Download PHARMACY TECHNICIAN STUDY GUIDE Question with 100% verified Answers Latest Updates 2024. and more Exams Nursing in PDF only on Docsity!

PHARMACY TECHNICIAN STUDY GUIDE

Question with 100% verified Answers

Latest Updates 2024

What are the 4 service standards for working efficiently that are apart of the WeCare workflow?

1. Leverage mySchedule and follow the the workstation assignment board
2. Follow the priority cards at each workstation
3. Work the action queues top down
4. Use the process and systems What are the 4 service standards for caring more that are apart of the WeCare workflow?
5. Promptly acknowledge customers
6. Provide undivided attention to a customer
7. Immediately follow up on issues and use electronic action notes
8. Help at pick up if there are 3 or more customers in line Who can staff the drop off workstation? Pharmacist, intern, or technician What queue does the team member at drop off work out of? QT or triage queue What data entry needs to be entered while the customer is present at drop off? Third Party adjudication What data entry needs to be done as directed by the triage queue at drop off? E-scripts, MD calls, faxes, and voicemails What is the team member at drop off responsible for? Third party/insurance problems What does the team member at drop off always ask the customer? A preferred contact number What does the team member at drop off call out to inform production? Waiters What are the drop off customer service priorities?
9. Promptly acknowledge, then serve the customer
10. Focus on the customer
11. Process the next item (N) in the triage queue What are the priorities for promptly acknowledging the customer? (1st priority at drop off)
12. Use a friendly greeting and offer assistance
13. Call for back up when there are more than 3 customers in line What are the priorities for focusing on the customer? (2nd priority at drop off)
14. Complete data entry through adjudication when there are 3 or fewer prescriptions
15. Thank the customer using their name What patient information does the team member at drop off need to ask for or verify?
16. Correct spelling or full name
17. DOB

3. Home address
4. Medication allergies ( document that you asked the customer. If there are no allergies the write "NKA" on the prescription)
5. Prescription insurance info since last visit (document any new insurance on the script)
6. Other medical info (other OTC or prescription medications the patient may be taking)
7. Safety cap preference (responsibility of the patient to request non-safety. Do not assume all senior citizens want non-safety)
8. Preferred contact phone number if an issue arises Who can be staffed in the production workstation? Pharmacist, intern, or technician What queue does the team member at production work out of? QP or production queue and may leave this screen to assist patients who have called on the phone What does the team member at production do with scripts in the QP? Print scripts and fill waiters first What does the team member at production do with phone calls? Answer the phone and direct the call to the appropriate person What does the team member at production do while the customer is on the phone for a refill? Verify the script has refills and is in stock What is the maximum labels should be printed? A maximum of 3 families at a time What should the team member at production do if a medication is out-of-stock or is a partial fill? Contact customer immediately and complete an action note How many basket colors are there and what are they used for?
9. Yellow - waiting customers
10. Blue - acute
11. Black - all others Where should the baskets in production be delivered to and how are the labels supposed to be faced? Deliver to "red zone" and face labels upright What should a team member do if they are not working with a customer? Help at pick up if there are 3 or more in line What are the 2 production customer service priorities?
12. Be aware of customers AND provide support where needed
13. Print up to 3 families at a time What is the production priority for being aware of the customers when on the phone? (1st priority of QP) When on the phone, introduce yourself, offer assistance and triage calls when appropriate What is the production priority for supporting where needed? (Also 1st priority of QP) Serve customers at pick up and drive thru based on your workstation assignment board responsibilities What are the production priorities for printing 3 families of scripts at a time?

1. Use the "print next batch (P)" function and then "enter"
2. Perform prescription and non-prescription function (ex: PCQ calls, when directed in QP) What are the production workstation quality assurance responsibilities?
3. Acquire the prescription label refreshing the QP as often as possible
4. Obtain the medication
5. Perform an accuracy scan
6. Count, pour, or dispense the medication
7. Select an appropriate container and cap
8. Affix labels and stickers to the container
9. Prepare the order for final verification What are the responsibilities for acquiring the prescription? (1st main responsibility in QP)
10. Print and fill "waiter" and "acute" scripts first (TOP PRIORITY)
11. Print a maximum of three families at one time What are the responsibilities for obtaining the medication? (2nd main responsibility in QP)
12. Use the medication name on the label to locate the correct medication
13. Verify name on the medication, strength, dosage form, and National Drug Code (NDC) on the stock bottle Which numbers are the most critical to match on the NDC? The middle four numbers What do the first 5 numbers represent on the NDC? The manufacturer What do the middle four numbers represent on the NDC?
14. Medication Name
15. Strength
16. Dosage form What do the last 2 numbers represent on the NDC? The package size What are the responsibilities for performing an accuracy scan?
17. Scan the label
18. Scan the medication bottle or RTS vial
19. Scan your credentials How many individuals can complete scripts through accuracy scan, counting, and labeling? Only one individual. It is NEVER okay for one team member to pull medications and perform an accuracy scan, while a second team member counts and puts them into vials! What are the responsibilities for dispensing the medication? (3rd main responsibility in QP)
20. Use the necessary counting tools (tray and spatula)
21. Double count and initial controlled medications (CIII-CV) (Only pharmacists count CII Narcotics)
22. Count penicillin and sulfa on a separate tray

