Module Four

Prescriptions, Insurance, and Inventory

Table of Contents

1. Prescriptions
A. Pharmacy Prescription Settings (p 3)
i. Community Pharmacy (p 3)
ii. Institutional Pharmacy (p 3)
iii. All Pharmacy Settings (p 4)
B. Processing a Prescription
i. Entering a Prescription into a Retail Pharmacy
Computer (p 5)
ii. Entering a Prescription into a Hospital Pharmacy
Computer (p 5)
C. Important Prescription Information
i. Avoiding Errors (p 6)
ii. Directions for Use on a Prescription (p 6)
iii. Auxiliary Labels (p 7)
D. Sample Questions (p 8)
E. Transcribing of Prescriptions
iv. A Prescription Pad (p 10)
v. Important Information for Processing a Prescription
(p 10)
vi. The Information on a Written Prescription (p 11)
vii. Exercise: Transcribing Prescriptions (p 12)
F. Computer-Generated Prescription Labels (p 13)
G. Sample Questions (p 14)
i. Bonus Sample Question (p 15)
H. Package Insert (p 16)
I. Patient Information Leaflet (p 16)
J. Prescription Signature Log (p 17)
K. Important Reminders for Filling Prescriptions (p 17)
L. Sample Questions (p 18)

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2. Important Insurance Information
A. Online Claim Information Needed to Enter into the
Computer (p 19)
i. Dispense as Written (p 20)
ii. Insurance Claim Rejections (p 20)
iii. Insurance Billing Codes (p 21)
iv. Computer and Third Party Billing (p 22)
B. Pharmacy Benefit Managers (p 22)
C. Different Types of Third Party Programs (p 23)
i. Managed Care Programs (p 23)
ii. Private Health Insurance (p 23)
iii. Public Health Insurance (p 23)
iv. Workers Compensation (p 23)
D. Disease State Management Services (p 24)
E. Sample Questions (p 25)

3. Inventory Control
A. Inventory Management (p 27)
i. Types of Inventory Awareness (p 28)
ii. Automated Dispensing Systems (p 29)
iii. Receiving Orders (p 29)
iv. Bar Coding (p 29)
v. Returning and Crediting Products (p 30)
vi. Recordkeeping (p 30)
vii. Repackaging of Drugs (p 30)
B. Pharmacy Database System (p 31)
i. Computers (p 31)
C. Other Important Factors (p 32)
i. Refrigeration of Drugs (p 32)
ii. Hand Washing (p 32)
iii. Disposal of Drugs (p 32)
D. Sample Questions (p 33)

4. Answer Key for Sample Questions (p 35)

2
1. Prescriptions

A prescription is a written order from a practitioner for the preparation

of a drug or medical device giving the name, route, quantity,
directions and refills.

Remember, not only a medical physician can write prescriptions, but

doctors of osteopathy, dentists, veterinarians, podiatrists, nurse
practitioners, and opticians can also. Medications that are prescribed
by those other than physicians are limited to their field of practice.
Prescriptions are subject to state and federal laws and regulations.
Pharmacy abbreviation comes from Latin and English words. They
are used for prescriptions to communicate to the public information on
formulations, preparation, dosage, and administration of the
medications. All technicians need to know pharmacy abbreviations
and their meanings.

A. Pharmacy Prescription Settings

i. Community Pharmacy

This is a retail pharmacy and the prescription is dispensed directly to

an outpatient customer or patient.

When the customer or patient picks up their prescription they will receive
information and counseling about the medication from the pharmacist.

ii. Institutional Pharmacy

This setting is either in a hospital, long term care pharmacy or home health
care pharmacy. The medication is usually package in a unit dose meaning a
single dose of medicine is individually wrapped for one dose, at one time of
day, for one patient. This is administered by a nurse or a person who is
certified in administering certain medications.

