Prescriptions Flashcards

1
Q

Required prescriber info on a prescription:

A

Name
Address
Phone number
Profession
Signature

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2
Q

Required patient info on a prescription

A

Name
Address
Age/DOB

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3
Q

Required drug info on a prescription

A

Name
Strength
Dosage form
Directions
Quantity

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4
Q

Additional info required for CS prescriptions

A
  • Pt gender (C2 & BZPs)
  • Quantity in both number and written format
  • MDD
  • Refills in numerical and written format (C3-5)
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5
Q

What can a RPh add to a prescription WITHOUT prescriber consent?

A

Pt gender
Pt address
Pt age

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6
Q

What can a RPh add WITH a prescribers consent?

A

DEA number
Directions
Code
MDD
Strength

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7
Q

What can a RPh NEVER add

A

Patient name
Medication
Signature
Date
Quantity

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8
Q

What may a RPh edit without prescriber permission?

A

Pt gender
Pt address
Pt age

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9
Q

What can a RPh edit WITH prescriber permission?

A

DEA number
Directions
Code
Quantity (may edit not add)
Medication
MDD
Strength
Dosage form

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10
Q

What can a RPh NEVER edit?

A

Patient name
Provider signature
Date

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11
Q

In NYS, how many times can a script written for PRN refills be refilled?

A

1 time

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12
Q

How many drugs can be ordered on the same prescription?

A

Prescriptions in NYS can only contain 1 drug per prescription

Exceptions:
- drug + hypodermic syringes
- general hospitals, nursing homes, residential care facilities (NON-CONTROLS ONLY)

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13
Q

You receive an out of state Rx with multiple drugs written on it, can it be filled?

A

Yes, but only if it is for non-controlled substances

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14
Q

Exceptions to mandatory E-prescribing

A
  • veterinarians
  • temporary tech failure
  • temporary electronic failure
  • prescriber thinks E-Rx will delay treatment, and that delay would impact the patients health
  • Prescription to be dispensed by an out of state pharmacy
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15
Q

How long does a waiver from E-prescribing last?

A

12 months

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16
Q

When is someone eligible for a waiver from E-prescribing?

A
  • Pt treated in nursing home or res facility
  • Rx containing 2 or more products for a compound
  • any drug to be directly to the patient via injection/infusion
  • any Rx that contains long or complicated directions
  • EPT, CDTM
  • Non-patient specific Rx for an opioid antagonist
  • any substance prescribed under research protocol
  • any prescriber who issues < 25 prescriptions per year
17
Q

Required fields on electronic Rx

A

E-signature of prescriber

18
Q

What additional info is required when taking a verbal Rx

A

name of employee providing the oral Rx

19
Q

Who can phone in prescriptions?

A

Non-controls: any office staff
CS: usually not allowed, but in emergencies the prescriber must be the one to call it in

20
Q

Max day supply for emergency oral Rx for a C2?

A

5 day supply

21
Q

Max day supply for an oral Rx for C3-5?

A

5 day supply or 100 dosage units in accordance with sig
- whichever is less

22
Q

How long do providers have to send a follow up prescription to the verbal order

A

72 hrs
- if not received RPh must document “Follow up prescription not received”, name of RPh, and date of recording

23
Q

What information must be provided on a transfer?

A

responsibility lies on transferring & receiving RPhs

24
Q

Required info on a Rx label?

A
  • Patient name*
  • directions for use in full sentences*
  • drug name*
  • drug strength*
  • Pharmacy name, address, phone #
  • patient address
  • name of prescriber
  • date of fill/refill
  • prescription number
25
Which info on a Rx label is considered Critical Elements
Patient name SIG in full sentences Drug name Drug strength
26
How must critical elements be presented on the Rx label
highlighted in color and/or bold minimum 12pt font
27
OTC label requirements
none specified
28
If a drug is repackaged for in-house use only what is the expiration date?
12 months of 50% of the time remaining to the manufacturer's exp date whichever comes sooner
29
What is the expiration date for customized patient medication packages?
soonest exp date of any of the included meds or 60 days whichever comes first
30
In what situation can NPs prescribe?
if they have a collaborative relationship with a physician, NPs can prescribe do not need physician to co-sign
31
When is counseling required?
New patient at the pharmacy new drug change in dose/strength/sig patient may refuse but pharmacy must document their refusal
32
When must counseling be offered?
Refills
33
Counseling requirements for delivered meds?
deliveries must contain written offer to counsel with each Rx
34
Drug disposal / destruction: Partial CS doses
destroy on premises, co-sign
35
Drug disposal / destruction: multiple doses (nursing homes and class 3A facilities
destruction with permission of BNE OR via DEA-licensed waste disposal company