What is the responsibility for selecting an appropriate container and cap? (4th main responsibility in QP) Make sure the vial size is appropriate and if the medication can be dispensed in original container then use that (inhalers, nitroglycerin sublingual tablets) What is the responsibility for affixing labels and stickers? ( 5th main responsibility in QP) Place sticker so that they do not cover any information printed on medication label (patient an pharmacist must be able to see ALL information printed on stickers and labels What is the responsibility for preparing the order for final verification? Place completed order baskets in the "RED ZONE" or "to be verified" area in tower format, in time order, with labels upright Who can staff the Quality Assurance (QA) workstation? Pharmacist ONLY What queue does the pharmacist work out of for verification while at the QA workstation? QV or verification queue What prescriptions does the pharmacist verify? Waiters, acute, and all others What does the pharmacist do if there are 3 or more customers in line? Directs staff to registers What does the pharmacist do at the QA workstation when there is a voicemail from a doctor? Retrieve the voicemail within 15 minutes of arrival and pre-enters the prescription for Drop-off What does the pharmacist at the QA workstation do with waiters prescriptions? Announce finished orders and places in "green zone" (ready for customer pick up) What are the priorities for Quality Assurance customer service?

1. Be aware of customers AND provide support where needed
2. Manage team
3. Work verification queue What are the priorities for being aware of customers and providing support? (1st priority of QA)
4. Counsel patients and be available as questions arise
5. Assist pick-up and drive-thru with problem resolution
6. Perform customer facing activities assigned on the workstation assignment board What is the priority for managing the team? (2nd priority of QA) Utilize dashboard and direct team members to assist other workstations required What are the priorities for working the verification queue? (3rd priority of QA)
7. Process items in priority order
8. Perform prescription and non-prescription functions (ex: request calls, PCQ calls, when directed in QV) What are the Quality Assurance workstation responsibilities?
9. Data entry verification
10. Warning Verification
11. Production Verification What is verified during data entry verification at QA workstation?

The prescription data that was entered into RXConnect What actions does the pharmacist take during warning verification at QA workstation? Review and reconcile all clinical alerts What does the pharmacist ensure during product verification at QA workstation? Ensures the correct medication will reach the patient Who can staff the pick up workstation? Pharmacist, intern, or technician Where does the team member assist customers at pick up? At the pharmacy register What does the team member at pick up do when there are more than 3 customers in line? Call for assistance What does the team member do with "waiter" prescriptions? Calls out the last name before filing prescription in waiting bins What does the team member at pick up do before looking in the waiting bin for a prescription? Validate patient information What does the team member at pick up do if there is a problem with transactions? Notify the pharmacist When the pick up team member is unable to find an order in the waiting bin, who needs to be notified? The pharmacist What are the customer service priorities at Pick-Up?

1. Promptly acknowledge, then serve the customer
2. Focus on the customer
3. Pass all issues to the pharmacist What are the priorities for acknowledging the customer at pick up? (1st customer service priority)
4. Use a friendly greeting and offer assistance
5. Call for back up when there are more than 3 customers in line What are the priorities for focusing on the customer at pick up? (2nd customer service priority)
6. Review all prompts with customer
7. Direct customers to consultation when prompted and notify the pharmacist
8. Thank the customer by using their name What are the responsibilities at pick up?
9. Greet the customer
10. Verify customer and prescription info
11. Obtain the prescription
12. Perform pick up procedures
13. Refer appropriate questions
14. Complete the sale What is the responsibility for verifying customer and script info? (2nd responsibility at pick up) Use the pharmacy register to search for the patient by name, address, and birth date What is the responsibility for obtaining the script? (3rd responsibility at pick up)

Obtain the script from the waiting bin, large bag area, refrigerator, or reconstitute area What are the responsibilities for performing pick up procedures? (4th responsibility at pick up)

