Stuff needed to know for MPJE Flashcards
Acetaminophen with greater than 1gm/package
Child resistant packaging
Aspirin
Child resistant Packaging except for powder
Ibuprofen with greater than 1 gram/package
Child resistant packaging
Naproxen with greater than 250 mg/package
Child Resistant Packaging
Ketoprofen with greater than 50 mg/package
Child Resistant Packaging
Iron with greater than 250 mg of elemental iron per package
Child Resistant Packaging
Diphenhydramine with greater than 66 mg/package
Child resistant Packaging
Loperamide
Child resistant packaging
Minodoxil topcial
Child resistant packaging
Any previous products that were originally Rx only (PPIs)
Child resistant Packaging
SL nitroglycerin or SL and chewable isosorbide dinitrate
Does not require child resistant packaging
OC, Conjugated estrogens, Norethindrone, HRT
Does not require Child resistant packaging
Methylprednisolone with less than 84mg/package
Does not require child resistant packaging
Prednisone tablets with less than 105 mg/package
does not require child resistant packaging
Cholestyramine Powder
Does not require child resistant packaging
Unit dose potassium with less than 50 mEq per package
Does not require child resistant packaging
Erythromycin Ethylsuccinate granules (<8,8,16)
Does not require child resistant packaging
Fluoride liquid or tablets with less than 110 mg/package
Does not require child resistant packaging
Pancrealipase tablets, caps or powder
Does not require Child resistant packaging
Sudafed Base material
24.6 mg per 30 mg of Sudafed
Mebendazole Tablet with less than 600mg/package
Does not require child resistant packaging
Obra 90
Requiring pharmacists to preform DUR and counseling for all medicaid patients before dispensing to patient.
Antineoplastic drugs
NIOSH
Misoprostol
NIOSH
Chloramphenicol
NIOSH
Warfarin
NIOSH
Fluconazole, Voriconazole
NIOSH
Abacavir, Entecavir, Nevirapine, Zidovuidine
NIOSH
Cidofovir, Gancilovir, Valganciclovir
NIOSH
Isotretinoin
NIOSH
Dronedarone
NIOSH
Acitretin, Azathioprine, Leflunomide, Teriflunomide
NIOSH
Fingolimod
NIOSH
Dutasteride, Finasteride
NIOSH
Zoledronic Acid, Pamidronate
NIOSH
Paroxetine
NIOSH
Exenatide, Liragludie
NIOSH
Lomitapide
NIOSH
Colchicine
NIOSH
Ivabradine, Spironolactone
NIOSH
Ribavirin
NIOSH
Androgens, Estrogens, Progesterones, SERMS, Ulipristal
NIOSH
Methimazole, Propylthiouracil
NIOSH
Temazepam, Triazolam
NIOSH
Dihydroergotamine
NIOSH
Apomorphine, Rasagline
NIOSH
Ambrisetan, Bosentan, Macitentan, Riociguat
NIOSH
Ziprasidone
NIOSH
Cyclosporine, Mycophenolate, Tacrolimus, Sirolimus
NIOSH
Clobazam, Clonazepam
NIOSH
Carbamazepine, Oxcarbazepine, Zonisadmide
NIOSH
Phenytoin, Topiramate, Vigabatrin
NIOSH
Fosphenytoin, Divalproex, Eslicarbazepine
NIOSH
Step 1 of CSOS order and Supply chain
Pharmacy/purchaser submits enrollment to DEA
Step 2 of CSOS order and Supply chain
Pharmacy/purhcaser digitally scans order signed and sent to wholesaler/supplier
Step 3 CSOS order and Supply chain
Wholesaler/Purchaser validates certification through DEA of Pharmacy/Purchaser
Step 4 CSOS order and Supply chain
Wholesaler/Supplier supplies controlled substances to Pharmacy/Purchaser
Step 5 CSOS order and supply chain
Wholesaler/Supplier reports transaction to DEA
Calcium warning Statement for OTCs
Greater than 3.2 g
Magnesium warning statement for OTCs
Greater than 600 mg
Potassium warning statement for OTCs
greater than 975 mg
Sodium warning statement for OTC’s
greater than 140 mg but have different categories
less than or equal to 5 mg is considered sodium free
Very low sodium is less than or equal to 35 mg
Low sodium is less than or equal to 140mg
Pharmacy Orders controls from a supplier
Brown to Supplier
Green to DEA
Blue to Pharmacy
Pharmacy Returns controls to supplier
Brown to Pharmacy
Green to DEA
Blue to Supplier
Pharmacy sends unused drugs back to reverse distributor for disposal
Brown to Pharmacy
Green to DEA
Blue to Reverse Distributor
Pharmacy sells or lends drugs to another pharmacy
Brown to supplying pharmacy
Green to DEA
Blue to Receiving pharmacy
Pharmacy sells or lends drugs to physician for admin or dispensing
Brown to Pharmacy
Green to DEA
Blue to Physician
Info regarding Therapeutic Equivalence
To be therapeutically equivalent, the drug must be studied in vitro to determine it to be therapeutically equivalent and must meet rating in order for it to be equivalent.
