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PHAR 300 > Law Exam Preparation > Flashcards

Law Exam Preparation Flashcards

1
Q

Name the 8 classes of prescription-regulated drugs.

A
  1. Narcotic Drug
  2. Verbal Prescription Narcotic
  3. Controlled Drugs - Level I
  4. Controlled Drug Preparation - Level I
  5. Controlled Drugs - Level II
  6. Controlled Drug Preparation - Level II
  7. Benzodiazepines and Other Targeted Substances
  8. Prescription Drugs List Drugs (Formerly Schedule F)
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2
Q

List the narcotic drugs that should be known (19)

What 5 ingredients automatically make a compound a “straight narcotic”?

A
  1. opium
  2. morphine and similar names (diacetylmorphine, dihydromorphine, nalorphine, hydromorphone)
  3. codeine and similar names (dihydrocodeine, hydrocodone, oxycodone)
  4. piperidine ring derivatives (anileridine, diphenoxylate, pethidine)
  5. Cocaine
  6. methadone and derivative (normethadone)
  7. levorphanol
  8. pentazocine
  9. fentanyl
    (NOT dextromethorphan nor naloxone)

Automatic straight narcotics:

  1. diacetylmorphine
  2. hydrocodone
  3. oxycodone
  4. methadone
  5. pentazocine
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3
Q

Description of the “Narcotic Drug” class. (3)?

A
  1. All straight narcotics, all narcotic drugs, or cmpnds for parenteral use.
  2. > 1 narcotic or cmpnds or cmpnds w/ less than two non-narcotic ingredients.
  3. All products containing: diacetylmorphine, oxycodone, hydrocodone, methadone, or pentazocine.
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4
Q

Federal requirements of “Narcotic Drugs”?

A

Must be a WRITTEN prescription; SIGNED and DATED by a practitioner

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5
Q

Repeats for “Narcotic Drugs”?

A

No repeats (BUT, part fills of a total qty is possible)

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6
Q

Records for “Narcotic Drugs”? (3)

A
  1. All RECEIPTS/purchases (from the wholesaler or emergency supplies) recorded either ELECTRONICALLY or via retention of INVOICES dated for the date of receipt.
  2. All SALES recorded ELECTRONICALLY in a manner that allows for a complete report to be provided upon request
  3. All Rx’s filed in special file designated for Narcotics and Controlled Drugs.
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7
Q

Description of “Verbal Prescription Narcotic”? (3)

A
  1. Combination product NOT intended for parenteral use
  2. 1 narcotic + 2 or more non-narcotic drugs
  3. Does NOT include cmpnds containing diacetylmorphine, oxycodone, hydrocodone, methadone, or pentazocine (these are automatically considered “Narcotic Drugs”)
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8
Q

Federal requirements for “Verbal Prescription Narcotic”? (2)

A

WRITTEN or VERBAL prescription from a practitioner.

If verbal, pharmacist must TRANSCRIBE it.

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9
Q

Repeats for “Verbal Prescription Narcotics”?

A

No repeats (BUT, part fills of a total qty is possible)

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10
Q

Records for “Verbal Prescription Narcotics”? (3)

A
  1. RECEIPTS: entry req’d in Narcotic Register
  2. SALES: no entry req’d for sales based on Rx’s. However, emergency supplies provided to another pharmacist and returns to licensed dealers must be recorded in sales portion of Register.
  3. Rx’s filed in special file designated for Narcotics and Ctrled Drugs.
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11
Q

5 drugs from the “Controlled Drugs - Level I” class?

A
  1. amphetamine
  2. methamphetamine
  3. methylphenidate
  4. secobarbital
  5. pentobarbital
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12
Q

Description of “Controlled Drugs - Level I”? Which drugs does it include?

A

Drugs listed in:

  • Part I of the Schedule to Part G of the Food and Drug Regulations
  • Schedule III of the Ctrled Drugs and Substances Act (CDSA)

They include: amphetamines, methylphenidate, pentobarbital, and secobarbital

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13
Q

Federal requirements for “Controlled Drugs - Level I”?

A

WRITTEN or VERBAL prescription from a practitioner. If verbal, pharmacist MUST transcribe it

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14
Q

Repeats for “Controlled Drugs - Level I”?

A
  1. If Rx = VERBAL, then NO REPEATS

2. If Rx = WRITTEN, then repeats allowed

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15
Q

Records for “Controlled Drugs - Level I”?

A

All RECEIPTS and all SALES > Narcotic Register.

Rx’s = filed in special file for Narcotics and Ctrled Drugs

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16
Q

Description of “Controlled Drug Preparation - Level I”?

A

Combination of…
1. Ctrled drug - Level 1
plus
2. One or more active medicinal ingredients that are NOT narcotics or ctrled drugs)

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17
Q

Federal requirements for “Controlled Drug Preparation - Level I”?

