Chapter 25 LABOP rules Flashcards
What are the four types of drugs outlined by the BOP?
1) Misbranded meds
2) Adulterated meds
3) Expired meds
4) Recalled meds
Which medications are unlawful to dispense?
Misbranded meds, adulterated meds, and expired meds
Which meds should be removed from inventory immediately?
Expired medications and recalled medications
Can we take medications back from patients?
Yes, there are different take back/disposal options.
It must be quarantined from the rest of dispensing stock.
Can you store investigational medications in the pharmacy?
Yes, the pharmacist must ensure appropriate use of investigational drugs.
Only dispensed by order of appropriate prescriber.
Copy of protocol in pharmacy.
Dispensed drugs carry label “For investigation use only”
Separate from normal medications.
What kind of inventory is required for investigational medications?
A perpetual inventory with name, dosage form, strength, lot number and exp date.
Name, address, phone of study sponsor and protocol number.
ID of dispensing pharmacists and disposition of any remaining drug supply.
What is required on the prescription label of vet meds?
Client’s name (human) and patient’s species
“Caution: Federal law restricts this drug to use by or on the order of a licensed vet”
Can you sell syringes without a prescription?
Yes, if you are a pharmacist, physician, dentist, vet, etc.
Where should syringes be stored?
In the pharmacy or other secure area
What are the requirements for a chart order?
By a practitioner or his licensed designee.
Must be an inpatient or resident of an institutional facility
Must include:
Patient’s full name
Date of issuance
Name, strength and dosage form with directions
Name of prescriber
Written or e-sig of prescriber
May be communicated to pharmacy verbally or by fax from the designee
What are the required data elements on a prescription in louisiana?
1) Prescribers name, licensure, address, telephone number; DEA if controlled
2) Patient’s name and address if controlled
3) Date issued
4) Name of drug, strength/quantity
5) Directions
6) Signature of prescriber
7) Refill
What can a pharmacist add to a chart order?
patient’s address or drug dosage form
What can a pharmacist record for a chart order?
Patient’s address, drug strength, quantity prescribed or directions
What should you do if you substitute with a biosimilar?
Notify prescriber within 5 days of dispensing.
Must include the specific product used including the manufacturer and name of the product.
When CAN’T a prescription be refilled?
When it’s not expressed.
More than five of CIII-CIV.
Medication is a CII.
You can not add refills to a script thats already dispensed.