Reading 4 Flashcards
Who are the Big Four that are able to prescribe in all states and jurisdictions?
- Physicians [MD/DO]
- Dentist [DDS/DMD]
- Podiatrists [PDM]
- Veterinarians [DVM]
Prescriptions from these can be filled anywhere [in US]
Who are the practitioners that are outside of the BIG FOUR?
- Mid-level prescribers: may not have prescibing power because of needing additional requirements
What is the Scope of Practice for Phyiscians and how does that affect their prescribing power?
- Care for ENTIRE person
- Can basically prescribe anything that will help the patient; even if they are specialized
May question why a specific MD/DO prescribes something but is legal tho
What is the Scope of Practice for Dentist and how does this affects their prescribing power?
- Care for Mouth, Face, Jaw mainly
- Can really only prescribe for thoses areas [i.e.: pain meds for toothache, gum infections, dentail anxiety…]
WANT TO CALL TO DOUBLE CHECK
What is the Scope of Practice for Podiatrist and how does that affect their prescribing power?
- Care for Feet, Ankles, maybe Hands
- Heart drug for edema??
More likely to stay in their lane
What is the Scope of Practice for Veterinarians and how does that affect their prescribing power?
- ONLY for animals [tho it is human meds for animals]
- NO LIMITS just has to be for animal
HUMANS PICK THEM UP; keep in mind if filling a lot of vet stuff
What is important to know about the prescribing power of Mid-Practioners?
- Narrow scope [i.e.: Optometrists]
- Broad scope: NP or PA [really prescriber under supervision]
- Just depends on what healthcare professional it is
What is the Durham-Humphery Amendment [DHA] of 1951?
- Defined qualities of what is a “drug”
- Allows Prescribers to call Rx
- Allows Refills
What are some of the prescriptions requirements when accpeting them?
- Accept written, oral, fax, electronic; ONLY limitations on controlls
What are some things that have to be on an Rx label?
- Name/Address of dispenser
- Rx Number
- Date of filing
- Name of Prescriber
- Patient name
- Directions
- Cautions
These are NOT always required
Breif summarize the Refill laws in Indiana?
- Non-control: refill any times upto one year
- Rx or OTC-Only & CIII, CIV, CV: refill no more than 5 times upto 6 months
- CII: NO refills but fillable upto 1 year
What is an NDC?
- National Drug Code; not mandatory on bottle
- 10-digit number
What does each part of the NDC number mean?
- First: Manufacturer [5 numbers]
- Second:Drug [4 numbers]
- Package size [2 numbers]
- i.e.: 50459-0141-30
What does agency mean within pharmacy?
- When one person authorizes a second person to deal with a third person
SO stupid
What are the parts of Agency in Pharmacy Law?
- “Principal” delegates to “Agent”. “Agent” completes task; “Agents” CANNOT make the decisions
- “Agents” CANNOT call in CII, but can Fax them