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iii. All Pharmacy Settings

Whether you are in a community or hospital pharmacy, the prescriber writes

the prescription for the patient and the prescription is entered into the
computer and a label is generated. The pharmacy technician completes the
data and then fills the medication in the appropriate container. The
pharmacist then checks the final prescription before the patient receives the
medication.

! Remember the Pharmacist always has the final check.

! Rx is an abbreviation of the Latin word recipe, meaning to

take.

! "Sig" is an abbreviation of the Latin word signa, meaning to

write or give directions for use and the administration route on a
prescription.

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B. Processing a Prescription

i. Entering a Prescription into a Retail Pharmacy Computer

! Check the new prescription for clearness.

! Can you read it in its entirety?
! Check the medication and see if this is an over-the-counter drug or a
controlled substance schedule II.
! Check the date when the prescription was written.
! If this is a new customer you need to get the persons name, address,
telephone number, date of birth, allergies and insurance information.
! Is this drug available in your pharmacy?
! Is the prescription suspicious of forgery in anyway?
! If the prescription is for a compound medication that is not made in
advance, let the customer know when it will be ready.

ii. Entering a Prescription into a Hospital Pharmacy Computer

! The patients physician writes the prescription order on the patients

chart in the hospital and the unit secretary will transfer the order to a
pharmacy medication sheet. Once the nurse on duty checks the
transcription she will send it to the pharmacy.
! The pharmacy technician enters the prescription into the computer and
prints out a Medication Administration Record (MAR) on the patient.
! The prescription is then filled by the pharmacy technician in a unit
dose form and placed in a cart where every patient has their own
drawer labeled with their name and room number.
! The medications are stocked for a 24 hour period.
! The pharmacist has the final check before going to the floor where the
nurse will administer the medication to the patient.

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C. Important Prescription Information

i. Avoiding Errors

Make sure you have the:

! Right medication.
! Right strength.
! Right dosage.
! Right quantity.
! Right directions.
! Right patient.
! And... do not dispense if you suspect forgery!

ii. Directions for Use on a Prescription

! Always give the directions that the physician has ordered, never alter.
! Directions should always start with a verb, one that is familiar to the
public.
! Use verbs such as take, give, instill, insert, place, inject, apply and
inhale.
! Always indicate the route of administration.
! Use words such as by mouth, in eye, in ear, rectally, vaginally,
intramuscularly, intravenously, subcutaneously, to affected area,
under the tongue.
! Always use whole words.
! Use words such as capsules, tablets, cream, and ointment.
! Always use milliliters in terms of household measurements. Instead
of using 5 mls use 1 teaspoonful.

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iii. Auxiliary Labels

Many prescriptions written by a physician do not give the patient directions

for consumption and use. Auxiliary labels can be added to the prescription
bottle by the pharmacist in order to provide additional information for the
patient while taking their medication.

Auxiliary Labels include but are not limited to the following directions:

Take medication with food.

Take on an empty stomach.
For the ear.
For the eye.
For external use.
Do not drink alcohol.
Do not take aspirin.
May cause drowsiness.
Shake well.

Sample Auxiliary Label

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D. Sample Questions

1. What type of pharmacy setting uses a unit dose system to fill

prescriptions?
a. Community
b. Nuclear
c. Hospital
d. Retail

2. What does the pharmacy abbreviation Rx mean?

a. Order
b. Write
c. Take
d. Prescribe

3. What does the word signa mean?

a. Fill
b. Take
c. Write
d. Order

4. In what type of pharmacy setting is a Medication Administration Record

used?
a. Retail
b. Hospital
c. Community
d. Compounding

5. When entering the directions on a prescription, always start with what

type of word?
a. Verb
b. Noun
c. Name of drug
d. Route of administration

8
6. What label is added to some prescription containers to give the patient
more information about the drug?
a. Storage information
b. Drug information
c. Auxiliary
d. Package insert

9
E. Transcribing of Prescriptions

i. A Prescription Pad

ii. Important Information for Processing a Prescription

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iii. The Information on a Written Prescription

