jurisprudence#2-FINAL EXAM

Question 1

(def): website provides information on the various drug programs covered or reimbursed by the Ontario Drug Benefit (ODB) Act, including the ODP Plan, which has a formulary (list of covered products) available online.

Answer 1

The Ontario Public Drug Programs (OPDP)

Question 2

Formulary (list of covered drugs) under the Ontario Drug Benefit (ODB) program is updated throughout the year and kept current on ____ website

Answer 2

Ontario Public Drug Programs (OPDP)

Question 3

The ODB Act uses principles from ______ to meet the Ministry of Health and Long-Term Care’s goals for savings and cost-effectiveness.

Answer 3

DIPA (Drug Interchangeability and Dispensing Fee Act)

Question 4

The _____ replaces the Minister of Health for the purpose of administering both the ODBA and Drug Interchangeability and
Dispensing Fee Act.

Answer 4

Executive Officer

Question 5

who is eligible for the Ontario drug benefit (ODB) coverage?

Answer 5

(DEF): ODB provides community-based, OUT-PATIENT drug benefits

Criteria:
-Must be eligible for Ontario Health Insurance Plan (OHIP)
coverage.
- People 65 years of age and older.
-People receiving benefits under the Ontario Disability Support Program or Ontario Works.
-People residing in Homes for Special Care or long-term care homes.
-People receiving professional services under the Home
Care Program.
-Registrants in the Trillium Drug Program.

Question 6

formulary composition?

Answer 6

a.)Part III-A: provides a list of benefits through a web link to the

searchable ODB e-Formulary on the ministry’s website.

b.)Part III-B: Off Formulary Interchangeability (OFI) is the application of

interchangeable designations to drug products where the original (i.e.

brand name) products are not listed as ODB benefits in the Formulary.

Question 7

(def): contains index of the pharmacologic-therapeutic classification (ie., anti-histamine, anti-infective, cardiovascular drugs)

Answer 7

index of pharmacologic-therapeutic classification

Question 8

(def): allows for drug reimbursements for individuals that are not normally covered?

Answer 8

facilitated access to individuals & exceptional access program (EAP) for drug reimbursement

Question 9

The trillium drug benefit program provides benefits to eligible recipients who ______.

Answer 9

have drug expenses in relation to their income(*its an annual provincial government program for qualified individuals).

(*ODB covers seniors one day after they turn 65)

Question 10

(def): requests coverage for products not listed as benefits under the ODB program.

Answer 10

Exceptional Access program (EAP)

Question 11

conditions that must be met for natural products reimbursement

Answer 11

Nutritional benefits and diabetic resting agents are covered by the ODB when patients are presented with eligible prescription.

Question 12

(def):drug products listed in the formulary with specific clinical criteria for use.

Answer 12

Limited use (LU)

Question 13

For a no-sub to be used, a prescriber must complete, sign and forward to the pharmacy a copy of the _____.

Answer 13

Canada Vigilance Adverse Reaction Reporting Form

Question 14

In order to apply to ODB to receive grants, pharmacy operators must apply to ____.

Answer 14

executive officer

Question 15

An operator of a pharmacy may opt out of the ODB program by notifying the executive officer within _____ days.

Answer 15

90

Question 16

Limits On Amounts paid?

Answer 16

• 35 day supply for Ontario works recipients
  -100 day supply for all others
• 2 claims of vacation-supply (2x 100)
  -entire quantity specified in the prescription
• if its a trial prescription: 30 day limit

Question 17

(def): defined as the period of time where patients pay co-payments

Answer 17

Eligibility period

Question 17

how is the Ontario work benefit regulated?

Answer 17

municipally; NOT provincially.

Question 18

T/F: A pharmacy’s collection of the co-payment from the patient is mandatory

Answer 18

FALSE; NOT MANDATORY

Question 19

how are deductibles paid by each patient estimated by ODB?

Answer 19

income
(For private plans, they determine that amount LOL)

Question 20

when can we charge the patient extra?

Answer 20

If a patient wanted greater than a 100 day supply, the pharmacist is permitted to charge the patient for any additional quantity of drug and must explain the reasons and give the patient a choice.

(*this incident should be documented).

Question 21

conditions for the reimbursement of compounded preparations?

