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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?
Medicare type seen most at pharmacy.
Medicare Part D.
Calculate day supply for 200 puff inhaler. Sig: inhale 2 puffs po qid.
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