Reading 11

Question 1

What is a presription?

Answer 1

• Drug dispensed for a user; does not include immediate Administration

Question 2

What is prescription issuance?

Answer 2

• decision-making to deciding what strength, drug, quantity, directions
• ONLY completed by doctors that have a DEA #

Question 3

What is one thing that prescribers cannot give anyone agency for?

Answer 3

• C-II Emergency

Question 4

What are the list of potental red flags to review with a prescriptions?

13 different ones?

Answer 4

• Dr. writes more Rx compared to others
• Dr. writes larger quantites than others
• Patient fills too much
• Dr. write antagonistic drugs
• Patient presents Rx for other people
• Multiple patients come in at same time from same Dr.
• Not normal patients coming to Pharmacy
• Rx “looks” too good
• Quantites, direction, dosage not normal
• “Textbook” script
• Photocopied Rx
• NO Abbreviations
• Different colored ink

Question 5

What documenting a prescription, what are we suppose to do to it?

Answer 5

• NOTHING; we dont want to deface the Rx
• ITS THE PATIENTS PROPERTY
• Give back to the patient to go somewhere else or wait for the Dr. to say destory it

But small nots are fine

Question 6

What should we do when a prescription that has red flags?

Answer 6

• DEA says that it shouldnt be fill until it has been resolved
• Really based on pharmacist professional judgement

Question 6

What is the purpose of corresponding responsibility?

Answer 6

• ## Pharmacist and Doctors share same responsibility

Question 7

What are some of the ways that we are able to accept a prescription?

Answer 7

• Written & Faxed [manully signed with PEN]
• Electronic [E-sig]

Question 8

What are some of the ways that C-II can be accepted within the pharmacy?

Answer 8

• Written [Signed]
• Electronic [Transmitted by Dr.]
• Fax [Get drugs ready but need the patient to sign for them]
• Oral [Telephone to Pharmacist]

Can ALWAYS accept written/electronic one BUT fax and oral are different

Question 9

What are some of the ways that C-II could be dispensed without a prescription?

Answer 9

• Hospitals may adiminster C-II based on order
• Institutional Dr.can ONLY administer NOT prescribe

The same thing for C-III, IV, V as well

Question 10

What is the way that we are able to accept C-III, IV, V prescriptions?

Answer 10

• Written [Signed]
• Electronic [Transmitted by Dr.]
• Fax
• Oral [Telephone to Pharmacist]

Basically the same as C-II, but the fax is different

Question 11

What are some of the required information that needs to be on a controlled substance prescription?

Answer 11

• Date Issued
• Name & address of patient
• Drug name, strength, dosage
• Quantity
• Directions
• Name, Address, DEA # [& Suffix] of Dr.
• Signature of Dr.

The one thing is super needed if the PATIENTS NAME

Question 12

What is one thing that a Controlled substance prescirption NOT be for?

Answer 12

• CANNOT write a prescription for “Office use”

Question 13

What are some of the ways that we are able to correct or change a C-III, IV, V prescription?

Answer 13

• add/correct patient address [after asking them]
• add/change dosage form, strength, quantity, directions, issue date [after talking with Dr.]
• CANNOT change patients name, controlled substance, Dr. name.

IF there is an issue with the name then the pharmacist can call and get an oral Rx

Question 14

What are some of the ways that we are able to correct or change a C-II prescription?

Answer 14

• add/correct patient address [after asking them]
• add/change dosage form, strength, quantity, directions, issue date [after talking with Dr.]
• CANNOT change patients name, controlled substance, Dr. name.

If any other issues arise, the patient needs to go to the Dr. and get a new Rx