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Health Care systems III
health Care systems III
17
Health Care
Graduate
11/15/2010

Additional Health Care Flashcards

 


 

Cards

Term

Retrospective Utilizaton

Agregate therapies

Definition

Retrospective Utilizaton: look back at old therapies

Agregate therapies: modify

Term
trust
Definition

#1 1999

#2 2009

Term
Pharmacists
Definition

50% 50%

270K in 2008

200K practicing

65% community, 20% hospital, 15% other

 

Term
Old pharmacists
Definition

Male

Doc

Compounding

soda fountain

on the corner

independent

Term
current pharmacists
Definition

Smarter

pre packaged doses

more females

more minorities

Pharm D (2005)

front end stuff

near mall

chains hire 55%

Term
Chain pharmacies
Definition

catagory of "sales".  posibility to move up

6/10 pharmacists in community setting

Chain Drugstores:

Chain food stores:

Chain mass merchendise:

Franchise: Medicine shop

independents

hospital outpatient

mail order

internet

Term
pharmacy sales ($)
Definition

4B #Rx

300.3B $

chans: 60%

independent: 15%

mail order: 20%

Term
drug regimen review
Definition
medicare/medicade requires nursing homes to review drugs.  contract to pharmacist
Term
6 Ps
Definition

Patient

Prescriber

Pharmacy

Producer (manufacture)

Purveyor (Wholesaler)

Payor (often not PT)

 

Term

med costs

AWP

Dispensing fee

Definition

TP decides reinbursement price

Pharmacy decides cash price

AWP: average wholesale price price (in bulk) from wholesaler.  insurer estimates AWP and discount, and pays pharmacy

Dispensing Fee: expense/# Rx

Term
PBM
Definition

"Medical care benefit & drug benefits not conected"

gives drug benefit programs for employers and health insurence cariers

work to maximize effectiveness, minimize costs

manage pharmacy benefits, control cost through

Price: decide formulary, tiered copay, ingredient cost, dispensing fees, rebates

Utilization: quantity, DUR, PA,

Drug Mix: generic sub, therapy change, step therapy

Other: disease management, mail order

Term
FDA
Definition

1906

aprove safety 1938

aprove efficiency 1962

aprove devices 1976

Modrnization act 1997: more info/off lable uses

Term
drugs tested absolutely, not in relation to other drugs
Definition

"absolute approval"

"me too drugs"

Term
process
Definition

1. animal test

2. investigative new drug (ING) application

3. human testing 1 2 3(bigger groups)

4 New Drug Application (NDA)

5 OK to market

process 7-15 years

6. post marketing studies

Term
post market problems
Definition

cost,

off lable use,

Direct to consumer Advertising (DTC)

Biotech

new drugs made

Term
OTC
Definition

60%

80 classes  100K.

inapropriate prescribing/dispensing/use

 

Term
drug price
Definition

research 20%

manufacturing 15%

advertising 30%

taxes 15%

PROFIT 20%

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