TDS & Pharmacy Terminology Crossword

This is a suggested selling price for a drug by the manufacturer. Most pharmacies do not use this price because it is very high.
The Bank Identification Number on the health insurance card is a 6-digit number that tells the computer database at the pharmacy which health insurance provider is to receive the claim for the prescription.
Multiple ingredients mixed to make a new product/drug. Pharmacies that do compounding in-house will mix different ingredients together to create individualized medication for patients. Ex: dermatology, hormones, pet medicines
How a pharmacy refers to what they pay for a drug. Also referred to as Net Cost.
An identifier assigned to a health care provider by the DEA allowing them to write prescriptions for controlled substances.
Also referred to as a medication.
Rx30 preforms these checks as prescriptions are filled to alert the store of possible patient allergies, drug interactions, therapeutic duplications, etc.
Number of days a prescription will last a patient.
Health Insurance Portability and Accountability Act. This is a US legislation that provides data privacy and security provisions for safeguarding medical information.
This is the maximum amount of what the insurance company will pay for a prescription.
The industry’s leading online drug price reference and analytical tool designed to help meet the demanding requirements of healthcare businesses. This company creates the database for all drugs.
A unique product identifier used in the US for drugs intended for human use. NDC is made up of numbers that identify the manufacturer, drug, and package size.
This is a 10-digit number used to identify a doctor or other health care providers. It is required for a healthcare provider or medical facility to practice medicine. Each pharmacy and each pharmacist have their own.
Medicines sold directly to a customer without a prescription from a healthcare professional
A secondary number for insurance that may be used in the routing of pharmacy claims.
An electronic database that tracks controlled substance prescriptions. These can help identify patients who may be misusing prescription opioids or other prescription drugs and who may be at serious risk for overdose. This can be automatically updated by Rx30 each evening.
Identifying number of the patient’s relationship to the cardholder.
Protected Health Information. This includes physical records, electronic records, or spoken healthcare information.
A business that provides coverage, in the form of compensation resulting from loss, damages, injury, treatment, or hardship in exchange for premium payments.
The abbreviation of a plan/insurance company that the client created in their software.
A drug order sent to a vendor.
What a pharmacy sells the drug for.
Also referred to as the directions on how to take the medication.
A switch is an entity that routes claims from the pharmacy to the plan/payer. (ex: Relay Health, Change Healthcare, Emdeon, eRX, Data Rx, etc.)
When a patient moves to a different pharmacy. Prescription must be sent from the old pharmacy to the new pharmacy.
A drug wholesaler who sells drugs to the pharmacy.
This is an estimate of the manufacturer’s list price for a drug to wholesalers or direct purchases but does not include discounts or rebates.
Pharmacies order their drugs from these companies (ex: Mckesson, Amerisource Bergen, Cardinal)
Referred to as the area where prescriptions are waiting to be picked up.
The route of a prescription through a pharmacy from drop off to check out.