Prescriptions, Prescription Information, the Filling Process, and Labels

Question 1

Elements of the prescription

Answer 1

Dr. Name, title, office address and phone #
Dr. NPI
Dr. DEA (required for controlled Rx)
Pt name
Pt address
Date written
Inscription- name, strength, and quantity of medication
Sig code
Recipe (for compounding medications)
Refill instructions
DAW/PSC
Dr. signature

Question 2

This info must be entered by the pharmacist or the pharm tech

Answer 2

Date product is dispensed
Price charged
Manufacturer and NDC
Initials of who filled
Patient insurance info
Prescription/transaction number
Signature of pharmacist if prescription is verbal order

Question 3

Determine the ______ name so that multiple files are not created for one patient

Answer 3

exact.

avoid nicknames, initials. get a full name.

Question 4

Always confirm the information on the prescription is _______.

Answer 4

current

record the patient’s date of birth on the prescription to use as a double check when filling the prescription.

make sure all the required info is on the prescription before letting them go.

Question 5

During the fill process, the pharmacy technician is responsible to ______?

Answer 5

complete fill process by placing the correct amount of medication into a container and labeling it correctly. (fill)

Question 6

During the fill process, the pharmacist is responsible to ______?

Answer 6

check the final product and the label. (verify)

Question 7

fill process: common errors

Answer 7

wrong medication
wrong amount
wrong dosage
wrong directions/sig
forged or altered prescription

Question 8

fill process: considerations

Are the fill instructions ____ and _______?

Answer 8

clear and reasonable

Question 9

fill process: considerations

Are the ______ ________ clear?

Answer 9

administration directions

Question 10

Are the ____-____ names?

Answer 10

look-alike

Question 11

fill process: considerations

Don’t ______ _________!

Answer 11

add information

Question 12

fill process: considerations

Pay attention to _______!

Answer 12

warnings

when a warning sign pops up, call a pharmacist to evaluate each warning. It is up to the pharmacist to decided how important a warning is.

Question 13

fill process: considerations

Check against the _______!

Answer 13

original

when in doubt, refer to the original prescription before looking at the label.

Question 14

Roles: Pharmacist or Pharm Tech?

Assisting the pharmacist in routine, technical aspects of prescription filling

Answer 14

Tech

Question 15

Roles: Pharmacist or Pharm Tech?

Treating each patient, their personal information, and their medications with respect

Answer 15

Tech

Question 16

Roles: Pharmacist or Pharm Tech?

Accepting new prescriptions from patients, obtaining all necessary information, and keying it into the computer

Answer 16

Tech

Question 17

Roles: Pharmacist or Pharm Tech?

Getting advice whenever a warning note pops up on the screen

Answer 17

Tech

Question 18

Roles: Pharmacist or Pharm Tech?

Faxing or telephoning refill and clarification requests to prescribers

Answer 18

Tech

Question 19

Roles: Pharmacist or Pharm Tech?

Consulting to formularies and responding appropriately to third-party adjudication messaging, such as: non preferred drug, prior authorization, or step-edit required

Answer 19

Tech

Question 20

Roles: Pharmacist or Pharm Tech?

Recording the dispensing of controlled medications

Answer 20

Tech

Question 21

Roles: Pharmacist or Pharm Tech?

Checking the work of other techs, if instructed by pharmacist.

Answer 21

Tech

Question 22

Roles: Pharmacist or Pharm Tech?

ALWAYS ensuring accuracy and safety of the prescription by incorporating quality control checks into every step in the process

Answer 22

Tech

Question 23

Roles: Pharmacist or Pharm Tech?

The correct medication, strength, and dosage form is dispensed.

Answer 23

Pharmacist

Question 24

Roles: Pharmacist or Pharm Tech?

Directions for patient are clear and concise.

Answer 24

Pharmacist

Question 25

Roles: Pharmacist or Pharm Tech? Patient knows how to take the medication and how and when to fill it.

Answer 25

Pharmacist

Question 26

Roles: Pharmacist or Pharm Tech? No problems with allergies and interactions.

Answer 26

Pharmacist

Question 27

Roles: Pharmacist or Pharm Tech? Patient knows beneficial effects and side effects.

Answer 27

Pharmacist

Question 28

Roles: Pharmacist or Pharm Tech? Prescriber has been contacted regarding the prescription, if appropriate.

Answer 28

Pharmacist

Question 29

Roles: Pharmacist or Pharm Tech? The prescription has been accurately billed to the patient and/or the appropriate third party.

Answer 29

Pharmacist

Question 30

Roles: Pharmacist or Pharm Tech? Counsel patient on prescription and OTC medications.

Answer 30

Pharmacist

Question 31

Roles: Pharmacist or Pharm Tech? Receive telephone requests for new prescriptions.

Answer 31

Pharmacist

Question 32

Components of a label

Answer 32

``` name, address, and telephone number of the pharmacy prescription/transaction number name of patient patient address medication name, dosage, and quantity instructions date filled number of refills initials of filler refill info manufacturer name of prescriber expiration date of medication ```

Question 33

Directions for use should start with a ____ and ___________.

Answer 33

verb and completely, clearly, and accurately describe the administration of the medication.

Question 34

Directions for use should indicate the ______ of administration

Answer 34

route

Question 35

Use _____ _____, not _________.

Answer 35

whole words, abbreviations

Question 36

Use _______ words, especially in measurements.

Answer 36

familiar

Question 37

Prescription process

Answer 37

``` Prescription written by prescriber. Written prescription presented at the pharmacy. Prescription information is checked. Patient and prescription data is entered into system Insurance and billing processed Label is generated Prescription is prepared Pharmacist checks the prescription Patient receives the prescription Pharmacist provides counseling. ```