Community Pharmacy Final Exam
Review 2023/2024
6 requirements for a prescription to be legal - ANSWER-1. Date
2. Patient Name
3. Drug
4. Dosing instructions
5. Quantity/Duration
6. Prescribers signature
what does NMS stand for? - ANSWER-Narcotic Monitoring System
what is the Narcotic Monitoring system? - ANSWER-Centralized database that allows for monitoring of
the dispensing of narcotics and t/c
-identifies potential issues such as doubling-doctors and poly-pharmacy
-Used in community pharmacy
What does DUR stand for? - ANSWER-Drug Utilization Review
Prescriber requirements for a Narcotic prescription to be valid - ANSWER--6 legal requirements along
with:
-patient ID # (health card or other form of government approved id)
-Prescriber registration #
verification upon pick up at pharmacy-
Narcotics & T/C - ANSWER-Patient does not have to show ID at drop off of prescription, needed at pick
up to verify
-if someone else is picking up their prescription, we need that persons ID not the patients and document
it & keep on file
, what situations do not require NMS claim submission? - ANSWER--medication dispensed to hospital in-
patients
-medications dispensed to inmates/prisoners
-medications for animals
ODB seniors: billing for third party - ANSWER--High Income- $19.3K ↑= 100$ deductible and 6.11$ per
Rx
-Low Income- $19.3K↓= no deductible and 2.00$ per Rx
DUR response codes and messages:
MH,MI,D7,DE,MY *Dont need to memorize* - ANSWER-MH- Patient may be double doctoring-indicates
that patient has obtained monitored drugs prescribed by 3 or more different prescribers in past 28 days
MI- Poly-pharmacy-indicates that patient has obtained monitored drugs from 3 or more different
dispensaries in past 28 days
D7- Refill too soon-this is why we need interval days
DE- Fill/refill too late
MY- Duplicate drug at other pharmacy-indicates that prior dispensing transaction exists(same patient,
drug DIN, date of service, and different dispensary)
what are DUR response codes and messages? - ANSWER-Warnings sent from NMS
Billing an NMS-monitored drug - ANSWER--patient must have an ODB plan in patient profile
-if patient does not have a health card, one of the codes will be used:
*ONG-out of country resident with approved ID
*ONO-residents of Canada with other approved ID
*ONX-resident of Canada with no approved ID(met regulatory exemption)
when a NMS response messages pops up, which response message in terms of order, is correct? (Poly-
Pharmacy use)
Review 2023/2024
6 requirements for a prescription to be legal - ANSWER-1. Date
2. Patient Name
3. Drug
4. Dosing instructions
5. Quantity/Duration
6. Prescribers signature
what does NMS stand for? - ANSWER-Narcotic Monitoring System
what is the Narcotic Monitoring system? - ANSWER-Centralized database that allows for monitoring of
the dispensing of narcotics and t/c
-identifies potential issues such as doubling-doctors and poly-pharmacy
-Used in community pharmacy
What does DUR stand for? - ANSWER-Drug Utilization Review
Prescriber requirements for a Narcotic prescription to be valid - ANSWER--6 legal requirements along
with:
-patient ID # (health card or other form of government approved id)
-Prescriber registration #
verification upon pick up at pharmacy-
Narcotics & T/C - ANSWER-Patient does not have to show ID at drop off of prescription, needed at pick
up to verify
-if someone else is picking up their prescription, we need that persons ID not the patients and document
it & keep on file
, what situations do not require NMS claim submission? - ANSWER--medication dispensed to hospital in-
patients
-medications dispensed to inmates/prisoners
-medications for animals
ODB seniors: billing for third party - ANSWER--High Income- $19.3K ↑= 100$ deductible and 6.11$ per
Rx
-Low Income- $19.3K↓= no deductible and 2.00$ per Rx
DUR response codes and messages:
MH,MI,D7,DE,MY *Dont need to memorize* - ANSWER-MH- Patient may be double doctoring-indicates
that patient has obtained monitored drugs prescribed by 3 or more different prescribers in past 28 days
MI- Poly-pharmacy-indicates that patient has obtained monitored drugs from 3 or more different
dispensaries in past 28 days
D7- Refill too soon-this is why we need interval days
DE- Fill/refill too late
MY- Duplicate drug at other pharmacy-indicates that prior dispensing transaction exists(same patient,
drug DIN, date of service, and different dispensary)
what are DUR response codes and messages? - ANSWER-Warnings sent from NMS
Billing an NMS-monitored drug - ANSWER--patient must have an ODB plan in patient profile
-if patient does not have a health card, one of the codes will be used:
*ONG-out of country resident with approved ID
*ONO-residents of Canada with other approved ID
*ONX-resident of Canada with no approved ID(met regulatory exemption)
when a NMS response messages pops up, which response message in terms of order, is correct? (Poly-
Pharmacy use)
