected name.
Generic:
Same as a brand-name drug in dosage, safety, strength, quality, performance, and intended use.
FDA ensures rigorous tests and procedures to assure generic drug substitutability.
By law, generic drugs must contain the identical amounts of the same active ingredients as the brand-name product.
RPH ADD WITH Practitioner Authorization
Institutional DEA #/suffix
Practitioner DEA
Directions
Code
MDD
Strength
RPH add or Change without Practitioner Authorization
Age, sex, address
NEVER ADD
practitioner signature,
name,
drug written,
quantity
RPH change with authorization
all the things they can add:Institutional DEA #/suffix
Practitioner DEA
Directions
Code
MDD
Strength
Quantity
&&
dosage form
RPH never change
practitioner signature,
name,
drug written,
quantity