Answer 21

-A preparation cannot be equivalent to a manufactured product on the market

-For example, could not prepare diclofenac 1.16% gel since it is already commercially available as Voltaren® Emulgel 1.16%.

-A topical preparation must contain an ODB formulary listed drug product and no other active ingredients except for those listed in the section for extemporaneous preparations such as menthol,
camphor, etc.

Question 22

how does the executive officer estimate amount reimbursed for compounded products prepared by a compounding pharmacy?

Answer 22

-ODB sets the amount paid per minute of compounding time and the amount of time is dependent on the type of preparation compounded.

-ODB will reduce the amount of time being paid if they determine it is excessive for the type of compound that is submitted.

Question 23

(def): drugs that have no restrictions in prescribing and dispensing

Answer 23

“open benefits”

(VS limited use (LU) code)

Question 24

definition of narcotic drugs?

Answer 24

Products containing only a single narcotic ingredient (straight narcotic)
(e.g. codeine tablets).
* All narcotics in an injectable form for parenteral use (e.g. meperidine injection).
> All narcotic compounds containing more than one narcotic drug.
> All narcotic compounds containing less than 2 other non-narcotic ingredients.
> All products containing methadone, hydrocodone, oxycodone, pentazocine, or diacetylmorphine (heroin), even if in combination with 2 or more non-narcotic medicinal ingredients.

Question 25

can a practitioner “in a notice” for narcotics be a designed manager (DM)?

Answer 25

no :(

Question 26

Dispensing requirements for methadone should be fulfilled within ____ days after dispensing methadone

Answer 26

7 days

Question 27

Minimum period that each item must be kept in the pharmacy:
-purchase records
-record retention
-sales records
-Narcotic destruction record
—-
-Signed receipt of the controlled order must be returned to the licensed dealer within___ days
-Narcotic Reconciliation
-Pharmacy closure

Answer 27

• 2 years (*kept in chronological order).
  -2 years federally; 10 years provincially
• required only for narcotics; not part II or III of controlled drug products
• ## 2 years-5 days
• Q6months
• within 10days of pharmacy closure, pharmacist must disclose remaining narcotic inventory to office of controlled substances-health Canada

Question 28

narcotic records must be stored in ____ order

Answer 28

chronological order

Question 29

part ___ of FDA identifies controlled drugs

Answer 29

part G

Question 30

_____is a term used in Ontario to identify a pharmacist that is permitted to order controlled substances from licensed dealers on behalf of the pharmacy.

Answer 30

Controlled substance signer

(*Only a pharmacist designated as a “Controlled Substance Signer” by the pharmacy owner or Designated Manager has the authority to
order controlled substances).

Question 31

how are controlled substances ordered?

Answer 31

-written or faxed
- via computer
-verbally over the phone (*for those controlled substances which can be prescribed verbally)

Question 32

Narcotic Monitoring system

Answer 32

(def):Information on prescribing & dispensing activities is collected & stored in this provincial database. It allows for drug utilization reviews of monitoring drugs.

Question 33

-If an agent is picked up the prescription, the following must be recorded:

Answer 33

1. Name
2. Address
3. Form of ID & ID number

Question 34

(def): component in Narcotic monitoring system that ensures that the info submitted is complete

Answer 34

data integrity check

Question 35

(def): component in the narcotic monitoring system that is based on an analysis of the current dispensing record & previous dispensing records to identify potential drug therapy concerns

Answer 35

drug utilization review (DUR)

Question 36

what are the exemptions to Narcotic monitoring system?

Answer 36

• hospital in patient
• in mate/prisoners/prisons or youth custody.

Question 37

When is less frequent dispensing granted by the ODB?

(*they normally wouldn’t pay more than 2 dispensing fees for one drug class in the calendar month).

Answer 37

-If in the pharmacist’s professional judgment, the person is incapable of managing the medication as a result of a physical, cognitive or sensory impairment.

-The person agrees that the quantity should be reduced; record of this authorization must be received from the patient.

-Is documented and must be available upon request from the Executive Officer.

-Narcotics with intervals

Question 38

(def):is a term used in Ontario to identify a pharmacist that is permitted to order controlled substances from licensed dealers on behalf of the pharmacy.

Answer 38

Controlled substance signer