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?
- Verify the patient's identity and confirm the prescription information is complete.
- What are the required elements of a valid prescription?
- Patient name, drug name, strength, dosage form, directions for use, quantity, prescriber signature, and date.
- What does a prescriber's DEA number identify?
- Their registration to prescribe controlled substances.
- What does the abbreviation Rx mean?
- Prescription, from the Latin word for take.
- What is e-prescribing?
- Sending a prescription electronically from the prescriber's system directly to the pharmacy.
- What is prior authorization in a pharmacy claim?
- Approval an insurer requires from the prescriber before covering a specific medication.
- What insurance card numbers are needed to submit a pharmacy claim?
- BIN, PCN, group number, and member ID number.
- What does NDC stand for?
- National Drug Code.
- What is a Drug Utilization Review (DUR)?
- A screening of a prescription for safety issues such as interactions, duplications, or incorrect dosing.
- What does a refill too soon rejection mean?
- The patient is requesting a refill before the insurer's allowed refill date.
- What does adjudication mean in a pharmacy claims context?
- Submitting a claim to an insurer and receiving back the coverage and payment response.
- What is a copay?
- The portion of a prescription cost the patient is responsible for paying.
- What does DAW stand for on a prescription?
- Dispense As Written.
- What does DAW code 1 indicate?
- 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?
- None; a new prescription is required for each fill.