PHRM 822 Misc Final Review Flashcards

1
Q

What are the four big prescribers?

A

physicians, dentists, podiatrists, veterinarians

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2
Q

What are the midlevel prescribers?

A

optometrist, nurse practitioners, physician assistants, pharmacists

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3
Q

What do the numbers on the NDC stand for? (5555-4444-22)

A
  • first 5: manufacturer
  • middle 4: drug, strength, dosage form, formulation
  • last 2: package size
  • First 5 are assigned by the FDA; manufacturer assigns the rest
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4
Q

How do you differentiate between the controlled substance schedules?

A
  1. illegal
  2. high abuse
  3. medium abuse
  4. low abuse
  5. limited abuse
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5
Q

Which elements must be on a prescription before it can be processed and filled?

A
  • written date
  • patient’s address
  • patient’s name
  • doctor’s name (DAW)
  • drug name
  • drug directions
  • drug quantity

(date, address, name, name, name, directions, quantity)

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6
Q

What limitations are in place on prescription refills?

A
  • CII - no refills (1 year expiration)
  • CIII-CV - 5 refills (6 month expiration)
  • non-controlled - 1 year expiration
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7
Q

What are the requirements surrounding generic substitution of products?

A
  • dispensed label must say “_______ generic for ________”
  • must be therapeutically equivalent (orange book)
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8
Q

What are the 3 prime counseling questions?

A
  • what is this medication used for?
  • how are you supposed to be taking this medication?
  • what did the doctor tell you to expect?
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9
Q

What are the standards for therapeutic equivalence?

A
  • pharmaceutically equivalent and bio-equivalent
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10
Q

What are the standards for pharmaceutical equivalence?

A
  • active ingredient
  • strength
  • dosage form
  • route
  • labeling
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11
Q

What are the 4 identifiers on insurance cards?

A
  • BIN
  • PCN
  • rx group
  • member ID
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12
Q

List Medicaid characteristics:

A
  • state-funded
  • low income, children, expecting mothers
  • covers medical, dental, and rx
  • covers most RX, some OTC
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13
Q

List Medicare characteristics

A
  • federally funded program
  • elderly and disabled patients
  • Part A: Hospital
  • Part B: outpatient – diabetic supplies, cancer anti-emetics, some vaccines
  • Part C: advantage – increasing deductible and Rx coverage
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14
Q

How many times can CIII-CVs be transferred?

A
  • Only once
  • They have to have filled it once at the original pharmacy it was sent to
  • They can transfer it multiple times within the same central system
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15
Q

What is the difference between a drug recall and a drug seizure?

A

a drug recall is voluntary; a seizer is not

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16
Q

Class I recall

A

serious adverse affects – notify patients

17
Q

Class II recall

A

temporary/ reversible effects

18
Q

Class III effects

A

unlikely to cause harm

19
Q

When to refer?

A
  • no relief after one week of OTC treatment
  • worsening of symptoms
  • severe bleeding/ pain
  • reaction to OTC medications
20
Q

What information should you ask before recommending a medication?

A
  • Medications (OTC & Rx)
  • Allergies
  • Conditions