Questions and Answers
How does the CFRX program track medications?
Thoroughly and effectively cycle counting each medication that is requested.
Out of Stock Scans are still completed once per week.
False
When are Cycle Counts done?
Daily, Monday to Friday by 5:55 pm, Saturday by 4:25 pm, and Sunday by 3:25 pm.
What days do we typically receive orders from Outside Vendors?
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What is PHI?
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What does HIPAA stand for?
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Which workstation is responsible for making the offer to counsel?
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Define Partial Fill.
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What are the protocols for handling Medicaid insurance?
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What is the classification of Schedule II (C2) medications?
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What is DAW?
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What is a waiting bin report?
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What is the balance on hand (BOH)?
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What does NDC stand for and how is it structured?
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How can you calculate the quantity dispensed if the doctor does not specify it?
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What is the iPledge program associated with?
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What types of materials are separated in the pharmacy trash bins?
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What is the minimum requirement to work for the NJ Board of Pharmacy?
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Study Notes
Inventory Management
- CFRX program tracks medication requests and maintains accurate records of medications leaving the pharmacy and those that need reordering.
- Out of Stock Scans are obsolete due to CFRx; previously completed once weekly by Saturday.
- Cycle Counts occur daily, with specific deadlines for completion: Monday-Friday by 5:55 pm, Saturday by 4:25 pm, and Sunday by 3:25 pm.
Vendor Orders
- Orders from outside vendors are placed daily via Inventory Management after cycle counts.
- Deliveries received Monday to Friday, typically between 10 am and 1 pm.
- CVS stand-alone stores use Cardinal Health, while CVS (Target) uses McKesson for orders.
Protected Health Information (PHI) and Compliance
- Protected Health Information (PHI) includes sensitive data like medication names, patient identities, and contact information.
- The Health Insurance Portability and Accountability Act (HIPAA) mandates strict protocols for handling PHI.
Pharmacy Workstations
- Pick-up: Responsible for offering counseling and addressing patient concerns.
- Production: Manages phone calls and accurately fills prescriptions for pharmacist verification.
- Drop-off: Collects essential patient information, including allergies and insurance details.
Prescription Management
- Partial Fill is used when medications are out of stock; usually allows a 3-day supply to be dispensed.
- Medicaid requires prescriptions to be filled under the designated doctor with limitations on refills and supply quantities.
Controlled Substances
- Schedule II (C2) medications are highly addictive; must have specific prescription requirements and are strictly handled by the pharmacist.
- Orders of C2 must be completed by the Pharmacist in Charge using DEA form 222 within strict state and federal guidelines.
Roles and Responsibilities
- Pharmacy technicians answer general inquiries, whereas pharmacists address medication-related questions and provide counseling.
- Offer to Counsel occurs upon patient request, performed by a pharmacist or supervised intern.
Inventory and Stock Management
- NDC (National Drug Code) is a unique identifier with 11 digits: Manufacturer (5), Medication (4), Package Size (2).
- Returns to stock are prescriptions that must be processed back to shelves if unclaimed.
Technical Processes
- System-generated cycle counts help maintain inventory accuracy and identify discrepancies in stock.
- Balance on Hand (BOH) and Balance on Order (BOO) involve accurate cycle counting for inventory management.
Medication Dispensing Calculations
- If a doctor doesn't specify quantity, determine it using the prescribed directions multiplied by the days' supply.
- Conversions: 30 ml = 1 oz; 60 ml = 2 oz; 120 ml = 4 oz; etc.
Special Programs and Formulary
- The iPledge program is associated with isotretinoin medications to prevent birth defects; includes strict monitoring of patient health.
- A Formulary List specifies drugs covered by insurance, organized into tiers that dictate copayment levels.
Drug Utilization Review (DUR)
- DUR rejects are monitored by the pharmacist to prevent potential drug interactions or overdosing.
Waste Management
- Different trash bags are used for PHI compliance: Blue for paper PHI, Green for bottle PHI, and Clear for regular trash. Medications and PHI must not be disposed of in Clear bags.
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Prepare for your CVS LearnNet exam with this comprehensive study guide. The flashcards cover essential topics such as medication tracking and inventory management in the pharmacy setting. Test your knowledge and ensure you're ready for the exam.