CVS State Exam Flashcards
How many numbers are in an NDC (National Drug Code), and what do they mean?
1) There are 11 numbers
a) the first 5 = the manufacturer
b) the next 4 = the drug
c) the last 2 = the package size
When would a prescription that expires on 8/20 be expired?
On the last day of the month which is 8/31/2020
How long is it before schedule II (narcotics) such as Oxycodone expire?
30 days from date written
When do schedule III-V drugs, (controls) such as diazepam expire?
They expire 6 months after being written.
When do schedule VI non-control prescription medications (Nexium) expire?
These expire 1 year from the date written
How can you find out the last digit of a DEA #?
Add the 1st, 3rd, and 5th digits plus 2X the sum of the 2nd, 4th and 6th (the use the SECOND number, so for “56” use “6” not 5)
(Example AB123456? ? = 1+3+5=9 2+4+6=12X2=24 9+24=33
What are 4 tasks that a nationally certified technician can perform?
1) Request and accept new prescriptions
2) Request and accept a refill prescription
3) Assist in the handling of schedule II controlled substances
4) Bulk compounding
What is one task that a state certified technician cannot perform but a nationally certified technician can?
Request and accept new prescriptions
How often does a technicians state certification need to be renewed and when?
A technicians state certification must be renewed every two years on the technicians birthday
What is another term for “waiting bins”?
“Will Call Bins”
What is another term for “Drop off”?
“Data Entry Station”
What is another term for “Production”?
“Filling Section”
What is another term for the “Verification Area”?
“Quality Assurance”
What is the term for “pick up”?
“Pick Up Area”
What does QD mean? (sig code)
Daily
What does BID mean? (sig code)
Twice Daily
What does TID mean? (sig code)
Three Times Daily
What does QID mean? (sig code)
Four Times Daily
What does QOD mean? (sig code)
Every Other Day
What does PO mean? (sig code)
By Mouth
What does PR mean? (sig code)
Rectally
What does PV mean? (sig code)
Vaginally
What does IM mean? (sig code)
Intramuscularly
What does SC mean? (sig code)
Subcutaneously
What does SL mean? (sig code)
Sublingually
What does AD mean? (sig code)
Right Ear
What does AS mean? (sig code)
Left Ear
What does AU mean? (sig code)
Both Ears
What does OD mean? (sig code)
Right Eye
What does OS mean? (sig code)
Left Eye
What does OU mean? (sig code)
Both Eyes
What does UNG mean? (sig code)
Ointment
What does PRN mean? (sig code)
As Needed
What does TSP mean? (sig code)
Teaspoon
What does TBSP mean? (sig code)
Tablespoon
What does QHS mean? (sig code)
At Bedtime
What does QAM mean? (sig code)
In The Morning
What does QPM mean? (sig code)
In The Evening
What does “NTE 3/day” mean? (sig code)
Not To Exceed 3 Per Day
1 teaspoon = ________ MLS?
1 teaspoon = 5MLS
1 tablespoon = ________teaspoons and ________ MLS?
1 tablespoon = 3 teaspoons and 15MLS
1 ounce = ________ tablespoons and _______ MLS?
1 ounce = 2 tablespoons and 30MLS
1 pint = _________ ounces and ______ MLS?
1 pint = 16 ounces and 480MLS
1 quart = _____ pints and ______ MLS?
1 quart = 2 pints and 960MLS
1mg (milligram) = _______ mcg (micrograms)?
1mg = 1,000mcg
1ML of Eye or ear drops = ______ drops, but CVS policy is that 1ML = ______ drops?
1ML = 25 drops
CVS Policy is 1ML = 15drops
(HIPPA)
If a customer come in to pick up a prescription, and there is another prescription ready for a (non-minor) family member. Should you say anything?
No. You should say NOTHING.
(HIPPA)
If you are filling a prescription, who are you allowed to speak with about the prescription?
ONLY colleagues who are DIRECTLY involved with filling the prescription.
(HIPPA)
Who are you allowed to give medical information (such as print outs for tax returns) to and how?
ONLY the customer (if over 18), and not even the spouse (without power of attorney), even if the customer calls and okays it over the phone.
