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290 Cards in this Set

  • Front
  • Back
lescol
fluvastatin 20, 40
sular
8.5,17,25.5,34 ER

nislodipine
avandamet
metformin/rosiglitazone
500/2,500/4,1000/2,1000/4
relpax
eletriptan 20, 40
methylin
methylphenidate
asmanex
mometasone
nasonex
mometasone
Novolog 70/30
insulin aspart/insulin aspart protamine
Humulin 70/30
NPH and regular
Humalog 75/25
lispro and protamine
Uroxatral
alfuzosin: alpha blocker
IV drugs with short stability
<<24h at RT after mixing
levothyroxine indomethacin *
ampicillin dexfuroxime*
smx/tmp ceftaztidime acetazolam
unasyn doxycycline acyclovir
meropenum synagis
impenum
ertapenum
IV drugs to protect from light
norepi, epinephrine, amiodarone,
amphotercin B, labetolol, nitroprusside
levothyroxine, doxycycline, hydrocort
leukovorin, methylpred, isoproternol
acebutolol
do not refrigerate
metronidazole clindamycin acyclovir
bactrim
susp: bactrim clarithro, zithromax
NS only
phenytoin, erythromycin, metronidazole
methohex. metoclopramide
D5W only
amiodarone, ampho B, azithro, nitroprusside, septra, procainamide, mycophenolate, neupogen
saquinavir
protease inh
hard gel = Invirase usually with Ritonvr
soft gel = Fortovase
ampicillin stability
72 fridge or 24 at RT in NS

4 hours fridge 2 h RT in D5W
Peak flow
Green 80-100
yellow 50-79
red <50 (emerg plan implemented)
max dose DM
120mg/day
max dose codeine
120mg/day
max dose
24 pieces
caffiene
200mg/day
diphenhydramine max dose
75
guafenasin
2400
common constipation
iron, Ca Al antacids,
CCBs verapamil in particular
TCA, anticholinergics, opiods, sucralfate antihistamines
H2RA ade
HA, constipation, diarrhea
max dose
apap
asa
ibu
nap
apap 4000
asa 4000
ibu 1200
nap 660
opthalmic vasoconstrictors
tetrahydrozine
naphlzoline
oxymetalozone (lease ocular pressure effects)
phenylephrine
opthalmic allergies
ketotofen = zatador alaway
combo naphzoline + pheniramine = napcon opcon A visine A

Naph+ antoazolin Vasacon A
ocular decongestants CI
glaucoma, prostate issue BP
Heart disease
eye: refer to MD
corneal edema: seeing halo foggy
FB
chemical exposure
trauma
earwax
carbamide peroxide
h202 and water 1:1
ear drying
swim ear
95% isopropanol and %5 anhydrous glycerin
acyclovir
short stability
do not fridge
levoxyl
short stability
protect from light
NS only
ceftazidime
short stability
smx/tmp
short stability
D5W only
do not fridge
indomethacin injectable?
very very short stability give immed
defuroxime
very very short stability give immed
doxycycline injectable
short stability
protect from light
meropenum
imipenum
ertapenum
short stability
synagis
short stability
acetazolamide
short stability
ampho B
protect from light
D5W only
epi/norepi
protect from light
amiodarone
protect from light
D5W only
hydrocort, methylpred
protect from light
leukovorin
protect from light
labetolol
protect from light
isoproternol
protect from light
nitroprusside
protect from light
phenyton
NS only
erythromycin injectable
NS only
metronidazole
NS only
do not fridge
methohex and metoclop
NS onlyh
azithromycin
D5W only
procainamide
D5W only
mycophenolate
D5W only
minimum Rx requirements if all other info can be retrieved in computer
name and signature of prescriber
name and address of pt
name and qty drug
directions
date of issue
do you need address and dea of doc if oral rx
not if can retrieve in computer
hardcopies for escripts?
not if can be retrieved for 3 years
label requirements include
drug name
directions
name of pt issue date
name address phone pharmace
qty exp date physical description*
exceptions to physical description
vet
new drug 120 days and not in databas
none exists unit dose for facility
individual dose systems
clinical trials can falsely label if maintain records for ___ years?
3
pharmacists that adjust meds per protocol, notify doc of changes within ___?
24 hrs
can you charge a fee for EC
yes up to $10 admin fee
repackaging drugs must include
can at pt request
all container requrements
name address of repacker and original pharmacy
drugs must have valid rx EXCEPT:
manufacturer, wholesaler, pharmacy to:
eachother or phys or laboratory
direct to dialysis pts
needles to pt
can you deliver drugs to a hospital with no one there?
only if to central recieving area and way to know if anyone entered after they were left.
deliverer must leave docs showing what they left
drugs delivered to central recieving area with no RPh must be checked in within ___time?
1 working day
do drug reps need an Rx to leave samples
no, just need a written order and must be signed for name and address to and from
emergency mobile pharmacy must cease within____ of end of emergency
48 hours
when can a hospital dispense drugs to pt?
if pharmacy is closed, no RPh there
drug is acquired by hospital
record info and provide to pharmacy when they open
report all controls II III IV to DOJ
if you are cited you must comply and submit action plan or written contest in_____ time
30 days
you have 30 days to notify board of:
change address
notify of termination of PIC
report employee theft diversion etc
contract to provide parenteral drugs
non resident pharmacies that ship to CA must have what counseling service
toll free number 6 days/week 40 hr/week

