IMM 14: MTM in CP II – Minor Ailments Flashcards
(50 cards)
1
Q
What is a minor ailment?
A
common or self-limiting or uncomplicated conditions which can be diagnosed and managed without medical intervention
2
Q
When can pharmacists prescribe for minor ailments?
A
pharmacists can make a diagnosis and prescribe drug to treat a disease, disorder, or condition specified in Schedule A if the patient’s signs and symptoms indicate the condition:
- presents low risk of masking an underlying disease, disease, or condition – and
- can be readily diagnosed without the need for laboratory and imaging tests – and
- can be reasonably expected to resolve with only short-term or episodic treatment
3
Q
Acne
A
topical drugs
4
Q
Allergic Rhinitis
A
- intranasal drugs – including antihistamine drugs
- ophthalmic drugs – including antihistamine drugs
- oral antihistamine drugs
5
Q
Conjunctivitis
(allergic, bacterial, or viral)
A
ophthalmic drugs
6
Q
Dermatitis
(allergic, atopic, contact, diaper, or seborrheic)
A
topical drugs
7
Q
Dysmenorrhea
A
NSAIDs
8
Q
Dyspepsia
A
gastric acid-reducing drugs
9
Q
Fungal Infections
(onychomycosis, tinea corporis infection, tinea cruris infection, or tinea pedis infection)
A
topical drugs
10
Q
Gastroesophageal Reflux Disease
A
gastric acid-reducing drugs
11
Q
Headache
A
NSAIDs
12
Q
Hemorrhoids
A
topical drugs
13
Q
Herpes Labiallis
A
- topical drugs – including antiviral drugs
- other types of antiviral drugs
14
Q
Impetigo
A
topical drugs
15
Q
MSK Pain
A
NSAIDs
16
Q
Nicotine Dependence
A
nicotine cessation drugs
17
Q
Oral Ulcers
(canker sores, aphthous ulcers)
A
topical drugs
18
Q
Oropharyngeal Candidiasis
A
antifungal drugs
19
Q
Shingles
A
antiviral drugs
20
Q
Threads or Pinworms
A
anthelmintic drugs
21
Q
UTI (uncomplicated)
A
antibiotic drugs
22
Q
Urticaria
(including insect bites)
A
- topical drugs – including antihistamine drugs
- other types of antihistamine drugs
23
Q
Vaginal Candidiasis
A
antifungal drugs
24
Q
Topical Drugs
A
- acne
- dermatitis
- fungal infections
- hemorrhoids
- herpes labiallis
- impetigo
- oral ulcers
- urticaria
25
Ophthalmic Drugs
- allergic rhinitis
- conjunctivitis
26
NSAIDs
- dysmenorrhea
- headache
- MSK pain
27
Gastric Acid-Reducing Drugs
- dyspepsia
- gastroesophageal reflux disease
28
Antiviral Drugs
- herpes labiallis
- shingles
29
Antifungal Drugs
- oropharyngeal candidiasis
- vaginal candidiasis
30
Antihistamine Drugs – Topical
- urticaria
31
Antihistamine Drugs – Intranasal
- allergic rhinitis
32
Antihistamine Drugs – Ophthalmic
- allergic rhinitis
33
Antihistamine Drugs – Oral
- allergic rhinitis
34
What is the MACS fee that BC pharmacies can claim?
$20
35
Can BC pharmacies claim MACS fee if no prescription was given?
yes
36
BC pharmacies can claim MACS fee for providing service to whom?
eligible BC residents
- have BC PHN
- not covered under PharmaCare Plan B (long-term care)
- have clinical need for service – patient must self-identify as having a minor ailment or contraception need and initiate a request for MACS
37
What are the 3 required activities to claim a MACS fee?
- carry out MACS with the patient in-person
- provide MACS in a suitable area that patient accepts as respectful of their right to privacy, and meets their requirements for cultural safety
- document MACS in accordance with Pharmacare policies using MACS form or form that captures same information
38
What are the 4 PINS describing the outcome of the MACS assessment when claiming MACS fee?
- RX
- RX other HCP
- no RX
- no RX other HCP
39
RX
- Schedule 1 drug being prescribed
- patient was not advised to seek medical attention from another HCP
40
RX other HCP
- Schedule 1 drug being prescribed
- patient was advised to seek medical attention from another HCP
41
no RX
- recommended non-prescription and/or non-pharmacological advice
- patient was not advised to seek medical attention from another HCP
42
no RX other HCP
- recommended non-prescription and/or non-pharmacological advice
- patient was advised to seek medical attention from another HCP
43
How do you claim a MACS fee?
- claim must be submitted on the date service was provided
- in Practitioner ID field, enter Pharmacist College Registration ID
- in SIG field, enter 10-digit pharmacy phone number at start (to facilitate sharing of information within patient's circle of care)
44
What is the minimum time interval between MACS assessments?
3 days – minimum interval between assessments for the same minor ailment/contraception for the same patient
- ie. if claim is submitted on Monday, patient will be eligible again on Friday (3-day interval is Tues, Wed, Thurs)
45
What services are not eligible for MACS fees?
- ineligible patients
- virtual services
46
Can pharmacies charge patients directly for MACS if the patient is not eligible for MACS?
yes
- ineligible patients can choose to receive the service under a private-pay model – they must be informed about the fee and reason for the charge prior to provision of service
- pharmacy to use non-benefit MACS or virtual non-benefit MACS PIN
- must enter the pharmacy phone number and minor ailment assessed at start of SIG field
47
What must be included when submitting prescriptions for schedule 1 drugs resulting from MACS?
- in practitioner ID field, enter prescribing pharmacist’s college registration ID
- include PS (professional care service) intervention code
48
Can pharmacists in health authorities and primary care networks claim for MACS assessment?
NO – but they can prescribe
49
How are OTC consults and minor ailment services similar?
- pharmacist provides pharmaceutical care: information gathering, patient assessment, recommendation, monitoring and follow up as appropriate
- may result in OTC recommendation, non-pharm advice or referral
50
How are OTC consults and minor ailment services different?
- minor ailment services are reimbursed by Pharmacare
- minor ailment services may result in Schedule 1 drug being prescribed
- minor ailment services require pharmacist to complete all required steps including documentation
