Prescriptions Flashcards
Required prescriber info on a prescription:
Name
Address
Phone number
Profession
Signature
Required patient info on a prescription
Name
Address
Age/DOB
Required drug info on a prescription
Name
Strength
Dosage form
Directions
Quantity
Additional info required for CS prescriptions
- Pt gender (C2 & BZPs)
- Quantity in both number and written format
- MDD
- Refills in numerical and written format (C3-5)
What can a RPh add to a prescription WITHOUT prescriber consent?
Pt gender
Pt address
Pt age
What can a RPh add WITH a prescribers consent?
DEA number
Directions
Code
MDD
Strength
What can a RPh NEVER add
Patient name
Medication
Signature
Date
Quantity
What may a RPh edit without prescriber permission?
Pt gender
Pt address
Pt age
What can a RPh edit WITH prescriber permission?
DEA number
Directions
Code
Quantity (may edit not add)
Medication
MDD
Strength
Dosage form
What can a RPh NEVER edit?
Patient name
Provider signature
Date
In NYS, how many times can a script written for PRN refills be refilled?
1 time
How many drugs can be ordered on the same prescription?
Prescriptions in NYS can only contain 1 drug per prescription
Exceptions:
- drug + hypodermic syringes
- general hospitals, nursing homes, residential care facilities (NON-CONTROLS ONLY)
You receive an out of state Rx with multiple drugs written on it, can it be filled?
Yes, but only if it is for non-controlled substances
Exceptions to mandatory E-prescribing
- 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
How long does a waiver from E-prescribing last?
12 months
When is someone eligible for a waiver from E-prescribing?
- 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
Required fields on electronic Rx
E-signature of prescriber
What additional info is required when taking a verbal Rx
name of employee providing the oral Rx
Who can phone in prescriptions?
Non-controls: any office staff
CS: usually not allowed, but in emergencies the prescriber must be the one to call it in
Max day supply for emergency oral Rx for a C2?
5 day supply
Max day supply for an oral Rx for C3-5?
5 day supply or 100 dosage units in accordance with sig
- whichever is less
How long do providers have to send a follow up prescription to the verbal order
72 hrs
- if not received RPh must document “Follow up prescription not received”, name of RPh, and date of recording
What information must be provided on a transfer?
responsibility lies on transferring & receiving RPhs
Required info on a Rx label?
- 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
Which info on a Rx label is considered Critical Elements
Patient name
SIG in full sentences
Drug name
Drug strength
How must critical elements be presented on the Rx label
highlighted in color and/or bold
minimum 12pt font
OTC label requirements
none specified
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
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
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
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
When must counseling be offered?
Refills
Counseling requirements for delivered meds?
deliveries must contain written offer to counsel with each Rx
Drug disposal / destruction: Partial CS doses
destroy on premises, co-sign
Drug disposal / destruction: multiple doses (nursing homes and class 3A facilities
destruction with permission of BNE
OR
via DEA-licensed waste disposal company