must have a ca license
how long do you have to name a new PIC?
120 days for interim and must be aproved by board

otherwise 15 days to replace
tech ratio
1 pharmacist 1 tech
2 pharmacist 2 additional techs = 3 total
intern ratio
1:2
epi pens to schools need
written order
records maintained by school x 3 yrs
sterile products must be made in iso class?
5
how long to keep sterile certification records?
3 years
class ___ hepa filter
100
walls disinfected
weekly
hypodermic needle sales require
no Rx
must be 18 to buy
free clinics dispensing fee
may NOT collect one
walk in customers of free clinic cannot exceed
1% of sales
schedule II drugs at a free clinic
may NOT dispense CII, nothing prevents them from administering though
continuing ed for cali
30 hours in 2 years
counseling is not required for:
refusal
correctional facility except at d/c
inpatient
permit for off site record storage must retain what in the pharmacy
past year of non control
past 2 years controls
off site records must be retrievable in ____time?
2 days
you must maintain Rx profiles for how long
1 year unless you dont think they will obtain another Rx there
can be a PIC of how many pharmacies
2 and cant be farther than 50 miles apart
hospital walk in and out pt rx's cannot exceed
1% of total rxs
CI drug examples
illegals
THC methaqualone methcathinon (cat)
marijuana GHB/sodium oxybate mescaline
CII
"really bad pain"
opium extracts pentobarbital secobarbital sufentanyl amobarbitol levorphanol coa leaves poppy straw stimulants LAAM nalbilone
CIII
'pain'
mixt or supp of seco/amo/pentobarb
mixures of narcotics
anabolic steroids dronabinol
chorionic gonadatropin
CIII qty limits
codiene
1.8g codiene/100ml or 90mg/dosage

with equal or greater non-narc
CIII limits hydrocodone
300mg hydrocodone/100ml or 15mg/dosage unit

with one or more non-narcs in therapeutic amounts
CIII liquid restrictions
cannot contain 2 antihistamines as its non narc
CIII limits ethylmorphine
300mg per 100ml or
15mg per dosage unit

therapeutic amt non narc
CIII limit opium
500mg opium per 100mg/100ml or
2.5mg per dosage unit with

therapeutic amount non narc
CIII morphine limit
500mg morphine per 100ml/mg

with therapeutic amt non narc
any compound containing anabolic steroid or chorionic gonadatropin is schedule____
CIII (three)
CIV drugs
"the rest"
benzos butorphanol sleep aids midazolam diet drugs modafinil cathine etc
CIV qty limit of difenoxin
1mg of difenoxin with not less than 25mcg atropine per dosage unit
CV drugs
cough and 'shit'
lyrica buprenorphine
CV qty limits codiene
200mg per 100ml/g
CV qty limits hydrocodone
100mg per 100ml/g
CV qty limits ethylmorphine
100mg/100ml or g
CV qty limits opium
100mg per 100ml/g
CV qty limits difenoxin and diphenoxlate
0.5mg difenoxin with no less than 25mcg atropine per dose

