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PHRM822 PUP > 822 Final > Flashcards

822 Final Flashcards

1
Q

What is the omnibus budget reconciliation act of 1990?

A

It mandated the offer to counsel and the provision of certain information to medicaid patients

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2
Q

What are the three non-negotiable steps to ensure patient care when counseling?

A

Introduction
Patient verification
Medication verification

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3
Q

What are the three prime questions?

A

(Use) What is this medication used for?
(Directions) How much and how often do you take this medication
(Other important info) What else do you know about this medication / What possible side effects did the doctor talk about

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4
Q

Is asking a patient if they need to counsel with a pharmacist law?

A

Yes, its provided that you ask

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5
Q

What are generic drugs?

A

Chemically equivalent, lower cost versions of brand-name drugs

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6
Q

How much cheaper are generics compared to brand names?

A

Usually 30-80% cheaper

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7
Q

What % of medication is filled as a generic?

A

90% of medication filled is generic

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8
Q

What are some of the key points to ensure that the generic product is the same?

A

Active ingredient, dosage form, safety profile, strength, route of administration, quality, stability, purity, performance characteristics, intended use

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9
Q

What are some differences in generic drugs?

A

Shape / Apperance
Scoring configuation
Packaging
Excipients (color, flavors, preservatives)
Expiration time

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10
Q

What is the orange book?

A

An FDA approved book that lists the approved drug product with therapeutic equivalence evaluations (Halloween = orange book)

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11
Q

What makes a drug therapeutically equivalent?

A

Pharmaceutical equivalence + Bioequivalence

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12
Q

TE codes? AB1?

A

First letter indicates the therapeutic equivalence
second letter indicates the dosage form
three characters are only equivalent to the other drugs with the same 3 code

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13
Q

What are some NTI (narrow therapeutic index) drugs?

A

Warfarin, Dilantin, Synthroid, Lanoxin

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14
Q

Medicaid is….?

A

A state funded program
Low income families
Most rx is covered and some OTC

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15
Q

What is medicare?

A

Federally funded program
Elderly patients

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16
Q

What does part A medicare cover?

A

Hospital

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17
Q

What does part B medicare cover?

A

Outpatient, some meds

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18
Q

What does part C medicare cover?

A

Advantage, deductible coverage, increasing Rx coverage

19
Q

What does medicare part D cover?

A

prescription drug coverage which covers 48 million americans
Part D plans switch what medications they cover all the time

20
Q

What is required by law to be on a phone in prescription?

A

Patient name
Patient address
Drug name
Strength or size
Quantity
Directions
Date issued
Prescribers name

21
Q

2 Helpful techniques when getting a phone in prescription

A

Interruption technique
Echo-back technique

22
Q

What is a statute?

A

A written law enacted by the legislature

23
Q

What is a regulation?

A

A rule having the force of law issued by an administrative agency

24
Q

Who are the 4 legal prescribers in the US

A

Physicians (MD or DO)
Dentists (DDS or DMD)
Podiatrists (DPM)
Vertrinarians (DVM)

25
Q

Who are 4 other MID-LEVEL practitioners

A

Optometrist (OD)
Advanced practiced registered nurse (APRN)
Physician assistant (PA)
Pharmacists (RPh)

26
Q

What are legend drugs

A

Drugs that require a prescription

27
Q

What are non legend drugs?

A

OTC over the counter
BTC behind the counter
Medical devices
Medical food

28
Q

What are the two OTC products with special rules?

A

Pseudoephedrine
Syringes

29
Q

What do the numbers mean in a sig code?

A

First 5 identify the manufacturer
Next 4 identify the strength, dosage form, and formulation
Last 2-3 numbers identify the package size assigned by the manufacturer

30
Q

What are the 5 schedule medications (CS) controlled substance

A

Schedule 1: no medical use, unsafe, highest potential abuse
Schedule 2: medical use, high potential abuse, highly addictive
Schedule 3: medical use, medium abuse and addiction potential
Schedule 4: medical use, low-medium abuse and addiction potential
Schedule 5: limited abuse potential, and / or physical or psychological dependance

31
Q

How to know if a DEA number is legit

A

1st + 3rd + 5th number =x
2nd + 4th + 6th number = y
y x 2 = z
z + x = the last number of the DEA code

32
Q

What do the letters in a DEA number mean?

A

The first letter is the scope of practice
Second number is the first letter of the last name

33
Q

What is an NPI number?

A

A unique verification number for covered health care providers
A 10 diget numeric identifier
Must be used in HIPPA standard transactions

34
Q

Is there any limitations when prescribing opioids?

A

Theres a 7 day max supply for
Patients first time being prescribed opioids
Children under 18 years old
Animals
(Dosen’t apply to cancer patient, palliative care, treatment for substance use disorder, or if in prescribers professional judgement they need more than a 7 day supply)

35
Q

Can a C-II medication be prescribed from a faxed Rx?

A

No, can only be dispensed from an e-Rx or electronic

36
Q

New law for all controlled substances starting January 1st 2022

A

All controlled substance medication in Indiana must be an e-Rx

37
Q

Additional security requirements for controlled substances

A

Prescribers address
Prescribers DEA#
Dosage form
No advertisements

38
Q

Prescription expiration and refill information

A

C-II medication expires no later than a year from issued date, no refills
C-III, C-IV, and C-V expire no later than 6 months from issue date, 5 refills maximum

39
Q

Limitations on transferring a medication

A

Non-controlled medication, no limits
C-III, C-IV, C-V once in 6 months since date Rx was issued, multiple times if its in the same store only after its been filled once

40
Q

What are the two signature lines at the bottom of a prescription say

A

Dispense as written
May substitute

41
Q

What is the swiss cheese model?

A

A way to ensure the saftey of the patient when picking up a medication

42
Q

Similar to SCHOLAR what is MAC?

A

Medication use (OTC and Rx)
Allergies
Coexisting conditions
Know when to refer these patients as well

43
Q

What is ISMP?

A

Institute of Safe Medical Practices
A private entity focued on increasing. saftey of healthcare practice through documentation of how/way medication errors occur to help develop better practice

44
Q

FDA medwatch?

A

A government agency interested in product failures and serious adverse effects like medical devices, medical food, and all types of medication

PHRM822 PUP (35 decks)

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