Quiz #01 Flashcards

1
Q

Define prescription drug order?

A

A lawful order from a licensed practitioner for a specific patient communicated to a pharmacist

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2
Q

What are the four methods in which a pharmacist can receive a prescription?

A
  1. written
  2. verbal
  3. fax
  4. e-prescription
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3
Q

True or False - a verbal phone in prescription can only be taken by a pharmacist in PA?

A

False - can also be taken by a licensed intern under the direct supervision of the pharmacist

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4
Q

Which of the following statements is false?

A. Faxes can be used to fill schedule II prescriptions
B. Non-proprietary (Rx only) drug prescriptions have to be kept on file for 2 years
C. FDA Orange Book lists the approved generic drug products with therapeutic equivalence evaluations
D. The DEA # of the pharmacy must appear on the prescription label to the consumer
E. None of the above

A

(E) none of the above are false

A - faxes can be used to FILL C-II drugs, but cannot be used to dispense. Before pharmacist dispenses a C-II filled via fax, they need the physical prescription in hand. C-III to C-V prescriptions are allowed to be accepted via fax and can be used as the hard copy as well.

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5
Q

Which of the following does NOT have unlimited prescribing authority?

A. Ophthalmologist
B. Dentist
C. Psychiatrist
D. Podiatrist
E. Physician
A

(D) Podiatrist has LIMITED PRESCRIBING authority

Limited prescribing authority
Physician Assistant
Nurse Practitioner
Optometrist
Veterinarian
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6
Q

True or False - in general if a generic product is AB rated, it is therapeutically equivalent

A

True

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7
Q

Which of the following drug ratings does the FDA give to therapeutically equivalent drug products?

A. AO
B. BO
C. AT
D. BT
E. Only A & C
A

(E) Only A & C

The first letter distinguishes whether the FDA considers the drug product to be therapeutically equivalent. The second letter represents the ROA.

Drug product ratings that begin with the letter A are therapeutically equivalent, drug product ratings that begin with the letter B are not considered therapeutically equivalent

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8
Q

Which of the following statements is true?

A. DAW code 0 would result in the pharmacist dispensing a brand medication
B. Prescriptions must be dispensed with safety caps unless patient specifically requests otherwise
C. Glucagon is exempt from the PPPA
D. Only B & C
E. All of the above

A

(D) Only B & C are correct

A - DAW (dispense as written) code 0 means the physician wrote brand or generic and pharmacist dispenses generic

C - PPPA = Poison Prevention Packaging Act and and emergency med is exempt (epi pen, nitroglycerin, etc.)

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9
Q

Which of the following statements is true?

A. DAW code 1 is when the physician writes brand necessary and the pharmacist dispenses brand
B. AB rated medications can be legally changed from brand to generic WITHOUT calling the physician
C. DAW code 2 is when the patient requests brand and the pharmacist dispense brand (for a higher copay)
D. A & C only
E. All of the above

A

(E) All of the above

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10
Q

Written prescriptions for controlled substances must have what 2 things?

A

Date and DEA number of the prescriber

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11
Q

Explain the validity of a prescribers DEA #?

A
  • First letter is typically A or B
  • Second letter is the first letter of the prescribers last name
  • after the 2 letters, add the 1st, 3rd, and 5th digit
  • Then add the 2nd, 4th, and 6th numbers and multiply by 2.
  • Add the two sums together. The far right # of the check # should be the 9th digit of the DEA #
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12
Q

Which DEA schedule drug class has a high potential for abuse and a currently accepted medical use?

A

Class II

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13
Q

Which of the following drugs is NOT schedule II?

A. Codeine
B. Morphine
C. Amphetamine
D. Hydrocodone/APAP
E. Meperidine
A

(D) Hydrocodone/APAP is a Class III

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14
Q

Which of the following statements is false?

A. C-I drugs have no accepted medical use
B. C-II drugs are the most addictive drugs dispensed
C. Xanax is a C-IV drug
D. Prescribers can write for a maximum of 1 refill for all C-2 prescriptions
E. None of the above

A

(D) There are ZERO refills allowed for ALL C-II drugs

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15
Q

All of the following statements are true, except?

A. Benzodiazepines and sedatives are considered C-IV drugs
B. Codeine can appear in C-II, C-III, and C-V
C. BNDD is antiquated term for DEA #
D. C-II drugs are all narcotic agonists when not combined with other analgesics and certain potent narcotics combined with analgesics
E. Stimulants are considered narcotics

A

(E) Stimulants are NOT narcotics but still kept in same locked box

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16
Q

What DEA schedule class are anabolic steroids in?

A

C-III

17
Q

How many refills are allowed for C-III to C-V drugs (state any time restrictions as well)?

A

maximum 5 refills within 6 months of date issued/written (NOT date first filled)

18
Q

How long do controlled substance drug prescriptions have to be kept on file?

A

2 years

19
Q

What identifying characteristic must be present on controlled substance drug prescriptions other than C-II when using a 2 separate prescription filing system?

A

controlled prescriptions (CII, IV, and V) filed away with non-controlled drugs must be stamped with a red letter C not less than 1 inch high in the lower right hand corner

20
Q

True or False - if the pharmacy uses automated data processing, the requirement to stamp the scheduled drug prescriptions with a red letter C is waived

A

True

21
Q

What form is used to order scheduled C-II drugs?

A

DEA-Form 222c