1. Review and discuss action notes
2. Make offer to counsel and refer patient to pharmacist
3. Offer ReadyFill where appropriate
4. Complete electronic signature log What is the responsibility for refereeing appropriate questions? (5th responsibility at pick up) Refer any questions to the pharmacist regarding medication info, medical info, opinions, and recommendations What are the responsibilities for completing the sale? (6th responsibility at pick up)
5. Ask customer for their ExtraCare card
6. Process the script along with any other merchandise the customer may have
7. Say "thank you" by name Who can staff the Drive-Thru workstation? Pharmacist, intern, or technician What queue does the team member at Drive-Thru work out of? QD or Drive-Thru queue Where are customers assisted at the the Drive-Thru? At the Drive-Thru window How fast should you greet customers at Drive-Thru? 15 seconds What should you ask from customers at the Drive-Thru window? Ask for latest insurance info and preferred contact number What should you verify for refills only at the Drive-Thru window while customer is still present? Verify refill and in-stock status What should you do with prescriptions immediately at Drive-Thru? Pre-enter all scripts If issues arise at Drive-Thru with the script, who should be notified? The customer should be notified and also notified of approximate resolution time What should you do if Drive-Thru is your primary workstation? Remain there unless QD is empty What are the Drive-Thru customer service priorities?
8. Promptly acknowledge, then serve the customer
9. Focus on the customer
10. Perform Pre-entry of all scripts while customer is at the window
11. Pass all issues to the pharmacist
12. Process the next (N) item in the Drive-Thru queue What is the priority for acknowledging the customer at Drive-Thru? (1st customer service priority at Drive-Thru)
13. Use a friendly greeting and offer assistance What are the priorities for focusing on the customer? (2nd customer service priority at Drive-Thru)

1. Review all prompts with customer
2. Notify the pharmacist if consultation is required
3. Thank the customer by using their name What are the Drive-Thru responsibilities? Same responsibilities as Pick-up and Drop-off What is the Omnibus Budget Reconciliation Act of 1990 (OBRA '90)?
4. Law that requires record-keeping (ex: patient profiles) for all medications used by a patient
5. Requires pharmacists or Pharmacy support staff members, as allowed by law to make an Offer to Counsel for all new prescriptions What is the reason for OBRA '90? It ensures that patients have an opportunity to obtain information about their medications How does OBRA '90 work?
6. At Pick-up and Drive-Thru, you will make the Offer to Counsel to each patient for each prescription as prompted by the register (ONLY PHARMACISTS OR INTERNS ARE ALLOWED TO COUNSEL FOR OBRA '90)
7. The patient will have to sign via the electronic signature log to accept or decline consultation What is the Health Insurance Portability and Accountability Act (HIPAA) of 1996? Protecting patients personal information given to health officials with the highest level of care possible Failure to comply with HIPAA results in what? Significant financial harm, reputation harm, and patient harm, imposition of criminal and civil penalties What is PHI? PHI is information that we collect when we are providing health services that identify a patient or a plan member or can be connected to a specific patient or plan member in any form (paper, electronic, or spoken) What are some examples of PHI? Name, addresses, DOB, phone numbers, SSN, medical diagnosis, plan ID numbers, prescription info, cardholder data, and physician notations What is included in civil and criminal penalties for violating HIPAA?
8. Civil Fines: up to $50,000 per violation and up to $1.5 million per violation of same requirement per year
9. Criminal Fines: up to $250,000 or 10 years imprisonment What is the Minimum Necessary Requirement? A fundamental principle of the HIPAA Privacy Rule What is required from the Minimum Necessary Requirement? Requires that you access, use or share only the minimum PHI with the minimum number of people to get your job done Who does the Minimum Necessary Requirement apply to? Both disclosures to outside parties as well as to internal uses within CVS health What should you never do with PHI? Never access or view PHI unless you have a valid job purpose for doing so Why was HIPAA enacted?

To better safeguard the privacy of patient records What is required from healthcare providers by HIPAA?

1. Supply patients of a Notice of Privacy Practices (NOPP)
2. Implement policies and procedures to limit access access to Protected Health Information (PHI) What does HIPAA define? How healthcare providers such as pharmacies, hospitals, etc are permitted to handle and transmit healthcare info What are examples of HIPAA violations?
3. At pick up verifying the medication name with the customer by asking "Are you picking up (medication name) today?
4. Leaving a message for a patient to inform them that their prescription has a problem, and including the name of the medication within the message
5. Not treating all patients with the same level of respect and confidentiality
6. Failing to verify customer info prior to giving info over the phone
7. Acknowledging ALL prescriptions with the same last name as a patient at pick up What is confidential waste? Material that contains PHI and/or PII Who administers the confidential waste destruction program? The Facilities department What is disposed in blue bags? Paper items containing PHI/PII including but not limited to photographs, pharmacy records, front store confidential material, and MinuteClinic records What is disposed in the green bags? Non-paper items containing PHI/PII, including empty pill bottles, vials, etc Where do you look to determine the proper storage conditions of a drug? The manufacturers label on the stock bottle Where are storage temperatures recorded recorded twice a day?
8. Room temp in pharmacy area
9. Refrigerators and/or freezers containing cold chain products (including fulfilled scripts awaiting pickup) What are the common medications that are stored in the refrigerator? Insulin, Nuvaring, Xalatan, and Duac What are controlled substances? Drugs that have a high potential for addiction and abuse What are Schedule I (CI) drugs? Substances that have a high potential for abuse. Currently no medicinal use is indicated for them. They are not found in retail pharmacies and it is illegal to possess them in the US. In other words "street drugs" What are Schedule II (CII) substances? Medications that have a high potential for abuse and also severe physical and psychological dependence. Prescriptions for these medications are subject to the most stringent regulations. What are Schedule III (CIII) substances?

