therapeutic equivalence
same active ingredient and same pharmacokinetic principles
pharmaceutical equivalence
same active ingredient , different in inactive ingredient or release properties
pharmaceutical alternative
same active ingredient, different in salt form or other characteristic
USP 795
non-sterile compounding
USP 797
sterile compounding
USP 800
hazardous sterile and non-sterile compounding
OSHA (occupational safety and health administration)
mandates that healthcare facilities have policies and procedures against Hepatitis B
universal precaution
an approach to infection control in which all human blood and certain body fluids are treated as if known to be infectious for blood borne pathogens
required on repackaged medications
generic name, lot number, expiration date, manufacturer
drug facts and comparison
drug dosages, interactions, and stability data
physician's desk reference
compilation of patient package inserts
orange book
list of meds that are bioequivalent (compares therapeutic equivalence using rating system)
drug index
brand and generic drugs
merck manual
discusses disease states
what should be stored in the fridge
insulin, calcitonin, vaccines, and famotidine IV
water containing compounds have a beyond use fate of how many days under cold temperature?
14 days
filter needles
should be used on all ampules
what requires special packaging and precautions?
nitroglycerin, potassium chloride, and imdur
nitroglycerin IV needs
specialized IV tubing
what must be dispensed with a filter tubing?
amiodarone IV and TPNs
what is the minimum that can be measured on a class A balance for nonsterile compounding?
120 mg (with a sensitivity requirement of 6 mg)
ISMP states
abbreviations used during prescription writing can be wrong
package inserts
provide details on dosing and stability of the medication
what does DUR (drug utilization review) do?
alerts you on underutilization and over utilization of medications
what is are PMPs?
highly effective tool used by government officials to reduce Rx drug abuse
examples of high-risk medications
potassium chloride, heparin, warfarin, chemotherapy agents, adrenergic agonists and antagonists (epinephrine, norepinephrine, propranolol IV), IV opioid narcotics
first 5#s of NDC
manufacturer
middle 4#s of NDC
product code
last 2#s of NDC
package size code
BCMA (bar code medication administration)
automatically documents and verifies meds before administered
medications that require special packaging
glass containers, linezolid or PVC bag offer light resistance, chemotherapy medications require a hazardous warning on bag
extended release medications
must NEVER be crushed (unless they are scored)
co-pay
the remainder after the insurance has paid which the patient is responsible for
HMO (health maintenance organization)
must choose PCP from network of local HC providers, all care is coordinated through PCP
PPO (preferred provider organization)
recommended list of in-network providers and hospitals
EPO (exclusive provider organization)
combination of HMO and PPO (have recommended list but cannot pick outside your network)
a third party resolution plan requires
insurance ID number, bin number, group number, and person code
bin number
primary routing number for a third party insurance claim
coordination of benefits
required when patience has primary and secondary insurance