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PHARM 130 Midterm > Jurisprudence 4, 5, 6 > Flashcards

Jurisprudence 4, 5, 6 Flashcards

1
Q

Explain the DIDFA. Provincial/Federal

A

Drug interchangeability and Dispensing Fee act
- Provincial law outlining drug interchangeability and dispensing fees
- Applied in addition to the other laws that govern the dispensing
- Clarifies interchangeability, additional prescription requirements and dispensing fees

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2
Q

What Part in the formulary gives all the interchangeable products that are covered?
Not covered?

A

Part III- A

Part III- B

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3
Q

Is informing of interchangeability required with a prescription?
When is it required?

A

No,

Required in the middle of a refill

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4
Q

Differentiate between DIDFA and ODBA

A

DIDFA applies to every Rx in Ontario but ODBA is only for eligible people covered

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5
Q

What are the 2 yellow sings needed in the pharmacy?

A
  1. Notice to patients
    ○ About drug interchangeability and their right to request
    1. Usual & customary dispensing fee
      a. Includes dispensing fee
      Includes pharmacy services such as professional consultations, delivery service & others
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6
Q

Minimum years DIDFA should be kept for?

A

2 years

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7
Q

Explain ODBA. Provincial/Federal

A
  • Ontario drug benefit Act
    • Provincial law
    • Applies to reimbursement of drugs
  • Applies to the dispensing of medications in ON (in addition to other laws governing dispensing)
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8
Q

Are pharmacy operators required to participate in the ODB program?

A

No

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9
Q

Where is the formulary available on?

A

OPDP (Ontario public drug programs)

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10
Q

When does the executive Officer replace the minister of Health? Which acts?

A

For administering ODBA & DIDFA
- Designate products as listed drug products and substances
- Designate products as interchangeable with other products DIDFA

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11
Q

What does the 2nd section in the formulary for preamble products talk about?

A

Informs pharmacists about % mark up allowed

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12
Q

Ontario Works

A
  • 35 days max
  • Temporarily out of work for a short-period of time
  • Managed by a municipality NOT BY PROVINCE
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13
Q

What are exceptions for limiting dispensing fees?

A
  • Narcotics
  • Psychotherapeutic medication
  • Long-term care home
  • Any residential home facilitated by the government
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14
Q

What are the conditions for reimbursement for extemporaneous preparations?

A
  • cannot be equivalent to a manufactured product on the market
  • Must contain an ODB formulary listed drug and no other API’s except for those listed in the section for extemporaneous preparations (menthol, camphor, etc)
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15
Q

CDSA and NSAA? Federal/provincial

A

Controlled drugs and substances act
- Federal

Narcotics Safety and Awareness
- Provincial

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16
Q

What do narcotics DRUG include?

A
  • Can contain 1+ narcotic ing.
  • All injectables considered
  • Contain LESS than 2 other non-narc ing.
    BUT methadone, hydrocodone, oxycodone, (diacetylmorphine) heroin, and pentazocine can include 2+ non-narcs
17
Q

What do narcotic preparations include?

A
  • ONLY 1 narcotic drug plus 2+ non-narc ing
  • No injection
  • Not included in the 5 exception drugs
18
Q

What are the requirements for codeine preparations

A
  • Up to a max of 8mg oral or 20mg/30 mL of liquid
  • 2+ non-narc ing
19
Q

How often should a pharmacist update methadone training?

20
Q

What do CONTROLLED drug preparations have?

A

1 controlled drug & 1+ non-controlled ingredient

21
Q

Is purchase records required for benzodiazepine?

22
Q

NSAA

A
  • Provincial
  • Affecting the prescribing and dispensing of monitored drugs in ON
  • Any drug listed in a schedule in the CDSA
23
Q

Is patient consent required for NMS?

When is NMS not required?

A

No

Hospital in-patients
Prisoners

24
Q

What does NMS check? (2)

A
  1. Data integrity check (ensure all info is complete)
  2. Drug utilization review (DUR)
    - analysis of current and previous dispensing records to identify potential drug therapy
    - Identify double-doctoring, polypharmacy
25
Q

What are the 13 minor ailments

A

A
Skin (4):
1. Impetigo (skin infection)
2. Dermatitis (eczema)
3. Tick bites
4. Insect bites

Face issues (4) :
- Allergic rhinitis (hay fever)
- Conjunctivitis (pink eye)
- Herpes labialis (cold sores)
- Candidal stomatitis (oral thrush)

Stomach related area: (4)
- GERD
- Hemorrhoids
- Dysmenorrhea
- UTI

Strains & Sprains

26
Q

What are the 6 new minor ailments

A
  • Acne
    • Diaper dermatitis
    • Oral aphthae (canker sores)
    • Nausea and vomiting in pregnancy
    • Pinworms and threadworms
      Yeast infections (VVC)

PHARM 130 Midterm (2 decks)

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