
Q: Outside Vendor (Cardinal) — What days do we order vs. receive?
A: Cardinal delivers Monday–Friday (red totes). Orders can be entered up to 8 PM for next-day delivery.
Order days are Sunday–Thursday.
Q: Converting mL to Ounces
A: 30 mL = 1 oz | 60 mL = 2 oz | 120 mL = 4 oz | 180 mL = 6 oz | 240 mL = 8 oz
COMPLIANCE & PRIVACY
Q: Define PHI
A: PHI = Protected Health Information. Any information deemed confidential — medication names, patient
names, dates of birth, address, Rx number, doctor information, etc.
Q: Define HIPAA
A: HIPAA = Health Insurance Portability and Accountability Act. Requires pharmacies and medical treatment
facilities to follow strict protocols concerning the distribution of PHI, including how much PHI is needed for
insurance to pay for a patient's medications.
Q: What is the iPledge Program? Which medication is associated with it?
A: iPledge is a mandatory program designed to prevent fatal birth defects in women taking
isotretinoin-containing medications (e.g., Claravis, Absorica). Requirements:
• Very strict program for both doctor and patient.
• Patient must undergo blood and urine tests monthly (kidneys & pregnancy check).
• Medication has a limited pickup window — if not picked up in time, it must be returned to shelf with NO
EXCEPTIONS.
• If time frame is missed, both patient and doctor must re-register through the program.
INSURANCE & PROGRAMS
Q: Define Formulary List
A: A list created by the insurance company of generic and brand-name drugs covered (paid for) by that
insurance. Typically has 4 tiers — the higher the tier, the higher the patient's copay.
Q: Define Medicaid — What are the protocols?
A: Prescription must be filled under the specific doctor listed on the insurance card.
• Maximum of 5 fills before a new prescription is required.
• Can only be filled for a 30-day supply at a time.
• Copay of $1.10, $2.20, or $3.30 depending on patient income.
• Covers ONLY generic medications.
• MUST BE A HARD COPY prescription.
• NJ: Dark blue card with silver line.
Q: Define Partial Fill — When is it used?
A: When a medication is Out of Stock (OOS) or insufficient stock exists for a full prescription, technicians can
opt for a Partial Fill. Techs typically fill ~3 days' worth of medication, giving the pharmacy time to restock the
full prescription.
WORKSTATION RESPONSIBILITIES