822 Final

Question 1

What is the omnibus budget reconciliation act of 1990?

Answer 1

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

Question 2

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

Answer 2

Introduction
Patient verification
Medication verification

Question 3

What are the three prime questions?

Answer 3

(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

Question 4

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

Answer 4

Yes, its provided that you ask

Question 5

What are generic drugs?

Answer 5

Chemically equivalent, lower cost versions of brand-name drugs

Question 6

How much cheaper are generics compared to brand names?

Answer 6

Usually 30-80% cheaper

Question 7

What % of medication is filled as a generic?

Answer 7

90% of medication filled is generic

Question 8

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

Answer 8

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

Question 9

What are some differences in generic drugs?

Answer 9

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

Question 10

What is the orange book?

Answer 10

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

Question 11

What makes a drug therapeutically equivalent?

Answer 11

Pharmaceutical equivalence + Bioequivalence

Question 12

TE codes? AB1?

Answer 12

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

Question 13

What are some NTI (narrow therapeutic index) drugs?

Answer 13

Warfarin, Dilantin, Synthroid, Lanoxin

Question 14

Medicaid is….?

Answer 14

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

Question 15

What is medicare?

Answer 15

Federally funded program
Elderly patients

Question 16

What does part A medicare cover?

Answer 16

Hospital

Question 17

What does part B medicare cover?

Answer 17

Outpatient, some meds

Question 18

What does part C medicare cover?

Answer 18

Advantage, deductible coverage, increasing Rx coverage

Question 19

What does medicare part D cover?

Answer 19

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

Question 20

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

Answer 20

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

Question 21

2 Helpful techniques when getting a phone in prescription

Answer 21

Interruption technique
Echo-back technique

Question 22

What is a statute?

Answer 22

A written law enacted by the legislature

Question 23

What is a regulation?

Answer 23

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

Question 24

Who are the 4 legal prescribers in the US

Answer 24

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

Question 25

Who are 4 other MID-LEVEL practitioners

Answer 25

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

Question 26

What are legend drugs

Answer 26

Drugs that require a prescription

Question 27

What are non legend drugs?

Answer 27

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

Question 28

What are the two OTC products with special rules?

Answer 28

Pseudoephedrine Syringes

Question 29

What do the numbers mean in a sig code?

Answer 29

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

Question 30

What are the 5 schedule medications (CS) controlled substance

Answer 30

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

Question 31

How to know if a DEA number is legit

Answer 31

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

Question 32

What do the letters in a DEA number mean?

Answer 32

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

Question 33

What is an NPI number?

Answer 33

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

Question 34

Is there any limitations when prescribing opioids?

Answer 34

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)

Question 35

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

Answer 35

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

Question 36

New law for all controlled substances starting January 1st 2022

Answer 36

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

Question 37

Additional security requirements for controlled substances

Answer 37

Prescribers address Prescribers DEA# Dosage form No advertisements

Question 38

Prescription expiration and refill information

Answer 38

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

Question 39

Limitations on transferring a medication

Answer 39

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

Question 40

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

Answer 40

Dispense as written May substitute

Question 41

What is the swiss cheese model?

Answer 41

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

Question 42

Similar to SCHOLAR what is MAC?

Answer 42

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

Question 43

What is ISMP?

Answer 43

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

Question 44

FDA medwatch?

Answer 44

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