These medications have potential for abuse, but less potential than those schedule I or II medications. Abuse of these substances may lead to moderate to low physical dependence or severe psychological dependence What are Schedule IV (CIV) substances? These medications have a lower potential for abuse than schedules I-III and are less likely to to cause physical or psychological dependence What are Schedule CV (CV) substances? These medications have limited potential for abuse. These medications are generally used as cough suppressants or as anti-diarrheals How are Schedule II (CII) substances ordered? With an official DEA order form (DEA 222 form) Who can order CII substances? Only pharmacists that have been granted Power of Attorney (POA) can execute a DEA 222 Who is allowed to handle CII medications? Only pharmacists Where are CII medications stored? CII medications must remain locked in the safe at all times that only the pharmacist has access to How do pharmacists dispense controlled substances? Pharmacists must dispense controlled substances only pursuant to valid prescriptions that comply with federal and state laws How can a prescription be considered as valid? The prescription must have been issued for a legitimate medical purpose by a prescriber, acting in the usual course of his or her professional practice Who can determine if a prescription is valid and can be dispensed? Only the pharmacist Who has the authority to prescribe controlled substances? The authority of mid-level practitioners varies by state but you must comply with state law regarding prescribing authority As a tech, what must you check for on a prescription? Must verify that the info has been filled out completely on the prescription If the prescription was written for a legitimate medical purpose, it must contain what?

1. Patients full name and address
2. Prescribers full name, address and DEA registration #
3. Date the prescription is issued
4. Drug name, strength, dosage form and quantity
5. Directions for use

6. of authorized refills, if any

7. Manual signature of the prescriber
8. Verify the prescription is written on a tamper proof Rx blank, where required Where can the full list of required data elements be found? In the CVS/pharmacy Accepting Prescription policy on RxNet What should pharmacy support staff look for on controlled substance prescriptions? Any signs of forgery or altering and "red flags" What is Pseudoephedrine/ephedrine (PSE/E)?

An ingredient that is used in many OTC cough and cold products. Also used to illegally manufacture methamphetamine What is Methamphetamine ("Meth") A highly addictive, dangerous and illegal drug that negatively impacts our society What is the Federal Combat Methamphetamine Epidemic Act (CMEA) A law that limits the quantity of PSE/E products that may be sold to a customer at a given time and imposes other requirements, making it difficult for criminals to use these products to manufacture "Meth" What can be used to verify ID for PSE/E transactions? The Fraud Fighter (blacklight) What is the limit of PSE/E products by Federal Law per day? 3.6 grams per customer per day What is the limit of PSE/E products by Federal Law per 30 day period? Not more than 9 grams per customer Where are PSE/E products stored per Federal Law and CVS Policy? Behind a counter so that customers do not have direct access to the products How are non-liquid PSE/E products packaged peer Federal Law? In blister packs What is required by Federal Law for the purchase of PSE/E products? A valid state or federal issued photo ID of any customer What is required by Federal Law to track the purchases of PSE/E products? Thorough and accurate completion of a PSE/E tracking log How does CVS maintain required PSE/E sales log info? By using a MethCheck What are proper identifications to purchase PSE/E products?

1. State drivers license (U.S.)
2. State-issue ID (U.S.)
3. Military ID (U.S. Only)
4. U.S. passport Per CVS policy, what is required by the POS system for every PSE/E sale? Requires a date to be entered into the expiration field What if the valid State or Military ID does not have an expiration date? Input the current day's date plus 100 years should be entered in the expiration field (ex: enter 09/12/2115 for 09/12/2015) What is the age required to purchase PSE/E products? Must be over the age of 18 unless sold as a prescription How should the identification be verified for PSE/E purchases? Verified by the Fraud Fight/ backlight What will be required by colleagues to validate the the customers ID has been checked? Their employee ID Where are PSE/E products sold per CVS/pharmacy policy? All products containing PSE/E are to be sold through the register at the Pharmacy checkout and be processed through the MethCheck POS system What is the iPLEDGE program?

