Exam 3 lecture 3 Flashcards
What to do if a prescription for a drug does not indicate how many times the prescription may be refiled?
The prescription may not be refilled unless the pharmacist is subsequently authorized to do so by the practitioner
Differentiate drug order and prescription
Drug order- Written order for a drug or device for patient in an outpatient institution
Prescription- written order for a drug or device for an outpatient
Who can prescribe prescriptions
Physicians, veterenarians, dentists, podiatrists, optometrist licensed in IN, APRNs, PAs, (no pharmacists)
What are the requirements for drug orders? prescriptions?
Drug order
- Name and bed number of pt
- Name and strength/size of drug
- Amount to be dispensed in quantity or days
- adequate directions for the proper use of the drug
- name of prescriber
Prescription
- Name and address of pt
- Name and strength/size of drug or device
- amount to be dispensed
- adequate directions for use
- name of practitioner
- written or electronic signature of practitioner
what must prescription labels contain? Based on IAC what must it also contain? (exam)
- Name, address and phone number of dispending pharmacy
- Date on which prescription was filled
- Prescription number
- Name of practitioner who prescribed drug
- Name of patient (if animal, name of species)
- Directions for use
- If drug contains or is derived from opium, a statement that the drug is an opioid
Based on 856 IAC
8. Name of drug (trade or generic or both)
9. For an animal, owners name
is strength of drug required to be on prescription label?
no
What is important to note about anabolic steroids and prescription vallidity
prescription and drug orders are only valid if they are issued for legitimate medical ppurpose (no steroid use for funzies or bodybuilding)
What are mechanical storage devices? Where can they be utilized?
Better known as pyxis or omnicell machines seen in institutional settings.
Only utilized within
- Pharmacy that holds permit issues by indiana BOP
- Remote location under jurisdiction of indiana BoP
- Licensed health care facility
What can individuals who are members of the Indiana BoP, designated BoP employees and all law enforcement officers do?
- carry firearm when performing official duties
- Execute and serve warrants and subpoenas
- Make arrests without warrant for suspected CS felony
- seize property
- Perform other enforcement duties as designated by the BoP
What is the law on samples and coupons (PDMA) (prescription drug marketing act)
PDMA bans the sale, purchase or trade of a drug sample or drug coupon, and bans counterfeiting of drug coupons.
Practitioners must ask for drug samples in writing
Community pharmacies cannot have drug samples at anytime
Established record keeping, storage and handling requirements for drug samples
in addition to the PDMA, what does indiana specify
- you cannot remove a sample from its original packaging, repackage it and then sell/exchnage it
- You cannot deliver a drug sample to someone after it has expired
List of practitioners for which generic substitution can be performed
Physician
Dentist
Podiatrist
Optometrist
PA
(not vets)
Why can we not substitute a generic for a brand name for vets
We cant because they know more about animals than us. They need to get a new script if they want anotehr drug
What is a law regarding written prescriptions and how they are outlined? compare to electric or verbal prescription.
In indiana, written prescriptions must have two signature lines (dispense as written and may substitute)
They are not required in electronic or verbal prescription
What are some unique requirements when considering generic substitution for medicaid and childrens health insurance program (CHIP)
The pharmacist must substitute the product that results in lowest price unless
- The words brand medically necessary are written or transmitted electronically in practitioners own handwriting
or
- Orally stating that generic may not be substituted, and subsequetly forwarding a covering prescription that has “brand medically necessary” included
When can biologic be substituted
If product has been determined to be interchangeable by FDA (purple book)
Prescribing practitioner has indicated “may substitute”
Pharmacist has informed customer of substitution
After completing substitution, the prescriber is informed of name and manufacturer of biologic product dispensed
A Pharmacist or naloxone entity who dispenses naloxone must do what things
- register annually with the state department or local health department
- Instruct the individual receiving product to summon emergency services immediately
- provide education and training on drug overdose response and tx
- Provide drug addiction treatment and referral info
