PHRM 822 Misc Final Review

Question 1

What are the four big prescribers?

Answer 1

physicians, dentists, podiatrists, veterinarians

Question 2

What are the midlevel prescribers?

Answer 2

optometrist, nurse practitioners, physician assistants, pharmacists

Question 3

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

Answer 3

• 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

Question 4

How do you differentiate between the controlled substance schedules?

Answer 4

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

Question 5

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

Answer 5

• 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)

Question 6

What limitations are in place on prescription refills?

Answer 6

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

Question 7

What are the requirements surrounding generic substitution of products?

Answer 7

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

Question 8

What are the 3 prime counseling questions?

Answer 8

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

Question 9

What are the standards for therapeutic equivalence?

Answer 9

• pharmaceutically equivalent and bio-equivalent

Question 10

What are the standards for pharmaceutical equivalence?

Answer 10

• active ingredient
• strength
• dosage form
• route
• labeling

Question 11

What are the 4 identifiers on insurance cards?

Answer 11

• BIN
• PCN
• rx group
• member ID

Question 12

List Medicaid characteristics:

Answer 12

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

Question 13

List Medicare characteristics

Answer 13

• 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

Question 14

How many times can CIII-CVs be transferred?

Answer 14

• 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

Question 15

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

Answer 15

a drug recall is voluntary; a seizer is not

Question 16

Class I recall

Answer 16

serious adverse affects – notify patients

Question 17

Class II recall

Answer 17

temporary/ reversible effects

Question 18

Class III effects

Answer 18

unlikely to cause harm

Question 19

When to refer?

Answer 19

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

Question 20

What information should you ask before recommending a medication?

Answer 20

• Medications (OTC & Rx)
• Allergies
• Conditions