Reading 4 Flashcards
Covers scope of practice, federal prescription label requirements, NDCs, and agency law.
What was the Durham-Humphrey Amendment?
defined prescription drugs, and established when a prescription is required, as well as who can prescribe
Who grants authority to prescribe?
states
Who are the “Big Four” prescribers?
physicians, dentists, podiatrists, and veterinarians
True or false: a prescription from a dentist can be filled in ANY state.
true
True or false: the “Big Four” only have prescribing authority within their specified jurisdiction.
false
In regards to prescribing authority, pharmacists are considered _____________.
mid-level prescribers
What is the difference between scope and specialty?
scope is based on a prescriber’s degree/licensure, while a specialty is what they have achieved through additional training
Which of the Big Four prescribers has whole body responsibility?
physician
True or false: a thoracic surgeon can legally prescribe birth control.
true (although a pharmacist can still refuse to fill)
What is the scope of practice for a dentist?
mouth and maxillofacial area
What is the scope of practice for a podiatrist?
feet and ankles
What is the scope of practice for veterinarians?
any drug for any animal
What should be considered if a mid-level practitioner is working underneath/collaboratively with a supervising practitioner?
they are limited to prescribing within that practitioner’s specialty
What are the FEDERAL requirements for prescription labels?
- 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)
What are the refill rules for non-controlled medications?
unlimited refills up to 1 year from the date written
What are the refill rules for prescription-only and OTC controlled (III, IV, V) medications?
max of 5 refills up to 6 months from the date written
What are the refill rules for schedule II medications?
no refills, but can be filled up to 1 year from the date written
What does the first set of numbers in the NDC indicate?
manufacturer
What does the second set of numbers in the NDC indicate?
drug
What does the third set of numbers in the NDC indicate?
package size
How do we ensure that the NDC follows the billing-required 11 digits?
add leading zeroes (5-4-2)
Define “agency”.
a situation where one person authorizes a second person to deal with a third person on their behalf
Who is the “principle” in an agency situation?
the person who delegates authority
Who is the “agent” in an agency situation?
the person completing tasks under delegated authority
Although agents can do many things, what are the three notable limits to their ability?
- cannot make the decision on what a patient needs for a prescription
- cannot provide clarifications without the prescriber giving that information
- cannot call in schedule II drugs
When does the expiration clock start ticking for a prescription in Indiana?
on the date the prescription is issued
