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Outpatient Prescription Writing (Exam 1) Flashcards

1
Q

Non-controlled vs Controlled Drugs

A

Non-controlled: not abused
Controlled: abused

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2
Q

General Rules Dispensing Rx’s

A

Consider written date
No time limit for non-controlled
30 days for controlled
No more than one drug per Rx

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3
Q

Can you fill out of state prescriptions?

A

Yes
Must have all required NYS info and follow NYS laws

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4
Q

How must Rx’s be written?

A

In ink or electronically typewritten

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5
Q

Adhesive stickers permanently affixed to Rx is legal for

A

Non-controlled substances only

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6
Q

Which parts of a prescription MUST be handwritten?

A

Prescriber’s signature
DAW box

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7
Q

‘prn’ written in refill box means ___ for non-controls and ___ for controls

A

One refill
No refills

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8
Q

To prevent prescription alterations on controlled substances refills the amount must be authorized in

A

both numerical and written word forms
Can still dispense if there is not both

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9
Q

DEA # Check Formula

A

1st letter = registrant
2nd letter = initial of last name
(1st digit + 3rd + 5th) + (2nd + 4th + 6th)x2 = 7th digit of DEA#

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10
Q

What does a DEA# allow prescribers to do?

A

Prescribe controlled substances

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11
Q

Pharmacists can never add these to all prescriptions

A

Date
Patient Name
Drug Name
Quantity
Prescriber
Signature of Prescriber

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12
Q

A pharmacist CAN change on a prescription

A

The existing drug quantity

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13
Q

Prescriptions for controlled substances MUST have

A

Complete patient directions
Quantity of dose
Frequency
Max daily dose (MDD)

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14
Q

Can the MDD be less than the frequency in directions?

A

YES

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15
Q

Is it legal to accept “Take as directed” as prescription instructions

A

Yes but only for non-controlled substances

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16
Q

Schedule (C) I Substances

A

High potential for abuse
NOT kept in pharmacy
No FDA approved medical use

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17
Q

Schedule (C) II Substances

A

Abuse may lead to severe physical or psychological dependence

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18
Q

Schedule (C) III Substances

A

Abuse may lead to moderate/low physical or high psychological dependence

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19
Q

Schedule (C) IV Substances

A

Abuse may lead to limited physical or psychological dependence

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20
Q

Schedule (C) V Substances

A

Abuse may lead to limited physical or psychological dependence

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21
Q

Which groups of drugs are federally not CII but treated as such in NYS?

A

Anabolic Steroids
Benzodiazepines

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22
Q

All dispensed controlled substance prescriptions must contain an _____ label.
What does this indicate?

A

Auxiliary

Transfer of drug to anyone other than prescribed to is illegal

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23
Q

Which drugs are recognized as CIII in NYS but federally non-controlled?

A

Novarel
Pregnyl

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24
Q

Which is the only medical profession not allowed to prescribe controlled substances in NYS?

