non med list info

Question 1

4 big prescribers

Answer 1

physician
dentist
podiatrist
veterinarian

Question 2

mid-level prescribers

Answer 2

optometrist
APRN
PA
Pharmacists

Question 3

what does NDC stand for?

Answer 3

first 5 = manufacturer
middle 4 = drug, strength, manufacturer, dosage form, formulation
last 2 = package size

Question 4

controlled substances

Answer 4

schedule 1 - no medical use and high abuse, unsafe
schedule 2 - medical use, high abuse and addictive
schedule 3 - medical use, medium abuse and addiction
schedule 4 - medical use, low abuse and addiction
schedule 5 - limited abuse

Question 5

patient requirements

Answer 5

name
address
date written
drug name
strength
directions
quantity
prescriber

Question 6

limitations on Rx refills

Answer 6

C2 = expire no later than 1 year from date with not refills
C3, C4, C5 = expire no later than 6 months from issue date, 5 refills max
non-controlled: unlimited refills, expires 1 year from written date

Question 7

requirements for generic substitution

Answer 7

requires “ _____ generic for _____”

Question 8

patient counselling 3 prime questions

Answer 8

what is this medication used for?
how do you take this medication?
what else do you know about the medication?

Question 9

generic substitution

Answer 9

• product is pharmaceutically equivalent and bioequivalent
• pharm equiv: API, dosage form, strength, route, labeling
• bioequivalent: in vivo results, in vitro results, kinetics, dynamics, clinical effects

Question 10

4 identifiers on insurance cards

Answer 10

ID number
RxGRP
RxBIN
RxPCN

Question 11

medicaid

Answer 11

state-funded
low income families, children, expected mothers
covers many medical and dental Rx claims, most Rx some OTC

Question 12

medicare

Answer 12

federally funded program
elderly & disabled patients
Part A: hospital
Part B: outpatient needs like vaccines and medical supplies
Part C: advantage/deductible coverage of Rx
Part D: Rx coverage

Question 13

Phone-In Perscriptions

Answer 13

interrupt: repeat back or ask for pieces of info
echo-back: at the end repeat everything to make sure all info is written down

Question 14

rules for transferring

Answer 14

non-controlled Rx: transferred multiple times within pharmacies based on amount of refills on script
C3,4,5: cannot be new Rx, patient has to fill at least once. one-time transfer only, pharmacies with same database can transfer
C2: no refills or transfers

Question 15

receiving transfers

Answer 15

PATIENT: pt name, address
Rx #, date issued, first filled, original refills, refills remaining, date last filled
PHARMAY: pharmacy name, address, DEA, phone, transferring RPh
DRUG: date, drug, sig, quantity, daw or substitute, prescriber, prescriber address or phone

Question 16

transferring out

Answer 16

name of pharmacy
address of pharmacy
DEA # of pharmacy
pharmacist name
date of transfer
pharmacist/intern’s name

Question 17

medication errors and reporting

Answer 17

institute of safe medication practices (IMSP) - private, focses on increasing safety of healthcare by recording how/why med errors occur then sharing to healthcare professionals
food and drug administration (FDA) - gov’t, product failures and serious adverse effects for all types of meds, devices, and food.
-recall: correction or removal by company of a product
- seizure: misbranded isolation of drug, DEA states illegal to possess or distribute, physically isolate drug.

Question 18

enhancing costumer service

Answer 18

establishing and meeting expectations
demonstrating empathy
communicating clearly and directly
identify problems and create solutions
building relationships
following up with patients

Question 19

OTC triage

Answer 19

SCHOLAR MAC
Symptoms
Characteristics of Sympt
History of Sympt
Onset
Location
Aggravating factors
Remitting factors

Medication use (Rx or OTC)
Allergies
Coexisting conditions

Question 20

When to refer

Answer 20

no relief after 1 week of OTC
worsening symptoms
sever bleeding/pain
reactions to OTC meds