2.5mg diphenoxylate with no less than 25 mcq atropine
betadine povidone limits
1% sol in 8oz or less
2% tincture in 1 oz or less
pseudophed limit
18 and older
3.6 g day
no more than 3 packages
9 g per month
CII must be filled within ___ time of date written
6 months
CV may be fore more than one person in same family
true
post date and ante date of controls?
not allowed
emergency supply on oral or electronic order for CII requirements
only if intense suffering will occur or loss of life
signed and dated in ink if escript or fax
written by RPh if oral
must obtain the hardcopy of a CII that was dispense in a emergency by ____ time?
7 days
who can you accept electronic or oral CII ordres for?
SNF hospice but must be written by RPh on a form for that purpose must reduce to writing
prescribers must report dispensed controls to DEA how oftne?
weekly
emergency fill of a CIII, IV, V if hazard or suffering?
yes but only resonable qty
can a prescriber dispense a CII to a pt?
yes if only for 72 hour supply and pt not expected to need more than 72 hours of drug
keep control substance records for ____time?
3 years
addiction treatment can only occur in the authorized place of treatment exept?
non narcotic tx in physicians office
limitations of narcotics in treatment?
only for 30 days of treatment limiited to how much you can give of certain drugs in first 15 days, and after 15 days of treatment. end of 30 days all d'cd except methadone
who can you sell controls to without a prescription?
physician dentist vet podiatrist optometrist
who do you report out of state CII orders to?
attorney general within 24 hours
when can you dispense a CII that is in error or doesn't meet the requirements
write terminally ill or exeption 11159.2 on it

if error return for correction within 72 hours
partial filling of CII must be completed by________time
72 hours
can you partial fill if pt only wants half?
NO! voids the rest of qty can only partial fill and fill remainining if you are out of stock and fill within 72 hours
refills allowed on CIII CIV?
5 and not exceeding total of 120 days of refills
electronic monitoring of controls must be submitted online Q 30 days and not later than____ of month
18th of month following month rx was dispensed
physicians may dispense if:
?
own pt
they give option of taking Rx to pharmacy
meet all label requirements
he doesn't keep a pharmacy
can a prescriber obtain controls from you for dispensing?
no for general dispensing, he must order from the manufacturer
there are laws stating you must warn for sleepy, impair, operate machinery, anticholinergics and impair vision
true
quality assurance must investigate errors within ____ time and record and keep records for _____ time?
investigate within 2 business days
keep records x 1 year
expiration of a compounded drug?
NTE 180 days or real expiration date
can you compound T3:T4 mix ahead of time if you dont have the Rx yet?
yes. you may compound a reasonable amt in advance to ensure continutity of care
report a theft and stolen drugs in your pharmacy to who?
DOJ
report theft and stolen drugs to DOJ within
3 days??
pure food and drug act
prohibits food and drugs thru interstae to be misbranded adulterated
food drug cosmetic
any new drug cant be marketed unless proven safe as labeld. also req labels for habit forming. dose not include cosmetics or devices
durham humphry
divides drugs into 2 classes Rx and OTC but manuf dont have to put directions on Rx drugs because physicans sig is . req to list federal law prohibits dispensing without a.... also provided oral and electronic rxs
kefauver harriss amendment
thalidomide
new drugs must be proven safe and effective.
puts advertising in hands of FDA
good manufacturing practice requrements
waxman hatch
aka patent term restoration
streamlined generic approval
gave 5 years exclusivity
drug marketing act of 1987
more controls on samples wholesalers be licensed by states undre fed guidlines
bans reimportation
store and handling record for samples
FDA modernization act
clarifies how to do extemporaneos cmpding
6 more months of patent for pediatric trials
warning...habit forming eliminated
USP DI volumes are
for drug informaiont
I healthcare prof
II advice for pt and general public
III orange book
STEPS program
thalidomide
limits to 28 days
fill within 7 days
iPLEDGE
prescriber must register
pharmacy and wholesaler must register
sign document informin risks of dep, suicide, birth defect agree to monthly office visits
must fill within 7 days of neg preg test
PPL for
lotronex

