Drug Manufacturers, Monographs, and Package Inserts Flashcards

1
Q

What are National Drug Code (NDC) numbers?

A

unique 11-character codes that numerically identify medications.

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2
Q

How are the NDC numbers identified and what do they stand for?

A

The first five digits identify the manufacturer,
the next four digits identify the product (dosage form and strength),
and the last two digits identify the package type or size (such as 50 or 60 tablets).

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3
Q

NDC numbers are required only for prescription medicines but what else an they also be used for?

A

ome companies provide NDC numbers for products sold over the counter (OTC), such as aspirin, Tylenol, and so on.

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4
Q

What exactly are the NCD numbers used for?

A

The NDC numbers are used to process claims for payment from insurance companies and are used in computer software to select the product you’re dispensing. Since the NDC number is unique for every manufacturer, it can be used to choose the exact product you need. The number is especially useful when filling prescriptions with generic products. It prevents confusing generic and brand-name products.

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5
Q

Drug Nomenclature :

Most drugs are referred to by several names: (4)

A
  • Generic
  • Chemical
  • Brand
  • Popular Generic name.
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6
Q

What is Chemical name?

A

This is usually a very long name of the chemical composition of the drug. It can be found in the package insert. It isn’t often used in the dispensing process, but it’s important to the FDA and the offices that register the patent on the drug. It’s also important to chemists and other scientists working in the field of pharmaceuticals.

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7
Q

What is Brand name?

A

This is also called the trade name. This is the name given to the drug by the owners and sellers of the drug. The name is designed to be recognized easily. Examples of brand names are Tylenol, Lunesta, Lipitor, and Allegra.

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8
Q

What is Popular name?

A

There are many drugs that are referred to by a popular name. It’s usually nothing more than an abbreviated version of the generic or chemical name. For example, the cancer-treating drug whose generic name is etoposide and whose brand name is VePesid is often referred to by its popular name, VP-16, the name researchers used in its development. For safety reasons, the proper way to express the name of a medication in the pharmacy and medical literature is by the generic name.

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9
Q

what is a drug patent?

A

A chemical patent, pharmaceutical patent or drug patent is a patent for an invention in the chemical or pharmaceuticals industry. The concept of a patent in the drug industry is very important to continued production and discovery of new products.

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10
Q

Read how drug patents work :

A

Manufacturers spend a portion of income on research. The goal of the research is to produce new medications to be sold while there’s no competition. A patent is assigned to a product when it’s first discovered. The time from discovery to marketing may be up to 10 years. In the United States, the life of a patent is 17 years. The patent allows the manufacturer to produce and market its product exclusively, without competition, until the patent expires. Once the patent expires, other manufacturers can submit a request to the FDA for approval of an equivalent product. This product is called a generic equivalent, or an equal product. When a brand-name product has approved generic equivalents, competition drives the prices down. The result is less expensive drugs for the consumer.

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11
Q

What are Biologics ?

A

are medicinal products from natural sources and include a growing range of products that include vaccines and blood components.

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12
Q

Who regulates the pharmaceutical industry?

A
  1. Food and Drug Administration (FDA)
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13
Q

Pharmaceutical manufacturers have _______ protection after discovering a new drug.

A

Patent

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14
Q

True or False? The National Drug Code (NDC) is a series of 10 digits that identify the
manufacturer, product, and package size

A

False

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15
Q

True or False? NDC numbers are unique for every prescription product.

A

Ture

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16
Q

True or False? Generic products have exclusive marketing rights.

A

False

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17
Q

What is a drug monograph?

A

A drug monograph is a concise collection of information about a given drug that’s required by the Food and Drug Administration (FDA) to describe the characteristics of the drug.

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18
Q

what is a package insert?

A

A package insert is a copy of a drug monograph that accompanies the drug in its package when distributed for sale and use. Each time you open a new drug package for dispensing in the pharmacy, you’ll see the package insert for that drug. If the medicine is packaged in a box or plastic container, the package insert is folded and placed inside the box. If the medicine is available as pills or liquid in a bottle, the insert is affixed with some type of adhesive to the outside of the bottle.

Once the monograph is folded and placed into the drug package, it then becomes known as the package insert.

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19
Q

How many types of package inserts are there what what are they.

