Pop Exam 2

drug of abuse

ANY prescription drug

all prescription drugs must be labeled with:

Rx Only" or "Federal Law Prohibits Dispensing without a prescription

true

if an agent of the physician is transmitting the faxed prescription, his/her full name must be included

truee

no controlled substances sent via computer to fax

computer to fax prescriptions

does not need to have a signature, may say "the prescription has been electronically signed

important dates

60 days notice change of name30 days notice change of address30 days notice change of employment30 days notice change in responsible pharmacist14 days prior to a discontinuing businessterminal distributors license renewal: Jan 1stwholesalers license renewal: July 1stpharmacist license renewal: Sept. 15thintern license renewal: Sept. 15th

information on internship

*file a statement of preceptor form with the board of pharmacy within 30 days of beginning work/practice at a terminal distributor's location*preceptor for an unlimited # of interns*supervise two interns at one time

professional duties of an intern

PAID interns can register as a delegate of the pharmacist, rotational interns may not

interns and phoned-in prescriptions

both the intern and supervising pharmacist must provide positive identification on the telephoned prescription

an intern may send or receive copies for a controlled substance

FALSE: only for non-controlled substances!

intern and Rx transfers

the pharmacist or intern receiving a Rx copy from an intern must document the full names of the sending intern and his/her supervising pharmacist

No refills for:

C-II's

# of non-controlled substance prescriptions per prescription for is

3

# of controlled substance prescriptions per prescription is

1

dispensing or selling dangerous drugs without a Rx

in the pharmacist's judgement, the drug is essential to life, continues therapy for chronic condition, or failure to dispense the drug could result in harm to the health of the patient=may dispense a 72 hour supply (unless it's an asthma inhaler)

pharmacy operations

only a pharmacist can have keys to the prescription department

generic substitution

may always do unless DAW or "dispense as written" must be handwritten in MD's own writing or a patient wants the brand name

theft of loss of Rx drugs

non-controlled: pharmacist who detects the shortage should make a report to the Board of Pharmacycontrolled: pharmacist must call DEA, local law enforcement, and Board of Pharmacy; pharmacist must report theft in writing on DEA Form 106

prescription copies

controlled: tranferred via 2 pharmacists only; non-controlled: unlimited number of transfers

transferring prescriptions

pharmacist making the transfer must include in the database: date of transfer, their name, name and address of pharmacy receiving the transfer, DEA of receiving pharmacy if it's a controlled substance

transferring a controlled substance

write void on from and reverse side of original prescription and record the date of transfer, his signature, and name, address, and DEA number of receiving pharmacy

outdated drug marked 11/13

outdated at the END of the month

outpatient labels

must have cautions Federal Caution Statements

small container must have

Rx # and patient name

limited practitioners

dentist, podiatrist, optometrist, vets

responsible pharmacist

a complete inventory must be taken of all controlled substances with new responsible pharmacist on the date the change is effective

DEA requirements for electronic controlled substance prescriptions

may be sent computer to computer but NOT computer to fax (if the prescriber wants to fax a CS, the prescriber must manually print it out, sign it, and then fax it to the pharmacy)once transmitted "signed" by the prescriber, nothing can be changed by prescriber.. must call pharmacy to make changeif an electron transmission fails, it must contain a notice that it's failed, including which pharmacy, date and time of transmission. if a pharmacy receives a written Rx with this warning on it, they must verify that the Rx was not already filled (may require a call to the pharmacist that the transmission failed to send)

record-keeping issues

the agent of a prescriber who gives the prescriber's authorization for a prescription must identify themselves by their FULL name

insulins requiring an Rx

Lantus, Novalog, Humalog, Apidra, Levemir

Drug Schedules

Schedule I: no medicinal purposeSchedule II: HIGH potential for abuse and severe psychological or physical dependenceSchedule III: moderate potential for abuse and high psychological or moderate to low physical dependenceSchedule IV: lower potential for abuse and limited psychological or physical dependence

schedule II

no refills, out of stock - have 72 hours to refill the remainder, order CIIs on DEA 222 form, patient cannot choose to fill half and fill other half later

things you can't change on schedule II

patient's name, prescriber's signature, drug prescribed (must talk to doctor directly if there is a problem, not via nurse)

oral schedule II Rx

quantity must be enough for only the emergency period (a day or a week); pharmacist must receive the written prescription within 7 days

regulations ordering CIIs

DEA 222 is a triplicate form (copy 1 and 2 go to wholesaler and copy 3 is kept for records); pharmacy needs to record what they receive

Schedule III, IV, and V

five refills or 6 months, one year's worth of refills for CV's, written, oral, fax, or electronically

a patient brings you a Rx for vicodin, one tablet QID RRN #100 with 4 refills. the patient only wants to get 50 at a time. How many times can the pharmacist fill this Rx with a quantity of 50?

500 tablets total so entire quantity as long as the patient uses it all within 6 months. 50 tablets at a time=9 refills

schedule V

only one preparation every 48 hours if using it for a legit purpose; exemption narcotic book for CV's: date, name, address, drug, strength, quantity, and dispenser; 18 years old to buy CV's OTC; ephedrine is CV (used to make meth)

Pop Exam 2

drug of abuse

Pop Exam 2

all prescription drugs must be labeled with:

Pop Exam 2

true

Pop Exam 2

truee

Pop Exam 2

computer to fax prescriptions

Pop Exam 2

important dates

Pop Exam 2

information on internship

Pop Exam 2

professional duties of an intern

Pop Exam 2

interns and phoned-in prescriptions

Pop Exam 2

an intern may send or receive copies for a controlled substance

Pop Exam 2

intern and Rx transfers

Pop Exam 2

No refills for:

Pop Exam 2

# of non-controlled substance prescriptions per prescription for is

Pop Exam 2

# of controlled substance prescriptions per prescription is

Pop Exam 2

dispensing or selling dangerous drugs without a Rx

Pop Exam 2

pharmacy operations

Pop Exam 2

generic substitution

Pop Exam 2

theft of loss of Rx drugs

Pop Exam 2

prescription copies

Pop Exam 2

transferring prescriptions

Pop Exam 2

transferring a controlled substance

Pop Exam 2

outdated drug marked 11/13

Pop Exam 2

outpatient labels

Pop Exam 2

small container must have

Pop Exam 2

limited practitioners

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responsible pharmacist

Pop Exam 2

DEA requirements for electronic controlled substance prescriptions

Pop Exam 2

record-keeping issues

Pop Exam 2

insulins requiring an Rx

Pop Exam 2

Drug Schedules

Pop Exam 2

schedule II

Pop Exam 2

things you can't change on schedule II

Pop Exam 2

oral schedule II Rx

Pop Exam 2

regulations ordering CIIs

Pop Exam 2

Schedule III, IV, and V

Pop Exam 2

a patient brings you a Rx for vicodin, one tablet QID RRN #100 with 4 refills. the patient only wants to get 50 at a time. How many times can the pharmacist fill this Rx with a quantity of 50?

Pop Exam 2

schedule V