Term
| What are the three different names for a drug? |
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Definition
-drug name (generic)
-proprietary name (brand)
-chemical name |
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Term
| What is the difference between the FDA and DSHEA (dietary supplement health education act) in regards to drug approval? |
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Definition
FDA= approved drugs have been through rigorous testing to be proven safe and effective. Legend (prescription) drugs as well as some OTC
DSHEA= do not go through extensive testing, products reach market without FDA approval, cosmetics and dietary supplements |
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Term
| What are legend drugs and how are they categorized? |
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Definition
| any item that federal law prohibits dispensing without a prescription from a licensed prescriber, they are categorized into "schedules" based on their actual relative potential for abuse |
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Term
| Explain schedule 1 drugs and and give some examples. |
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Definition
-highest potential for abuse
-not used for medical treatment in the U.S. or is considered unsafe for use in medically supervised treatment
Ex's: heroin, LSD, mescaline, peyote, PCP |
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Term
| Explain schedule 2 drugs and give some examples |
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Definition
-high potential for abuse
-used in medical treatment in US or used with severe restrictions
-abuse may result in severe physical or psychic dependence
Ex's: marijuana, opiates (oxycontin, kadian, methadone, fentanyl) amphetamine, methamphetamine, methylphenidate, pentobarbital |
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Term
| Explain schedule 3 drugs and give some examples. |
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Definition
-potential for abuse is less than schedules 1 and 2
-abuse may lead to low-moderate physical dependence or high psychological dependence
Ex's: testosterone, Lortab, Norco, codeine, ketamine, suboxone, and tylenol #3. |
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Term
| Explain schedule 4 drugs and give some examples. |
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Definition
-low potential for abuse compared to schedule 3
-abuse may lead to limited physical or psychological dependence relative to schedule 3
Ex's: benzodiazepines, phentermine, ambien, midrin, lunesta, provigil, darvocet, sonata |
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Term
| Explain schedule 5 drugs and give some examples. |
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Definition
-low potential for abuse compared to schedule 4
-limited physical and psychological dependence compared to 4
Ex's: codeine (Robitussin AC), diphenoxylate/atropine (lomotil), Lyrica |
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Term
| What is a new requirement from Medicare and Medicaid regarding prescription pads? |
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Definition
| all prescriptions must be written on tamper resistant prescription pads |
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Term
| In regards to Schedule 2 drugs, if a prescriber indicates that the patient is "terminally ill" or is in a long term facility, what does this allow the pharmacy to do? |
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Definition
-it can refill the rx 10x in 60 days
-"titrate to comfort"= allows the infusion pharmacy to adjust the patient's meds without further physician orders |
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Term
| What are 4 things the pharmacist is never allowed to change on C2 prescriptions? |
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Definition
-patient's name
-name of the drug (except generic substitute)
-name of prescribing practitioner
-date of rx |
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Term
| following consultation with the prescribing practitioner, what are 4 things the pharmacist can change on a C2 prescription? |
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Definition
-patient's address
-drug strength
-drug quantity
-directions for use |
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Term
| C2 scripts must be separate prescription orders, unless they are orders for which 5 types of facilities? |
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Definition
-hospitals
-nursing homes
-assisted care living facilities
-mental health facilities
-local, state, and federal correctional facilities |
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