A

Optometrists

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25
Code A
Panic Disorders (Anxiety)
26
Code B
Minimal brain dysfunction (Brain)
27
Code C
Chronic debilitating neurologic conditions (Convulsions)
28
Code D
Relief of pain for chronic/incurable (Dolor)
29
Code E
Narcolepsy (Exhaustion)
30
Code F
Hormone deficiency (Female)
31
Which control classes cannot be refilled?
C-II C-IV benzodiazepines C-III anabolic steroids
32
Additional controlled prescriptions can be issued when patient has a ___ day supply or less remaining.
7
33
How many refills do CIII-V get and in what time period?
5 refills within 6 months
34
No additional REFILLS until the patient has a ___ day supply or less remaining.
7
35
Controlled substance data must be transmitted to NYSDOH within ____ from time of delivery
24 hours
36
Pharmacies delivering controlled prescriptions by mail/express delivery must file information no later than _____ after shipped from pharmacy.
72 hours
37
Rejected data submissions must be corrected and resubmitted within _____.
3 days
38
Dates of operation where no dispensing of controlled substances occurred is called ___ and must be reported within ____.
Zero Reporting 14 days
39
I STOP Law
Requires prescribers to consult a real time monitoring program registry (NYS PMP) prior to prescribing CII-IV
40
Which group of prescribers are exempt from many laws?
Veterinarians
41
All prescribers must issue prescriptions ____ to pharmacies.
electronically
42
Exemptions from e-prescribing law
Electronic systems are temporarily down Prescriber has waiver granted Prescriber determines it is impractical to e-prescribe Prescriptions will be dispensed out of state
43
Electronic prescribing is law for all types of prescription medications except
non-prescription items ex. durable medical equipment
44
Email and faxed prescriptions are considered electronic prescriptions. T/F
FALSE
45
Electronic prescriptions must contain
NPI Number Electronic DAW Must specify DAW Same as written laws
46
NPI Number
10 digit numerical identification number for health care providers Only on electronic prescriptions
47
Providers must give patients ______ and obtain written acknowledgment
Notice of Privacy Practices
48
Max days supply of opioids for acute pain
7 days
49
Max days supply of opioids for chronic pain
30 days Code D for 90 days
50
Max quantity of controlled substances for oral prescriptions
5 days supply except CIV: 30 days or 100 doses (whichever comes first)
51
Max refills of controlled substances for oral prescriptions
NONE
52
Emergency oral prescription for CII rules
No more than 5 days supply "Authorized Emergency Dispensing" must be written by pharmacist
53
CIII-IV emergency oral prescriptions require "Authorized Emergency Dispensing" to be written on Rx. T/F
FALSE
54
Written follow up Rx's for oral prescriptions of CIIs must be received within ____ otherwise ____
72 hours Pharmacy must contact NYS Bureau of Narcotic Control within 7 days NO REFILLS
55
Written follow up Rx's for oral prescriptions of CIII-V must be received within ____
72 hours May or may not contact bureau Can have 5 refills in 6 months
56
If you do not receive a hard copy for oral CIII-Vs, what do you do?
Stamp indication "Prescription Cover Not Received"
57
Nurses and other office personnel can phone in controlled substances to the pharmacy. T/F
FALSE they can only phone non-controlled substances
58
Do electronic or faxed prescriptions from prescriber to pharmacy require follow up cover?
NO Follows written laws
59
If controlled substance is faxed over to pharmacy it follows ____ laws
Verbal
60
If pharmacy has written agreement with hospice program or RHCF, controlled prescriptions may be ____ over but original Rx must be sent over within ___.
Faxed 72 hours
61
Serial Number for out of state Rx's
eight "Z" ZZZZZZZZ
62
Serial Number for Verbal Rx's
eight "9" 99999999
63
Serial Number for electronic Rx's
eight "E" EEEEEEEE
64
Out of stock situations can be partially filled for all controls if the remaining is filled within _____.
72 hours
65
Partial fills of CIII-V is okay as long as all is filled within ____.
6 months
66
Partial fills of CII is okay for terminally ill patients as long as rest is filled within ____.
60 days
67
Partial fills and out of stock situations are allowed for non-controlled substances. T/F
TRUE!
68
DEA form 224
initial application for pharmacy must be renewed every 3 years
69
3 most common prescription filing
non controlled CII CIII-CV
70
can CIIs be filed with noncontrolled?
NO! they have their own separate file
71
can CIII-CV be filed with noncontrolled?
Yes! C must be stamped on controlled Rx in red
72
how long do original prescriptions need to be kept on file for in NYS?
5 years
73
can vaccination records be purged?
NO!
74
DEA form 222
order controlled substances from a licensed distributor/wholesaler
75
DEA form 222 can also be used to
transfer CII stock from pharmacy to pharmacy
76
CIII-CV ordering
ordered via same order forms as other noncontrolled medications from a licensed distributor/wholesaler
77
CII orders must be filled within
60 days
78
Inventory of controlled substances
very 2 years (biennial) on may 1st of odd years records kept for 5 years in NYS
79
federal rule for inventory of controlled substances
CII - exact count CIII-CV - estimate count except for bottles over 1000
80
Perpetual inventory checklist
Class II drug inventory control sheetq
81
storage of controlled substances
CII - securely locked CIII-CV - dispersed throughout medication stock
82
DEA form 106
notify DEA of theft
83
can controlled substances be transferred to another pharmacy
not in NYS!
84
can noncontrolled substances be transferred to another pharmacy?
only 1 refill
85
Mailing of a controlled substance
may be mailed pursuant to a patient RX must be securely wrapped
86
hypodermic syringes and needles
written/electronic rx permissible oral rx - no dispensing limits, no cover needed allow 1 refill transfer
87
ESAP Syringe Access Program
(if registered) can sell or furnish up to 10 needles/syringes to a person over 18 without a prescription no limit to number of transactions/patient
88
New York State Orals Bill
optometrists can prescribe certain oral pharmaceutical agents
89
what orals can optometrists now prescribe?
antivirals - 7 day supply antiglaucoma - 24hrs plus referral antibiotics

Community Pharmacy (11 decks)

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