prescribers must affix program stickr to all Rx's written
must dispense med guide
cannot fax or escribe
original package with med guid and followup survey
TAP
tracleer access for bosentan
clozaril nat'l registry
must supply pharmacy with labwork within 7 days of dispensing
TIPS
tikosyn
EPASS
exjade only thru specialty pharmacies
fosamax 40?
for pagets
IRESSA
gefitinib chemo
physician must be certified
xyrem success program
GHB for narcolepsy with episodal catapexy
REACH
sorafenif (Nexavar) advanced renal cell carcinoma
CARE
plan B
repackaging meds must make expiration date
NTE 25% of time rememaining or original exp or 6 months, whichever is less
exp pt med packs
60 days
can you partial fill CII for facility pt?
yes and hospice pt but only for 60 days
medical device probs report to?
FDA
vet products probs report to
FDA ved med center
drug recalls class I
may cause serious harm
recall include stock in pharmacies and call the patients
class II recall
manuf sends written recall notice
recall pharmacy stocks

temp or reversible side effects
class III
unlikely to cause harm
compounds of non aqueous solids exp date
25% of time remaining or 6 months
aqueous compound at room temp expiration dating
14 days
a drug is made into unit dose and not labeled with the exp date. this is an example of?
misbranded
bioequiv means
orange book
A and AB rated

(B means NOT equiv)
DEA form 224
registration of entities
DEA form 224 registration is good for
36 months
you will recieve dea registration renewal when?
60 days before exp or if not by 45 days then contact them in writing
everywhere controlled subs are manu, distr, or dispensed must have own DEA registration EXCEPT?
warhouse
practitioners office where prescribed but not administered or dispensed
common freight carriers (UPS)
office where sales are conducted but doesnt contain the drug
bulk manufacturer can apply for reregistration when?
120 days before exp
CII symbol enough dont need to say "schedule"
true
DEA form 222
sale or transfer of Ci or CII
copy 1 of 222
supplier
copy 2 of 222
first to supplier then dea
copy 3 of 222 form
retained by purchaser
222 colors?
1 brown supplier
2 green dea
3 blue purchaser
DEA form222a
to get more 222 forms
ordering steps for CII
complete form 222
keep 3rd copy
submit 1 and 2 to supplier
can an order for a CII from a supplier be partially filled?
yes but complete by 60 days
how many lines on 222 form?
10 drugs
what if supplier doesnt have your CII drugs?
space on back for second supplier but they must fill ENTIRE QTY
keep DEA form 222 copies for____ years
2 years
keep the vet drugs carfentanil etorphine and diprenorphine seperate
true
CSOS
electronic CII ordreing
can you order CII and non CIIs on same order?
you can if online CSOS
you dont need to sign the sudafed log if?
single package containing no more than 60 mg
drug tax act 2000
addiction certification or 8 hrs training. participated in clinical trial

lifted 30 day limit on narc treatment
approved drugs in treatment?
methadone
LAAM
buprenorphine
unique number for CSOS?
2 digs of year "10"
then X then 6 digs