(1) Dr. William Jones

(2) 3311 Park Ave Suite 200
Lakeside, Virginia 23258
(3) (804) 777-2020 Fax (804) 777-2220

(4) DEA # AJ4342793

(5) Name Charles Edward (7) Date Aug. 19, 2006
(6) Address 2607 Chapin Lane
Lakeside, VA 23259

(8) Atenolol 25 mg
(9) Sig: i po qd (10) #30

(11) Refill 5

(12) Dispense as Written _________________

(13) Prescribers Signature

(1) Prescribers Name

(2) Prescribers Address
(3) Prescribers Telephone and Fax Numbers
(4) Prescribers DEA Number
(5) Patients Name
(6) Patients Address
(7) Date the prescription was written
(8) Name and Strength of the medication
(9) Sig: means to write indicates the directions and route of
administration
(10) Quantity to be Dispensed
(11) Number of Refills
(12) DAW Dispense as Written or Generic Substitution Allowed
(13) Prescribers Signature

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 Prescriptions are always written in ink, typed, or electronically produced.
iv. Exercise: Transcribing Prescriptions

Practice transcribing the prescriptions below.

# Cover up the right side of the table below.

# Use a verb to start transcribing the direction for use.

Lipitor 10 mg 1 qhs po Take one tablet by mouth at bedtime.

#30
Lasix 50 mg 1 po qd Take one tablet by mouth every day.
#30
Timoptic 0.1% 1 gtt ou Instill one drop in both eyes 4 times a day.
qid
Anusol H-C Sig: 1supp Insert one suppository rectally two times a day.
bid
Amoxil 125mg/5ml po Give 1 teaspoonful by mouth 4 times a day. (Use
5ml qid give instead of take when you are giving
directions to a parent to administer to a child.)
NPH Insulin Inject 10 units subcutaneously before breakfast
10 units in am ac and 8 units before dinner every day.
8 units in pm ac (Insulin is always given subcutaneous.)
qd

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F. Computer-Generated Prescription Labels

Once the customers information has been entered into the pharmacy
computer system, a label is generated for the prescription container.

Marshalls Pharmacy Ph: 804-777-8786

11105 Parkside Ave. Edward, Charles
Lakeside, Virginia 23257 2607 Chapin Lane
Lakeside, VA 23259
RX: 898980 Prescriber: William Jones, MD

TAKE ONE TABLET BY MOUTH EVERY DAY

Atenolol 25 mg Tablets
(Tenormin)
Refillable 5 times before 8-19-07 Qty: 30
RPh: Marshall, Travis Tech: DB
Date filled: 8-19-06 Orig: Date: 8-19-06 Discard after 8-19-07

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G. Sample Questions

What verb should be used for the following medications when transcribing a
prescription?

Key words to use: Take, Give, Inhale, Inject, Instill, Place, or Apply

1. Paxil 20 mg 1 tab p.o. qd #30

2. Kenalog cream 0.1% bid 15 gm

3. Atrovent Inh #1 2-3 puffs tid

4. Premarin 1.25 mg #21 I qd x 21 d off 7

5. Biaxin 500 mg po bid x 7 days

6. Lopressor 50 mg po qd

7. Tobramycin 2 gtts ou bid 5ml

8. Cortisporin 1gtt as qid

9. Ambien 5 mg p.o. hs prn

10. Vitamin B-12 1000mcg/1ml IM stat

11. Darvocet-N 100 I or II q4h prn

12. Amoxicillin 125mg/5ml qs qid for 10 days

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i. Bonus Sample Question

13. How many Prednisone tablets do you dispense for the following
prescription?

Prednisone 10 mg 1 qid x 2 days, 1 tid x 2 days, 1 bid x 2 days, 1 qd x 2

days, qd x 2 days

Take one tablet by mouth 4 times a day for 2 days, then one tablet 3
times a day for 2 days, then, 1 tablet 2 times a day for 2 days, then one
tablet every day for 2 days, then tablet every day for 2 days.

a. 18
b. 21
c. 25
d. 26

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H. Package Insert

A package insert contains information about the prescription drug.

