Prescription intake, adjudication, and fill workflow steps in a community pharmacy setting.
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- What is the first step a pharmacy technician takes when receiving a new prescription?
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Verify the patient's identity and confirm the prescription information is complete.- What are the required elements of a valid prescription?
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Patient name, drug name, strength, dosage form, directions for use, quantity, prescriber signature, and date.- What does a prescriber's DEA number identify?
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Their registration to prescribe controlled substances.- What does the abbreviation Rx mean?
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Prescription, from the Latin word for take.- What is e-prescribing?
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Sending a prescription electronically from the prescriber's system directly to the pharmacy.- What is prior authorization in a pharmacy claim?
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Approval an insurer requires from the prescriber before covering a specific medication.- What insurance card numbers are needed to submit a pharmacy claim?
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BIN, PCN, group number, and member ID number.- What does NDC stand for?
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National Drug Code.- What is a Drug Utilization Review (DUR)?
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A screening of a prescription for safety issues such as interactions, duplications, or incorrect dosing.- What does a refill too soon rejection mean?
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The patient is requesting a refill before the insurer's allowed refill date.- What does adjudication mean in a pharmacy claims context?
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Submitting a claim to an insurer and receiving back the coverage and payment response.- What is a copay?
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The portion of a prescription cost the patient is responsible for paying.- What does DAW stand for on a prescription?
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Dispense As Written.- What does DAW code 1 indicate?
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The prescriber requires the brand name product with no generic substitution.- Under federal law, how many refills are allowed on a Schedule II controlled substance prescription?
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None; a new prescription is required for each fill.
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