Prescription and Record Keeping Flashcards
Heroin
no currently accepted medical use
Schedule I
LSD
no currently accepted medical use
Schedule I
Methaqualone (Quaalude, Sopor)
sedative than increases activity of GABA receptors in brain and spinal cord
no currently accepted medical use
Schedule I
Experimental drugs
no currently accepted medical use
Schedule I
Amobarbital (Amytal)
Barbiturate derivative; hypnotic, sedative
Schedule II
Cocaine
stimulant and euphoriant; used in medical procedures to numb nose, mouth and throat
Schedule II
Hydromorphone (Dilaudid)
Schedule II
Meperidine (Demerol)
opioid agonist, mu receptors; pre and post-op
Schedule II
Methylphenidate (Ritalin; Concerta)
Methylphenidate (Methylin)
Methylin (second line treatment for narcolepsy, code e)
Ritalin (ADHD)
blocks reuptake of presynaptic norepinephrine and dopamine
Schedule II
Morphine (Roxanol)
Schedule II
Opioid derivatives (tincture of opium)
Schedule II
Oxycodone (Percodon, Percocet)
relative mu receptor selectivity, affinity with all opioid receptors
Schedule II
Pentobarbital (Nembutal)
sedative-hypnotic; preanesthetic; seizures
Schedule II
Phenmetrazine (Preludin)
Appetite suppressant
Schedule II
Secobarbital (Seconal)
pre-op anxiety; insomnia for no more than a seven-day use
Schedule II
Hydrocodone (Lortab, Lorcet, Tussionex, Hycodan)
chronic pain; cough suppressant (semisynthetic opioid antitussive)
Schedule II
Acetaminophen with Codeine
Schedule III
Aspirin with Butalbital and Codeine (Fiorinal with Codeine)
tension headaches
Schedule III
Aspirin with Codeine
Schedule III
Aspirin with Butalbital (Fiorinal)
Schedule III
Barbituric acid derivatives
CNS depressant; sedative-hypnotics, anticonvulsants, anxiolytics, tranquilizers
largely replaced by benzodiazepines
Schedule III
Butabarbital (Butisol)
fast onset short duration barbiturate; sleep aid, anxiety
Schedule III
Pentobarbital suppository (Nembutal)
Schedule III
Secobarbital suppository
Schedule III
Butorphanol (Stadol)
full agonist at kappa receptor, partial agonist at mu receptor
Schedule IV
Carisoprodol (Soma)
skeletal muscle relaxant
Schedule IV
Meprobamate
nonbenzodiazepine anxiolytics
Schedule IV
Pentazocine-naloxone (Talwin NX)
opioid partial agonist
Schedule IV
Phenobarbital
anticonvulsants; barbiturates
Schedule IV
Tramadol
non opioid derived synthetic opioid, may at least partially bind to mu receptors
Schedule IV
Zolpidem (Ambien)
selective antagonism of GABA receptors; sedative-hypnotic, sleep aid
Schedule IV
Benzodiazepines
Schedule IV
Codeine cough syrups (Robitussin with codeine, Actifed with Codeine)
Schedule V
Diphenoxylate with atropine (Lomotil)
Diphenoxylate: decrease GI propulsion and motility (like morphine)
Atropine: subtherapeutic dosage to discourage deliberate overdose
Schedule V
Must identify medical conditions as “Code A to F” when…
prescribing controlled substance Schedules II to IV for > 30 days
Code A
Anxiety
Code B
ADD
Code C
chronic debilitating neurologic disorders (seizures, movement disorders)
Code D
Pain relief (chronic and incurable)
Code E
Narcolepsy
Code F
hormone deficiency in males, gynecologic conditions and breast cancer in women, anemia and angioedema responsive to anabolic steroids or chorionic gonadotrophin
A National Provider Identifier number is issued by
CMS
US Center for Medicaid and Medicare Services
All non electronic prescriptions must be issued on…
ONYSRx forms
Where can you
(1) order ONYSRx
(2) renew registration with DoH
(3) attest to completion of mandatory prescriber education
(4) access the Prescription Monitoring Program (PMP)
NYS DoH
Health Commerce System Account (HCSA)
Mandatory prescriber education every…
3 yrs
Register with the NYS DoH Health Bureau of Narcotic Enforcement every ____ for…
Two years
Prescribe controlled substances
Obtain ONYSRx forms
In NY, every prescription for a controlled substance must include a _______ number
Drug Enforcement Administration (DEA)
Computer software must be …
Secure (encrypted and encoded)
Certified by FDA or audited
Registered with NYS DoH BNE
In order to obtain medicaid benefits the NP must…
Obtain a Medicaid Provider number
Before initially prescribing a controlled substance and many other drugs the prescriber is legally required to _____, except____
Examine patient Sexual partner(s) of patient with chlamydia
When not using an electronic prescription, the prescriber must ___
Document reason in patient’s record
A pharmacist will not issue a refill for Schedule III-V drugs until ___
The patient has exhausted all but a seven day supply
These drugs can only be prescribed via phone in an emergency
Benzodiazepines
Schedule II Drugs
Opioids for acute pain can only be prescribed for…
7 days
DAW
Dispense as written to distinguish generic vs Brand
In general a prescription must include a pts
Name address dob/age
A prescription for a schedule II controlled substance must include
The pts sex
When issuing a prescription for a thirty day of Sched III, IV, and V (excluding benzos) the prescriber may authorize ___ refills
5
When issuing a prescription for over a 3 month supply of schedule III, IV, and V (except benzos) ____ refill(s) may be authorized
One
NY law requires the number of refills authorized be in numeric and word for.
Refills are honored for up to 180 days
A schedule III, IV or V drug may be personally called in by the prescriber for a maximum of ___, after which they have ___ to ___
5 day supply
72 hours
Send in an ONYSRx form or electronic prescription
When schedule II or benzodiazepines are called in, ___ refills are allowed
0