It is inserted with the drug by the manufacturer giving the following

information:

! Description
! Clinical Pharmacology
! Indications and usage
! Contraindications
! Warnings
! Precautions
! Adverse reactions
! Drug abuse and dependence
! Over dosage
! Dosage and administration
! How supplied

I. Patient Information Leaflet

A patient information leaflet contains information about the

medication that has been prescribed by the prescribers prescription.

This is given to the patient when they pick their prescription up from the
pharmacy. It will contain the following information:

! Medication name
! Drug Class
! How to use this medication
! Side effects
! Precautions
! Drug interactions
! Missed dose
! Storage
! Any caution information

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J. Prescription Signature Log

Every prescription that is picked up from a pharmacy needs to be

recorded in a log for third-party billing and as proof the prescription
was picked up.

Patient or Cardholder Do you have any Yes/ Computer label

Signature questions about your No Rx, date, plan,
prescription for the name
Pharmacist?
Charles Edward No Rx333333
8/19/06
Insurance
company

There is also a question asking Do you want child-resistant safety caps?

This requires the pharmacy technicians signature if the answer is no.

K. Important Reminders for Filling Prescriptions

! The date the prescription was written.

! Identify the product by the NDC # (National Drug Code) and
manufacturer.
! Have correct insurance information from the patient
! Check the pricing of the drug.
! Refer the customer or patient to the pharmacist for any questions
about OTCs (Over-the-Counter) or prescription medication questions
outside of the cost and location of the drug.
! Accuracy is extremely important when reading the prescription,
translating, entering into the computer, pulling the medication from
the shelf, counting, labeling and doing any math calculations.

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L. Sample Questions

1. What is some of the information contained in a package insert?

a. Description
b. Usage
c. Warnings
d. All of the above

2. Why is a prescription signature log maintained in a pharmacy?

a. Third party billing.
b. Proof of pick-up.
c. Signature for non-safety caps.
d. All of the above.

3. What number should you use to identify a product from a manufacturer?

a. UPC
b. NDC
c. OTC
d. DEA

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2. Important Insurance Information

A. Online Claim Information Needed to Enter into the Computer

Retail Settings:

! Insurance Company
! Cardholder I.D. Number
! Group Number
! Name of Patient
! Date of Birth
! Sex
! Relationship to Cardholder
! Date Rx Written
! Date Rx Dispensed
! New or Refill Prescription
! National Drug Code (NDC) of Medication
! Dispense as Written (DAW)
! Quantity Dispensed
! Days Supply
! DEA # of Prescriber
! DEA # of Pharmacy
! Retail Price of Medication
! Deductible or Co-pay
! Balance Due

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i. Dispense as Written (DAW)

DAW codes are entered into the computer when filling a prescription
to the insurance company.

The numbers 0-8 represents the code to enter into the computer.

# 0 No DAW
# 1 DAW handwritten on the prescription by the prescriber
# 2 Patient requested brand
# 3 Pharmacist requested brand
# 4 Generic is not in stock
# 5 Brand name dispensed but priced as generic
# 6 N/A
# 7 Substitution not allowed; brand mandated by law
# 8 Generic not available

ii. Insurance Claim Rejections

The following is a list of reasons for insurance claim rejections.

# Invalid person code

# Invalid birth date
# Invalid sex
# Dependent exceeds age limit
# Unable to connect
# Patient not covered
# Refill too soon
# Refills not covered
# Drug not covered
# Pre-authorization required
# NDC not covered
# Prescriber is not a network provider

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iii. Insurance Billing Codes

CPT Common Procedural Terminology

Used to describe clinical interactions with patients. Code information

includes (1) new or established patient (2) complexity of the clinical
situation (3) pharmacist time spent with the patient.

ICD-9 International Classification of Disease

Designates patients disease from the physician. This is for the

pharmacist to get reimbursed for services.