iPledge is to prevent fatal birth defects when women take a medication under this program. 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. According to the Risk Evaluation and Mitigation Strategy (REMS) approved by the FDA the goals of the iPLEDGE Program are:

1. To prevent fetal exposure to isotretinoin
2. To inform prescribers, pharmacists and patients about isotretinoin's serious risks and safe-use conditions What are serious risks of isotretinoin?
3. Severe birth defects if fetal exposure occurs
4. Serious mental health problems ( depression, suicidal thoughts)
5. Pseudotumor cerebri: a condition caused by intracranial pressure What are some safe use conditions included in the elements to assure safe use comprise of the following of iPLEDGE:
6. Prescriber certification
7. Pharmacy certification
8. Patient enrollment What are some additional safe use conditions for females of child bearing potential which are ensured by the iPLEDGE program?
9. Patient is not pregnant
10. Two pregnancy tests are completed before initial prescription may be authorized
11. Monthly pregnancy testing for each subsequent prescription
12. 2 forms of birth control are utilized unless abstinent
13. Types of BC being utilized are reported and program questions are answered by patient before filling each script and one month after treatment is discontinued
14. Inform patient of importance of reporting pregnancy, if pregnancy occurs while taking isotretinoin or within one month of stopping isotretinoin
15. Inform patients of the need to discontinue treatment if patient engages in unprotected heterosexual intercourse What is the Food and Drug Administration (FDA) Modernization Act of 1997 (FDAMA)? A law that was passes to strengthen the existing laws regarding the regulation of certain drugs, medical devices, and the review process used to approve new drug products Why did the FDAMA enact standards as part of the legislation? To prevent the manufacturing of drugs hidden behind the pretense of pharmaceutical compounding What was included in the FDAMA once recognizing that there is a need for compounded medications? A special exemption was included that allows community pharmacies to continue the practice of non-sterile compounding What did the exemption in the FDAMA establish?

Parameters under which non-sterile compounding can be carried out appropriately and lawfully Under this act (FDAMA), who can compound drug preparations? Pharmacists and physicians can compound using bulk drug substances only for individual patients on a prescription drug order or in reasonable anticipation of such an order When would a different set of laws need to be applied when compounding and why? When preparing large quantities of preparations with no immediate need because it would be considered manufacturing What is prohibited by the FDAMA? The compounding of products that are copies of commercially available medications and those that have been removed from the market due to safety concerns Why is compounding products that are commercially available and products that have been removed from the market prohibited by the FDAMA? To protect manufacturers 'rights to their product and patients' health and well-being. Pharmacies are prohibited from what per FDAMA? Advertising the compounding of specific preparations. What are the non-sterile compounding responsibilities for pharmacists? Responsible for overseeing the processes involved in compounding and for the actual preparation of pharmaceutical compounds Per USP <795> for compounding, the pharmacist must:

1. Be adequately trained and licensed to perform their duties, including non-sterile compounding
2. Be able to ensure the ingredients used in compounding are of acceptable strength, quality and purity to prepare compounds of the expected standard
3. Ensure processes for compounding are carried out as specified so as to produce compounds of the same quality every time
4. Maintain the proper compounding environment and procedure so as to prevent errors from occurring
5. Ensure that proper records are kept and are really retrievable in the case that an error or other failure must be investigated
6. Oversee compounding duties carried out by Interns and Techs What tasks can Interns perform during compounding?
7. Data entry
8. Assist the pharmacist with pharmaceutical calculations
9. Assist the pharmacist with determination of beyond use dates
10. Perform weighing, measuring, and mixing of components of a compounded preparation What tasks can Interns not perform during compounding?
11. Perform preliminary verification
12. Perform final verification What tasks can technicians can perform during compounding?
13. Data entry
14. Gather bulk ingredients as determined by the pharmacist What tasks can technicians not perform during compounding?

1. Pharmaceutical calculations
2. Determination of beyond use date
3. Weighing, measuring, or mixing any component of a compounded preparation What medications does CVS not compound?
4. Nasal
5. Inhaled
6. Ophthalmic (eye drops)
7. Otic (ear drops)
8. Intramuscular, Intravenous, subcutaneous, injections Authorized personnel such as StrongPak, couriers, Regulatory agents, Inventory service, etc, must be supervised by who? A pharmacist When team members leave the register at pick up, what should they do? Log off of the register What system is used to bulk fill prescriptions? Scriptpro and other prescriptions robots What are the steps to replenish drugs from the stock bottle to proper cell in the ScriptPro machine?
9. Clear the work bench before starting
10. Select one cell to replenish and scan every stock bottle
11. Ensure the medication you are adding matches the medication found in the prescription What are the proper steps for multiple bottles?
12. Ensure all stock bottles are lined up and verify NDC's match
13. Record lot number and expiration date
14. Repeat for each stock bottle How often does automation have to be cleaned and maintained? On a daily and weekly basis Failure to comply with policies around Automation is considered what and results in what? A gross violation of company policy which may result in disciplinary action up to and including termination What percentage of prescriptions are filled using insurance? 91% Properly handling third party claims ensures what? Ensures that CVS is appropriately reimbursed for these claims and that we provide a hassle free experience for the customer What are team members responsible for while doing third party billinmg?
15. Ensuring that pharmacy billings are accurate
16. Conform to reimbursement rules under the Federal health care programs
17. Abide by the obligations set forth in the CIA Failure to comply with the requirements of the CIA or CVS policies and procedures results in what? May result in disciplinary action up to and including termination of employment or your relationship with the company It is essential that we do not bill what for a partial prescription?