A

Types of Package Inserts

**Currently, two distinct types of package inserts can be found in the pharmacy. **

The package inserts and monographs format got updated by the FDA in January, 2006. Anything before that was not required to be revised. **The order in which information is presented is one of the areas that was changed with the revised package insert format. **

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20
Q

name -

A

This section at the beginning of the monograph lists the brand and generic names of the drug described.

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21
Q

Boxed Warning

A

This section contains material that warns of serious injury and even death when the drug is used in certain situations. Note that not all drug monographs contain a boxed warning.

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22
Q

Description

A

This section describes the chemical nature of the drug.

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23
Q

Clinical Pharmacology

A

This section describes the basic nature of how the drug works in the body and how the drug is taken up by the tissues and excreted.

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24
Q

This section describes the basic nature of how the drug works in the body and how the drug is taken up by the tissues and excreted.

A

This section describes the basic nature of how the drug works in the body and how the drug is taken up by the tissues and excreted.

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25
Q

Indications and Usage.

A

This section describes the medical conditions for which the drug is used.

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26
Q

Contraindications.

A

This section describes the medical conditions and patients for which the drug absolutely can’t be used.

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27
Q

warnings

A

This section warns about certain serious effects that have occurred in patients using the drug. It warns against using the drug in similar conditions.

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28
Q

Precautions.

A

This section describes situations and patients for which the drug should be used with caution.

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29
Q

Adverse Reactions.

A

This section lists the adverse reactions that were observed and reported during the clinical testing trials of the drug prior to FDA approval.

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30
Q

Overdosage

A

This section describes the results of and possible fatalities due to an overdose of the drug.

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31
Q

Dosage and Administration.

A

This section lists the dose and the duration of dosing for the drug in specific medical conditions.

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32
Q

How Supplied.

A

This section describes the available dose forms, the available strengths of the drug, and a physical description of each dose form.

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33
Q

What are some categories that are not required by the FDA to be on monographs and package inserts?

A

Sections that aren’t required by FDA: animal pharmacology and/or animal toxicology, clinical studies, and references

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34
Q

Highlights of Prescribing Information.

A

This introductory section of the revised package insert presents a succinct summary of the information that’s most crucial for a drug’s safe and effective use, with cross-references to more details in the full prescribing information. The Highlights section must be no more than 1/2 page in length.

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35
Q

Who regulates the pharmaceutical industry?

A

the FDA

36
Q

Pharmaceutical manufacturers have _______ protection after discovering a new drug.

A

Patent

37
Q

A drug monograph is a concise description of the actions of a drug and is a printed document
that has been reviewed and approved by the _______.

A

FDA

38
Q

A package insert is a copy of a/an _______ and accompanies the drug in its package.

A

Drug Monograph

39
Q

What are the three reasons the FDA revised the layout and content of the package insert?

A

To reduce medication errors, provide proper risk management information and provide the most up to date data in an easier to read and navigate format

40
Q

True or False? All existing drugs must now follow the revised package insert format.

A

False. If a drug was produced before it got revised, they may keep the old package slip format.

41
Q

True or False? Every drug monograph must always use the same printing style and format for
presenting information.

A

false

42
Q

True or False? With both the older-style format and the revised format, the FDA regulates the
type of information that must be presented, along with the order in which it must appear.

A

true

43
Q

The _______ section contains material that warns of serious injury and even death when the
drug is used in certain situations.

A

boxed warnings

44
Q

In the revised package insert format, what is the maximum length of the Highlights section?

A

1/2 page

45
Q

In the revised package insert format, what section contains information about use of the drug
in pregnancy?

A

use in specific populations

46
Q

“This drug has caused heart failure” is an example of what section on a drug monograph?

A

warnings

47
Q

“For the treatment of anxiety” is an example of what section on a drug monograph?

A

indications

48
Q

“Not to be used in patients hypersensitive to

the drug” is an example of what section on a drug monograph?

A

contraindications

49
Q

“For the treatment of severe pain” is an example of what section on a drug monograph?

A

indications

50
Q

“Not to be used in patients having opioid dependence” is an example of what section on a drug monograph?

A

Contraindications

51
Q

” For the treatment of shingles” is an example of what section on a drug monograph?

