Pharmacy

Pharmacy Program Compliance

Form 1A Validation of 340B Program Eligibility

Form 1B 340B Program Database Accuracy

Form 1C Prime Vendor Program (PVP) Database Accuracy

Form 1D National Council for Prescription Drug Programs (NCPDP) Database Accuracy

Form 2A Medicaid Duplicate Discount Prevention

Form 2B Medicaid Billing

Form 3A Bulk Replenishment Drug Procurement, 3B Drug Inventory

Form 3C Floor Stock Inventory

Form 4A Patient Eligibility, 4B Prescriber Eligibility, 4C Patient Billing, 4D Patient Receipt of Medication

Form 4E MAP Eligibility

Form 4F Bulk Program Eligibility

Form 4G Non-CFHC Prescriber Eligibility

Form 4H Employee Eligibility Exclusion Review

Form 5A Accuracy of Data Entry and Dispensed Product

Form 5B Adherence to U-500 Labeling Requirements

Form 5C Adherence to Floor Stock Procedure

Form 5D Adherence to Narrow Therapeutic Index Drug Dispensing

PHR-100 Pharmacy Program Compliance

PHR-100.01 Pharmacy Program Compliance

PHR-100.02 Prevention of Diversion

PHR-100.03 Compliance with Third Party Payors

PHR-100.04 Compliance and Quality Assurance Audits

Pharmacy Practice Management

PHR-101.12 Pharmacy Scheduling Calendar

PHR-101 Pharmacy Practice Management

PHR-101.01 Pharmacy Security

Pharmacy Entrance Log-sheet

PHR-101.02 Pharmacy Hours of Operation

PHR-101.03 Pharmacy License Display

PHR-101.04 Pharmacy Technician Registration

PHR-101.05 QS1 Store Level Options

PHR-101.06 Fraud, Waste, and Abuse and General Compliance Training

Training Attendance Log

PHR-101.07 Reporting Fraud, Waste, and Abuse

PHR-101.08 Prescription Requirements

PHR-101.09 Safe Medication Management

PHR-101.10 Adverse Drug Reaction Reporting

PHR-101.10 Adverse Drug Reaction Reporting Form

PHR-101.11 Medicare Notice of Appeal Rights

Medicare Prescription Drug Coverage and Your Rights

La cobertura de Medicare de las recetas médicas y sus derechos

PHR-101.13 Dispensing Record Log

Dispensing Record Log

PHR-101.14 Pharmaceutical Waste Product Control

"Not-for-Credit" Returns Form

RCRA Container Returns Form

PHR-101.15 Drug Manufacturer Recalls

Medication Distribution

PHR-102 Medication Distribution

PHR-102.01 Medication Distribution Procedure

PHR-102.02 Medication Formulary

PHR-102.03 Product Inventory Managment

Out of Date Inspection Verification

Out of Date Inspection Verification (2 Shelf)

PHR-102.04 Product Selection

PHR-102.05 Counseling Requirements

PHR-102.06 Pharmacy Labeling Requirements

PHR-102.07 Prescription Transfers

Transfer Prescription

PHR-102.08 Non-Health Center Prescriptions

Co-Signature Request

PHR-102.09 Third Party Billing of Prescriptions

PHR-102.10 Retro Billing of Third Party Prescriptions

PHR-102.11 Return to Stock

PHR-102.12 Medication Delivery

Verification of Medication Delivery

PHR-102.13 Child Resistant Packaging Waiver

Child Resistant Packaging Waiver

PHR-102.14 Floor Stock

Floor Stock Order Form

Vaccine Order Form

Floor Stock Sign-Out Logbook

Floor Stock Clinic Documentation

PHR-102.15 Multi-Use Vials and Multi-Use Bottles

PHR-102.16 Medication Transfer Between Pharmacies

PHR-102.17 Temperature Control

Refrigerator Temperature Log

Freezer Temperature Log

PHR-102.18 Automatic Substitution

Notice of Automatic Therapeutic Drug Substitution

PHR-102.19 Narrow Therapeutic Index Drugs

PHR-102.20 Pharmacy Generated Prescriptions

PHR-102.21 Dispensing U-500 Insulin

PHR-102.22 90 Day Supply Dispensing

PHR-102.23 Partial Filling of Prescriptions

PHR-102.24 Third Party Co-Payment Collection

PHR-200.15 Drug Manufacturer Recalls

PHR-300.23 Partial Filling of Prescriptions

Clinical Pharmacy Services

PHR-104 Clinical Pharmacy Services Policy

PHR-104.01 Clinical Pharmacy Services Procedure

PHR-104.02 Medication Adherence Clinic

Collaborative Agreement Form

Patient Consent Form

Medication Log - PASS

Medication Log - Pillbox Exchange

Medication Calendar

Patient lnformation Sheet

Patient Handout for Parata PASS

PHR-104.03 Medication Therapy Management

MTM Staff Documentation

PHR-104.04 Anticoagulation Management

PHR-104.05 Administration of Vaccines by Pharmacists

Immunizing Pharmacist Written Protocol

Immunization Screening Questionnaire