Processing an Output RX

Question 1

Community Pharmacy Services:

Answer 1

Dispensing medications and supplies
Utilizing guiding principles
Drug therapy problems
Drug and disease state management
Adherence

Question 2

Business Aspects:

Answer 2

Inventory management
Supply management
Cost management

Question 3

Patient Counseling and Education:

Answer 3

Prescription counseling
Non-prescription counseling
Health and wellness education
Vaccination counseling and administration
Blood pressure monitoring
Self-care education
Testing services

Question 4

Community Pharmacy Other Services:

Answer 4

Compounding services
Speciality services
Medication therapy management (MTM)
Collaborative drug therapy management (CDTM)
q

Question 5

Ancillary Help:

Answer 5

Unlicensed personnel (cashier/tech)

Question 6

Technicians:

Answer 6

Registered with the state
Can perform various pharmacy duties
Must be supervised by a pharmacist at all times

Question 7

Interns

Answer 7

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

Question 8

Pharmacists

Answer 8

nterpret and evaluate prescriptions
Measure, weigh, and compound medications
Screen and administer vaccinations
Dispense medications as required by law
Counsel and educate patients

Question 9

HIPAA (Health Insurance Portability and Accountability Act):

Answer 9

Protection of health information (PHI)

Safeguarding individually identifiable health information

Question 10

individually identifiable health information related to:

Answer 10

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

Question 11

Common Identifiers:

Answer 11

Name, address, date of birth (DOB), Social Security Number (SS#)

Question 12

HIPPA’s Impact on Pharmacies:

Answer 12

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

Question 13

Patient Information:

Answer 13

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

Question 14

Patient Profile:

Answer 14

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

Question 15

Documentation Systems:

Answer 15

arious systems used (e.g., Intercom +, Rx Connect, Nexgen, McKesson Pharmacy Software, PioneerRx, MicroMerchant - PrimeRx)
Consistent and accurate record-keeping is vital

Question 16

Insurance Information:

Answer 16

ncludes Bank Identification Number (BIN #), Processor Control Number (PCN #), identification number, group codes
Distinguishes medical vs. pharmacy coverage

Question 17

Safety Cap:

Answer 17

Ensures medication safety
Differentiates from non-safety caps
Addresses patient preferences

Question 18

Contact Preferences:

Answer 18

How patients prefer to be contacted
Facilitates communication between the pharmacy and patients

Question 19

Limited English Proficiency (LEP):

Answer 19

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

Question 20

Standing Orders:

Answer 20

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.

Question 21

Verbal Prescription Order:

Answer 21

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

Question 22

Controlled Substance Act (CSA):

Answer 22

Divided into 5 schedules based on:
Accepted medical use
Abuse potential
Likelihood of causing dependence when abused

Question 23

Controlled Substance Schedules:

Answer 23

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)

Question 24

Controlled Substance Law:

Answer 24

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.

Question 25

Fills and Refills

Answer 25

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.

Question 26

Clinical and Legal Assessment:

Answer 26

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.

Question 27

Brand Name:

Answer 27

Drug marketed under a proprietary trademark-protected name.

Question 28

Generic:

Answer 28

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.

Question 29

RPH ADD WITH Practitioner Authorization

Answer 29

Institutional DEA #/suffix

Practitioner DEA
Directions
Code
MDD
Strength

Question 30

RPH add or Change without Practitioner Authorization

Answer 30

Age, sex, address

Question 31

NEVER ADD

Answer 31

practitioner signature,
name,
drug written,
quantity

Question 32

RPH change with authorization

Answer 32

all the things they can add:Institutional DEA #/suffix

Practitioner DEA
Directions
Code
MDD
Strength

Quantity
&&
dosage form

Question 33

RPH never change

Answer 33

practitioner signature,
name,
drug written,
quantity