Non-Medication List Flashcards

1
Q

4 Big Prescribers

A

Physicians, Dentists, Podiatrists, Veterinarian

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2
Q

Mid-Level Prescribers

A

Optometrist, Advanced Practice Registered Nurse (APRN), Physician Assistant, Pharmacists

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3
Q

What do the numbers on NDC stand for?

A
  • First 5: Manufacturer
    -Middle 4: Drug, strength, dosage form, formulation of product
  • Last 2: Package size (comes in bottles of 100, 500, etc)
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4
Q

CSS: Schedule I

A

No medical use, highest potential abuse, unsafe

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5
Q

CSS: Schedule II

A

Medical use, high abuse potential, highly addictive

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6
Q

CSS: Schedule III

A

Medical use, medium abuse and addiction potential

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7
Q

CSS: Schedule IV

A

Medical use, low abuse and addiction potential

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8
Q

CSS: Schedule V

A

Limited abuse potential and/or psychological dependence

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9
Q

Prescription Requirements (8)

A
  • Patient name
  • Patient address
  • Prescriber
  • Date written
  • Drug name
  • Directions
  • Drug Quantity
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10
Q

Limitations on Rx Refills: C-II

A

Expire no later than 1 year from issue date with no refills

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11
Q

Limitations on Rx Refills: C-III, C-IV, C-V

A

Expire no later than 6 months from issue date, 5 refills max

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12
Q

Limitations on Rx Refills: Non-controlled

A

Unlimited refills, expires 1 year from written date

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13
Q

Requirements for Generic Substitutions

A

Requires the statement, “Generic for…”

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14
Q

Patient Counseling 3 Prime Questions

A
  • What is this medication used for?
  • How did your doctor tell you to take the medication?
  • What did the doctor tell you to expect (side effects)?
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15
Q

Generic Substitution - Therapeutic Equivalence

A
  • Product must be both pharmaceutically equivalent & bioequivalent
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16
Q

Pharmaceutical equivalence

A
  • Active ingredient
  • Dosage form
  • Strength
  • Route
  • Labeling
17
Q

Bioequivalence

A
  • In vivo (human) results
  • In vitro (lab) results
  • Kinetics, dynamics, clinical effects
18
Q

4 Identifiers of Insurance Cards

A
  • ID number
  • RxGRP
  • RxBIN
  • RxPCN
19
Q

Medicaid

A
  • State-funded program
  • Low-income families, children, expecting mothers
  • Covers many medical, dental, & Rx claims
  • Most Rx; some OTC
20
Q

Medicare

A
  • Federally-funded program
  • Elderly & disabled patients
  • Part A: hospital
  • Part B: outpatient, few needs (diabetic/medical supplies, oral anti-emetics for cancer, vaccines, like flu, pneumo, COVID)
  • Part C: “advantage,” deductible coverage, increasing Rx coverage
  • Part D: Rx coverage
21
Q

Phone-In Prescriptions - Interruption

A

Repeat back individual pieces of info as they say it, by
interrupting

22
Q

Phone-In Prescriptions - Echo-back

A

At the end, repeat back entire Rx in a logical sequence

23
Q

Rules for Transferring - Non-controlled Rx

A

Can be transferred multiple times between pharmacies within refill authorization limits on Rx

24
Q

Rules for Transferring - Controlled-III, IV, V Rx

A
  • Cannot be a new Rx-pt must have filled it at least once
  • One time transfer only
  • Exception: receiving & sending pharmacies share a common database
25
Q

Rules for Transferring - Controlled-II Rx

A

No refills allowed, no transfers

26
Q

Receiving Transfers

A

Get pt’s prescription info, Orig Rx #, date issued, date first filled, original # of refills, refills remaining, transferring pharmacy name + info, transferring RPh, Receiving RPh and Intern (if applicable), Prescriber’s info

27
Q

Transferring Out

A
  • Name of pharmacy
  • Address of pharmacy
  • DEA # of pharmacy
  • Pharmacist’s name
  • Date of Transfer
  • Student Pharmacist/Intern’s name
28
Q

Institute of Safe Medication Practices (ISMP)

A

Private entity focused on increasing the safety of
healthcare practice through documentation of how/why med errors occur, communicating trends to healthcare community

29
Q

Food and Drug Administration (FDA) MedWatch

A
  • A gov’t agency interested in product failures & serious adverse effects for all types of meds, medical devices & foods, which publishes recalls issued by manufacturers
  • Perform drug seizures
30
Q

Recall

A

correction or removal & notification by company of a product which is a violation of law; voluntary, Classes I
(serious adverse effect), II (temporary or reversible effects), III (unlikely to cause serious adverse effects)

31
Q

Seizure

A

FDA (adulterated or misbranded isolation of
drugs); DEA (illegal to possess or distribute) → both physically isolate the drugs

32
Q

Enhancing Customer Service

A
  • Establishing & meeting expectations
  • Demonstrating empathy
  • Communicating clearly & directly
  • Identifying problems & creating solutions
  • Building relationships
  • Following up with patients
33
Q

Over the Counter Triage

A

Symptoms
- Characteristics of Symptoms
- History of Symptoms
Onset
Location
- Aggravating Factors
Remitting Factors
- Medication Use (Rx & OTC)
Allergies
- Coexisting conditions

34
Q

When to Refer

A

No relief after 1 week of OTC treatment
Worsening of symptoms
Severe bleeding/pain
Reactions to OTC meds