PUP FINAL REVIEW Flashcards
(60 cards)
1
Q
Doxycycline Monohydrate/Hyclate
A
Vibramyocin
Adoxa
Monodox
2
Q
Azithromycin
A
Z-Pak
Tri-Pak
Zithromex
3
Q
Sulfamethoxazole-Trimethoprim (SMZ-TMP):
A
Bactrim DS
4
Q
Nitrofurnatoin
A
Macrobid
Macrodantin
5
Q
Tri-phasics: Ethinyl estradiol/norgestimate
A
Ortho tricyclen
Tri-sprintec
Tri-vilibra
6
Q
Ferrous fumarate
A
Norethindrone
7
Q
Norelgestromin
A
Xulane
8
Q
Methylphenidate (C-II)
A
Ritalin
Ritalin LA
Concerta
9
Q
Sertraline
A
Zoloft
10
Q
Bupropion smoking cessation
A
Zyban
11
Q
Olanzapine
A
Zyprexa
12
Q
Aripiprazole
A
Abilify
13
Q
Lamotrigine
A
Lamictal
14
Q
Divalproex sodium
A
Depakote (DR)
Depakote (ER)
15
Q
Trazodone
A
Desyrel
16
Q
Zolpidem (C-IV)
A
Ambien
17
Q
Dextromethorphan
A
Delsym
18
Q
______/Ritonavir
A
Nirmatrelvir; paxlovid
19
Q
Omega-3-Fatty Acids
A
Lovaza
20
Q
Atorvastatin
A
Lipitor
21
Q
Ezetimibe
A
Zetia
22
Q
Dapagliflozin
A
Farxiga
23
Q
Semaglutide Oral
A
Rybelsus
24
Q
Promethazine
A
Phenergan
25
Ondansetron
Zofran
Zofran (ODT)
26
Famotidine (OTC)
Pepcid AC
27
Docusate Sodium (OTC)
Colace
28
Bisacodyl
Dulcolax
29
Furosemide
Lasix
30
Hydrochlorothiazide (HCTZ)
Microzide
31
Lisinopril
Prinivil
Zestril
32
Hydrocortisone
Ala-cort
Anu-cort
Instacort
33
Alendronate
Fosamax
34
Atovaquone/Proguanil
Malarone
35
Rivaroxaban
Xarelto
36
Estradiol
Estrace
Climara
Vivelle-Dot
37
Testosterone
Androgel Testim
Depo Testosterone
38
What are the big four prescribers?
Physicians (MD or DO)
"whole body"
Dentists (DDS or DMD)
"Maxillofacial area only (mouth, teeth, gums)"
Podiatrists (DPM)
"Foot and ankle"
Veterinarians (DVM)
"Non-human animals only. May use human drugs on animals
39
What are the midlevel prescribers?
Optometrists
Advanced Practice Registered Nurses (Nurse practitioners, midwives, specialists, anesthetist)
Physician Assistants (PA)
Pharmacists (RPh)
40
What do the numbers on the NDC stand for?
Universal product identifier for human drugs
Series of 11 numbers
-First five identify the **manufacturer** this is assigned by the FDA
-4 numbers in the middle identify the drug **strength, dosage form, and formulation** -assigned by manufacturer
-Last two numbers -package size - assigned by manufacturer
41
Controlled substance schedule 1
No medical use, highest abuse potential, unsafe
42
Controlled substance Schedule 2
Medical use, high abuse potential, highly addictive
43
Controlled substance Schedule 3
Medical use, medium abuse and addiction potential
44
Controlled substance Schedule 4
Medical use, low-med abuse and addiction potential
45
Controlled substance Schedule 5
Limited abuse potential, and/or physical, psychological dependence
46
Which elements must be present on a prescription before it can be processed or filed?
Patient name
Patient address
The date it was written
The drug name, strength, sig and day supply
If drug may be substituted or not
47
What limitations are in place on prescription refills?
C-II:
Expire no later than 1 year from issue date
NO REFILLS
C-III, C-IV, and C-V:
Expire no later than 6 months from issue date
Refill: **5 max**
All non controlled expire at the latest one year from the date of issue, unless there are additional prescriber restrictiosn
48
What are the requirements surrounding generic substitution of products?
Must format:
"______generic for______" on label
"Orange book"
-Approved drug products w/therapeutic equivalence evaluations
Found online on the FDA website
49
Three prime questions used in counseling
What is this medication used for?
How did the doctor tell you to take this medication?
What did the doctor tell you to expect?
50
Making OTC recommendations: After employing SCHOLAR, what other info should be collected?
Drug allergies
Medical conditions
Currently taking other Rx or OTC meds
What have they tried
Do they prefer brand or generic
Any lifestyle factors/preferences
Dosage forms/frequency concerns?
Adverse effect concerns?
51
What are some examples that would warrant a referral for a patient seeking OTC?
No relief after one week of OTC tx
Worsening of symptoms
Severe bleeding/pain
Reactions to OTC medication
52
Therapeutic equivalence
Pharmaceutical equivalence + bioequivalence
53
Pharmaceutical equivalence
Active ingredient
Dosage form
Strength
Route
Labeling
54
Bio-Equivalence:
In vivo (human) results
In vitro (lab) results
(kinetics, dynamics, clinical effects)
55
4 identifiers for pharmacy insurance coverage:
ID number (RxID)
RxGrp
RxBIN
RxPCN
56
Medicaid
State-funded program
Low-income families, children, expecting mothers
Covers many medical dental and prescription claims
**Most Rx: Some OTC**
57
Medicare
Federally-funded program
Elderly and disabled patients
Part A: hospital
Part B: outpatient, few meds,
-diabetic/medical supplies
Oral anti-emetics for cancer
Vaccines (flu, pneumo, COVID)
Part C: "Advantage", deductible coverage, increasing RX coverage
58
What can be transferred?
**Non-controlled:**
Multiple times btwn pharmacies within the refill authorization limits on the prescription
**Controlled - III, IV, and V**
Have not been filled previously may be transferred one time, but must be transferred electronically
One time only - exception: receiving/sending common database
**Controlled - II**
Have no been filled previously may be transferred once, and needs to be done **electronically**
NO refills allowed, so cannot be transferred otherwise
59
What to get when receiving transfer
Pt name and address
Rx #
Date issued
Date first filled
Original refills
Remaining refills
Date of last fill
Pharmacy's name, address, and phone
DEA #
Transferring RPH
Drug name, strength, sig, refills,
If may substitute or not
Dr/ Address, DEA and phone
60
PCC process
Collect
Assess
Analyze
Plan
Implement
Follow-up/Monitor and evaluate
