Term
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Definition
Heroin, LSD
High abuse potential
Not accepted for Medical Use
Physical: Severe
Psychological: Severe |
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Term
Category II Drugs
Examples:
Abuse Potential:
Physical and Psychological dependence:
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Definition
Methylphenidate, cocaine, morphine
High
Accepted use in US
Severe dependence |
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Term
Category III drugs
Examples:
Potential for Abuse:
Acceptable use:
Dependence: |
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Definition
Phenobarbital, ketamine, tylenol with codeine
Lower than CI or CII
Accepted
Moderate physical, high psychological |
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Term
Category IV Drugs
Examples:
Potential for Abuse:
Dependence |
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Definition
Benzodiazepine, chloral hydrate
Low relative to CIII
Limited potential for physical and psychological dependence
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Term
Category V drugs
Examples
Potential for abuse
Potential for Dependence
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Definition
Robitissin, Novahistine, Kaopectalin
Low relative to CIV
Limited |
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Term
| Drugs controlled in KY that aren't controlled under federal law |
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Definition
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Term
| Rules for codeine to be sold OTC |
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Definition
No more than 200mg/100mL
In combo with another product
Limited to 120mL per 48 hours
Tracked via codeine registry |
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Term
| Information required on controlled substance Rx |
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Definition
| DEA, total numeric quantity, name and address of patient, state security Rx blank |
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Term
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Definition
Void patten in pantone green appears if photocopied.
Watermark: "Kentucky Security Prescription"
Opaque "Rx" disappears if lightened.
6 pre-printed quantity check-off boxes
No advertising or pre-printed drug names
1 rx/ blank
May have logo in upper left hand corner |
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Term
| Rx specifics for non-controlled legend drugs |
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Definition
Valid for up to 1 year after date of issue
No limit on number of refills
May refill "as needed"
May be transitted orally, electronically or via fax
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Term
Rx specifics for CII drugs written by MDs
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Definition
No refills
Valid for up to 60 days after issue
Must be written
Fax allowed if long term care facility ptnt, hospice ptnt, narcotic parental to be compounded, original signed Rx brought to pharmacy within 7 days |
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Term
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Definition
Limited to 72 hour supply, no refills
Exception: If in psychiatric mental health facility may issue 30 day supply for psychostimulant. |
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Term
| CIII-CV Rx requirements for MDs |
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Definition
Valid up to 6 mos from date of issue
May refill up to 5 times within 6 mos of date of issue
May be transmitted orally, electronically or via fax
If faxed must write/stamp faxed on face of original Rx, date and initial, retain original in ptnt's medical records |
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Term
| CIII Rx requirements for NPs |
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Definition
30 day supply max
No refills |
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Term
Legend Drug Rx
Contents on Rx |
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Definition
Date (day, month, year)
Full name of ptnt
Name of drug
Strength
Dosage form
quantity prescribed
Directions for use
Prescriber's name, business address, telephone number and official sig, license and DEA |
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Term
| Pharmaceutical equivalence |
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Definition
| Same active ingredient, dosage form, route of admin, strength |
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Term
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Definition
| Pharmaceutically equivalent drugs that display comparable bioavailability |
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Term
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Definition
Pharmaceutical and bioequivalent
A: Therapeutically equivalent
B: Not therapeutically equivalent
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Term
Non-equivalent Drug Product Formulary
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Definition
Includes drugs or which there are no equivalent drug products and which should not be interchanged by pharmacists.
Lists all generic drugs which FDA determined to be non-equivalent.
Digitalis glycosides, anti-epileptic, anti-arrhythmics, estrogens, warfarin, thyroid hormones, theophylline |
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Term
| Generic Substitution allowed in KY if |
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Definition
Rx is written for brand name
Not listed on nonequivalent drug product formulary
Therapeutically equivalent is in stock and cheaper
Do not substitute is not written on Rx
Patient does not specify otherwise |
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Term
| Requirements for in hospital orders |
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Definition
Patient name, weight, date and time
Name of drug, dose, formulation, route, frequency
Indication must be in chart
Medication (no abbreviations)
Sig |
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