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The term "third party" refers to?
What are two formularies that can be categorized?
1. Open V Closed
2. Positive V Negative
What is the purpose of a signature log?
Record prescription has been delivered.
What is another form of Physicians information?
(National Provider Identification)
When NDC does not match what do you do?
Double check the medication. Sometimes manufacturer and package size has changed.
What is the role of the P&T committee w/ insurance?
To develop formulary policies and educational programs.
What is not transmitted to PBM?
Procedure when PT is on vacation.
Call PPM help line.
Two main types of manages insurance.
What is a prior authorization(to PT)?
A process that requires your Dr to submit a from stating why you need the meds.
When is a PA required?
1. High cost injection meds
2. Subject to abuse
3. Early refills
4. Vacation refills
5. Early refills
"Plan limits exceeded" error. What do you check?
2. Day Supply
Medicare type seen most at pharmacy.
Medicare Part D.
Calculate day supply for 200 puff inhaler. Sig: inhale 2 puffs po qid.