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Community Pharmacy > Outpatient Prescription Writing (Exam 1) > Flashcards

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
Q

Code A

A

Panic Disorders
(Anxiety)

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26
Q

Code B

A

Minimal brain dysfunction
(Brain)

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27
Q

Code C

A

Chronic debilitating neurologic conditions
(Convulsions)

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28
Q

Code D

A

Relief of pain for chronic/incurable
(Dolor)

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29
Q

Code E

A

Narcolepsy
(Exhaustion)

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30
Q

Code F

A

Hormone deficiency
(Female)

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31
Q

Which control classes cannot be refilled?

A

C-II
C-IV benzodiazepines
C-III anabolic steroids

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32
Q

Additional controlled prescriptions can be issued when patient has a ___ day supply or less remaining.

A

7

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33
Q

How many refills do CIII-V get and in what time period?

A

5 refills within 6 months

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34
Q

No additional REFILLS until the patient has a ___ day supply or less remaining.

A

7

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35
Q

Controlled substance data must be transmitted to NYSDOH within ____ from time of delivery

A

24 hours

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36
Q

Pharmacies delivering controlled prescriptions by mail/express delivery must file information no later than _____ after shipped from pharmacy.

37
Q

Rejected data submissions must be corrected and resubmitted within _____.

38
Q

Dates of operation where no dispensing of controlled substances occurred is called ___ and must be reported within ____.

A

Zero Reporting

14 days

39
Q

I STOP Law

A

Requires prescribers to consult a real time monitoring program registry (NYS PMP) prior to prescribing CII-IV

40
Q

Which group of prescribers are exempt from many laws?

A

Veterinarians

41
Q

All prescribers must issue prescriptions ____ to pharmacies.

A

electronically

42
Q

Exemptions from e-prescribing law

A

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
Q

Electronic prescribing is law for all types of prescription medications except

A

non-prescription items
ex. durable medical equipment

44
Q

Email and faxed prescriptions are considered electronic prescriptions. T/F

45
Q

Electronic prescriptions must contain

A

NPI Number
Electronic DAW
Must specify DAW
Same as written laws

46
Q

NPI Number

A

10 digit numerical identification number for health care providers
Only on electronic prescriptions

47
Q

Providers must give patients ______ and obtain written acknowledgment

A

Notice of Privacy Practices

48
Q

Max days supply of opioids for acute pain

49
Q

Max days supply of opioids for chronic pain

A

30 days
Code D for 90 days

50
Q

Max quantity of controlled substances for oral prescriptions

A

5 days supply except CIV: 30 days or 100 doses (whichever comes first)

51
Q

Max refills of controlled substances for oral prescriptions

52
Q

Emergency oral prescription for CII rules

A

No more than 5 days supply
“Authorized Emergency Dispensing” must be written by pharmacist

53
Q

CIII-IV emergency oral prescriptions require “Authorized Emergency Dispensing” to be written on Rx. T/F

54
Q

Written follow up Rx’s for oral prescriptions of CIIs must be received within ____ otherwise ____

A

72 hours

Pharmacy must contact NYS Bureau of Narcotic Control within 7 days

NO REFILLS

55
Q

Written follow up Rx’s for oral prescriptions of CIII-V must be received within ____

A

72 hours

May or may not contact bureau

Can have 5 refills in 6 months

56
Q

If you do not receive a hard copy for oral CIII-Vs, what do you do?

A

Stamp indication “Prescription Cover Not Received”

57
Q

Nurses and other office personnel can phone in controlled substances to the pharmacy. T/F

A

FALSE
they can only phone non-controlled substances

58
Q

Do electronic or faxed prescriptions from prescriber to pharmacy require follow up cover?

A

NO
Follows written laws

59
Q

If controlled substance is faxed over to pharmacy it follows ____ laws

60
Q

If pharmacy has written agreement with hospice program or RHCF, controlled prescriptions may be ____ over but original Rx must be sent over within ___.

A

Faxed

72 hours

61
Q

Serial Number for out of state Rx’s

A

eight “Z”
ZZZZZZZZ

62
Q

Serial Number for Verbal Rx’s

A

eight “9”
99999999

63
Q

Serial Number for electronic Rx’s

A

eight “E”
EEEEEEEE

64
Q

Out of stock situations can be partially filled for all controls if the remaining is filled within _____.

65
Q

Partial fills of CIII-V is okay as long as all is filled within ____.

66
Q

Partial fills of CII is okay for terminally ill patients as long as rest is filled within ____.

67
Q

Partial fills and out of stock situations are allowed for non-controlled substances. T/F

68
Q

DEA form 224

A

initial application for pharmacy
must be renewed every 3 years

69
Q

3 most common prescription filing

A

non controlled
CII
CIII-CV

70
Q

can CIIs be filed with noncontrolled?

A

NO!
they have their own separate file

71
Q

can CIII-CV be filed with noncontrolled?

A

Yes!
C must be stamped on controlled Rx in red

72
Q

how long do original prescriptions need to be kept on file for in NYS?

73
Q

can vaccination records be purged?

74
Q

DEA form 222

A

order controlled substances from a licensed distributor/wholesaler

75
Q

DEA form 222 can also be used to

A

transfer CII stock from pharmacy to pharmacy

76
Q

CIII-CV ordering

A

ordered via same order forms as other noncontrolled medications from a licensed distributor/wholesaler

77
Q

CII orders must be filled within

78
Q

Inventory of controlled substances

A

very 2 years (biennial)
on may 1st of odd years
records kept for 5 years in NYS

79
Q

federal rule for inventory of controlled substances

A

CII - exact count
CIII-CV - estimate count except for bottles over 1000

80
Q

Perpetual inventory checklist

A

Class II drug inventory control sheetq

81
Q

storage of controlled substances

A

CII - securely locked
CIII-CV - dispersed throughout medication stock

82
Q

DEA form 106

A

notify DEA of theft

83
Q

can controlled substances be transferred to another pharmacy

A

not in NYS!

84
Q

can noncontrolled substances be transferred to another pharmacy?

A

only 1 refill

85
Q

Mailing of a controlled substance

A

may be mailed pursuant to a patient RX
must be securely wrapped

86
Q

hypodermic syringes and needles

A

written/electronic rx permissible
oral rx - no dispensing limits, no cover needed
allow 1 refill transfer

87
Q

ESAP Syringe Access Program

A

(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
Q

New York State Orals Bill

A

optometrists can prescribe certain oral pharmaceutical agents

89
Q

what orals can optometrists now prescribe?

A

antivirals - 7 day supply
antiglaucoma - 24hrs plus referral
antibiotics

Community Pharmacy (5 decks)

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