A

indications

52
Q

“Not to be used in patients allergic to narcotics” is an example of what section on a drug monograph?

A

Contraindications

53
Q

” The use of this drug has caused asthmatic syndrome.” is an example of what section on a drug monograph?

A

warnings

54
Q

“Information about diagnosing signs of overdose” is found in what section on a drug monograph?

A

overdosage

55
Q

“Information on drug excretion in mother’s milk” is found in what section on a drug monograph?

A

precautions

56
Q

“Information sometimes categorized by organ system” is found in what section on a drug monograph?

A

adverse reactions

57
Q

“Information on pediatric use of the drug” is found in what section on a drug monograph?

A

precautions

58
Q

“Information on carcinogenesis (the initiation of cancer formation.)” is found in what section on a drug monograph?

A

precautions

59
Q

“Signs and symptoms of drug toxicity” is found in what section on a drug monograph?

A

overdosage

60
Q

“Information on pregnancy category” is found in what section on a drug monograph?

A

precautions

61
Q

The section called Dosage and Administration is found at the beginning of the olderstyle
drug monograph.

A

false

62
Q

The NDC number is the same number for every manufacturer.

A

false

63
Q

Dispensing information usually indicates to dispense a drug in tight containers.

A

true

64
Q

Dispensing information is obviously directed to the pharmacist and pharmacy
technician

A

true

65
Q

The NDC number numerically identifies prescription medicines.

A

true

66
Q

At the minimum, the How Supplied section provides information about what strengths
of the medication are available from the manufacturer.

A

true

67
Q

The ________ section is a 1/2-page summary of the most important prescribing information.

A

highlights

68
Q

In the revised package insert, what do the numbers in parenthesis refer to?

A

These numbers are cross references to sections in the full prescribing information where more detailed information can be found.

69
Q

What is the only section that can’t be omitted and must state “None” if there’s no data or
information?

A

contraindications

70
Q

True or False? The numbers assigned to the main sections and some subsections are mandated
by the FDA and will be the same in every monograph that follows the revised format.

A

true

71
Q

When sections are omitted from the contents section of the revised package insert format,
what is the statement that must appear in the contents section?

A

sections or subsections omitted from the full prescribing information that isn’t listed.

72
Q

“Used for the treatment of diabetes” is an example of what section of a drug monograph?

A

Indications and Usage

73
Q

“Available as a 50 mg capsule” is an example of what section of a drug monograph?

A

Dosage Forms and Strengths

74
Q

“Recommended dose is 100 mg twice a day” is an example of what section of a drug monograph?

A

Dosage and Administration

75
Q

“25 mg tablets are pink, round, film coated” is an example of what section of a drug monograph?

A

Dosage forms and strength

76
Q

“A complete blood count should be taken every

two weeks while on this drug.” is an example of what section of a drug monograph?

A

Warnings and Precautions

77
Q

“Used to reduce the risk of stroke” is an example of what section of a drug monograph?

A

indication and usage

78
Q

“Pregnancy category “ is an example of what section of a drug monograph?

A

Use in Specific

Populations

79
Q

“This drug may cause nausea.” is an example of what section of a drug monograph?

A

adverse reactions

80
Q

“This drug is not recommended for use in

nursing mothers.” is an example of what section of a drug monograph?

A

use in specific populations

81
Q

” Grapefruit juice may interfere with the metabolism

of this drug.” is an example of what section of a drug monograph?

A

drug interactions

82
Q

“There are no adequate studies to support the use

of this drug in pediatric patients.” is an example of what section of a drug monograph?

A

Use in Specific

Populations

83
Q

“This drug may affect the outcome of some laboratory tests.” is an example of what section of a drug monograph?

A

drug interactions

84
Q

What section of the revised package insert would you refer to if you needed to find out if a
drug needs to be stored in the refrigerator?

A

How supplied / storage & handling

85
Q

What section of the revised package insert gives information on carcinogenesis, mutagenesis,
and impairment of fertility?

A

nonclinical toxicology

86
Q

What area of the revised package insert is designed to assist the practitioner in telling
patients information they should know while taking a specific drug?

A

patient counseling information

87
Q

You need to find out if a drug is available in bottles of 1,000. Where in the revised package
insert should you look?

A

how supplied - storage & handling.