HCPCS HCFA Common Procedure Coding Procedure

Codes are used to get reimbursed for medical devices such as walkers,
syringes, wheelchairs, hospital beds, etc.

HCFA 1500 Health Care Financing Administration

To bill for pharmaceutical care service such as disease state

management.

PCCF Pharmacist Care Claim Form

Developed by the National Community Pharmacists Association to

provide pharmacists a way of billing for their clinical services.

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iv. Computer and Third Party Billing

There are procedures for pharmacies to submit third party insurance claims.
With the computer age, we hope to eliminate any type of universal forms
(paper claims) to be submitted. However most of the paper forms are filed
electronically.

B. Pharmacy Benefit Managers

Pharmacy Benefit Managers (PBM) are companies that administer

drug benefit programs by signed contracts from participating
pharmacies.

This process is done before the patient can get his or her prescription filled
at that pharmacy and billed to their insurer or pharmacy benefit manager.

# Co-insurance is an agreement for the cost-sharing between the insured

and insurer.
# Co-pay is the portion of the cost of the prescription that the patient is
responsible to pay.
# Dual co-pays have two prices, one for a generic and one for a brand
name drug.
# A Deductible is a set amount that is paid by the patient each calendar
year before the insurance coverage will take place.
# Managed care programs include: HMO (health maintenance
organization), POS (point of service programs), PPO (preferred
provider organization) programs.
# An HMO is a network of providers for which cost is covered inside of
the systems list of authorized physicians and medical facilities.
# A POS is a network of providers where the patients primary care
physician must be a member and the patient may go outside of the
system with only a partial reimbursement.
# A PPO is a network of providers where costs outside the network may
be partially reimbursed and the primary care physician does not have
to be a member.

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C. Different Types of Third Party Programs

i. Managed Care Programs

An HMO is a public, basic health insurance program with a network

of inside providers for which cost are covered.
A POS is a network of providers where the patients primary care
physician must be a member inside of the network.
A PPO is a network of providers where costs outside the network may
be reimbursed. Most of these use pharmacy benefit managers (PBMs)
to manage their drug benefit coverage.

ii. Private Health Insurance

A basic health insurance policy that may pay for prescriptions for an
individual or have a deductible before a individual is covered.

iii. Public Health Insurance

Covered in the United States by Medicare and Medicaid. These are

federal programs that cover individuals age 65+ or individuals who
need state welfare. Under the new Medicare Part D program, all
individuals receive prescription coverage when they sign up for
coverage with insurance companies that have plans for seniors at an
affordable monthly premium.

iv. Workers Compensation

The federal government and every state has guidelines for reporting
an employees injury on-the-job. All on-the-job accidents are reported
to the public board that grants compensation to the injured worker.
Most workers compensation claims are processed through online
adjudication but some may require paper claim forms. Pharmacy
benefit managers (PBMs) may administer prescription drug benefits.

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D. Disease State Management Services

Disease State Management Services is a growing business in the health care

profession. It includes any type of pharmaceutical care, such as programs
monitoring diabetes, asthma, blood pressure, cholesterol, and smoking
cessation management.

# Pharmacy Technicians are responsible for properly filing documents

for these programs.

# Pharmacist are paid by the insurance companies for services rendered.

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E. Sample Questions

1. Which DAW (Dispense as Written) code is used when a patient requests

brand name only?
a. 0
b. 1
c. 2
d. 3

2. What is the name of the standard paper claim form used for insurance
billing?
a. PCCF
b. Clinical form
c. Universal form
d. CPT

3. What online claim information is not needed to enter the patient into the
computer?
a. Name
b. Insurance company
c. Age
d. Sex

4. What is not a reason for an insurance claim rejection?

a. Invalid person code.
b. Dependent exceeds age limit.
c. Refill too soon.
d. NDC covered.

