prescription writing Flashcards

1
Q

superscription

A
  • ID info of pt and provider

- the “who”

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2
Q

inscription

A
  • name of med, dose, quantity, ingredient, dosage form
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3
Q

subscription

A
  • directions for use of med
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4
Q

key elements of written prescription

A
  • prescriber and NPI
  • supervising physician
  • prescription
  • controlled substance
  • brand/interchange
  • pt (2 identifiers)
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5
Q

schedule I drugs

A
  • cannot be prescribed
  • high potential for abuse
  • most dangerous of all classes
  • i.e. heroin, LSD, marijuana, ecstasy
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6
Q

schedule II drugs

A
  • high potential for abuse
  • can lead to severe psychological and physical dependence
  • pt needs paper copy to dispense drug
  • no refills
  • MUST check database before prescribing every time
  • i.e. opioids
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7
Q

schedule III drugs

A
  • mod or low potential for physical or psychological dependence
  • i.e. codeine, ketamine, anabolic steroids, testosterone
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8
Q

schedule IV drugs

A
  • low potential for abuse
  • low risk for dependence
  • i.e. xanax, soma, valium, ativan, tramadol
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9
Q

schedule V drugs

A
  • lower potential for abuse than IV
  • generally used for antidiarrheal, antitussive, and analgesics
  • i.e. robitussin, lomotil, lyrica
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10
Q

schedule VI drugs

A
  • OTC drugs in MA
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11
Q

verbal prescriptions

A
  • none for schedule II except small amounts in emergencies

- schedule III-V can do but must have written prescription within 7 days

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12
Q

fax prescriptions

A
  • schedule II can but need hard copy to dispense

- schedule III-VI- ok no hard copy needed

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13
Q

e-prescribing

A
  • can prescribe for II through V
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14
Q

dispensing rules for schedule II drugs

A
  • can be issued for 30 d supply
  • exception- methylphenidate and dextroamphetamine can be prescribed for 60 days when used for ADHD or narcolepsy
  • NO REFILLS
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15
Q

dispensing rules for schedule III- IV

A
  • prescribe for 30 days
  • can be refilled up to five times in six mo
  • need indication written
  • controlled substances without indication cannot be filled
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16
Q

dispensing rules for schedule V-VI

A
  • 30 or 90 day supply
  • refills as authorized
  • dictated mostly by insurance
17
Q

recommendation for re-eval for schedule II drugs

A
  • clinically re-evaled at least once every for mo
  • or as often as possible
  • speak with PCP before issuing new prescription
18
Q

recommendation for re-eval for schedule III-VI drugs

A
  • at least one every six months