The patients third party plan A partial prescription is billed as what for the patient? Cash with no charge to the patient The prescription can not be billed through insurance until when? Until the full quantity is dispensed If a customer does not pick up their prescription within 14 days of it being filled, what happens to the prescription? The prescription will be returned to stock Why is it important that prescriptions are returned to stock correctly? So that third party plans are not inaccurately billed for the prescriptions that have not been dispensed for the full amount What are DAW codes? Indicators to Third party plans of the reasoning behind product selection What do DAW codes determine? The reimbursement to CVS What is DAW Code 0? No product selection indicated What is DAW Code 1? Substitution not allowed by prescriber What is DAW Code 2? Patient requested product dispensed What type of medication should you always dispense? The generic equivalent When should you not dispense the generic equivalent? Unless the brand product has been specifically requested by the prescriber How many years are CONSULTATION/THIRD PARTY SIGNATURE LOGS kept? 10 years How many years are CONTROL PRESCRIPTION DRUG AND PSE INVENTORY (annual, biennial, or PIC change) records kept? 7 years How many years are CONTROLLED DRUG RETURN INVOICES/DESTRUCTION RECORDS kept? 7 years How many years are COPIES OF LICENSES AND POA records kept? 7 years How many years are COMPLETED DEA 222 FORMS kept? 7 years How many years are ELECTRONIC SIGNATURE RECEIPTS kept? 10 years How many years are END OF DAY RX CONNECT REPORTS kept? 10 years How many years are HAZARDOUS WASTE MANIFESTS kept? 3 years How many years are INVOICES/MANIFESTS FOR CONTROLLED SUBSTANCES kept? 7 years

How many years are INVOICES/MANIFESTS FOR NON CONTROLLED OR C-VI'S kept? 7 years How many years are INVOICES/MANIFESTS FOR PSEUDOEPHEDRINE kept? 7 years How many years are PATIENT CONSENT FORMS AND VACCINE ADMINISTRATION RECORDS kept? 10 years How many years are PATIENT RELEASE OF RECORDS kept? 7 years How many years are PHARMACIST DAILY LOGS kept? 10 years How many years are PRESCRIPTION HARDCOPIES kept? 10 years How many years are PRESCRIPTION RECORDS INVENTORY LOGS kept? 10 years How many years are SCHEDULE II PERPETUAL INVENTORY records kept? 7 years How many years are SUBPOENAS kept? 7 years How long does a non-controlled prescription last? 1 year What is the Pharmacy Technician's roles and responsibilities?

1. Assists customers who are dropping off/picking up prescriptions
2. Accessing/entering data into the pharmacy computer system
3. Filling prescriptions for the pharmacist to verify What are the essential job functions for Technician
4. Resolve insurance rejections and complete any manual claim forms
5. Process prescriptions (SIG codes, product selection, counting and measuring drugs, (un)capping vials and bottles, labeling scripts)
6. Perform pick up procedures in adherence to CVS policy and procedures
7. Complete prescription pick-up log, validate customer address, and DOB
8. Make Offer to Counsel and direct to Pharmacist or Intern
9. Retrieve and file prescriptions throughout day according to State and Federal Law
10. Assist with putting away drugs (except CII's)
11. Answer the phone and direct to appropriate staff member Who can refill prescriptions by phone? Technicians, pharmacists, interns Doctors phoning in prescriptions, control transfers, patient consultations, DUR questions, and medication questions are referred to who? The pharmacist What are the 3 types of technician licenses?
12. Full Licensure
13. Limited License
14. Temporary License What is needed for the full license for the technician?