A

WRITTEN or VERBAL prescription from a practitioner. If verbal, pharmacist MUST transcribe it.

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18
Q

Records for “Controlled Drug Preparation - Level I”?

A
  1. RECEIPTS: entry req’d in Narcotic Register
  2. SALES: no entry req’d for sales based on Rx’s. However, emergency supplies provided to another pharmacist and returns to licensed dealers must be recorded in sales portion of Register.
  3. Rx’s are to be filed in a special file designated for Narcotics and Ctrled Drugs.
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19
Q

List of “Controlled Drugs - Level II”?

A
  1. barbituric acid and its salts and derivatives EXCEPT secobarbital and pentobarbital
    (allobarbital, amobarbital, butabarbital, butabital, phenobarbital, thiobarbiturates, thiobarbituric acid, thiopental)
  2. Appetite suppressors (chlorophentermine, diethylpropion, phentermine)
  3. Agonist/antagonist analgesics (butorphanol, nalbuphine)
  4. Anabolic steroids (fluoxymesterone, methyltestosterone, nandrolone, testosterone)
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20
Q

Description of “Controlled Drugs - Level II”? Which drugs does it include?

A 
Drugs listed in... 
1. Parts II and III of the
Schedule to Part G of the Food and Drug
Regulations
2. Schedule IV of the Controlled
Drugs and Substances Act (CDSA)
Includes: 
a) butorphanol
b) barbituric acid and its salts and
derivatives (except secobarbital and
pentobarbital)
c) steroids (Testosterone).
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21
Q

Federal requirements for “Controlled Drugs - Level II”?

A

WRITTEN or VERBAL prescription from a practitioner. If verbal, pharmacist MUST transcribe it.

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22
Q

Records for “Controlled Drugs - Level II”? (3)

A
  1. RECEIPTS > Narcotic Register OR invoices must be available to prove receipt
  2. SALES: No entry req’d in Narcotic Register for sales according to Rx’s, BUT emergency supplies provided to another pharmacist and returns to licensed dealers must be recorded in sales portion of Register.
  3. Rx’s must be filed in special file designated for Narcotics and Ctrled Drugs.
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23
Q

Description of “Controlled Drug Preparation - Level II”?

A

Combination containing…

  1. Ctrled drug - Level II, and
  2. one or more active medicinal ingredients (other than a narcotic or ctrled drug)
24
Q

Federal requirements for “Controlled Drug Preparation - Level II”?

A

WRITTEN or VERBAL prescription from a practitioner. If verbal, pharmacist MUST transcribe it.

25
Q

Repeats for “Controlled Drug Preparation - Level II”?

A

WRITTEN and VERBAL repeats are allowed on original prescription (# and freq of repeats must be indicated)

26
Q

Records for “Controlled Drug Preparation - Level II”?

A
  1. RECEIPTS: entry req’d in Narcotic Register OR invoices must be available to prove receipt
  2. SALES: No entry req’d in Narcotic Register for sales according to Rx’s, BUT emergency supplies provided to another pharmacist and returns to licensed dealers must be recorded in sales portion of Register.
  3. Rx’s must be filed in a special file designated for Narcotics and Ctrled Drugs.
27
Q

Names of benzodiazepines usually end in…?

What three substances are NOT included in the “Benzodiazepines and other Targeted Substances” class?

A

“-am” (usually “-lam”, “-pam”, or “-zam”)

  1. Flunitrazepam
  2. Clozapine
  3. Olanzapine
28
Q

Description of “Benzodiazepines and other Targeted Substances”?

A

Those drugs listed in Schedule 1 of the Benzodiazepines and Other Targeted Substances Regulations.

29
Q

Federal requirements for “Benzodiazepines and other Targeted Substances”?

A

WRITTEN or VERBAL prescription from practitioner.
Verbal prescriptions must be written
by a pharmacist

30
Q

Repeats/transfers for “Benzodiazepines and other Targeted Substances”? (4)

A
  1. WRITTEN and VERBAL repeats are allowed on original prescription.
  2. Refills are permitted only if <1 yr since Rx date
  3. “PRN” is not valid authority for repeats.
  4. TRANSFER – Bzd may be transferred only
    ONCE while the prescription has valid refills.
31
Q

Records for “Benzodiazepines and other Targeted Substances”?

A

RECEIPTS: entry required in Narcotic Register
or invoices must be available to substantiate
receipt.

Prescriptions are to be filed in the regular Schedule 1 file
and must be retained for at least two years
from the date of the last fill or refill.

32
Q

Description of “Prescription Drugs List Drugs”?

