non med list info Flashcards
4 big prescribers
physician
dentist
podiatrist
veterinarian
mid-level prescribers
optometrist
APRN
PA
Pharmacists
what does NDC stand for?
first 5 = manufacturer
middle 4 = drug, strength, manufacturer, dosage form, formulation
last 2 = package size
controlled substances
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
patient requirements
name
address
date written
drug name
strength
directions
quantity
prescriber
limitations on Rx refills
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
requirements for generic substitution
requires “ _____ generic for _____”
patient counselling 3 prime questions
what is this medication used for?
how do you take this medication?
what else do you know about the medication?
generic substitution
- 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
4 identifiers on insurance cards
ID number
RxGRP
RxBIN
RxPCN
medicaid
state-funded
low income families, children, expected mothers
covers many medical and dental Rx claims, most Rx some OTC
medicare
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
Phone-In Perscriptions
interrupt: repeat back or ask for pieces of info
echo-back: at the end repeat everything to make sure all info is written down
rules for transferring
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
receiving transfers
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
transferring out
name of pharmacy
address of pharmacy
DEA # of pharmacy
pharmacist name
date of transfer
pharmacist/intern’s name
medication errors and reporting
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.
enhancing costumer service
establishing and meeting expectations
demonstrating empathy
communicating clearly and directly
identify problems and create solutions
building relationships
following up with patients
OTC triage
SCHOLAR MAC
Symptoms
Characteristics of Sympt
History of Sympt
Onset
Location
Aggravating factors
Remitting factors
Medication use (Rx or OTC)
Allergies
Coexisting conditions
When to refer
no relief after 1 week of OTC
worsening symptoms
sever bleeding/pain
reactions to OTC meds