1. Passing certified pharmacy technician exam score
2. Employer based training program What is needed for the limited license for the technician?
3. Completed Verification of Employment as a Pharmacy Technician form from employer The limited pharmacy technician license is only valid if? You remain employed by the same pharmacy What is needed for the temporary pharmacy license?
4. Receipt of the application
5. Fee
6. Fingerprint/criminal background check report Why is the temporary pharmacy technician license issued? So that the applicant may continue working while preparing to take the examination required for full licensure How long is the temporary license valid? 1 year and cannot be renewed What are the roles and responsibilities of the Pharmacy Intern under direct supervision of the pharmacist?
7. Give appropriate medical advice
8. Practice duties performed by a Pharmacist when applicable What are the essential job functions for a intern under direct supervision of the pharmacist?
9. Serve and satisfy the customer's health care needs
10. Openly communicate with customers while protecting confidential health and drug info
11. Provide counsel to customers having medical questions
12. Solicit info on a customers medical history to give appropriate medical advice
13. Access, input, and retrieve info from the customer
14. Operate a cash register
15. Obtain needed info for new scripts and refills vis telephone
16. Fill scripts, prepare compounds, reconstitute medications When is an Intern eligible for intern licensure? At the beginning of the first professional year of study in an accredited college or school of pharmacy What are the roles and responsibilities for the Pharmacist?
17. Perform final verification on all scripts filled by support staff
18. Counseling medications as necessary What are the essential job functions for the Pharmacist?
19. Serve and satisfy the customer's health care needs
20. Openly communicate with customers while protecting confidential health and drug info
21. Provide counsel to customers having medical questions
22. Solicit info on a customers medical history to give appropriate medical advice
23. Inventory Management
24. Maintain a perpetual CII inventory
25. Comply to all security/loss prevention procedures including setting alarms; security of

safe

8. Access, input, and retrieve info from the customer
9. Operate a cash register
10. Obtain needed info for new scripts and refills vis telephone
11. Fill scripts, prepare compounds, reconstitute medications
12. Complete third party rejections
13. Follow company procedures in cases of dispensing incidents
14. Communicate and interact with health officials in health related fields
15. Ensure compliance with all company procedures and federal and state laws, rule, and regulations Pharmacy graduates are required to pass what exam? North American Pharmacist Licensure Exam (NAPLEX) A pharmacist has to be licensed for how long in order to become a licensed preceptor? 1 year Prefix: Endo- Inside (ex: endoscopy - viewing inside of the body) Prefix: Hyper- Excessive/High (ex: hypertension - high BP) Prefix: Hypo- Deficient/Low (ex: hypotension - low BP) Prefix: Neo- New (ex: neonatal - newborn) Prefix: Tachy- Fast (ex: tachycardia - fast heart activity) Prefix: Cereb- Brain (ex: cerebral - pertaining to the brain) Prefix: Nephr- Kidney (ex: nephrosis - condition of the kidneys) Prefix: Ot- Ear (ex: otalgia - pain in the ear) Prefix: Ren- Kidneys (ex: renal - pertaining to the kidneys) Prefix: Rhino- Nose (ex: rhinovirus - virus of the nose (common cold)) Suffix: - algia Pain (ex: neuralgia - nerve pain) Suffix: - cyte Cell (ex: erythrocyte - RBC) Suffix: - ism Condition (ex: hyperthyroidism - condition of excessive thyroid activity) Suffix: - itis Inflammation (ex: arthritis - inflammation of the joints) Suffix: - scopy Viewing (ex: endoscopy - viewing inside the body) What are oral solids? Medications taken by mouth

What type of medications are considered oral solids?

1. Tablets
2. Capsules What are tablets? Solid dosage forms which vary in shape and size How should tablets be consumed? Swallowed whole with water unless otherwise noted What are capsules? Generally small and oblong with a gelatin coating an dare filled with medication What are oral liquids? Liquid medications taken by mouth What type of medications are considered oral liquids?
3. Solutions
4. Elixirs
5. Suspensions
6. Reconstitutables What are solutions? Liquids that are made up of solid medicinal ingredients that are typically dissolved in water. Usually clear but may have some color What are elixirs? Sweetened liquids usually containing alcohol that is used in the medication either for its medicinal ingredients or as a flavoring What are suspensions? Liquids that have medication particles that are suspended in liquid. The medication is not dissolved as it is with solutions What must you do with suspensions before pouring them into a smaller container? Shake it up for at least 30 seconds What are reconstitutables? Medications that come as a powder and require a specific amount of distilled water be added After reconstituting a medication, where should it be stored? In the refrigerator When should reconstitutables be discarded? After 10-14 days When should reconstitution take place? Only after the customer has arrived to pick up the script What are topicals? Medications applied directly to the skin What medications are considered topicals?
7. Creams
8. Ointments
9. Lotions
10. Patches
11. Gels What are creams?

