Which of the following is NOT a responsibility of a nursing home pharmacist?

The correct answer indicates that managing billing for pharmacy services is not a typical responsibility of a nursing home pharmacist. Nursing home pharmacists primarily focus on ensuring the safe and effective use of medications for residents. Their responsibilities include monitoring patient responses to medications, which involves assessing how well medications are working and watching for any side effects or interactions. This crucial role helps to optimize medication therapy and ensure patient safety.

Coordinating with physicians is another key element of a nursing home pharmacist's responsibilities. They must communicate effectively with healthcare providers to ensure medication regimens are appropriate for their patients’ needs and to facilitate any necessary adjustments in therapy based on patient condition or lab results.

The destruction of unused medication intended for donation is also part of a pharmacist’s role, as they must ensure that medications are disposed of safely and in compliance with regulations to prevent misuse or environmental harm.

Conversely, managing billing for pharmacy services falls under administrative or financial duties that are typically handled by the business office or administrative staff within the healthcare facility. Pharmacists are primarily aligned with clinical care rather than the financial aspects of pharmacy services, which is why this choice correctly identifies a responsibility that does not belong to a nursing home pharmacist.