Reading 4

Question 1

What was the Durham-Humphrey Amendment?

Answer 1

defined prescription drugs, and established when a prescription is required, as well as who can prescribe

Question 2

Who grants authority to prescribe?

Answer 2

states

Question 3

Who are the “Big Four” prescribers?

Answer 3

physicians, dentists, podiatrists, and veterinarians

Question 4

True or false: a prescription from a dentist can be filled in ANY state.

Answer 4

true

Question 5

True or false: the “Big Four” only have prescribing authority within their specified jurisdiction.

Answer 5

false

Question 6

In regards to prescribing authority, pharmacists are considered _____________.

Answer 6

mid-level prescribers

Question 7

What is the difference between scope and specialty?

Answer 7

scope is based on a prescriber’s degree/licensure, while a specialty is what they have achieved through additional training

Question 8

Which of the Big Four prescribers has whole body responsibility?

Answer 8

physician

Question 9

True or false: a thoracic surgeon can legally prescribe birth control.

Answer 9

true (although a pharmacist can still refuse to fill)

Question 10

What is the scope of practice for a dentist?

Answer 10

mouth and maxillofacial area

Question 11

What is the scope of practice for a podiatrist?

Answer 11

feet and ankles

Question 12

What is the scope of practice for veterinarians?

Answer 12

any drug for any animal

Question 13

What should be considered if a mid-level practitioner is working underneath/collaboratively with a supervising practitioner?

Answer 13

they are limited to prescribing within that practitioner’s specialty

Question 14

What are the FEDERAL requirements for prescription labels?

Answer 14

• name and address of dispenser
• serial number/prescription number
• date of the prescription OR its filling
• prescriber name
• patient name (if stated on prescription)
• directions (if contained on prescription)
• cautionary statements (if contained on prescription)

Question 15

What are the refill rules for non-controlled medications?

Answer 15

unlimited refills up to 1 year from the date written

Question 16

What are the refill rules for prescription-only and OTC controlled (III, IV, V) medications?

Answer 16

max of 5 refills up to 6 months from the date written

Question 17

What are the refill rules for schedule II medications?

Answer 17

no refills, but can be filled up to 1 year from the date written

Question 18

What does the first set of numbers in the NDC indicate?

Answer 18

manufacturer

Question 19

What does the second set of numbers in the NDC indicate?

Answer 19

drug

Question 20

What does the third set of numbers in the NDC indicate?

Answer 20

package size

Question 21

How do we ensure that the NDC follows the billing-required 11 digits?

Answer 21

add leading zeroes (5-4-2)

Question 22

Define “agency”.

Answer 22

a situation where one person authorizes a second person to deal with a third person on their behalf

Question 23

Who is the “principle” in an agency situation?

Answer 23

the person who delegates authority

Question 24

Who is the “agent” in an agency situation?

Answer 24

the person completing tasks under delegated authority

Question 25

Although agents can do many things, what are the three notable limits to their ability?

Answer 25

1. cannot make the decision on what a patient needs for a prescription
2. cannot provide clarifications without the prescriber giving that information
3. cannot call in schedule II drugs

Question 26

When does the expiration clock start ticking for a prescription in Indiana?

Answer 26

on the date the prescription is issued