e. Pharmacist's comments relevant to the patient's drug use, including any failure to accept the pharmacist's offer to counsel.

4. Patient medication profiles shall be maintained for a period of not less than two years from the date of last entry or as necessary to comply with state or federal law.

Website addresses provided in the Virginia Administrative Code to documents incorporated by reference are for the reader's convenience only, may not necessarily be active or current, and should not be relied upon. To ensure the information incorporated by reference is accurate, the reader is encouraged to use the source document described in the regulation.

How to tell whichwheelbearing is bad while driving

Chances are when you start hearing a loud noise from under the hood of your car as you’re driving, you automatically think it’s an exhaust leak or your car is going to break at any moment. But have you thought about the possibility of a broken — or nearly broken — wheel bearing causing that noise?

3. The information for patient profiles may be obtained from a patient's prescribing physician, hospital medical records, interviews with the patient, patient's family or agent, or a combination of the above.

(3) A comprehensive list of prescription and nonprescription medications and legend drug administration devices known by the pharmacist to have been used by the patient; and

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5. Electronic messages as well as rejection or denial of claims until there is resolution of the conflict with DUR criteria.

We want to take the stress out of getting your vehicle serviced. We’ll never talk down to you or pressure you, but we will be completely thorough honest about what your car does need - specifically noting anything that could be a safety issue.

C. Patient counseling. Consistent with federal law and regulation a pharmacist must offer to discuss in person, whenever practicable, or through access to a telephone service which is toll-free for long-distance calls with each individual receiving benefits or the caregiver of such individual who presents a prescription, matters which in the exercise of the pharmacist's professional judgment are deemed to be significant. The offer to counsel shall be made consistent with the requirements in § 54.1-3319 B of the Code of Virginia.

As a service to the public, the Virginia Administrative Code is provided online by the Virginia General Assembly. We are unable to answer legal questions or respond to requests for legal advice, including application of law to specific fact. To understand and protect your legal rights, you should consult an attorney.

; 2025/01/02, 292.50, 301.00 ; 2024/12/31, 290.50, 294.00 ; 2024/12/30, 296.00, 296.50 ; 2024/12/27, 299.00, 300.50 ...

D. Compliance monitoring. An ongoing program shall be developed for the purpose of monitoring pharmacists' compliance with the prospective DUR requirements of this part.

A: Typically, wheel bearings last between 85,000 to 100,000 miles, but this can vary based on driving conditions and maintenance.

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Patient counseling as described in this part shall not be required for inpatients of a hospital or institution where a nurse or other person authorized by the Commonwealth is administering the medication.

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Car Feels Loose. Does your car feel loose? When you hear professional drivers talk about a “loose” car, you may not know what that means. It often refers to the steering of the vehicle, which can include wheel bearings. Wheel looseness, or also called wheel play, is another common symptom of a bad wheel bearing. As the bearing begins to wear down, they become loose inside the wheel hub and spindle, which makes your vehicle feel loose while steering.

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The specific areas of counseling shall include those matters listed below that, in the exercise of his professional judgment, the pharmacist considers significant:

Wheel bearings are essential in the operation of your vehicle. More precisely, a wheel bearing is crucial for the proper function of the hub, tire, and wheel assemblies to work together. The wheel bearing allows friction-free movement and rotation of the hub assembly, and thereby provides smooth tire and wheel rotation. Worn-out or damaged wheel bearings can lead to a range of problems that affect vehicle performance and safety, making it essential for drivers to recognize the signs of trouble.

B. Pharmacist's responsibilities. Upon receipt of each prescription and before dispensing the medication, a pharmacist shall perform prospective DUR based on his professional knowledge and the criteria and standards approved by the DUR Board, using the information contained in the patient's profile.

4. Common or severe side or adverse effects or interactions that may be encountered which may interfere with the proper use of the medication as was intended by the prescriber, and the action required if they occur;

Designated interventions may include provider override, obtaining prior authorization via communication to a call center staffed with appropriate clinicians, or written communication to prescribers.

A: While possible, replacing a wheel bearing requires specific tools and expertise. It’s recommended to seek professional help for accurate installation.

1. A reasonable effort shall be made by the participating pharmacist to obtain, record, and maintain at least the following information on each patient's profile:

2. Such information may be recorded in any system of records and may be considered by the pharmacist in the exercise of his professional judgment concerning both the offer to counsel and content of counseling. DMAS or its designated agent is authorized to survey pharmacists' patients in order to determine compliance with and report on the mandates of federal and state law and regulations.

