To be valid, a prescription must have been issued for a ______ medical purpose by prescriber acting in the ______ of his or her professional practice.
answer
Legitimate, usual course
question
Which two of the following must be completed when the pharmacy is notified of a Lock-in patient?
answer
Add a forced note into the patient's profile.
Review the patient information with all Pharmacy Team Members.
question
Third-Party Payer Lock-in programs can use restrictions to limit inappropriate use. Select three examples of the "Lock-In Program."
answer
Prohibits other pharmacies from filling prescriptions for the "Lock-in" patient.
Requires patience to have their insurance company process the prescription.
Requires patience to fill prescriptions in one designated "Lock-In" pharmacy.
question
If you have questions regarding the list of required data elements for a prescription, you need to refer to the ______ on ______.
You are entering a prescription for a new mid-level practitioner (MLP) prescription. Which three options below should you complete an order to validate the prescriber's information?
answer
Perform a prescriber search by NPI or DEA.
Ensure the prescriber record selected matches name, NPI/DEA And address noted on prescription.
Call the prescriber's or, if applicable, the prescriber's supervising physician's office for clarification if you were unsure of the prescriber information.
question
When it comes to prescription filing, The pharmacy must maintain 3 files that consist of?
answer
1. File for CII substances dispensed 2. For CIII-CV controlled substances dispensed and 3. For all non-control prescriptions dispensed.
question
When it comes to prescription filing, the Pharmacy Manager must ensure that the hardcopy control prescriptions must be...
answer
Filed separately from non-control prescriptions, placed correctly in the CII or CIII-CV folder, and filed each day.
question
You must always check expiration dates on all products during check out to make sure there are no expired products being sold.
Which three of the most critical categories listed below does the POS System prompt you to confirm this was done?
answer
Dairy.
Baby feeding.
Children's remedies.
question
Aside from the weekly dated merchandise reviews, product rotation should be completed during which tasks?
Which two of the following could be a consequence when the manager fails to report a potential violation of law or company policy, committed by a colleague under his/her supervision?
answer
Disciplinary action.
Termination.
question
Mrs. O'Donnell is returning an un-opened bag of Gold Emblem Abound Heavenly Light Popcorn. You check the expiration and notice it expired on 5/28/2019. What should you do?
answer
Process the return and place the box of popcorn with damages for processing.
question
Mrs. Swanson comes in to return a bottle of vitamins that she says wasn't used, but you noticed that the seal over the mouth of the bottle vitamins is broken. What should you do?
answer
Process the return for Mrs. Swanson and place it with damages for processing.
question
Mr. Richards is returning a box of Betty Crocker yellow cake mix, but you noticed the Nutrition Facts panel is torn and hard to read. What should you do?
answer
Process the return and place the box of cake mix with damages for processing.
question
As you were putting our stuff in the aisle with paper goods, A customer approaches you with this weeks circular that advertises all single Total Home paper towels are buy one, get one at 50% off. She notices that the sale sign says buy one, get one free. She wants to purchase the paper towels at the posted sale. What should you do?
answer
After satisfying the customer, by giving her the post and sale price, replace the incorrect sale signing and correct any inaccurate shelf labels.
question
Prices must be conveyed clearly to the customer. Select the three ways that this is done.
answer
On the product.
On the shelf coding label.
On the sign.
question
A number of additional checks were put in place to monitor and improve pricing accuracy. Select the task that is not considered one of those additional checks.
answer
Manager audit.
question
When it comes to price discrepancies, select the three tasks that you may have to complete to make a correction.
answer
Replace shelf label.
Change a sale sign.
Re-price the product.
question
If the customer questions the need to provide proof of age for the purchase of their cough medicine, how would you respond?
answer
"I'm sorry for the inconvenience. Many cough medicines contain an active ingredient called dextromethorphan (DXM), which can be harmful if abused. CVS policy requires that all customers purchasing a product containing a DXM must show proof of age (18 years)."
question
Monica, A pharmacy intern in your store, unfortunately sold a restricted product to a minor due to the fact that she did not validate the minor's ID. What are the potential outcomes for her?
answer
She could get disciplinary action, including termination of employment.
question
If a customer appears to be under the age of 27 (or 30 or 40 in some states) and is unable to produce a valid ID for the purchase of restricted products (e.g., alcohol, DXM, etc.), you should:
answer
Advise the customer that since he/she cannot produce an ID, you cannot ring up the sale.
question
Proper identification for the purchase of alcohol, DXM, inhalants or lottery products include which of the following? Select all that apply:
answer
US passport.
A US, Canadian or Mexican state-issued ID.
A US, Canadian or Mexican driver's license.
question
If a customer questions to need to present an ID for the purchase of a cough syrup containing DXM which of the following are appropriate responses? Select all that apply.
answer
"If you'd like, I can check with the Pharmacist for additional information."
"I'm sorry for the inconvenience. Medical medication contain an active ingredient called dextromethorphan (DXM)."
