CVS LearnNet Exam Study Guide

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?

Mondays to Fridays between 10 am and 1 pm. Signup and view all the answers

What is PHI?

Protected Health Information. Signup and view all the answers

What does HIPAA stand for?

Health Insurance Portability and Accountability Act. Signup and view all the answers

Which workstation is responsible for making the offer to counsel?

Pick-up. Signup and view all the answers

Define Partial Fill.

When a medication is out of stock or insufficiently stocked to fill a full prescription. Signup and view all the answers

What are the protocols for handling Medicaid insurance?

Prescription must be filled under the specific doctor, only 5 fills max, and a 30-day supply only. Signup and view all the answers

What is the classification of Schedule II (C2) medications?

Highly addictive by the FDA and must follow strict guidelines. Signup and view all the answers

What is DAW?

Dispense as Written. Signup and view all the answers

What is a waiting bin report?

A report that lists everything in the waiting bin that has been there for at least 3 days. Signup and view all the answers

What is the balance on hand (BOH)?

The accuracy is maintained by conducting proper cycle counts. Signup and view all the answers

What does NDC stand for and how is it structured?

National Drug Code, structured as 11 numbers: 5 (manufacturer), 4 (medication), 2 (package size). Signup and view all the answers

How can you calculate the quantity dispensed if the doctor does not specify it?

Take the directions x day supply listed. Signup and view all the answers

What is the iPledge program associated with?

Medications containing isotretinoin. Signup and view all the answers

What types of materials are separated in the pharmacy trash bins?

All of the above Signup and view all the answers

What is the minimum requirement to work for the NJ Board of Pharmacy?

Must be 18 years old, have a high school diploma or GED, and pass background and drug tests. Signup and view all the answers

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.