CVS LearnNet Exam Study Guide

Thoroughly and effectively cycle counting each medication that is requested. Upon doing so, it keeps an accurate track of medications leaving the pharmacy through transfer out tab and when certain medications need to be ordered

These are obsolete. These are not done anymore due to the new CFRx inventory management. When they were being performed, they were completed by Saturday and once per week.

They are done daily.
Monday - Friday by 5:55pm at latest
Saturday by 4:25 pm at latest
Sunday by 3:25 pm at latest

We order every day once mandatory order drops into Inventory Management (ALT + F3) after cycle counts are completed. We receive the order Mondays - Fridays typically between 10 am and 1 pm, depending on delivery driver.
Fun Fact: CVS stand-alone stores uses Cardinal Health for OV while CVS (Target) uses Mckesson

Protected Health Information. Any information deemed confidential. i.e. Medication names, patient names, DoBs, Address, RX number, Doctor information, etc...

Health Insurance Portability and Accountability Act. Requires pharmacies and medical treatment facilities to follow strict protocol concerning distribution of PHI, including how much PHI is needed for insurance to pay for patient's medications.

Pick-up:::responsible for making the offer to counsel. Last chance for any patient's concerns or questions regarding prescriptions and/or possible interactions.
Production::::: responsible for phone calls. First ones to answer phone calls within standard 20 seconds. Fills prescriptions accurately for the pharmacist to verify.
Drop-off::::Must have correct patient information, especially patient's allergies, DoBs, insurance information, phone number, and address. First stop for patients and crucial to the pharmacy process.

When a medication is out of stock (OOS) and/or do not have enough in stock to fill a full prescription, techs have an option of partially filling a prescription AKA Partial Fill. Techs usually fill about 3 days' worth of medication to give the pharmacy enough time to have the full prescription in stock.

Prescription must be filled under the specific doctor listed on the insurance card.
Prescription can only have 5 fills max before being requested for a new one.
Prescription can only be filled for 30-day supply at a time.

These types of medications are classified as highly addictive by the FDA and must follow strict guidelines.
Doctor's DEA and NPI written on the prescription, clear written directions (SIG), signed by the MD.
State Law:::Must be filled within 30 days of written date. Exceptions are "Do not Filled Before" dates at bottom of script (see PIC/Staff pharmacist for clarification).
Filling of these medications are STRICTLY filled by Pharmacist on Duty, NO EXCEPTIONS.
This is ordered only by the Pharmacist in Charge (PIC) who has power of attorney to do so. They are ordered on the order form DEA #222.

Tech general questions not concerning medications
Pharmacist Any questions concerning medications, possible interactions, counseling on side effects, and recommending OTC medications

OD Right Eye
OS Left Eye
OU Both Eyes
AD Right Ear
AS Left Ear
AU Both Ears

1T 1 Tablet
PO by mouth
BID twice a day
TID three times a day
QID four times a day
PRN as needed
QHS/HS at bedtime
PC after meals
AC before meals
AAA Apply to affected areas

DAW stands for-Dispense as Written
DAW 0--Can be dispensed (legally) as generic, not specified as brand or generic
DAW 1--Doctor is requesting patient receive brand only. If patient wants generic instead, must call doctor for permission and document on RX hard copy
DAW 2--Patient requests that brand is dispensed. Do not need to document on RX hard copy.

This can happen at any moment whenever a patient requests to speak to the pharmacist. The pharmacist or an intern can perform it under supervision of the pharmacist.

Print QI* (each store does this part differently)
Log onto Cardinal using your store's information, type in each NDC or medication name
Type how many you need
Submit the cart for ordering

These prescriptions are ones that are filled in the waiting bin and must be returned to our shelves. (process is taught during Production OJT)

There are 11 numbers (on bottle itself is listed only 10, you must add an extra 0 to make the 11)
First 5 numbers Manufacturer
Second 4 numbers Medication
Third 2 numbers Package Size

Must be 18 years' old
High School Diploma/GED
Ability to pass a background test and drug testing
Not on any federal watch list or criminal list

Retrieve proper spelling of patient's name
Must have Date of Birth, Address, Gender, Correct phone number, medication allergies, any conditions we must know of, and proper insurance card

A report that prints daily listing everything in the waiting bin that's been sitting there a minimum of 3 days
Used to return the "Day 14s" or prescriptions that have been sitting in the bin for a minimum of 2 weeks without being picked up

AKA the Robot
Large dispensing unit usually in much larger volume 24 hour stores (2 stores per district typically)
Usually houses fast movers and other medications that the pharmacist deems necessary to be filled faster than others
Refilled typically by pharmacist and/or supervised pharmacy Lead technician

These cycle counts become available to count as soon as the pharmacy opens. Typically if the system finds a small/large discrepancy in any counts, it will alert technicians to cycle count it.

Balance on Hand
This is accurate by cycle counts being done correctly

Balance on Order
Based on accurate cycle counts and what is put in the QI to order

Take the directions x day supply listed (should be listed) = quantity dispensed

30 ml 1 ounce
2 oz 60 ml
4 oz 120 ml
6 oz 180 ml
8 oz 240 ml

iPledge is to prevent fatal birth defects when women take a medication under this program.
Any medications containing isotretinoin (i.e. Claravis, Absorica, etc).
Very strict program for both doctor and patient. 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.

List created by the insurance company of generic and brand name drugs that'll be paid for by the insurance. Typically, 4 tiers, the higher the tier the higher the copay

Pharmacist on duty is the only one who handles this. These are put in place from the insurance to prevent potential over dosing or drug interactions.
Once issued, they alert the technician/pharmacist in the QT to be handled

Doctor of Dental Surgery

Blue PAPER PHI containing.
Green BOTTLE PHI containing.
Clear Regular Trash. UNDER NO CIRCUMSTANCES DO YOU PUT MEDICATION BOTTLES OR PHI CONTAINING PAPERWORK IN CLEAR TRASH BAGS.
These are separated to comply with HIPPA and both types of PHI (bottle and paper) are eliminated differently.

Doctor of Dental Surgery

Blue PAPER PHI containing.
Green BOTTLE PHI containing.
Clear Regular Trash. UNDER NO CIRCUMSTANCES DO YOU PUT MEDICATION BOTTLES OR PHI CONTAINING PAPERWORK IN CLEAR TRASH BAGS.
These are separated to comply with HIPPA and both types of PHI (bottle and paper) are eliminated differently.