Pharmacy Law (Byrne) Flashcards
What does a prescription represent?
A professional relationship between the prescriber, pharmacist, and patient
What is an order by a licensed practitioner requesting the preparation of and direction for administration of a medication for a particular patient?
Prescription
What are 6 parts of the body of prescription?
- Superscription
- Inscription
- Subscription
- Signature
- Refill and other instructions
- DEA # if required
Symbol Rx-abbreviation for the word recipe meaning “take thou”
Superscription
What contains the name of the drug, strength of the drug and quantity prescribed?
Inscription
What contains the diretions to the pharmacist such as compounding?
Subscription
What are the directions for administration to the patient, abbreviated “Sig”?
Signature
When is a DEA number required on the prescription?
When written for a controlled substance
How are substances scheduled based on the Controlled Substances Act (1970)
According to abuse potential and medical use
What schedule contains high abuse potential drugs with no accepted medical use in the US (possession is illegal unless for research)?
Schedule I
What are 3 examples Schedule I drugs?
- Heroin
- Marijuana
- LSD
What schedule contains high abuse potential drugs that have accepted medical use (abuse of drugs may lead to severe psychic or physical dependence)?
Schedule II
What are some examples of Schedule II drugs?
- Narcotics (morphine, codeine)
2. Stimulants (cocaine)
What schedule contains lower abuse potential drugs with accepted medical use. Abuse of drugs may lead to moderate or low physical dependence or high psychological dependence?
Schedule III
What are some examples of schedule III drugs?
Codeine in combination (Tylenol 3, Lortab)
What schedule contains lower abuse potential drugs with accepted medical use. Abuse of drugs may lead to limited physical dependence or psychological dependence relative to Schedule III drugs?
Schedule IV
What is an example of a schedule IV drug?
Benzodiazepines (Valium)
What schedule contains drugs with low abuse potential drugs with accepted medical use (Drug has limited physical dependence or psychological dependence liability relative to Schedule IV drugs. Used in self-treatment OTC or by prescription)?
Schedule V
Can a drug with a small amount of narcotic be Schedule V?
Yes. OTC Cough syrup.
What is a schedule in Virginia to include all legend drugs not included in other schedules (They require a prescription but do not have any abuse potential)?
Schedule VI
What are some examples of schedule VI drugs?
- Lidocaine
- Antibiotics
- 800mg ibuprofen
What is considered safe and effective when used by the layman in self-treatment if used according to label instructions?
OTC
Can a doctor phone in a prescription for Schedule II drugs?
Yes but only a 3 day supply and must be followed by a written prescription with 72 hours
How long is a prescription good for?
6 months
Does a prescription’s 6 month life start the date written on the prescription or the day it is filled?
The day it is written
Can refills be given for a Schedule II drug?
No. New prescription is required.
What is the purpose of the prescription monitoring program?
Record of prescriptions from multiple sources. Track prescriptions by doctors.
What can you do with prescription monitoring program report?
- Discuss info with the particular patient
- Discuss with another health care provider of that patient
- Discuss with a pharmacist for that patient
Can the prescription monitoring program report be given to the patient for whom it was generated?
No
Can the prescription monitoring program be used as a means for background checks of potential employees?
No
Why should a dentist have a DEA number?
To be able to write for schedule II Narcotics and Non-narcotics, e.g. Percocets
How does a dentist get a DEA number?
Through the US Dept of Justice Drug Enforcement Administration Office of Diversion Control Application for Registration Under Controlled Substance Act of 1970
- Provide personal info
- Provide criminal background info
- Provide credit card number to be billed a fee to make DEA number good for 3 years
What is the purpose of the National Provider Identifier (NPI) number?
For insurance billing. Directed under HiPAA.
How does one get a National Provider Identifier (NPI) number?
Via the National Plan and Provider Enumeration System