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Pharmacy Terms and Definitions=C

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Capitation FeeA form of reimbursement in which a pharmacy is paid a specified amount of money each month, regardless of whether the patient’s prescription costs for that month fall short of or exceed the capitation amount, for each patient who is assigned to receive prescriptions from that pharmacy.
CapsuleA small, oblong gelatin container filled with medication.
Cerebrovascular AccidentStroke.
Child-resistant ContainersContainer used to prevent children from using unauthorized medications.
Ciliary MuscleMuscle in the eye that allows for clear vision during distance changes also known as accommodation.
Circular MuscleMuscle in the eye, controlled by the peripheral nervous system, that adjusts for near and far vision.
Claims ReconciliationThe process of comparing claims submissions to claims payments to detect incorrect claims rejections, as well as underpayments or overpayments.
Closed-ended QuestionQuestion that elicits a short response, such as 'yes' or 'no.'
Closed PanelA network of pharmacies organized by a MCO or PBM in which only selected or preferred pharmacies may participate. These preferred pharmacies are often selected because they belong to a chain that is willing to accept lower reimbursement or share some of the MCO’s administrative costs.
CoinsuranceA form of patient cost sharing in which patients pay a specified percentage of their medical expenses.
CollodionLiquid medication that dries as a flexible film on the skin. Many wart, corn and callous remedies are prepared as collodions.
Compliance AidA device or system that helps remind patients to take the correct amount of medication at the correct time.
ComplicationUndesirable effect of a disease that may lead to another disease or condition, often requiring additional treatment.
CompoundingCombining active and inactive ingredients to form a pharmaceutical product, sterile or non-sterile, that is not commercially available.
ConfidentialityEnsuring that patient information is given to only those people who are authorized to view the information.
Continuous InfusionA type of administration of intravenous medication in which a flexible needle is placed into a vein for only two or three days allowing the medication container to be changed without removing the needle. Long-term IV needle therapy may require a more permanent IV placed by a surgeon.
ContraindicationA symptom or medical condition which indicates the inappropriateness of a form of treatment that would otherwise be advisable.
Controlled-Release ProductA tablet, capsule or medication particles with special coatings designed to release the medication in the body at a constant rate.
Controlled SubstanceDrug with the potential for abuse or physical and/or psychological dependence.
Convalescent AidsMedical devices such as canes, crutches, bed pans, cervical collars, etc.
CopaymentA form of patient cost sharing in which patients pay a fixed amount each time a prescription is dispensed.
Cor PulmonaleRight-sided heart failure.
CorticosteroidMedication class used to reduce inflammation especially during asthma or COPD exacerbations.
CounterirritantMedication class used to treat pain by causing a burning sensation on the skin to relieve deeper pains.
Coverage Gap (donut hole)Point in a Medicare Part D plan in which the insurance does not cover any medication costs and patients must pay out-of-pocket.
Covered EntityAn entity that is a health care provider that conducts certain transactions in electronic form, a healthcare clearinghouse, and/or a health plan.
CreamPreparation combining water, oil and other substances. Although they usually do not offer as much protection as ointments, creams are more appealing to patients because they are absorbed by the skin and usually are not greasy or oily.



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