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
What is the Omnibis Reconciliation Act of 1990 and what did it implement?
- First area of law that deals with pharmacy practice standards and how pharmacuy is praticed
What is Drug Utilization Review [DUR] and the different types?
- Ongoing, systematic process designed to maintain the appropriate and effective use of medications
- Prospective & Retrospective
What is Prospective DUR?
- Identifing problem BEFORE the patient gets the medications
What is Retrospective DUR?
- Looking at regimens AFTER medicaitons have been dispensed
What information does the OBRA ‘90 say must be included?
- written information like; name, address, phone, DoB, Gender..
What is a MedWatch?
- Voluntary reporting system for adverse events with drug products, bioloigs, devices, nutirional products, cosmetices, and dietary supplements
What is the Offical MedWatch?
- FDA 3500
What type of information is required for pharmacies to give to patients in regards to MedWatch?
- Toll Free number with ALL new Rx and Refills
What does the Drug Quality and Security Act [DQSA] require?
- Electronic tracing of products at the package level and trace certain Rx
- Help stop Counterfiets
What is the time frame for verification of product legitmacy?
- Verification from place and get it back in 24 hours
- non-rx, animal drugs, blood, radioactive drugs, biologics, imaging drugs, some IV products, gases… are NOT covered by the DQSA
What is the time frame for nitufying the FDA of illegitmate products in the supply chain, and who must provide the notifaction?
- Told to FDA within 24 hours
- By the Manufacturerm Repacker, Distributor, Dispenser
