RESTRICTED DRUG PROGRAMS Flashcards
absorbed through the month
Transmucosal
Which program requires immediate release forms of fentanyl, such as Actiq (lonzend, dissolve between the cheek and mouth), Fentora(buccal tab, dissolved in the cheek), Lazanda (nasal spray), and Subsys (sublingual spray)?
Transmucosal Immediate Release Fentanyl Program (TIRF)
Actiq
Transmucosal
Fentora(
Transmucosal
Lazanda
Transmucosal
Subsys
Transmucosal
Prescribers are required to register into this program before prescribing to OUTpatients.
Transmucosal Immediate Release Fentanyl Program (TIRF)
Pharmacies (both inpatient and outpatient): must be enrolled in this program before they can dispense
Transmucosal Immediate Release Fentanyl Program (TIRF)
All outpatient Rx must go through an electronic verification system for this program
Transmucosal Immediate Release Fentanyl Program (TIRF)
Medguide required w/ each rx (outpatient), no medguide if inpatient for this program
Transmucosal Immediate Release Fentanyl Program (TIRF)
Antipsychotic used to treat schizophrenia and other mental disorders.
Clozapine (CLOZARIL)
Can cause agranulocytosis (blood disorder) - don’t make enough white blood cells, most often neutrophils, can lead to dangerous condition called neutropenia.
Clozapine (CLOZARIL)
Required to have blood test often in this program
Clozapine REMS Program
Prescribers : certify in program before prescribing , responsible for enrolling patients
Clozapine REMS Program
Pharmacy dispensing for Outpatient must have ______ required for Clozapine REMS Program
Pre-dispense Auth (PDA)
PDA not required for Clozapine REMS Program
Inpatient
ANC
absolute neutrophil count
Days’ supply and refills : No limits
Clozapine REMS Program
Blood test often
Clozapine REMS Program
blood work every week for at least 6 months -
New Patient
blood work every 2 weeks
Patient for 6 months
blood work every 4 weeks
Patient for 1 year
Use to treat women w/ severe diarrhea-predominant IBS.
Lotronex (alosetron)
Causes : Ischemic colitic, complications form constipation
Lotronex (alosetron)
Prescribers: complete training, counsel patients (review pt education sheet)
Lotronex REMS Program
- Pharmacies: may receive electronic, fax, or handwritten rx, can also have refills
- Generic can be substituted
- Medguide required.
Lotronex REMS Program
REMS
Risk Evaulation and Mitigation Strategy
used to collect data from patients using the drug
National Registry
class of meds that has a nation registry to keep track of fetal malformation while pregnant
Antiepileptic’s
opioid dependence, DEA number will begin w/ X when prescribing for what drug?
Suboxone
Nasal decongestant used for treating cold symptoms
Pseudoephedrine, brand name Sudafed or Nexafed
dangerous and highly addictive street drug, “crystal meth”
Pseudoephedrine, brand name Sudafed or Nexafed
Pseudoephedrine -Retail Setting
OTC (3.6 grams/day (146 tabs), 9 grams/30 days (366 tabs))
Pseudoephedrine -Mail-order
7.5 grams/30 days
Pseudoephedrine- Patient identity
state or federate/gov’t photo ID
Treat severe acne
Isotretrinoin
can cause birth defects
Teratogenic
Program to reduce changes of birth defects
-Female patients aren’t pregnant.
iPLEDGE Program
What program is for Isotretrinoin?
iPLEDGE Program
monthly pregnancy tests, use 2 separate forms of birth control
Patients (male and female)
must get authorization through : iPLEDGE website or phone system, or electric telecommunication method called
Pharmacy Network Connectivity or “the switch”
RMA
Risk Management Auth
RMA on prescription for this program
iPLEDGE Program
Medguide is required w/ EACH Rx for this program
iPLEDGE Program
-CanNOT have refills and written more than 30 days at a time.
iPLEDGE Program
Do not Dispense to Pt After” date for NON child bearing age
30 days from their office visit
Do not Dispense to Pt After” date for CHILD bearing age
7 days from their last pregnancy test
