Misc Final Review Flashcards
What are the four big prescribers?
physicians, dentists, podiatrists, veterinarians
What are the midlevel prescribers?
optometrist, nurse practitioners, physician assistants, pharmacists
What do the numbers on the NDC stand for? (5555-4444-22)
- first 5: manufacturer
- middle 4: drug, strength, dosage form, formulation
- last 2: package size
- First 5 are assigned by the FDA; manufacturer assigns the rest
How do you differentiate between the controlled substance schedules?
- illegal
- high abuse
- medium abuse
- low abuse
- limited abuse
Which elements must be on a prescription before it can be processed and filled?
- written date
- patient’s address
- patient’s name
- doctor’s name (DAW)
- drug name
- drug directions
- drug quantity
(date, address, name, name, name, directions, quantity)
What limitations are in place on prescription refills?
- CII - no refills (1 year expiration)
- CIII-CV - 5 refills (6 month expiration)
- non-controlled - 1 year expiration
What are the requirements surrounding generic substitution of products?
- dispensed label must say “_______ generic for ________”
- must be therapeutically equivalent (orange book)
What are the 3 prime counseling questions?
- what is this medication used for?
- how are you supposed to be taking this medication?
- what did the doctor tell you to expect?
What are the standards for therapeutic equivalence?
- pharmaceutically equivalent and bio-equivalent
What are the standards for pharmaceutical equivalence?
- active ingredient
- strength
- dosage form
- route
- labeling
What are the 4 identifiers on insurance cards?
- BIN
- PCN
- rx group
- member ID
List Medicaid characteristics:
- state-funded
- low income, children, expecting mothers
- covers medical, dental, and rx
- covers most RX, some OTC
List Medicare characteristics
- federally funded program
- elderly and disabled patients
- Part A: Hospital
- Part B: outpatient – diabetic supplies, cancer anti-emetics, some vaccines
- Part C: advantage – increasing deductible and Rx coverage
How many times can CIII-CVs be transferred?
- Only once
- They have to have filled it once at the original pharmacy it was sent to
- They can transfer it multiple times within the same central system
What is the difference between a drug recall and a drug seizure?
a drug recall is voluntary; a seizer is not
