CSP - Certified Specialty Pharmacist Specialty Pharmacy Operations and Workflow Questions and Answers Flashcards
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Read the first 6 CSP - Certified Specialty Pharmacist Specialty Pharmacy Operations and Workflow Questions and Answers flashcards as text
A specialty pharmacy's quality assurance program identifies a trend of incorrect dosing for a weight-based biologic. What is the MOST systematic corrective action?
Answer: Implement a mandatory pharmacist double-check workflow and update the dispensing system to prompt weight-based dose verification
Systematic corrective actions such as workflow redesign and system-level prompts address root causes more effectively than individual retraining alone, reducing recurrence across the entire organization.
In specialty pharmacy, what does the term 'days supply at risk' refer to?
Answer: The value of medication inventory that may not be reimbursed due to patient non-adherence or therapy discontinuation
Days supply at risk quantifies the financial exposure from dispensed medication that a specialty pharmacy may not recover payment for if a patient discontinues therapy or insurance coverage lapses.
Which specialty pharmacy accreditation standard most directly requires documentation of patient-specific clinical interventions?
Answer: URAC/ACHC clinical management standards
URAC and ACHC clinical management accreditation standards require specialty pharmacies to document patient-specific pharmacist interventions, including clinical assessments, counseling, and follow-up actions.
A specialty pharmacy must evaluate whether to accept a new limited distribution agreement for a hepatitis C antiviral. Which factor is LEAST relevant to this decision?
Answer: The pharmacist-in-charge's personal preference for the drug class
Business decisions about limited distribution agreements should be driven by operational, financial, and patient-care factors, not the personal preferences of individual staff members.
What is the primary function of a specialty pharmacy's patient assistance program (PAP) coordination service?
Answer: To help financially eligible patients access free or reduced-cost specialty medications from manufacturers
PAP coordination connects patients who meet manufacturer income and insurance eligibility criteria with free or reduced-cost medication programs to eliminate financial barriers to specialty therapy.
Under which circumstances is it appropriate for a specialty pharmacy to dispense a specialty medication without a valid, verified prescription?
Answer: Under no circumstances — a verified prescription is always required before dispensing
A valid, verified prescription is always required before a specialty pharmacy dispenses a prescription drug, as dispensing without one violates federal and state pharmacy law.