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MPJE > Reading 16, 17, 18 - Prescriptions and BoP > Flashcards

Reading 16, 17, 18 - Prescriptions and BoP Flashcards

1
Q

If a prescription does not have the number of refills on it, you can it assume it has ____ refills?

A

ZERO

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2
Q

A drug order does NOT need which of the following (choose all):

-bed number
-directions for use
-name of the patient
-name of the pharmacist
-name of the prescriber
-name of the drug and strength
-drug expiration

A

Name of the pharmacist
Drug expiration

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3
Q

A prescription does NOT always need which of the following (choose all):
-patient address
-patient DOB
-name and strength of drug
-amount dispensed
-practitioner signature
-adequate directions
-precautions

A

Patient DOB
Precautions

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4
Q

A prescription is required to have the number of refills on it by Indiana law?

A

NO, refills do not need to be on the prescription but are highly recommended

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5
Q

A prescription label does NOT always need which of the following (choose all):
-address of pharmacy
-prescriber
-the date
-patient name
-drug name
-directions for use
-precautions for use

A

drug name and precautions for use

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6
Q

What can you NOT prescribe anabolic steroid for?

A

Exercise performance in sport
Hormonal manipulation intended to increase muscle mass

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7
Q

Mechanical storage devices must be under the direct supervision of ____?

A

Pharmacist or Practitioner

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8
Q

What Act talks about drug samples?

A

Prescription Drug Marketing Act

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9
Q

Drug samples are great for patients. What are some restrictions put on practitioners and pharmacies?

A

-CANNOT sell samples
-CANNOT knowingly remove from original packaging
-CANNOT knowingly give expired drug samples

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10
Q

Drug samples are great for patients. What are some restrictions put on practitioners and pharmacies?

A

-CANNOT sell samples
-CANNOT knowingly remove from original packaging
-CANNOT knowingly give expired drug samples

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11
Q

What type of practitioner can we NOT substitute generics?

A

Veternian prescriptions MUST be verified

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12
Q

On a prescription what side should the prescriber sign if he/she wants to dispense as written?

A

LEFT

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13
Q

For a Indiana Medicaid patient prescribed Lipitor. What must you check before dispensing Lipitor to this patient?

A

If the generic, atorvastatin is lower cost, then you MUST substitute for generic

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14
Q

If a Medicare patient was prescribed Lasix 80 mg PO daily. What must the prescriber do if they would the prescription to be filled as written?

A

They MUST write in their OWN hand writting “Brand Medically Necessary”

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15
Q

You substituted Z pack for azithromycin pack. What must you write on the label?

A

Identify both products: “Azithromycin generic for Z pack”

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16
Q

What MUST you do when dispensing naloxone?

A

Educate on administration and tell patient to call 911 either befor or after administration

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17
Q

What is NOT necessary when substituting a biosimilar biological product:
-verifying in the Orange book it is interchangeable
- prescribing practitioner has signed “may substitute”
-informing the patient of the substitution

A

Verification is required but from the PURPLE BOOK

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18
Q

What is an Electronic Data Intermediary (EDI)?

A

The entity that allows computer systems of practitioners and pharmacies to relay information to one another (electronic prescriptions, refills, patient care info)

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19
Q

Pharmacist intern includes all of the following except:
- permitted by the board to engage in the practice of pharmacy
- graduate of an approved college of pharmacy
- a qualified applicant awaiting examination for licensure
-individual participating in a residency or fellowship

A

permitted by the board to engage in practice of pharmacy

*** this is partially true but it needs to be under the supervision of a pharmacist!!!

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20
Q

What is required on a prescription under Indiana law?

A

-Name of patient
-Address of patient
-Date of issue
-Drug name and Strength
-Amount issued
-Directions of use
-Prescriber
-Prescriber signature

21
Q

The board of pharmacy has 7 members. What should those members include?

A

-5 pharmacists (1 from hospital)
-1 technician
-1 public member

22
Q

How often must the BoP meet?

A

at least 8 times per year

23
Q

What is an Indiana BoP term?

A

4 years

24
Q

What is considered an approval by the majority?

A

Quorum is required for approval and the majority of the quorum (3 out of 4) is considered approval

25
Q

The different between POWER and DUTY?

A

Power == they may do this (example: issue temporay variance)
Duty == they must do this (example: establish standards for counseling patients)

26
Q

What are the duties of the Indiana BoP?

