Chapter 25 LABOP rules Flashcards

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1
Q

What are the four types of drugs outlined by the BOP?

A

1) Misbranded meds
2) Adulterated meds
3) Expired meds
4) Recalled meds

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2
Q

Which medications are unlawful to dispense?

A

Misbranded meds, adulterated meds, and expired meds

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3
Q

Which meds should be removed from inventory immediately?

A

Expired medications and recalled medications

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4
Q

Can we take medications back from patients?

A

Yes, there are different take back/disposal options.
It must be quarantined from the rest of dispensing stock.

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5
Q

Can you store investigational medications in the pharmacy?

A

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.

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6
Q

What kind of inventory is required for investigational medications?

A

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.

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7
Q

What is required on the prescription label of vet meds?

A

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”

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8
Q

Can you sell syringes without a prescription?

A

Yes, if you are a pharmacist, physician, dentist, vet, etc.

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9
Q

Where should syringes be stored?

A

In the pharmacy or other secure area

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10
Q

What are the requirements for a chart order?

A

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

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11
Q

What are the required data elements on a prescription in louisiana?

A

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

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12
Q

What can a pharmacist add to a chart order?

A

patient’s address or drug dosage form

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13
Q

What can a pharmacist record for a chart order?

A

Patient’s address, drug strength, quantity prescribed or directions

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14
Q

What should you do if you substitute with a biosimilar?

A

Notify prescriber within 5 days of dispensing.
Must include the specific product used including the manufacturer and name of the product.

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15
Q

When CAN’T a prescription be refilled?

A

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.

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16
Q

Can you refill a medication without a refill?

A

Yes if it’s an emergency.
You can refill for up to a 30 day supply, IF the prescriber is unavailable. (90 days if unit of dose containers)

17
Q

What if you transfer a controlled substance?

A

Giver must record takers DEA number.
Taker must record Giver’s DEA number and physician’s DEA number

18
Q

When do prescriptions die?

A

Non-controlled: 1 year
CII: 90 days
CIII-CIV: 6 months
CV: 1 year

19
Q

What training is required to make sterile compounds?

A

Practical or academic training in the field.
1 hour of CE annually
Document when and how training occurred: Named of person getting trained, date, topics covered, signature of trainer and trainee

20
Q

Can you compound a product in anticipation of a prescription

A

Yes, must be labeled with formula, lot number, and estimated BUD

21
Q

Can you compound a product and sell it to a physician’s office?

A

No

22
Q

Can you compound a product that is not available from a wholesaler?

A

Yes if discontinued, shortage, or temporarily unavailable

23
Q

Can you sell compounded drugs to a vet office?

A

Yes as long as it’s sent directly there. It’s for emergencies only and should be no more than 5% per MONTHY of total amount of drug products

24
Q

What should a pharmacist do to dispense naloxone?

A

The pharmacist must attach a copy of the standing order to the invoice receipt and keep this record where transaction records are kept.