And you can hand the information to the customer or offer to mail it to them.
At CVS we have a company to handle all of our confidential trash (CINTAS). What would you do if a customer handed you a paper with prescription numbers on it and we didn’t have any blue trash bags to dispose of confidential information?
Either give back the patient or black out all of the RX #’s, so they can’t be read before disposal.
To ensure that we are giving the right customer the right prescription what do we ask?
- name
- address
- DOB (without the year)
To ensure that we are giving the right customer the right prescription what do we DO?
Examine all medications at the time of pick up
We are required to do this for NEW prescriptions, but CVS policies requires that we do this with ALL prescriptions?
Offer Council
What does DAW 1 mean?
- No Substitutions
- brand name medically necessary
What does DAW 0 mean?
Substitution Permitted
What are the TWO conditions that are to be followed concerning Pseudoephedrine? (Under MA Law)
1) Are merchandised behind Pharmacy counter
2) Are only sold to customers over the age of 18 with valid identification
What is considered “valid identification”?
1) Driver’s License
2) State Identification Card
3) Military Identification Card
4) U.S. or Canadian Passport
What is “a curve seen to the top of a liquid in response to its container”?
A Meniscus
What is “Hypertension”?
High Blood Pressure
What is “Hyperlipidemia?”?
High Cholesterol
What is “Phlebitis”?
Inflammation of the vein
What is “Endometroisis”?
Scar tissue in the uterus
What do “anti-epileptics” treat?
Seizures
What do “antibiotics” treat?
Infection
What do “Analgesics” treat?
Pain
What do “Anti-Tussives” treat?
Cough
What do “Anti-Diarrhea” great?
Diarrhea
What is “Otic”?
Ears
What is “Optic”?
Eyes
What is “Drug Formulary”?
A list of drugs covered by insurance
What is AWP?
Average Wholesale Price
Lanoxin tablets come in _____mg/ ____mcg?
.125mg/.25mcg
The maximum days allowed for a schedule II is?
30 days (60 days for ADHD)
Before dispensing medication to a customer, what must happen?
Verify name, DOB, address, and offer counseling
MA laws for CII (narcotics )- aka schedule II controlled substances?
1) Good 30 days from date written
2) must have prescribers name, address, DEA#
3) need license at pick up or drop off
When a liquid medicine is measured, where is it measured by reading a meniscus?
Read the meniscus from the bottom of the curve
If a medicine has 50mg per tsp of
an active ingredient, how much is in a 8oz bottle?
2.4g (2400mg)
What is he “Laboratory parameter” used for “Clozeril”?
A) WBC
B) ANC
C) INR
D) KC1
ANC
What is the max amount.of pseudoephedrine allowed per month to be sold (in MA)?
9g (grams)
How often does the pharmacy update and document inventory of schedule II drugs?
Google it.
Which are the same?
1) Effexor/Ventlafaxine
2) Albuteral/Flovent
3) Lipitor/Pravastatin
What is on the 2016 NIOSH List?
1) Azathiopine
2) Topiramate
3) diazepam
4) tretinoin
Which doesn’t need a child proof cover?
A) Levetiraxetam B) Oxycodone C) Nitrostat D) Glucophage E) Xanax
Nitrostat (its used for heart attacks, so a safety cover could potentially take to long to get off)
Which is a valid DEA #?
A) CG2467892
B) CG2467895
C) CG2467896
D) CG2467894
C) CG2467896
MassHealth is considered?
A) Medicare B) Medicaid C) HMO D) PPO E) Workers Comp
B) Medicaid
Which is the right drug/use (together)
A) Omeprazole/Allergy B) Zyprexa/Diabetes C) Benztropine/Constipation D) Mirtazipije/Diarrea E) Lasix/Diuretic
E) Lasix/Diuretic
What “Auxillary labels” should be put in an Omeprazole Suspension ?
A) Shake Well
B) Store in fridge
C) for the eyes only
D) Both A and B
Both A and B
What book do pharmacists refer to for certain issues?
A) the merk manual
B) The Orange book
C) dr’s desk book
D) RX Connect
The Orange Book
Google terms
- Chapter 797
- BUD (beyond use date)
Google terms
