PUP Final Non Medication List Review Flashcards
aa
of each
AA
affected area(s)
AAA
apply to the affected areas
ac
before meals
AD
right ear
AS
left ear
am
morning
app
applicatorful, apply
APAP
acetaminophen
ASA
aspirin
AU
both ears
bid
two times a day
BP
blood pressure
cap
capsule
c
with
cc
cubic centimeter
crm
cream
cs
controlled substance
d
daily
DAW
dispense as written
d/c
discontinue
DR
delayed release
ER, XR
extended release
GI
gastrointestinal
g, gm
gram
gtt
drop
hr, h
hour
hs
at bedtime
i, I
one
inh
inhalation
inj
inject
IM
intramuscular
IU
international units
IR
immediate release
iv
four
IV
intravenous
L
liter
mcg
microgram
mg
milligram
mL
milliliter
mm
millimeter
mEq
milliequivalent
OD
right eye
OS
left eye
ODT
orally disintegrating tablet
OU
both eyes
oz
ounce
pc
after meals
po
orally (by mouth)
prn
as needed, if needed
PR
rectally
pulv
powder
PV
vaginally
qd
once a day
q1d
once a day
q
every
qid
four times a day
qod
every other day
qpm
every evening
qam
every morning
q4-6
every 4 to 6
qhs
every night at bedtime
qs
quantity sufficient, up to
sig
directions
sl
sublingual, under tongue
SQ or SC
subcutaneous
SR
sustained release
ss
one half
stat
now/immediately
supp
suppositiory
tab
tablet
tbs, tbsp
tablespoon(ful)
U
units
ud
as directed
ung
ointment
x
times
yo
year old
yof
year old female
yom
year old male
What are the big four prescribers?
Physicians
Dentists
Podiatrists
Veterinarians
What are the midlevel prescribers?
Optometrist
Advanced Practice Registered Nurses
Physician Assistants
Pharmacists
What do the numbers on the NDC stand for?
First 5: identify the manufacturer assigned by the FD
Middle 4: identify the drug, strength, dosage form, formulation of the product, assigned by the manufacturer
Last 2: identify the package size, assigned by the manufacturer
How to differentiate between the controlled substance schedules?
Schedule 1: no medical use, highest abuse potential, unsafe
Schedule 2: medical use, high abuse potential, highly addictive
Schedule 3: medical use, medium abuse and addiction potential
Schedule 4: medical use, low-med abuse and addiction potential
Schedule 5: limited abuse potential, and/or physical psychological dependence
Which elements must be present on a prescription before it can be processed or filled?
Patient Name
Patient Address
Date Written
Medication Name and Strength
Sig
Amount Dispensed
Doctors Signature
DAW
What limitations are in place on prescription refills?
C-II: expires no later than one year from issue date, no refills
C-III - V: expire no later than 6 months from issue date with 5 refill maximum
What are the requirements surrounding generic substitution of products?
when a generic substitution is made for a trade/brand name drug, you must use this format on the label
” __________ generic for ____________”
What are the three prime questions utilized in counseling?
What is this medication used for?
How did the doctor tell you to take the medication?
What did the doctor tell you to expect?
Generic Substitution: TE
Pharmaceutical Equivalence: AI, dosage form, strength, route, labeling
AND
Bio-equivalence: in vivo (human), in vitro (lab) results (kinetics, dynamics, clinical effects)
What are the four identifiers for pharmacy insurance coverage?
ID Number (RxID)
RxGrp
RxBIN
RxPCN
What are the major differences between Medicare and Medicaid?
Medicaid: state funded, low income families, children, expecting mothers, covers many medical and prescription claims, most Rx, some OTC
Medicare: federally funded, elderly and disabled patients, Part A: hospital, Part B: outpatient, Part C: advantage/increasing Rx coverage
What is the difference between the interruption technique and the echo-back technique?
Interruption: purpose is to get all the important Rx elements by repeating back individual pieces of information as they say it, by interrupting
Echo-back: purpose is to ensure overall Rx accuracy by repeat back the entire prescription in a logical sequence at the end
What are the rules for transferring CII controls?
NO refills allowed, so cannot be transferred
What are the rules for transferring CIII-V
cannot be a new prescription (pt must have filled at least once)
one time transfer only
exception: receiving and sending pharmacies share a common database
What are the rules for transferring non-controlled prescriptions?
can be transferred multiple times between pharmacies, within the refill authorization limits on the prescription
What is the Institute of Safe Medication Practices (ISMP)
a private entity focused on increasing safety of healthcare practice through documentation of how why medication errors occur, communicating trends to the healthcare community and developing best practices
What is the Food and Drug Administration MedWatch
a government agency interested in product failures and serious adverse events for all types of medications, medical devices, and foods, which publishes recalls issued by manufacturers (voluntary recalls)
What are the differences between a drug recall and a drug seizure?
Recall: the correction or removal, and notification by the company of a product which is in violation of the law, voluntary
Seizure: FDA may physically isolate a drug that is adulterated or misbranded while a civil lawsuit is filed, DEA may physically isolate a drug that is illegal to possess or distribute while a criminal lawsuit is filed with probable cause and a warrant when necessary
What are some of the keys to ensuring strong customer practices in a community pharmacy setting?
Establishing and meeting expectations
Demonstrating empathy
Communicating clearly and directly
Identifying problems and creating solutions
Building relationships
Following up with patients
What patient specific information should you collect from patients prior to making a medication recommendation?
Medication Use (Rx and OTC)
Allergies
Conditions
identify when patients seeking OTC self-care should be referred
Identify the information required to be obtained when receiving a transferred prescription
Patient name
patient address
original rx
date issued
date filled
original number of refills
refills remaining
date last filled
pharmacy name
pharmacy addresss
dea number
phone number
transferring rph
receiving rph
transfer date
sig
drug and strength
number of tablets
DAW
Dr addresss
Dr Name
Dr DEA
Dr Phone
Identify the information required to be obtained when transferring a prescription
VOID
name of pharmacy
address of pharmacy
DEA number of pharmacy
pharmacists name
date of transfer
pharmacists or interns name transferring the information
