Law Exam 1 - Lecture 6 (prescribing, OBRA '90, DSHEA)

Question 1

Full Prescribers are recognized as having the authority to prescribe in every jurisdiction. Name the 4 prescriber types this applies to:

Answer 1

Physicians
Dentists
Podiatrists
Veterinarians

Question 2

T/F: The 4 Full Prescribers prescriptions are honored in any part of the US, so long as they are licensed in at least one jurisdiction of the US

Answer 2

T

Question 3

T/F: mid level prescribers have authority to prescribe across all states

Answer 3

F

Question 4

Scope of practice: physicians

Answer 4

whole body authority for humans

Question 5

Scope of practice: dentists

Answer 5

mouth and maxillofacial (jaw and face) area for humans

Question 6

Scope of practice: podiatrists

Answer 6

feet, ankles for humans

Question 7

Scope of practice: veterinarians

Answer 7

whole body authority for animals

Question 8

To be exempted from misbranding, a prescription label must contain (main 4):

Answer 8

1. the name and address of the dispenser
2. the serial number of the prescription (prescription number)
3. the date of the prescription or its filling
4. the name of the prescriber

Question 9

To be exempted from misbranding, a prescription label must contain (extra 3):

Answer 9

5. If stated on the prescription, the NAME of the patient
6. if contained on the prescription, any DIRECTIONS for use
7. if contained on the prescription, any CAUTIONARY STATEMENTS

Question 10

4 primary requirements for OBRA ‘90 (Omnibus budget Reconciliation Act) related to pharmacy practice

Answer 10

1. prospective drug utilization review (DUR)
2. retrospective drug utilization review
3. offer to conduct patient counseling
4. maintaining patient records

Question 11

What/who does OBRA ‘90 target?

Answer 11

spending on medications by Medicaid beneficiaries

Question 12

OBRA ‘90 Prospective DUR

Answer 12

pharmacist must review drug therapy before each prescription is filled for accuracy and appropriateness

Question 13

OBRA ‘90 retrospective DUR

Answer 13

states must review medication use of drugs and compare how they are being used against accepted standards

Question 14

OBRA ‘90 patient counseling

Answer 14

-law requires an offer for patient to speak to pharmacist
-pharmacist should counsel on matters they deem significant within their clinical judgement

Question 15

OBRA ‘90 patient records

Answer 15

a reasonable effort must be made by the pharmacist to obtain, record and maintain certain patient information

Question 16

the Dietary Supplement Health and Education Act (DSHEA) defined dietary supplement as what?

Answer 16

a product intended to supplement the diet that contains one or more of:
-vitamin
-mineral
-herb or botanical
-amino acid

Question 17

dietary supplement labeling must contain what 5 things?

Answer 17

1. name of product and the phrase ‘dietary supplement’
2. quantity of contents
3. manufacturer’s, packer’s, or distributor’s name and address
4. directions for use
5. supplement facts panel containing serving size, ingredients, amount per serving, and %DV if established