"In order to help protect our communities from abuse, CVS Pharmacy policy requires that all customers purchasing a product containing DXM must show proof that they are 18 or older."
question
Controlled substances may be the target of attempted thefts. Any suspected breach of Pharmacy security must be reported to. Select all that apply.
answer
District Leader/Pharmacy Supervisor.
Pharmacist on Duty.
Loss Prevention.
Law Enforcement.
question
Drug seekers and criminals may alter or forge prescriptions in a variety of ways. Select three ways from the list below.
answer
Steal a prescription pad to write fraudulent prescriptions.
Copy a prescription and use it multiple times.
Alter prescriptions originally received from a legitimate prescriber.
question
Select the step that does not have to be completed when a prescription is confirmed to be forged.
answer
Notify the CVS Security Department.
question
Select the steps you take to verify the prescription is valid.
answer
Contact the prescriber with any concerns about the prescription.
Document any obtain diagnosis codes in the patient's profile in RxConnect.
Review the patient's profile in RxConnect as well as on your state's PMP prior to filling controlled substances.
Document conversations with the prescriber on the back of the prescription and in the patient's profile of RxConnect.
question
Pharmacy outside vendors have restricted access and must be supervised at all times.
answer
True
question
Which of the following statements illustrates patient safety with data-entry? Select all that apply.
answer
Always validate/confirm the patient's date of birth (DOB) is accurately written on all hardcopies presented and obtain/record on all hardcopies if not present.
Always validate/confirm patient allergy status on each interaction to ensure an up-to-date patient record and document in no known allergies (NKDA) when identified.
Always double check quality alert and look-alike drug pairings.
Never retrieve product from the inventory shelf in order to type the NDC in the drug search field on RX connect instead of typing the drug name, strength.
question
A pharmacy technician is made aware of expensing error and therefore must immediately notify ______ Who intern must apologize, facilitate appropriate patient care as needed, contact the DL/RxS and Prescriber ingestion occurred as well as electronically report the Patient Safety Dispensing Error ______ as he or she is now known as ______.
answer
The Pharmacist-on-Duty/as soon as possible but no later than the end of the following day of discovery; the Discovering Pharmacist.
question
In preparation for the Annual Physical Inventory, when is it acceptable to combine the contents of a return-to-stock (RTS) vile with a stock bottle of the same medication?
answer
It is never acceptable to combine the contents of an RTS bottle with a stock bottle.
question
When a patient's representative provides the patient's full name and confirms his or her address but does not know the birthday for the patient he/she is picking up for, which of the following is the correct response?
answer
Bypass the birthday validation step.
question
Mr. Khan wants to return a controlled substance prescription to the pharmacy that has been recalled. What should you do?
answer
Explain to Mr. Khan that CVS Pharmacy cannot accept recalled controlled substance prescriptions and direct him to contact the manufacturer or nearest location that can except these recalls.
question
Which for the following are consistent with ensuring patient safety at production?
answer
Never leaving tablets/capsules on accounting try on attended.
Checking if the expiration date of the stock bottle or package, updating the prescription if less than 1 year out and processing appropriately if expiring in accordance with the 1x1 guidelines as needed.
When the quantity to fill may or may not require the utilization of another stock bottle, The production team member scans all stock bottles/prompted return-to-stock (RTS) vials brought to the production bench to fill the prescription.
Limiting the Production Safety Zone (PSZ) to one label, one drug, one prescription at a time and completely clearing the PSZ prior to beginning the next prescription.
question
Jane, the Store Manager, notices a customer with a service animal. The animal is displaying aggressive behavior. What should the store manager do?
answer
The Store Manager may politely ask "is the dog a service animal required because of a disability?" and "what work or task has the animal been trying to perform?"
question
Which animals are recognized as service animals? Select all that apply.
answer
Dogs.
Miniature Horses.
question
Select the two guidelines below that are acceptable behavior.
answer
Permit service animals to the store.
Provide service to all customers with disabilities.
question
It is important to ensure the customer's path of travel and the paths to the restrooms are clear.
answer
True
question
When it comes to money laundering, please select any instances below that would be red flags indicating suspicious activity.
answer
Customer request to change a transaction (dollar amount, name spelling, etc.) after being asked to show ID, or customer refuses to proceed with a transaction when I ask for ID.
You witnessed the customer excepting money from another person to pay for a transaction(s).
Customer uses a false ID or multiple IDs on different occasions or two or more customers use the same ID.
Customer is being instructed via phone what to purchase and/or how to complete the transaction or you hear the customer provide transaction information over the phone.
question
When is it acceptable to give transaction information (wire reference numbers) and/or prepaid PIN information over the phone?
answer
Never.
question
What action do you take if you suspect a customer is conducting suspicious activity/behavior:
answer
Stop the transaction and have the customer contact the vendor. Then, contact your manager and work together to complete a Money Product Alert form.
question
When I request for a prepaid card transaction is made by police officer what action do you take?
answer
Contact a member of store management, who will refer the officer to the AML department.
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