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What are wheel bearings in a carsymptoms

A. Patient medication profile. On and after January 1, 1993, pharmacists shall make a reasonable effort to maintain a patient medication record system for persons covered under Title XIX of the Social Security Act for whom prescriptions are dispensed. For purposes of this regulation, a reasonable effort shall have been made if the information set forth in subdivision 1 of this subsection is requested by the pharmacist or the pharmacist's designee from the patient or the patient's agent.

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Derived from VR460-04-4.2600 § 5, eff. June 16, 1993; amended, Virginia Register Volume 21, Issue 6, eff. January 3, 2005.

The director may establish the compliance monitoring program through agreements with other state agencies, the DUR Board or other organizations.

When you bring your family’s car to Wiygul Automotive Clinic, we take your trust in us seriously. We take the time to get to know you and your vehicle. In addition, we will send you service reminders and maintain service records that help keep your car’s factory warranty valid - which means you don’t have to go to the dealer for service.

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A: Common causes include poor maintenance, water and dirt contamination, extreme driving conditions, and manufacturing defects.

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Unusual Noises Coming From the Wheels. Listen carefully. The most common and often most-identifiable symptom associated with a bad wheel bearing is noise coming from the wheel or tire area of the moving vehicle. You may mistake this as engine noise, but when you listen closely you will likely hear grinding or grating that gets louder as the vehicle accelerates. Since wheel bearings are not known for wearing out too frequently, the noise is typically suspected to be something else and the problem gets overlooked.

Tire Wear and Tear. What about your tires? We all know the importance of rotating your tires to promote even wear, but did you know a broken wheel bearing can lead to uneven tire wear too? The looseness of the wheel and the vibration that reverberates through the wheel cause your tires to wear unevenly, meaning you are more likely to have to invest in new tires sooner.

When wheel bearings wear out, they can have a significant impact on vehicle performance, leading to increased friction and resistance within the wheel assembly. This extra friction forces the engine to work harder to maintain the same speed, resulting in decreased fuel efficiency. Additionally, worn bearings can cause uneven tire wear, as the compromised alignment and stability of the wheels lead to irregular contact with the road surface. Hitting a pothole or other road hazard can exacerbate bearing damage, potentially causing sudden bearing failure and loss of vehicle control. The deterioration of wheel bearings also affects the proper transfer of torque from the engine to the wheels, further compromising handling and increasing braking distance.

d. Prescriber information to include, but not necessarily be limited to, name, address, and Medicaid and Drug Enforcement Agency (DEA) provider numbers.

When prescriptions are delivered to the patient or patient's agent who resides outside of the local telephone calling area of the pharmacy, the pharmacist shall either provide a toll free telephone number or accept collect calls from such patient or patient's agent.

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Vehicle Pulling to One Side While Driving. Are you doing the steering, or is the car driving where it wants to? When a wheel bearing corrodes or becomes pitted, the smooth exterior lining is gone and the vibration is transmitted to the tires which may feel like it is “pulling” to one side or the other. As the bearing on one side deteriorates, it puts more pressure on the opposite bearing, leading to uneven wear and increased friction. This uneven wear generates heat, which further accelerates the degradation of the bearing. As a result, the affected wheel may start to wobble or vibrate, robbing the vehicle of its stability and smooth handling, especially when cornering or driving at higher speeds.

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Creating a Report: Check the sections you'd like to appear in the report, then use the "Create Report" button at the bottom of the page to generate your report. Once the report is generated you'll then have the option to download it as a pdf, print or email the report.

A pharmacist shall not be required to provide oral consultation when a patient or a patient's agent refuses the pharmacist's attempt to consult.

Table of Contents » Title 12. Health » Agency 30. Department of Medical Assistance Services » Chapter 130. Amount, Duration and Scope of Selected Services » Part IV. Drug Utilization Review Program » 12VAC30-130-310. Prospective DUR.

As determined to be appropriate by DMAS, the methods used to monitor compliance shall include but shall not be limited to:

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You can rely on our promise of honesty and competence when we service your vehicle. Our customers know that they will get a fair price for services provided.

If you suspect you are driving with a broken — or nearly broken — wheel bearing, stop in and see us today. Our team of trained technicians will quickly assess and repair your vehicle and have you back on the road in no time!

A: Driving with a bad wheel bearing is dangerous as it can lead to wheel failure and accidents. It should be addressed immediately.

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If an exception to one or more prospective DUR criteria is identified, a message will be transmitted to the pharmacist. Claims may be rejected due to the exceptions to one or more criteria. Pharmacists may be required to obtain prior authorization, defined as the process of reviewing drugs to determine if medically justified prior to the submission of a claim for payment by Medicaid, in order to dispense the medications.