CVS LearnNet Exam Study Guide

CVS LearnNet Exam Study Guide 1. CFRX - How does this program track the medications? - ✔✔Thoroughly and effectively cycle counting each medication that is requested. Upon doing so, it keeps an accurate track of medica ...

CVS LearnNet Exam Study Guide 1. CFRX - How does this program track the medications? - ✔✔Thoroughly and effectively cycle counting each medication that is requested. Upon doing so, it keeps an accurate track of medications leaving the pharmacy through transfer out tab and when certain medications need to be ordered Out of Stock Scans - When is this completed? How many times per week? - ✔✔These are obsolete. These are not done anymore due to the new CFRx inventory management. When they were being performed, they were completed by Saturday and once per week. Cycle Counts - When are they done? How often? - ✔✔They are done daily. Monday - Friday by 5:55pm at latest Saturday by 4:25 pm at latest Sunday by 3:25 pm at latest Outside Vendor - What days do we order vs what days of the week we receive the order? - ✔✔We order every day once mandatory order drops into Inventory Management (ALT + F3) after cycle counts are completed. We receive the order Mondays - Fridays typically between 10 am and 1 pm, depending on delivery driver. Fun Fact: CVS stand-alone stores uses Cardinal Health for OV while CVS (Target) uses Mckesson Define PHI - ✔✔Protected Health Information. Any information deemed confidential. i.e. Medication names, patient names, DoBs, Address, RX number, Doctor information, etc... Define HIPPA - ✔✔Health Insurance Portability and Accountability Act. Requires pharmacies and medical treatment facilities to follow strict protocol concerning distribution of PHI, including how much PHI is needed for insurance to pay for patient's medications. List/Study the steps for the following workstations: What is done specifically for each workstation? Which workstation is responsible for phone calls? Which workstation is responsible for making the offer to counsel? - ✔✔Pick-up:::responsible for making the offer to counsel. Last chance for any patient's concerns or questions regarding prescriptions and/or possible interactions. Production::::: responsible for phone calls. First ones to answer phone calls within standard 20 seconds. Fills prescriptions accurately for the pharmacist to verify. Drop-off::::Must have correct patient information, especially patient's allergies, DoBs, insurance information, phone number, and address. First stop for patients and crucial to the pharmacy process. Define Partial Fill - When is this used? - ✔✔When a medication is out of stock (OOS) and/or do not have enough in stock to fill a full prescription, techs have an option of partially filling a prescription AKA Partial Fill. Techs usually fill about 3 days' worth of medication to give the pharmacy enough time to have the full prescription in stock. Define Medicaid - What are the protocols when handling this insurance? - ✔✔Prescription must be filled under the specific doctor listed on the insurance card. Prescription can only have 5 fills max before being requested for a new one. Prescription can only be filled for 30-day supply at a time. Schedule II (C2) Medications - What type is this? Federal/State Laws? How is this handled in the pharmacy? How is this ordered? - ✔✔These types of medications are classified as highly addictive by the FDA and must follow strict guidelines. Doctor's DEA and NPI written on the prescription, clear written directions (SIG), signed by the MD. State Law:::Must be filled within 30 days of written date. Exceptions are "Do not Filled Before" dates at bottom of script (see PIC/Staff pharmacist for clarification). Filling of these medications are STRICTLY filled by Pharmacist on Duty, NO EXCEPTIONS. This is ordered only by the Pharmacist in Charge (PIC) who has power of attorney to do so. They are ordered on the order form DEA #222. Questions that a Tech can answer vs Pharmacist - ✔✔Tech general questions not concerning medications Pharmacist Any questions concerning medications, possible interactions, counseling on side effects, and recommending OTC medications Sig Codes for Eyes and Ears - ✔✔OD Right Eye OS Left Eye OU Both Eyes AD Right Ear AS Left Ear AU Both Ears Common Sig Codes - ✔✔1T 1 Tablet PO by mouth BID twice a day TID three times a day QID four times a day PRN as needed QHS/HS at bedtime PC after meals AC before meals AAA Apply to affected areas Define DAW - What is DAW 0, 1, and 2? - ✔✔DAW stands for-Dispense