Prescriptions

Question 1

Required prescriber info on a prescription:

Answer 1

Name
Address
Phone number
Profession
Signature

Question 2

Required patient info on a prescription

Answer 2

Name
Address
Age/DOB

Question 3

Required drug info on a prescription

Answer 3

Name
Strength
Dosage form
Directions
Quantity

Question 4

Additional info required for CS prescriptions

Answer 4

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

Question 5

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

Answer 5

Pt gender
Pt address
Pt age

Question 6

What can a RPh add WITH a prescribers consent?

Answer 6

DEA number
Directions
Code
MDD
Strength

Question 7

What can a RPh NEVER add

Answer 7

Patient name
Medication
Signature
Date
Quantity

Question 8

What may a RPh edit without prescriber permission?

Answer 8

Pt gender
Pt address
Pt age

Question 9

What can a RPh edit WITH prescriber permission?

Answer 9

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

Question 10

What can a RPh NEVER edit?

Answer 10

Patient name
Provider signature
Date

Question 11

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

Answer 11

1 time

Question 12

How many drugs can be ordered on the same prescription?

Answer 12

Prescriptions in NYS can only contain 1 drug per prescription

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

Question 13

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

Answer 13

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

Question 14

Exceptions to mandatory E-prescribing

Answer 14

• 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

Question 15

How long does a waiver from E-prescribing last?

Answer 15

12 months

Question 16

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

Answer 16

• 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

Question 17

Required fields on electronic Rx

Answer 17

E-signature of prescriber

Question 18

What additional info is required when taking a verbal Rx

Answer 18

name of employee providing the oral Rx

Question 19

Who can phone in prescriptions?

Answer 19

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

Question 20

Max day supply for emergency oral Rx for a C2?

Answer 20

5 day supply

Question 21

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

Answer 21

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

Question 22

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

Answer 22

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

Question 23

What information must be provided on a transfer?

Answer 23

responsibility lies on transferring & receiving RPhs

Question 24

Required info on a Rx label?

Answer 24

• 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

Question 25

Which info on a Rx label is considered Critical Elements

Answer 25

Patient name
SIG in full sentences
Drug name
Drug strength

Question 26

How must critical elements be presented on the Rx label

Answer 26

highlighted in color and/or bold
minimum 12pt font

Question 27

OTC label requirements

Answer 27

none specified

Question 28

If a drug is repackaged for in-house use only what is the expiration date?

Answer 28

12 months of 50% of the time remaining to the manufacturer’s exp date

whichever comes sooner

Question 29

What is the expiration date for customized patient medication packages?

Answer 29

soonest exp date of any of the included meds or 60 days

whichever comes first

Question 30

In what situation can NPs prescribe?

Answer 30

if they have a collaborative relationship with a physician, NPs can prescribe

do not need physician to co-sign

Question 31

When is counseling required?

Answer 31

New patient at the pharmacy
new drug
change in dose/strength/sig

patient may refuse but pharmacy must document their refusal

Question 32

When must counseling be offered?

Answer 32

Refills

Question 33

Counseling requirements for delivered meds?

Answer 33

deliveries must contain written offer to counsel with each Rx

Question 34

Drug disposal / destruction: Partial CS doses

Answer 34

destroy on premises, co-sign

Question 35

Drug disposal / destruction: multiple doses (nursing homes and class 3A facilities

Answer 35

destruction with permission of BNE
OR
via DEA-licensed waste disposal company