Law Exam 1 - Lecture 8 (Inspections, Generic Equivalency) Flashcards

(33 cards)

1
Q

part of USP that is considered to have the force of law

A

drug monographs, not following them leaves a drug adulterated or misbranded

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2
Q

part of USP that is not considered to have the force of law

A

information on appropriate means for drug preparation and drug storage

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3
Q

USP 795 covers what

A

nonsterile compounding

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4
Q

USP 797 covers what

A

sterile compounding

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5
Q

USP 800 covers what

A

hazardous drugs

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6
Q

USP 795 - nonsterile compounding covers what

A

quality and safety
BUDs

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7
Q

USP 797 - sterile compounding covers what

A

numerous sterile compounding requirements, including personnel, training, facilities, environmental monitoring, and storage and testing of finished products

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8
Q

USP 800 - hazardous substances covers what

A

handling of hazardous materials in healthcare setting

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9
Q

hazardous means what 6 things

A

carcinogenic
teratogenic
reproductive tox.
organ tox. at low doses
genotox.
new drugs that mimic existing hazardous drugs

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10
Q

expiration date definition

A

last date when the product will meet the requirements of the USP monograph for strength or stability

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11
Q

BUDs definition

A

date after which a product should not be used. Cannot be later than an expiration date.

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12
Q

exemptions to repackaging guidelines (4)

A
  1. a prescription drug on the drug shortage list
  2. a drug product repackaged under direct supervision of a licensed pharmacist
  3. if repackaged by a pharmacy, only distributed upon receipt of a valid prescription for an individual patient
  4. repackaged product is assigned a BUD as described in the repackaging guidance
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13
Q

BUD for non aqueous formulation

A

no more than 6 months or the expiration date, whichever is sooner

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14
Q

BUD for water containing oral formulations

A

no more than 14 days or the expiration date, whichever is sooner

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15
Q

BUD for water containing topical, mucosal, and semisolid formulations

A

no more than 30 days or the product expiration date, whichever is sooner

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16
Q

2 types of inspections

A

routine
triggered by suspicion or formal complaint

17
Q

who can do inspections

A

FDA, DEA, State board of pharmacy

18
Q

FDA inspectors must show what 2 things to request entry into a pharmacy for an inspection

A

their credentials
notice of inspections

19
Q

When requesting inspection, a DEA inspector must: (3)

A
  1. state the purpose of their inspection
  2. show their credentials
  3. provide written notice of inspection to the pharmacy owner or pharmacist in charge
20
Q

DEA notice of inspection (NOI) lists out what 5 rights?

A
  1. right to require the DEA to get an administrative inspection warrant (AIW)
  2. the right to refuse an inspection (at which point they will acquire a AIW)
  3. anything incriminating found can be seized and used against you in prosecution
  4. you will get a copy of the NOI
  5. you may withdraw your consent to inspection at any time
21
Q

what is the bar for AIW?

A

provided for anything considered a valid public interest (low bar)

22
Q

what is the bar for search warrants?

A

a reasonable person would believe that a crime has been or will be committed (higher bar)

23
Q

_____ can only be served during regular business hours, _____ can be served anytime

A

AIW, search warrants

24
Q

can you deny a Board of Pharmacy (BoP) inspection?

A

no, they can inspect without a warrant

25
the _____ _____ provides info on equivalency ratings
orange book
26
the _____ _____ provides info on interchangeable biological product information
purple book
27
pharmaceutical equivalence includes what 5 things?
active ingredient dosage form strength route labeling
28
bio-equivalence includes what 2 things?
in vivo (human) results in vitro (lab) results
29
first letter of TE indicates what
the relevant therpeutic equivalence code
30
second letter of TE indicates what
dosage form
31
drugs with a 3 character codes are considered therapeutically equivalent only to other drugs with what
the same 3 letter code
32
TE code A means
therapeutically equivalent, no concerns with TE or biological equivalence
33
TE code B means
Not therapeutically equivalent