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Pharmacology > ! Prescription Writing > Flashcards

! Prescription Writing Flashcards

1
Q

What are the 2 groups of medication

A

OTC don’t need prescription

Legend need prescription andd erived from valid patient-prescriber relationship

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2
Q

2 groups of legend drugs

A

Non schedules/non controlled which are not addictive and have no abuse potential

Scheduled/controlled which have addiction/abuse potential and/or dose

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3
Q

Designation fo non scheduled vs scheduled designations impact what

A

Dispense quantity, refills allowed and prescriptions life span

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4
Q

C-1 schedule

A

NO

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5
Q

Example of scheduled drugs

A

Morphine, codeine, amphetamine, diazepam

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6
Q

Examples of non scheduled drugs

A

Amoxicillin, propranolol, furosemide

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7
Q

What are the 9 legal requirements of prescriptions

A
  1. Name and address of prescriber
  2. name address patient
  3. date prescription was written with year
  4. name, strength, dose
  5. direction for use
  6. Quantity to be dispensed
  7. Number of refills allowed
  8. Prescribers signiture
  9. prescriber DEA number (for controlled drugs)
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8
Q

What is the DEA number

A

A 2 letter and 7 digit number (personally identifies physician)
-required by law if scheduled/controlled compound

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9
Q

What is quantity

A

30

Wt/vol/number and spelling

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10
Q

Non controlled legend lifespan

A

12 months or number or refills-whichever ccomes first

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11
Q

Limit to refills

A

7 day for opoid

No legal limit on # of refills or quantity dispensed during 12 month life span (limits set by insurance)

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12
Q

Partial filling non controlled legend

A

Possible until full quantity of prescription and all refills dispensed or expiration date 1 year

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13
Q

Controlled prescription lifespan

A

6 months or # or refills whichever occur first

Exception -C-V which has a lifespan of 12 months

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14
Q

Wnumber of refills

A

C-II=none (0 refills)
CIII-CIV=5 refills over 6 months
C-V=no limit on refills (prescribable )

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15
Q

Legal limit on quantity dispensed

A

90 days for C-III through CV

30 days for CII up to 90 days with documentation of medical reason

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16
Q

Partial filling controlled

A

Possible only for CIII/IV/V until full quantity of prescription and all refills dispensed or expiration

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17
Q

Partial filling for CII is not possible , UNLESS

A

Pharmacist doesn’t have full quantity (72 hours) or long term care/hospice

18
Q

Schedule II controlled substances:prescription validity, quantity limits, refills

A

6 months

30/90 days with documentation medical reason

May not be refilled

19
Q

Schedule III-IV controlled substances

A

Six month

90 days

Up to five times within six months

20
Q

Schedule V controlled

A

One year
90 days
As prescribed

21
Q

Non controlled substances

A

One year

As prescribed

As prescribed

22
Q

How send in prescriptions

A

Call/fax original prescription or refills for all legends except CII

Patients cant fac

23
Q

Prescriptions for legends can be electronically submitted with what

A

Board approved software, scan or fax with valid electronic signicatied or confidential digital key/identifier

24
Q

Faxed prescriptions must be signed ___

A

Manually

Security paper required by Missouri state and strongly recommended by BNDD

25
Q

CII prescription transfers not allowed

A

Except in emergency a physician can telephone only

26
Q

Prescription transfers allowed if for not CII in what case

A

Still in date and with refills (pt request or by pharmacy on request of patient; only pharmacy to pharmacy)

27
Q

CIII through CV can be transferred __

A

Once

28
Q

When can CIII-CV be transfers more than once

A

If pharmacies share a real time online database0federal law still requires involvement of 2 pharmacists in transfer

29
Q

___ __ orders are not transferable outside of the facility (need to be converted to a new order/prescription)

A

Nursing home

30
Q

What can be changed on a controlled substance prescription

A 
Date written
Patients address
Drug form
Drug strength
Quantity to be dispensed 
Prescribers DEA number
Directions for use 
Substitutions permitted
Refill information 
Reasons for extended supplies for schedule II prescriptions
31
Q

What can never be changed/added

A

Patients name
Drug name
Prescribers signature

32
Q

What constitutes an emergency for controlled substances

A

Immediate administration is necessary for roper treatment of the intended ultimate use

No appropriate alternative tratment is available including a non CII

It is not reasonably possible for prescriber to provide written prescription to the pharmacist prior to dispensing

33
Q

In the case of emergency __ hours is allowed for delivery of Rx to dispensing pharmacy and how is the quantity limited

A

72

Limited to amount needed during emergency time

34
Q

Collaborative practice (APRN/RPh) or supervisory (PA) agreements

A

These professionals may write for any legend drug if documented in a signed agreement

  • need name and contact information of physician and personal writing prescription
  • physician and personnel writing prescription must be registered with the BNDD and DEA to prescribe controlled substances
  • legend prescriptions by these proverbs have different limits
35
Q

Self prescribing of controlled substances

A

Illegal in MO

Self prescribing of non controlled substances is not illegal but discouraged by board of healing arts

36
Q

Prescribing for family

A

Sure as long as the same records are maintained as for any other patient

37
Q

Can you return dispensed medications for credit or Reid spending

A

No

38
Q

How can you give drugs back

A

Medication disposal events
Drug take back events sponsored by DEA

Proper disposal

39
Q

__ also carry liability, and are bound by moral/ethical principles similar to a physician

A

Pharmacists

40
Q

What happens is pharmacist deliberately ignores a questionable prescription

A

May lose license

Felony

Pharmacology (52 decks)

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