T3 - Transcribing

Question 1

What is transcribing?

Answer 1

1. Act of writing down or copying from one place to another
2. Entering prescription information into pharmacy software
3. Take verbal prescription from a prescriber or their representative

Question 2

What is the goal of transcribing?

Answer 2

Transform the prescription into a dispensed medication with correct instructions than can safely be interpreted by patients/caregivers

Question 3

What are the requirements of a legend drug prescription?

Answer 3

1. Patient name
2. Date of insurance
3. Name and address of prescriber
4. Name, strength, dosage form, and quantity of drug
5. Directions for use
6. Refills
7. Prescriber’s signature

Question 4

What are the requirements of a control drug prescription?

Answer 4

1. Patient address
2. Prescriber DEA

Question 5

What is the Article XII MSBOP Regulations?

Answer 5

Prescription drugs shall be dispensed only pursuant to a valid prescription or a valid order. A pharmacist shall not dispense a prescription which the pharmacist knows or should know is not a valid prescription. A Prescription Drug Order, to be effective, must be issued for a legitimate medical purpose by a Practitioner acting within the course of legitimate professional practice

Question 6

What is an electronic prescription?

Answer 6

Electronically, faxed, hand delivered to pharmacies

Question 7

What are the errors associated with eletronic prescription?

Answer 7

1. More than one set of directions
2. Incompatible directions
3. Inappropriate quantities

Question 8

What are e-scribes?

Answer 8

“True” electronic prescribing, or “e-prescribing,” exchanges prescriptions directly between a prescriber’s computer system and a pharmacy’s computer system.

Question 9

What are the benefits of e-scribes?

Answer 9

Improve medication safety

Question 10

What are the disadvantages of e-scribes?

Answer 10

May be a lack of communication with changes in orders

Question 11

What are the disadvantages of e-scribes?

Answer 11

May be a lack of communication with changes in orders

Question 12

What are the practical points of telephone prescriptions?

Answer 12

1. Make sure you get the name of the person calling – document.
2. Make sure you have a phone number for the practice – document.
3. Read back all information given to you – document.
4. Document any follow up with prescriber’s office or patient.

Question 13

What are the benefits of voicemail?

Answer 13

1. Allows you to record necessary information at your own pace.
2. Allows you to listen several times if necessary.
   3.Allows you to keep a record.

Question 14

What are some instances would you ask about a patients meds?

Answer 14

1. Allergies
2. Comorbidities
3. Indication
4. Duration

Question 15

Who can accept an oral prescription?

Answer 15

1. Federal guidance – pharmacists, technicians, or interns
2. Mississippi law – only pharmacists or interns under supervision of a pharmacist
3. Always follow the more stringent regulation

Question 16

What are somethings to consider when typing a new prescription?

Answer 16

1. Pharmacists, interns, or techs can enter prescription
2. Pharmacists are responsible for performing DURs
3. Pharmacists may use clinical support systems and guidelines in performing DURs
4. Check patient’s profile and reported allergies/health conditions.
5. Check prescription for indications.
6. Pay attention to copay.

Question 17

How do you fill a prescription?

Answer 17

1. Can be completed by pharmacists, interns, and technicians.
2. Check and double check NDC.

Question 18

What is the best practice to fill a prescription?

Answer 18

1. Complete one prescription at a time
2. Separate family members

Question 19

What are the benefits of a compounding prescription?

Answer 19

1. allows for patient specific dose and dosage form.
2. Beneficial for patients with allergies and sensitivities to common additives.
3. Beneficial for patients requiring a strength or dosage form not already in mass production.

Question 20

How do you verify a prescription?

Answer 20

1. Ensure all the patient information is correct.
2. Ensure medication, strength, and dosage form are correct.
3. Ensure quantity is correct.
4. Ensure all necessary medication information is included.
5. Ensure auxiliary labels are appropriate.

Question 21

What should you do before you dispense?

Answer 21

Verify two patient identifiers

Question 22

What are things you can offer for dispensing?

Answer 22

1. cousel
2. automatic refills
3. Delivery
4. Text reminders

Question 23

What are the challenges of prescriptions?

Answer 23

1. Fraud prescription
2. Prescribers writing outside their scope
3. Prescribers writing for themselves/loved ones
4. Drug seeking/Doctor shopping

Question 24

What makes an effective prescription drug order?

Answer 24

must be issued for a legitimate medical purpose by a Practitioner acting within the course of legitimate professional practice.

Question 25

What are the characteristics of drug seeking and doctor shopping?

Answer 25

1. Presentation of prescription 2. Patient behavior 3. Medication taking/supply 4. Illegal

Question 26

How is presentation of prescription an indication of doctor shopping?

Answer 26

1. Too many patients with the identical Rx 2. Too perfect

Question 27

How is patient behavior an indication of doctor shopping?

Answer 27

1. Typically wants to refill early. 2. PMP search reveals multiple pharmacies/prescribers. 3. Appears to be under the influence. 4. Too friendly/talkative. 5. Presents multiple Rx’s but only wants the control.

Question 28

How is medication taking/supply an indication of doctor shopping?

Answer 28

1. Large quantities of controls or multiple controls 2. Highly abused “cocktails” (opioid, benzodiazepine and muscle relaxant).

Question 29

How is doctor shopping illegal?

Answer 29

1. Indicates medication will be shared/sold 2. Prescribers DEA registration or state license is suspended or revoked. 3. Altered prescription.

Question 30

What is a DEA number?

Answer 30

A number issued to a practitioner to identify persons authorized by the state and Drug Enforcement Agency to prescribe controlled substances

Question 31

What are the components of a DEA number?

Answer 31

1. It consists of nine characters; the first two are letters, and the next seven are numbers 2. Originally, the first letter was A or B and the second letter was the first letter of the registrant’s last name. 3. The second group of characters consists of a set of numbers that are unique to each registrant.

Question 32

How do you verify a DEA number?

Answer 32

1. Add the first, third, and fifth digits. 2. Sum the second, fourth, and sixth digits, multiply this sum by 2, and add the results to the first sum. 3. The last digit of the sum should correspond to the ninth character of the DEA number.

Question 33

What are the guidelines of transferring a prescription in MS?

Answer 33

Only done by pharmacist or supervised intern No transfers for controlled substances

Question 34

What info do you need to transfer a prescription?

Answer 34

1. Phone and address of the pharmacy. 2. Name of the transferring pharmacist. 3. Date prescription was issued. 4. Original and last fill date. 5. Original and remaining refills.

Question 35

What are the practical points of transcribing prescriptions?

Answer 35

1. The pharmacy receiving the prescription makes the call. 2. If the patient is transferring multiple prescriptions, consider faxing. 3. Remember to introduce yourself. 4. If you are giving a copy to another pharmacy, be mindful of how you present the necessary information.