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Flashcards in NIHB Deck (17)
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1
Q

eligibility (3)

A

eligible FN clients
-with client specific ID #

Recognized inuit clinets
-with client specific ID #

<12 month old with eligible parent/guardian
-can be extended to 24 months

2
Q

do clients pay deductibles or co-paymenrts for eligible medications

A

no

3
Q

are pharmacies reimbursed

A

drug cost + mark-up +dispensing fee

4
Q

drug benefit list (DBL)

A

list all drugs (Rx and OTC) covered

5
Q

open benefit

A

no established criteria or prior approval requirements

6
Q

limited use benefits

A

drugs and criteria on DBL

  • may = eligible if criteria met
  • some req limited use req form
7
Q

exception drugs

A

not listed in DBL

-may be approved in special circumstances with exception drug req form

8
Q

LU is diff from ODB style

A

true

9
Q

can OHIP+ and NIHB be coordinated

A

no

10
Q

NIHB and private be coordinated?

A

yes

11
Q

OTC items see pp

A

slide23-24

12
Q

recommendation documentation include what

A
date
patient name address DOB
drug name and quant
drug dosage
amount recommended
RPh sig/ID
13
Q

can fees be passed to patients with NIHB coverage

A

no, pharmacy pay then phone NIHB drug exception centre

14
Q

how many dispensing fees covered by NIHB

A

1 fee/28days/product/clinet

15
Q

NIHB RPh reccomendation program for OTCs

A

full coverage for sched II, III, U items on NIHB DBL IF RECOMMENDED AND DOCUMENTED BY A RPh, regardless of Rx authority when item falls within SoP

16
Q

examples of OTC

A

vitamins, NRT, contraception, Naloxone, epinechprine autoinjectos, spacer devices for inhalers, glucose test strips

17
Q

how pharmacy providers reduce barriers

A

proactively engaging with eligible clients about program