Other Topics Flashcards
Statute
Written law enacted by the legislature
Regulation
Rule having the force of law issued by an administrative agency
MD or DO
Physician, whole body prescribing
DDS or DMD
Dentist, mouth, teeth, gums
DPM
Podiatrist, foot and ankle
DVM
Veterinarians, non human
OD
Optometrist, eyes
APRN
Advanced practice registered nurse, full or limited prescribing without physician supervision
PA
physician assistant, may prescribe drugs delegated to them by MD or DO
Pharmacists may prescribe for
inhalation, nebulizer, saline for irrigation, supplies for medical devices, pen needles, syringes
Legend drugs
Require a prescription
Non legend drugs
OTC, BTC, Medical devices, Medical food
Some medications are available as both
Legend or non legend product
Why prescribe a non legend drug?
Wanted on patients med list, prompts computer check for allergies, wants specific directions for use, need itemized receipt
Most insurance companies will not pay for
OTC or BTC drugs
Rules for Pseudophedrine
18+ provide ID
Syringes rules
present ID
NDC number National drug code
5,4,2 Manufacturer, Strength/dosageform/formulation, package size
Drugs schedule placement depends on
Medical use, Abuse potential, addiction potential
Schedule 1
No medical use, high abuse potential, unsafe
Schedule 2
Medical use, high abuse potential, highly addictive
Schedule 3
medical use, medium abuse, addiction potential
Schedule 4
Medical use, low med abuse, addiction potential
Schedule 5
Limited abuse potential, physical, psychological dependence
DEA
Drug enforcement agency, enforces the controlled substance act
DEA# purpose
Tract CS prescribing
DEA# can be assigned to
Prescribers, pharmacies, hospitals, teaching institutions
DEA verification
1+3+5, 2+4+6 (2)
Add answers together last digit should match DEA#
Opioid medications limited to 7 day supply for
First time patients, children under 18, animals
C2 can be dispensed from an E-Rx but not from
a faxed Rx
elements prescription should have before being processed/filed
Patient name, Patient address, Date, drug name and strength, directions, quantity, prescriber signature
Controlled substance prescription requirements
Prescriber address, DEA, dosage form, no advertisements, signed by prescriber
C2 expiration and refills
Expire after 1 year, No refills
C3, C4, C5 expiration and refills
Expire in 6 months, 5 refill maximum
Non controlled medications expiration and refills
Expire after 1 year, unlimited refills
Non controlled prescription transferring
No limit until expired
C3, C4, C5 transferring
Once in 6 months, multiple times if pharmacy shares electronic database
C2 transferring
Transfers not allowed
Three prime questions in counseling
What did the doctor tell you the medication was used for?
How did the doctor tell you to take the medication?
What did the doctor tell you to expect about the medication?
Pharmaceutical equivalence
Active ingredient, dosage form, strength, route, labeling
Bio equivalence
In vivo (human) results, In vitro (lab) results (kinetics, dynamics, clinical effects)
Four identifiers for insurance coverage
ID number, RxGroup, RxBIN, RxPCN
PCN
Processor control number, Identifier that routes pharmacy claim
BIN
Bank identification number, 6 digits, tells pharmacy which PBM should pay
Group
Identifies employer and specific plan
Medicaid
State funded, Low income families, children, expecting mothers, covers medical, dental, prescription claims
Medicare
Federally funded, elderly and disabled patients
Medicare Part A
Hospital
Medicare Part B
Outpatient, few meds, diabetic supplies, oral cancer meds, vaccines
Medicare Part C
Advantage deductible coverage, increasing Rx coverage
Medicare Part D
Prescription coverage
Echo back technique
repeat back entire prescription at the end in logical sequence
Institute of Safe Medication Practices
Private entity focused on increasing safety of healthcare through documentation of medication error trends
FDA Medwatch
Government agency interested in product failures and serious adverse events
Drug recall
Voluntary Correction or removal of a product in violation of the law
FDA Drug seizure
isolate a drug that is adulterated or misbranded
DEA seizure
isolate drug illegal to possess or distribute
SCHOLAR stands for
Symptoms, Characteristics of symptoms, History, Onset, Location, Aggravating factors, Remitting factors