Chapter 4 Flashcards
What is a Verbal Prescription Narcotic?
Contains two or more medicinal ingredients other than the narcotic
Is not intended for parenteral administration
Does not contain hydrocodone, methadone, oxycodone, or pentazocaine
What 4 narcotics can not be included in a Verbal Prescription Narcotic?
Hydrocodone
Methadone
Oxycodone
Pentazocine
When can a technician take a verbal prescription?
For any normal drug, not for narcotic or controlled substances
Which prescriptions can not be transferred between pharmacies?
Narcotics and Controlled drugs
Which prescriptions can only be transferred to another pharmacy one single time?
Benzodiazepines and targeted substances
What does TPP now stand for?
Tracked Prescription Program
What are type 1 medications under TPP Alberta?
Require a prescriber to register with the CPSA and use a secure prescription pad to prescribe them
Do all veterinary targeted medications need a TPP?
YES - both type 1 and type 2
Can pharmacies accept prescriptions from other provinces? other countries?
Provinces yes, countries no.
Dispensers must send a copy of TPP prescriptions to TPP Alberta in what cases? How often?
For compounds, office use, and from veterinarians. Must be sent at least bi-monthly if not weekly
Is Buprenorphine (BuTrans) a type 1 or 2 medication?
Type 1
Are Butalbital preparations like Fiorinal and Teva-Tecnal type 1 or 2?
Type 1
Are codeine products like Robitussin AC, Cotridin, and codeine syrup type 1 or 2?
Type 1
Is Dextropropoxyphene a type 1 or 2 medication?
Type 1
Is Esketamine type 1 or 2 controlled?
Type 1
Is Fentanyl, Sufentanil, and Alfentanil type 1 or 2 controlled?
Type 1
Is Hydromorphone-Dihydrocodeinone like Dilaudid and Hydromorph Contin type 1 or 2 controlled?
Type 1
Is Ketamine a type 1 or 2 controlled?
Type 1
Is Methadone a type 1 or 2 controlled?
Type 1
Is Morphine products like Kadian, Doloral, MS Contin and Statex type 1 or 2 controlled?
Type 1
Is Normethadone products like Cophylac a type 1 or 2 controlled?
Type 1
Is Oxycodone products like OxyNeo, Supeudol and Teva-Oxycocet type 1 or 2 controlled?
Type 1
Is Pentazocine and Tapentadol type 1 or 2 controlled?
Type 1
Are amphetamines like Dexedrine, Adderall, and Vyvanse type 1 or 2 controlled?
Type 2
Are antibiotics type 1 or 2 controlled?
Type 2
Are Benzodiazepines type 1 or 2 controlled?
Type 2
Is Suboxone type 1 or 2 controlled?
Type 2
is Codeine products like Codeine Contin and T2, T3, and T4s type 1 or 2 controlled?
Type 2
Is Methylphenidate products like Ritalin, Biphentin, Concerta and Foquest type 1 or 2 contolled?
Type 2
Is Tramadol products type 1 or 2 contolled?
Type 2
Can more than one medication be written on a TPP?
NO
How soon must a TPP be handed in for it to be valid?
3 days / 72 hours
What happens if a TPP is not handed in after 72 hours? It becomes void
Do physicians require special approval to prescribe methadone?
Yes
How often must physicians re-apply to be able to prescribe methadone
3 years
Does methadone need to be on a TPP?
YES
What does DWI stand for?
Daily Witnessed Ingestion
Who is permitted to witness the DWI of methadone?
ONLY pharmacists
What is the maximum number of carries someone can have of methadone?
14 days
How long is a prescription good for before being turned in?
1 year
What are “part fills”
Relate to narcotics, when a doctor indicates an interval for how much of a drug can be given in how many days.
Can there be refills on narcotics?
NO
Once a targeted substance is WRITTEN, how long before it expires?
1 year
Once a normal medication is HANDED IN, how long before it expires?
a year and a half
What is the difference between the expiry times between targeted substances and normal meds?
The expiry date on targeted relates to the written date, whereas normal meds relate to when it is handed in
What act provides physicians, dentists, and vets the authority to prescribe narcotics and controlled substances?
The Controlled Drugs and Substances Act
The New Classes of Practitioners Regulations is under what act?
The Controlled Drugs and Substances Act
Who does the New Classes of Practitioners Regulations relate to?
The prescribing ability to podiatrists, midwives, and nurses
What occupation under the New Classes of Practitioners Regulations can not write narcotics or targeted meds?
Midwives
Podiatrists can not prescribe what narcotic/targeted substance?
Buprenorphine or methadone
How soon must the loss or theft of controlled substances, narcotics, or benzos be reported?
Within 10 DAYS