A

Those drugs listed in Schedule I of the Bylaws
to the Pharmacy and Pharmacy Disciplines Act,
including drugs listed in The Prescription Drug
List to the Food and Drug Regulations, as well as drugs in the CDSA which req a prescription

33
Q

Federal requirements for “Prescription Drugs List Drugs”? (2)

A
  1. WRITTEN or VERBAL prescription from practitioner.
  2. Verbal prescriptions must be written
    by a pharmacist
34
Q

Repeats for “Prescription Drugs List Drugs”? (2)

A
  1. WRITTEN and VERBAL repeats are allowed on original prescription
  2. “PRN” is not valid authority for repeats
35
Q

Records for “Prescription Drugs List Drugs”? (2)

A
  1. No entries required in Narcotic Register.
  2. Prescriptions are to be filed in a regular Schedule I file and must be retained for at least two years from date of last fill or refill.
36
Q

Two drugs from “Prescription Drugs List Drugs” that fall under the Prescription Review Program?

A
  1. Gabapentin

2. Choral Hydrate

37
Q

General rules for drugs that are included in the Prescription Review Program (2)

A
  1. WRITTEN Rx’s are req’d

2. No refills are permitted

38
Q

Prescriptions from which class of drugs may be transferred from one pharmacist to another at the request of a pt?

A

Prescription Drugs List drugs.

39
Q

Prescriptions from which class of drugs may be NOT be transferred?

A

Narcotic and Controlled Drugs

40
Q

Prescriptions from which class of drugs may be transferred ONLY ONCE?

A

Targeted Substances

41
Q

Prescription Review Program requirements?

A
  1. Written Rx’s are REQUIRED for all PRP drugs. (Must be in writing in SK).
  2. No refills are permitted (a smaller portion of a total qty may be dispensed at designated intervals)
42
Q

What Schedule do “Narcotics” belong to in the CDSA (Federal)?

A

Schedule I

43
Q

What Schedule do “Ctrled Drugs” belong to in the CDSA (Federal)?

A

Schedule III and IV

44
Q

Under the SCPP Bylaws (provincial), what types of drugs are included in Schedule I?

A
  1. Narcotics
  2. Ctrled Drugs
  3. Benzodiazepines and Other Targeted Substances
  4. Prescription Drugs List drugs
45
Q

Under the SCPP Bylaws (provincial), what are Schedule II drugs?

A

Non-Rx drugs that must be stored in a secure location in the pharmacy

46
Q

Under the SCPP Bylaws (provincial), what are Schedule III drugs?

A

Non-Rx drugs that are accessible to the public in the pharmacy

47
Q

Under the SCPP Bylaws (provincial), what are Unscheduled drugs?

A

Non-Rx drugs that can be sold from a pharmacy or from any non-pharmacy retail outlet

48
Q

“All Rx’s filed in special file designated for Narcotics and Controlled Drugs.”

This applies to WHICH drug classes?

A
  1. Narcotic Drugs
  2. Verbal Rx Narcotics
  3. Ctrled Drugs - Level I
  4. Ctrled Drug Preparation - Level I
  5. Ctrled Drugs - Level II
  6. Ctrled Drug Preparation - Level II
49
Q

Federal requirements for these drug classes allow for WRITTEN Rx’s ONLY.

A
  1. Narcotic Drugs
50
Q

Federal requirements for these drug classes allow for WRITTEN or VERBAL Rx’s.

A
  1. Verbal Rx Narcotics
  2. Ctrled Drugs - Level I
  3. Ctrled Drug Preparation - Level I
  4. Ctrled Drugs - Level II
  5. Ctrled Drug Preparation - Level II
  6. Benzodiazepines and other Targeted Substances
  7. Prescription Drugs List drugs
51
Q

These drug classes cannot be repeated whatsoever (i.e. cannot have refills)

A
  1. Narcotic Drugs

2. Verbal Rx Narcotics

52
Q

These drug classes can only be repeated if the original Rx was WRITTEN.

A
  1. Controlled Drugs - Level I

4. Controlled Drug Preparation - Level I

53
Q

These drug classes can be repeated regardless of whether the original Rx was WRITTEN or VERBAL.

A
  1. Controlled Drugs - Level II
  2. Controlled Drug Preparation - Level II
  3. Benzodiazepines and other Targeted Substances
  4. Prescription Drugs List drugs
54
Q

The SALES of drugs from these drug classes must be recorded either electronically or in the Narcotic Drug Register. (These drugs are “Reportable” as a result)

A
  1. Straight narcotics
  2. Ctrled Drugs - Level I

(These are “Reportable Narcotics and Ctrled Drugs”)

55
Q

Under Federal Law, what are the only two drug classes that cannot be verbally ordered from a licensed dealer?

A
  1. Straight narcotics
  2. Ctrled Drugs - Level I

Everything else can be ordered via written, electronic, and/or verbal orders.

PHAR 300 (1 decks)

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