10X123456
what can you change on a CII
pt address
strength
qt
directions
colors of warf
look it up
Sched V codiene cough syrup OTC qty limits for purchase
only by RPh and NTE:
8oz if contains opium
4 oz or 48 dosage units of any other control
total amt in time period of CV cough suppressant you can get
18 and older
4 oz in 48 h period
log book x 2 years
dea number formula
1, 3, 5 added
2, 4, 6 added then x 2
add together should match last 2 digs
nurse gives the wrong drug to a pt who gets notified
just tell the MD,dont report to board, medwatch all that crap
orphenadrine?
muscle relax
nesiritide is natrecor
dont give if sbp <90
form 363
narcotic treatment programs
form 41
to destroy unwanted controlls
when do you have to notify dea to destroy narcs?
2 weeks prior then get the auth. hospitals can get a blanket auth to destroy
form 106
theft or loss of drugs
transferring between pharmacies. total number of dosage units cannot exceed ___% or you have to do what?
5% or register as a wholesaler
what do you do in case of a theft or loss
form 106 for theft of loss and notify dea directly for controls report within 3 days to DOJ
how long to keep refill data?
2 years
combivir
nrti combo zio and lami q12h
trizivir
q12h
truvada
q24
epzicom
q24
zidovudine
NRTI retrovir
lamuvidine
NRTI epivir
abacavir
NRTI ziagen
didanosine
NRTI Videx
stavudine
NRTI zerit
tenofovir
NRTI zerit
emtricitabine
NRTI emtriva
dont give which NRTI together
zidovu and stav = both need thymadine

stav and didan = increased tox
main ade for NRTI
lactic acidosis hepatic steatosis
renal dose them all except abacavir
stav= pancreatitis and periph neurop
efavirenz
non nuc.
sustinva
nevirapine
non nuc. viramune
etravirine
non nuc. intelence
delavirdine
non nuc. respriptor
which is good in k103 mut?
etravirine intelence
non nuc main ade
rash nausea hepatisis increase LFT
take non nuc. with food?
most dont matter except efavirenz or unbooster
dreams and cns ade of hiv drugs
efavirenz
lopinavir
with ritonovir is kaletra
nelfinavir
viracept PI
atazanavir
reyataz PI
fosamprenavir
lexiva PI
saquinavir hard gel cap
invirase PI

soft gel i think was being taken off market
darunavir
prezista PI
tipranavir
optivus PI
ritonovir
norvir PI
indinavir
crixivan
PI
take which PI with food?
nelfinavir
atazan
darunavir

saquin with riton within 2 h of meal
which PI without food?
unboosted indinavir
sulfa PIs?
fosampren
tipranavir
darunavir

FTD
maraviroc
selzentry ccr5
enfuvirtide
fuzeon gp41 inj q12
isentress?
raltegravir

integrase
mac tx
azithro clarithro
CI in preg
efavirenz
stavudine + didanoside
triptans longest half life
frova and nara but have slower onset
tx for type I acne
benzoily peroxide non rx
type II acne tx
papular
topical abx, topical retinoids or both
type III acne tx
pustular oral antibiotics in addition to topical
type IV
nodulocystic isotretinoin
benazclin
clinda
benzamycin
ery
warfarin 1mg
bright pink
warfarin 2
purple
3 warfarin
tan
warfarin2.5
green
warfarin 5
lighter pink
warfarin 4
blue
warfarin 7.5
peach
warfarin 10
white
warfarin 6
teal-ish
low pot steroids
aclometasone diproprionate 0.05
flucinolone 0.01
hydrocortisone 0.5, 1, 2.5
triamcinolone 0.025
clocortolone pivaitate 0.1
intermed
triamcinolone 0.1, 0.2
intermed
hydrocort valerate
intermed
fluconolone 0.01, 0.25
intermed
desonide 0.05
desoximetasone 0.05
intermediate
betamethasone val 0.12
intermed
mometasone
inter
flurandrenoline 0.025
fluticasone
intermed
aclometasone diproprionate 0.05
low
flucinolone 0.01
low
hydrocortisone 0.5, 1, 2.5
low
triamcinolone 0.025
low
betamethasone aug
diprolene
high
desoximetasone gel or 0.25 cream
high
diflorasone diacetate 0.05
high
flucinolonide
high
halcinonide
high
Triamcinolone 0.5
high
clobetasol
high
flurandrenoline cordon tape
high
halbetosol
high