5. What form is used to bill for pharmaceutical care services such as disease
state management?
a. CPT
b. ICD-9
c. HCFA 1500
d. PCCF

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6. What companies administer drug benefit programs by signed contracts
from participating pharmacies?
a. PBM
b. HMO
c. POS
d. PPO

7. Under what federal program can senior citizens receive prescription

coverage?
a. Manage Care
b. Private companies
c. Medicare Part D
d. Workers compensation

8. What types of service programs are used in disease state management?

a. Asthma
b. Blood pressure
c. Diabetes
d. All of the above

26
3. Inventory Control

An inventory is an item that will be used in a business within its

normal day-to-day operations.

Pharmacies should always have enough inventory in stock for the

customer or patient.

This is an importance responsibility for a pharmacy technician.

A. Inventory Management

# The inventory process can have many participants involved.

# Inventory does not stop with brand and generic drugs. Pharmacies
stock vials, tops, labels, copy paper, bags, tape, staples, paper clips,
and more.

# Pharmacies receive their drugs and supplies from Drug Manufactures,

Wholesalers, and Supply Stores.

# The Drug Enforcement Agency (DEA), Food and Drug Act (FDA),
and State Board of Pharmacy all have control over the drugs in a
pharmacy.

# A pharmaceutical inventory system such as the pharmacy computer

keeps track of the inventory needs and generates reorders to maintain
the correct amount of drugs in a pharmacy.

# A Formulary is a list of medications approved for use in the system by

hospitals, HMOs, insurers, and other health-care systems.

$ Open formulary allows the purchase of any medication

prescribed.
$ Closed formulary is a limited list of approved medications.

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i. Types of Inventory Awareness

Turnover This is the rate at which the inventory is used.

Availability Sometimes a drug will not be available due to a manufactures

recall, raw materials are unavailable to make the drug or the manufacturer
may have some other difficulties.

Spoilage Storage conditions and expiration dates may cause the chemical
compounds in medications to break down. This could be dangerous.

Point of Sale This operation is used to deduct an item which has been
dispensed from the inventory.

Reorder Points To maintain an adequate inventory you need to have a

system with maximum and minimum reorder points. Example: An amount
of a certain drug comes in bottles of 100 tablets. The pharmacy needs to
keep in stock at all times 300 tablets (minimum) and no more that 500
tablets (maximum). Today you have dispensed 250 tablets and lowered your
inventory to 250 tablets. The computer automatically reorders 3 bottles of
100 tablets each to maintain your inventory.

Order Entry Devices This is another way to order stock for your inventory.
This is a portable hand-held device that scans the products bar code and
allows you to enter the quantity needed to order.

A want book Used primarily in hospital pharmacies. When all of the

medication has been dispensed from its bottle during the day, a pharmacy
technician will enter the name, strength, and quantity of the empty bottle
into the want book to ensure the person in charge of ordering will re-order
it.

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ii. Automated Dispensing Systems

There are several types of automated dispensing systems. They are

used in retail pharmacies to count and label with a robotic type
machine. Hospital pharmacies use them to fill unit dose medications
for the patients drawer in the medication cart.

# Each floor of a hospital has a med-station for emergency or floor

stock items that are available to nurses for their patients.

Some Examples of Med-Stations:

$ Baker Cell
$ Pyxis Supply Stations
$ Mobile Robots

# In a hospital setting, emergency carts or crash carts are refilled by the

pharmacy technician after each use and sealed with a yellow tie.

iii. Receiving Orders

Receiving orders is one of the most important parts of pharmacy

operations. Products ordered from the wholesaler, manufacturer, or
retailer should be carefully checked in when delivered.
Pharmacy Technicians must verify the purchase order with the name
of the product, the dosage, strength, package size, and expiration date.
Also check for any items damaged during delivery.

iv. Bar Coding

The bar coding of products can decrease the medication error rate by
ensuring the correct drug is being ordered.
Scanning the bar code on a prescription that you are giving to the
patient ensures the correct drug is being dispensed.
Bar coding is also used with the Robotic systems in hospitals using
unit dose systems.

