Exam 1 - Rx

Question 1

What are the 6 Key Elements of a written prescription?

Answer 1

Prescriber, Supervising Physician, Prescription, Controlled Substance, Brand/Interchange, Patient

Question 2

Rx is derived from what language? What does it mean?

Answer 2

Latin for “take”.

Question 3

Sig is short for what? Which language?

Answer 3

Signa. Latin for “write”.

Question 4

AC, HS, QHS, PRN and stand for?

Answer 4

AC=before meals
HS=at bedtime
QHS=at bedtime daily
PRN=as needed

Question 5

Tips for prevention med errors?

Answer 5

Limit one med to prescription, avoid “as directed”, avoid abbreviations, use metric, add PT’s age or weight, specify indication, indicate specific quantities, circle prescriber name on preprinted pad

Question 6

Should DEA numbers be preprinted on a prescription?

Answer 6

NEVER!

Question 7

Describe Schedule 1 drugs use, abuse, and examples.

Answer 7

No accepted medical use. High potential for abuse.

Heroin, LSD, ecstasy, marijuana/cannabis (yeah right)

Question 8

Describe Schedule 2 drugs use, abuse, and examples.

Answer 8

High potential for abuse but less than Schedule 1. Can lead to severe psychological or physical dependencies.

Cocaine, methamphetamine, methadone, hydromorphone (Dilaudid), meperidine (Demerol)

Products with less than 15mg hydrocodone per dose unit (Vicodin, Norco).

Question 9

Which Schedule are products with less than 15mg hydrocodone per dose unit?

Answer 9

Schedule II

Ex: Vidocin, Norco

Question 10

Describe Schedule 3 drugs use, abuse, and examples.

Answer 10

Moderate to low potential for physical and psychological dependence. Products with less than 90mg Codeine per dosage unit.

Tylenol w/Codeine, ketamine, anabolic steroids, testosterone

Question 11

What Schedule are products with less than 90mg Codeine per dosage unit?

Answer 11

Schedule III

Question 12

Describe Schedule 4 drugs use, abuse, and examples.

Answer 12

Low potential for abuse or psychological dependence.

Ambien, Ativan, Darvon, Darvoset, Soma, Tramadol, Valium, Xanax

Question 13

Describe Schedule 5 drugs use, abuse, and examples.

Answer 13

Lower risk of abuse than Schedule 4. Generally used for antidiarrheal, antitussive, and analgesic properties.

Ex: Cough preparations with less than 200mg Codeine per 100mL (Robitussin AD). Lomotil, Lyrica, parepectolin

Question 14

Which Schedule generally used for antidiarrheal, antitussive, and analgesic properties.

Answer 14

Schedule 5.

Question 15

Which Schedule are cough preparations with less than 200mg Codeine per 100mL?

Answer 15

Schedule 5

Question 16

Describe Schedule 6. Who defines it?

Answer 16

A prescription drug not in Schedule 1 through 5. Defined by states.

Question 17

Can Schedule II be called in?

Answer 17

No. Must be given to pharmacy.

Question 18

Can narcotic rx be refilled?

Answer 18

No refills.

Question 19

Define Prescriber and Prescribe

Answer 19

Prescriber=person who writes the prescription

Prescribe=to write or give medical prescriptions; to designate or order the use of a remedy

Question 20

Define Dispense and Administer

Answer 20

Dispense=to prepare and distribute a medication

Administer=to prepare and give a medication

Question 21

Define “Compounding”

Answer 21

The practice of combining, mixing, or altering ingredients of a drug to create a medication tailored to the needs of an individual patient

Question 22

What is the Inscription on an rx?

Answer 22

Name of medication, dose, quantity, quantity, dosage (tablets, capsules, syrups),

Question 23

What is the Superscription on an rx?

Answer 23

Identifying info of patient and prescriber

Question 24

What is the Subscription on an rx?

Answer 24

Directions for use of medication

Question 25

What is included in the Signature of a prescription?

Answer 25

Provider name, signature, number of refills

Question 26

What Schedule is Norco?

Answer 26

Schedule II

Question 27

Can a Schedule II prescription be faxed to a pharmacy?

Answer 27

Yes, but patient must have hard-copy in order to pick it up.

Question 28

Can a Schedule III and IV prescriptions be faxed to a pharmacy?

Answer 28

Yes. No need for a hard copy.

Question 29

Can a Schedule II prescription be called into a pharmacy?

Answer 29

No, except for emergencies with small doses and a hard copy sent within 7 days saying “Authorization for Emergency Dispensing”

Question 30

Can a Schedule III-IV prescriptions be called into a pharmacy?

Answer 30

Yes, but hard copy must be sent within 7 days to pharmacy

Question 31

Which schedules can be e-prescribed?

Answer 31

Schedules II to V according to federal law

Question 32

Which three Schedule II medications can be given a 60 day supply? What three conditions allow this?

Answer 32

Methylphenidate, Dextroamphetamine sulfate, and Methylphenidate HCl. (MDM)

Inattention, impulsivity hyperactive disorder, narcolepsy (IIN)

Question 33

How many days can a Schedule II drug be normally issued for?

Answer 33

30 days

Question 34

How many days can a Schedule III-IV drug be normally issued for? Refills? Is indication required?

Answer 34

30 days with 5 refills within 6 months.

Indication is required for refill or cannot be refilled without prescriber authorization

Question 35

How many days can a Schedule VI drug be normally issued for?

Answer 35

30 days, or 90 days if part of a manufacturer’s indigent drug program

Question 36

How often does a patient on a Schedule II drug need to be reevaluated? Schedule III-VI?

Answer 36

Schedule II=clinically reevaluated every 4 months or as often as possible

Schedule III-VI=every six months if prescribing over a long-period

Question 37

How often must a prescription monitoring program such as MassPat be used for Schedule II, III, IV, and V?

Answer 37

Schedule II-V=prior to the first prescription

Schedule II and III=every time

Question 38

When is a prescription monitoring program not required?

Answer 38

If PT in the ED, in-patient in hospital, less than 5 day supply of II-V, or when monitoring system not working

Question 39

What do Buprenorphine, Methadone, and Suboxone require before a physician can prescribe? Exception?

Answer 39

Medication Assisted Treatment Waiver from DEA to treat opioid addicted patients.

Exception: one-day supply for acute withdrawal in emergency circumstances

Question 40

What four opioid Medication Assisted Treatment drugs can PAs prescribe? Which one can’t?

Answer 40

Can=Buprenorphine, Methadone, Naltrexone, Naloxone

Can’t=Buprenorphine/Naloxone (Suboxone)