as Written DAW 0--Can be dispensed (legally) as generic, not specified as brand or generic DAW 1--Doctor is requesting patient receive brand only. If patient wants generic instead, must call doctor for permission and document on RX hard copy DAW 2--Patient requests that brand is dispensed. Do not need to document on RX hard copy. Define Offer to Counsel - When does this happen? Who performs it? - ✔✔This can happen at any moment whenever a patient requests to speak to the pharmacist. The pharmacist or an intern can perform it under supervision of the pharmacist. Ordering OTC medications - What are the steps? - ✔✔Print QI* (each store does this part differently) Log onto Cardinal using your store's information, type in each NDC or medication name Type how many you need Submit the cart for ordering Return to Stock prescriptions - ✔✔These prescriptions are ones that are filled in the waiting bin and must be returned to our shelves. (process is taught during Production OJT) NDC - What are the increments? - ✔✔There are 11 numbers (on bottle itself is listed only 10, you must add an extra 0 to make the 11) First 5 numbers Manufacturer Second 4 numbers Medication Third 2 numbers Package Size Minimum requirement required for working for the NJ Board of Pharmacy? - ✔✔Must be 18 years' old High School Diploma/GED Ability to pass a background test and drug testing Not on any federal watch list or criminal list Adding a new profile into the system - What are the steps? - ✔✔Retrieve proper spelling of patient's name Must have Date of Birth, Address, Gender, Correct phone number, medication allergies, any conditions we must know of, and proper insurance card What is the waiting bin report? - ✔✔A report that prints daily listing everything in the waiting bin that's been sitting there a minimum of 3 days Used to return the "Day 14s" or prescriptions that have been sitting in the bin for a minimum of 2 weeks without being picked up Pharmacy Automation Unit - What is this? - ✔✔AKA the Robot Large dispensing unit usually in much larger volume 24 hour stores (2 stores per district typically) Usually houses fast movers and other medications that the pharmacist deems necessary to be filled faster than others Refilled typically by pharmacist and/or supervised pharmacy Lead technician System Generated Cycle Counts - ✔✔These cycle counts become available to count as soon as the pharmacy opens. Typically if the system finds a small/large discrepancy in any counts, it will alert technicians to cycle count it. Define BOH - How do we keep this accurate? - ✔✔Balance on Hand This is accurate by cycle counts being done correctly Define BOO - What is this based on? - ✔✔Balance on Order Based on accurate cycle counts and what is put in the QI to order If the doctor does not specify the quantity being dispensed, how can you calculate this? - ✔✔Take the directions x day supply listed (should be listed) = quantity dispensed Converting MLs to Ounces - ✔✔30 ml 1 ounce 2 oz 60 ml 4 oz 120 ml 6 oz 180 ml 8 oz 240 ml What is the iPledge program - name of medication that is associated with this? - ✔✔iPledge is to prevent fatal birth defects when women take a medication under this program. Any medications containing isotretinoin (i.e. Claravis, Absorica, etc). Very strict program for both doctor and patient. Patient must undergo blood and urine tests once a month to check kidneys and pregnancy. Patient has limited time to pick up medication. If not picked up in time frame, must return to shelf. NO EXCEPTIONS. If this were to occur, patient and doctor must be registered again through the program. Define Formulary List - ✔✔List created by the insurance company of generic and brand name drugs that'll be paid for by the insurance. Typically, 4 tiers, the higher the tier the higher the copay Define DUR rejects - Who handles this? What is this used for? - ✔✔Pharmacist on duty is the only one who handles this. These are put in place from the insurance to prevent potential over dosing or drug interactions. Once issued, they alert the technician/pharmacist in the QT to be handled DDS is associated with which type of doctor? - ✔✔Doctor of Dental Surgery Blue vs Green vs Clear Trash Bags - Why are these separated in the pharmacy? - ✔✔Blue PAPER PHI containing. Green BOTTLE PHI containing. Clear Regular Trash. UNDER NO CIRCUMSTANCES DO YOU PUT MEDICATION BOTTLES OR PHI CONTAINING PAPERWORK IN CLEAR TRASH BAGS. These are separated to comply with HIPPA and both types of PHI (bottle and paper) are eliminated differently.