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v. Returning and Crediting Products

The manufacture or wholesaler should be notified immediately when

items are damaged, incorrectly pulled for delivery, or expired.
An authorization will be sent to the pharmacy for the return and credit
of the product.

vi. Recordkeeping

All records for wholesale distributors should be filed in a separate

place with the date and signature of the time the order was checked
into the pharmacy for two years.
Have the records readily available for inspection by your state board
of pharmacy and federal agencies.

vii. Repackaging of Drugs

Repacking of a drug takes place when drugs are packaged in bulk

supply. Most commonly, repackaging occurs for a unit dose (one
drug, for one patient, for one time of the day).

In assisted living home the medication is packaged in a single dose

cart with a 31 day supply and is for one time of day, for one patient.
o This medication is administered by certified medication aids.

Usually there is a 6 month expiration put on all repackaged

medication. Documentation needs to include the date of repacking,
name of medication, strength, lot number, expiration date, and the
name of the technician who performed the repackaging.

The medication is then checked by the pharmacist for accuracy and

initialed.

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B. Pharmacy Database System

A database system is a collection of information in specific files that

can be retrieved easily and used.

i. Computers

System Care and Maintenance is important with all of the computer

equipment in the pharmacy.

Factors that can adversely affect computers are:

# Dust
# Moisture
# Temperature
# Vibrations
# Movement
# Power surges
# Neglect

Make sure your pharmacy has a back-up database of all information in case
there is a malfunction in the computer system. Make sure that back-up files
are generated on a regular basis.

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C. Other Important Factors

i. Refrigeration of Drugs

All refrigerators in the pharmacy where medications are stored should

be equipped with a thermostat. Every day, the thermostat should be
read and the daily temperature recorded..
Normal refrigerated temperature should be 40-42 degrees Fahrenheit
and 2-8 degrees Celsius.
Food should never be stored in the same refrigerator with drugs.

ii. Hand Washing

Every pharmacy should have a sink for hand washing only.

No other items should be put in the sink unless it is pharmacy
equipment for compounding use.

iii. Disposal of Drugs

Expired, deteriorated, or contaminated drugs in the pharmacy should

be removed and disposed of according to state and federal law.
All states have different procedures for disposal and disposal should
be done according to the rules and regulations of your states board of
pharmacy.

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D. Sample Questions

1. In order to maintain adequate inventory in the pharmacy, the computer

has maximum and minimum inventory levels for each drug. What are these
called?
a. Point of sale
b. Order entry device
c. Turnovers
d. Reorder points

2. From where do pharmacies order their drugs?

a. Manufactures
b. Wholesalers
c. Supply warehouses
d. All of the above

3. From where do pharmacies order their supplies?

a. Manufacturers
b. Wholesalers
c. Supply houses
d. All of the above

4. What is an open formulary?

a. Allows the purchase of any medication prescriptions.
b. A limited list of approved medication.
c. Maintains the correct amount of drugs.
d. None of the above.

5. What is the rate at which the inventory in a pharmacy is used?

a. Spoilage
b. Turnover
c. Reorder points
d. Point of sale

6. In what pharmacy setting is a want book primarily used?

a. Hospital
b. Retail
c. Long term care
d. Home infusion

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7. What color tie seals emergency and crash carts in a hospital?
a. Red
b. Blue
c. Yellow
d. Green

8. What factors can effect a computer?

a. Moisture
b. Movement
c. Power surges
d. All of the above

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4. Answer Key for Sample Questions

1. D. 1. G. 1. L 2. E. 3. D.

1. c 1. Take 1. d 1. c 1. d
2. c 2. Apply 2. d 2. c 2. d
3. c 3. Inhale 3. b 3. c 3. d
4. b 4. Take 4. d 4. a
5. a 5. Take 5. c 5. b
6. c 6. Take 6. a 6. a
7. Instill 7. c 7. c
8. Place 8. d 8. d
9. Take
10. Inject
11. Take
12. Give

Bonus
13. b

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