A

-establish standards for pharmacy practice
-establish standards for counseling patients
- establish procedures for returning expired drugs
-adopt rules and procedures for electronic prescriptions
-adopt rules regarding OTC saled of ephedrine and pseudoephedrine

27
Q

What is the Indiana BoP jobs when there is an impaired pharmacist?

A

-Assist in rehab like Indiana Professionals Recovery Program (IPRP)

28
Q

Active Pharmacist vs Inactive Phamacist

A

Active: fees are current along with all required CE
Inactive: CANNOT PRACTICE pharmacy, must complete all CE before applying to become active again

29
Q

Invalid license happens when…

A

when you do not renew your license your license becomes invalid and you MUST apply to reinstate your license

30
Q

The date and year when a pharmacy license MUST be renewed

A

June 30th of EVEN numbered years (June 30, 2024)
renewed every 2 years

31
Q

When are pharmacists CE requirements due? What are the CE requirements?

A

Due December 31st on odd numbered years

30 CE hours are required every 2 years
1/5 - can be management related
4/5 - must be pharmacy related
1/2 must be accredited

32
Q

When can a technician share patient confidential information?

A

ONLY when there is a criminal prosecution

33
Q

The different Classes of pharmacy permits:

A

Class 1 = dispense drugs to the public (retail)
Class 2 = institutional pharmacies
Class 3 = provide “closed door” central fills or mail order

34
Q

What do you NEED to provide to the board to aquire a pharmacy permit?

A

Name
Occupation
Location address

35
Q

What is the ratio of technicians to pharmacists allowed?

A

1:8
3 max can be techs in training

36
Q

What other physical requirements for a pharmacy MUST be obtained?

A

-sufficient stock of drugs
-security
-well lit and ventilated
-sink with hot and cold water
-refridgerator
-Large enough area for everything

37
Q

Pharmacy permits are non-transferable. When should a pharmacy obtain a new permit?

A

-change in location
-change in ownership

38
Q

A patient wants to refill her Dexedrine prescription. The prescription expires on 12/1/23 and has 3 refills. Can you legally refill the prescription?

A

NO this is a C-II medication. You cannot refill C-II medications

39
Q

A patient wants to refill his Vimpat prescription. The prescription was written on 10/2/22 with 4 refills remaining. The prescription was filled at your pharmacy prior. Can you refill this prescription legally?

A

NO the prescription is a C-V and expired 6 months after written (4/2/23)

40
Q

A patient is needing their Levodopa prescription on a friday evening for his Parkinson’s. Their provider’s office is no longer open. The original Levodopa prescription had 6 refills on it, but it is now out. Can this pharmacist legally allow an emergency refill? If the prescription is written for #90 tablets, what is the max amount you can give?

A

YES, this drug is NOT a controlled substance. The original prescription had refills and it was prescribed for continuous use for PD.

The MAX amount in an emergency refill is 30 days supply.

*NOTE: the pharmacist MUST notify the doctor within the NEXT business day that they have authorized an emergency refill

41
Q

A patient was newly prescribed metformin 500 ER 2 tabs PO BID for 30 days. To make it easier on the patient, the pharmacist changed the quantity to match a 90 days supply. What this done legally?

A

NO, you cannot change the quantity to a 90 days supply until after the patient has been on the medication for at least 30 days

42
Q

What pharmacy type can accept returned controlled substances?

A

Category II

43
Q

What are the requirements for accepting a returned drug in a retail pharmacy setting?

A
  • must be a patient in an residing in an institution, hospice, or jail
  • properly stored
  • unopened in original packaging or unit dose packaging
  • returned to the dispensing pharmacy
  • NOT expired
  • NOT a controlled substance
44
Q

A pharmacy may accept and resale a medical device if:

A

-patient is in jail
-not expired
-returned unopened

45
Q

What can pharmacists change on the prescription without calling the provider?

A

Quantity
Dosage form (equivalent amount)
Complete missing information with sufficient evidence to support

must document

46
Q

What can pharmacists prescribe to patients through their NPI number?

A

Spacers
Nebulizers
medical devices (CPAP)
Glucose testing supplies
pen needles
syringes

47
Q

What time frame do you have after administering a vaccine to notify the patient’s prescriber?

A

14 days

48
Q

What are the requirements to dispense epinephrine and glucagon in a pharmacy?

A

-expiration must be 12 months unless you get the patient’s consent
-must provide administration instructions and educated to call 911

49
Q

Who can supervise a pharmacy intern when it comes to immunizations?

A

pharmacists
physicians
physicians assistant
APRN
RN

MPJE (11 decks)

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