Ex: AB1 to AB1 or AB1 AB2 to AB2 are considered equivalent
Ex: AB1 to AB2 are not considered equivalent
Info regarding Therapeutic Equivalence
To be therapeutically equivalent, the drug must be studied in vitro to determine it to be therapeutically equivalent and must meet rating in order for it to be equivalent.
Ex: AB1 to AB1 or AB1 AB2 to AB2 are considered equivalent
Ex: AB1 to AB2 are not considered equivalent
CSP low Risk BUD for Sterile drugs
Considered with a drug with less than 3 sterile ingredients and no more than 2 entries into 1 sterile container
Room Temp BUD: 48 hours
Fridge Temp BUD: 14 days
Freezer BUD: 45 days
CSP Medium Risk BUD for sterile drugs
Considered with a drug with more than 3 sterile ingredients and multiple things withdrawn from the same vial
Room Temp BUD: 30 hours
Fridge Temp BUD: 9 days
Freezer BUD: 45 days
CSP High Risk BUD for Sterile drugs
Considered drugs with non sterile ingredients and equipment. Not usually done
Room Temp BUD: 24 hours
Fridge Temp BUD: 3 days
Freezer BUD: 45 days
Sterile Compounding Area requirements
Anteroom must be at ISO Class 7 or 8
Buffer Room at ISO Class 7
Hood at ISO Class 5
Positive air pressure
Sterile compounding Hazardous Drug area requirements
Anteroom must be ISO Class &
Buffer Room at ISO Class 7
Hood at ISO Class 5
Negative Air pressure along with external vents
Sterile Garbing Sequence
1: Head and face covers
2: Shoe Covers
3: Washing hands
4: Non shedding gown
5: Alcohol based hand scrubs
6: Sterile powder free gloves
7: Sanitize gloves with 70% Isopropyl alcohol
Note: steps 1-4 are done in Anteroom and 5-7 are in buffer room.
Drugs Found On REMS program
Clozapine, Isotretinoin, Opioid analgesics and Thalidomide
Clozapine Importance for REMS program
ANC Greater than 1500 to initiate
ANC Greater than 1000 to continue treatment
Alfentanil
Schedule II
Codeine, Single Ingredient
Schedule II
Hyslinga ER
Schedule II
Zohydro ER
Schedule II
Lortab
Schedule II
Tussicaps
Schedule II
Tussionex
Schedule II
Vicoprofen
Schedule II
Levorphanol
Schedule II
Methadose
Schedule II
Kadian
Schedule II
Ms Contin
Schedule II
Duramorph
Schedule II
Infumorph
Schedule II
Mitigo
Schedule II
Oxaydo
Schedule II
Xtampza ER
Schedule II
Opana
Schedule II
Nucynta/Nucynta ER
Schedule II
Adzenys ER
Schedule II
Dyanavel
Schedule II
Evekeo
Schedule II
Mydayis
Schedule II
Dexedrine
Schedule II
Desoxyn
Schedule II
Adhansia XR
Schedule II
Aptensio XR
Schedule II
Cotempla XR
Schedule II
Jornay PM
Schedule II
Methylin
Schedule II
Quillichew/ Quillivant
Schedule II
Syndros
Schedule II
Pentobarbital
Schedule II
Secobarbital
Schedule II
Benzphetamine
Schedule III
Belbuca
Schedule III
Buprenex
Schedule III
Probuphine
Schedule III
Sublocade
Schedule III
Zubsolv
Schedule III
Butabarbital
Schedule III
Fiorinal
Schedule III
Allzital
Schedule III
Bupap
Schedule III
Marinol
Schedule III
Ketalar
Schedule III
Paregoric
Schedule III
Perampanel
Schedule III
Fycompa
Schedule III
Phendimetrazine
Schedule III
Xyrem
Schedule III
Aveed
Schedule III
Fortesta
Schedule III
Jatenzo
Schedule III
Natesto
Schedule III
Vogelxo
Schedule III
Xyossed
Schedule III
Librium
Schedule IV
Onfi
Schedule IV
Sympazan
Schedule IV
Tranxene T
Schedule IV
Diastat
Schedule IV
Byfavo
Schedule IV
Restoril
Schedule IV
Halcion
Schedule IV
Esczopiclone
Schedule IV
Lembrorexant
Schedule IV
Suvorexant
Schedule IV
Davigo
Schedule IV
Belsomra
Schedule IV
Sonata
Schedule IV
Edluar
Schedule IV
Zolpimist
Schedule IV
Adipex-P
Schedule IV
Lomaira
Schedule IV
Qsymia
Schedule IV
diethylpropion
Schedule IV
Nuvigil
Schedule IV
Butophanol
Schedule IV
Stadol
Schedule IV
Motofen
Schedule IV
Eluxadoline
Schedule IV
Viberzi
Schedule IV
Phenobarbitol
Schedule IV
Conzip
Schedule IV
Brivaracetam
Schedule V
Briviact
Schedule V
Lomotil
Schedule V
Diphenoxylate/Atropine
Schedule V
Vimpat
Schedule V
Lacosamide
Schedule V
Dezocine (Dalgan)
Schedule IV (In our state)
Nalbuphine (Nubain)
Schedule IV (In our state)