Topical product made of water, oil, and other. Less greasy than ointments and usually absorbed by skin What are ointments? Topical product that is typically a greasy preparation, usually with a petroleum jelly base What are lotions? Topical product that is similar to creams, but contain more liquid. They are less greasy than ointments and are absorbed by the skin When are lotions typically prescribed? When needed to cover a larger part of the body What are patches? Topical product that delivers medication through the skin How long can patches stay on for? 12 hours to several days What are gels? Topical suspensions that are set to form a jelly. Tend to have a drying effect on the skin What are aerosols? Sprayable products used to deliver medications What are aerosols most commonly used for? Delivering medications to the top of the skin, or for inhaling into the lungs or nasal passages What are suppositories? Typically manufactured in cylindrical, egg, or pear shapes and are made for insertion into the rectum or vagina What are otic preparations? Ear medications are typically dispensed from bottle droppers What are ophthalmic preparations? Eye medications are dispensed in bottle droppers or in an ointment form. These medications must be sterile What are injectables? Sterile preparations injected with syringes What is the most common injectable kept in the pharmacy? Insulin What is the generic name for Adderall? Used for? Common strength?

1. Amphetamine+Dextroamphetamine
2. Neurologic/ADHD
3. 10mg, 20mg What is the generic name for Amoxil? Used for? Common strength?
4. Amoxicillin
5. Antibiotic
6. 500mg

What is the generic name for Biaxin? Used for? Common strength?

1. Clarithromycin
2. Antibiotic
3. 500mg What is the generic name for Coreg? Used for? Common strength?
4. Carvedilol
5. Beta blocker
6. 6.25mg, 12.5mg What is the generic name for Depakote? Used for? Common strength?
7. Divalproex
8. Anticonvulsant
9. 250mg, 500mg What is the generic name for Dilantin? Used for? Common strengths?
10. Phenytoin
11. Anti-epileptic
12. 100mg What is the generic name for Flexeril? Used for? Common strengths?
13. Cyclobenzaprine
14. Muscle relaxant
15. 10mg What is the generic name for Glucophage? Used for? Common strengths?
16. Metformin
17. Antidiabetic
18. 500mg What is the generic name for Lanoxin? Used for? Common strengths?
19. Digoxin
20. Antiarrhythmics
21. 0.125mg, 0.25mg What is the generic name for Lasix? Used for? Common strengths?

1. Furosemide
2. Antihypertensive diuretic
3. 20mg, 40mg What is the generic name for Norco? Used for? Common strengths?
4. Hydrocodone+Acetaminophen
5. Analgesic, opiate
6. 5/325mg, 10/325mg What is the generic name for Percocet? Used for? Common strengths
7. Oxycodone+APAP
8. Analgesic, opiate
9. 2.5/325mg, 5/325mg What is the generic name Phenergan with Codeine? Used for? Common strengths?
10. Promethazine with Codeine
11. Antihistamine and narcotic cough suppressant
12. Promethazine hydrochloride: 6.25mg; Codeine: 10mg What is the generic name for Protonix? Used for? Common strengths?
13. Pantoprazole
14. Proton pump inhibitor
15. 40mg What is the generic name for Tessalon? Used for? Common strengths?
16. Benzonatate
17. Anti-tussive
18. 100mg, 200mg What is the generic name for Tylenol? Used for? Common strengths?
19. Acetaminophen (APAP)
20. Analgesic
21. 500mg What is the generic name for Ultram? Used for? Common strengths?
22. Tramadol
23. Analgesic
24. 50mg

What is the generic name for Xanax? Used for? Common strengths?

1. Alprazolam
2. Antianxiety
3. 0.25mg, 0.5mg What is the generic name for Zithromax? Used for? Common strengths?
4. Azithromycin
5. Antibiotic
6. 250mg, 500mg Abbr: C Capsule Abbr: T Tablet Abbr: ts Teaspoon Abbr: qd Every day Abbr: bid Twice a day Abbr: tid Three times a day Abbr: qid Four times a day Abbr: ac Before meals Abbr: pc After meals Abbr: q4- 6 Every 4-6 hours Abbr: hs At bedtime Abbr: qam Every morning Abbr: qpm Every evening Abbr: AAA Apply to affected area Abbr: o Eye Abbr: a Ear Abbr: u Both/each

Abbr: d Right Abbr: s Left Abbr: gtt(s) Drop(s) 1 oz = ?ml/gm 30 4 oz = ?ml/gm 120 6 oz = ?ml/gm 180 8 oz = ?ml/gm 240 1 tsp = ?ml/cc 5 1 tbs = ?ml/cc 15 1 qt = ?tbs 64 What is included on the prescription label/customer receipt?

1. First 2 letters of patient's last name and date filled
2. Pharmacy address
3. Patient info
4. Script info
5. Third party plan code and name
6. Safety cap indicator
7. Script number, including 2 digit refill reminder
8. Promised date and time
9. Order total
10. Barcode used to scan script into the register
11. Quantity of medication being dispensed
12. Refills remaining on the script
13. DAW code
14. ReadyFill indicator