PUP FINAL REVIEW Flashcards
Doxycycline Monohydrate/Hyclate
Vibramyocin
Adoxa
Monodox
Azithromycin
Z-Pak
Tri-Pak
Zithromex
Sulfamethoxazole-Trimethoprim (SMZ-TMP):
Bactrim DS
Nitrofurnatoin
Macrobid
Macrodantin
Tri-phasics: Ethinyl estradiol/norgestimate
Ortho tricyclen
Tri-sprintec
Tri-vilibra
Ferrous fumarate
Norethindrone
Norelgestromin
Xulane
Methylphenidate (C-II)
Ritalin
Ritalin LA
Concerta
Sertraline
Zoloft
Bupropion smoking cessation
Zyban
Olanzapine
Zyprexa
Aripiprazole
Abilify
Lamotrigine
Lamictal
Divalproex sodium
Depakote (DR)
Depakote (ER)
Trazodone
Desyrel
Zolpidem (C-IV)
Ambien
Dextromethorphan
Delsym
______/Ritonavir
Nirmatrelvir; paxlovid
Omega-3-Fatty Acids
Lovaza
Atorvastatin
Lipitor
Ezetimibe
Zetia
Dapagliflozin
Farxiga
Semaglutide Oral
Rybelsus
Promethazine
Phenergan
Ondansetron
Zofran
Zofran (ODT)
Famotidine (OTC)
Pepcid AC
Docusate Sodium (OTC)
Colace
Bisacodyl
Dulcolax
Furosemide
Lasix
Hydrochlorothiazide (HCTZ)
Microzide
Lisinopril
Prinivil
Zestril
Hydrocortisone
Ala-cort
Anu-cort
Instacort
Alendronate
Fosamax
Atovaquone/Proguanil
Malarone
Rivaroxaban
Xarelto
Estradiol
Estrace
Climara
Vivelle-Dot
Testosterone
Androgel Testim
Depo Testosterone
What are the big four prescribers?
Physicians (MD or DO)
“whole body”
Dentists (DDS or DMD)
“Maxillofacial area only (mouth, teeth, gums)”
Podiatrists (DPM)
“Foot and ankle”
Veterinarians (DVM)
“Non-human animals only. May use human drugs on animals
What are the midlevel prescribers?
Optometrists
Advanced Practice Registered Nurses (Nurse practitioners, midwives, specialists, anesthetist)
Physician Assistants (PA)
Pharmacists (RPh)
What do the numbers on the NDC stand for?
Universal product identifier for human drugs
Series of 11 numbers
-First five identify the manufacturer this is assigned by the FDA
-4 numbers in the middle identify the drug strength, dosage form, and formulation -assigned by manufacturer
-Last two numbers -package size - assigned by manufacturer
Controlled substance schedule 1
No medical use, highest abuse potential, unsafe
Controlled substance Schedule 2
Medical use, high abuse potential, highly addictive
Controlled substance Schedule 3
Medical use, medium abuse and addiction potential
Controlled substance Schedule 4
Medical use, low-med abuse and addiction potential
Controlled substance Schedule 5
Limited abuse potential, and/or physical, psychological dependence
Which elements must be present on a prescription before it can be processed or filed?
Patient name
Patient address
The date it was written
The drug name, strength, sig and day supply
If drug may be substituted or not
What limitations are in place on prescription refills?
C-II:
Expire no later than 1 year from issue date
NO REFILLS
C-III, C-IV, and C-V:
Expire no later than 6 months from issue date
Refill: 5 max
All non controlled expire at the latest one year from the date of issue, unless there are additional prescriber restrictiosn
What are the requirements surrounding generic substitution of products?
Must format:
“______generic for______” on label
“Orange book”
-Approved drug products w/therapeutic equivalence evaluations
Found online on the FDA website
Three prime questions used in counseling
What is this medication used for?
How did the doctor tell you to take this medication?
What did the doctor tell you to expect?
Making OTC recommendations: After employing SCHOLAR, what other info should be collected?
Drug allergies
Medical conditions
Currently taking other Rx or OTC meds
What have they tried
Do they prefer brand or generic
Any lifestyle factors/preferences
Dosage forms/frequency concerns?
Adverse effect concerns?
What are some examples that would warrant a referral for a patient seeking OTC?
No relief after one week of OTC tx
Worsening of symptoms
Severe bleeding/pain
Reactions to OTC medication
Therapeutic equivalence
Pharmaceutical equivalence + bioequivalence
Pharmaceutical equivalence
Active ingredient
Dosage form
Strength
Route
Labeling
Bio-Equivalence:
In vivo (human) results
In vitro (lab) results
(kinetics, dynamics, clinical effects)
4 identifiers for pharmacy insurance coverage:
ID number (RxID)
RxGrp
RxBIN
RxPCN
Medicaid
State-funded program
Low-income families, children, expecting mothers
Covers many medical dental and prescription claims
Most Rx: Some OTC
Medicare
Federally-funded program
Elderly and disabled patients
Part A: hospital
Part B: outpatient, few meds,
-diabetic/medical supplies
Oral anti-emetics for cancer
Vaccines (flu, pneumo, COVID)
Part C: “Advantage”, deductible coverage, increasing RX coverage
What can be transferred?
Non-controlled:
Multiple times btwn pharmacies within the refill authorization limits on the prescription
Controlled - III, IV, and V
Have not been filled previously may be transferred one time, but must be transferred electronically
One time only - exception: receiving/sending common database
Controlled - II
Have no been filled previously may be transferred once, and needs to be done electronically
NO refills allowed, so cannot be transferred otherwise
What to get when receiving transfer
Pt name and address
Rx #
Date issued
Date first filled
Original refills
Remaining refills
Date of last fill
Pharmacy’s name, address, and phone
DEA #
Transferring RPH
Drug name, strength, sig, refills,
If may substitute or not
Dr/ Address, DEA and phone
PCC process
Collect
Assess
Analyze
Plan
Implement
Follow-up/Monitor and evaluate
