Peds Pharm: Prescription Writing

Front 1

What makes up the DEA?

Back 1

-Bureau of Narcotics and Dangerous Drugs
-Office of Drug Abuse Law Enforcement

Responsible for enforcement and Prevention

Front 2

What did the controlled substance act of 1970 do?

Back 2

helps reduce widespread diversion and regulates manufacturing, distribution and sale of controlled substances

Front 3

What are non-controlled substances?

Back 3

not recongnized by federal law as being an "abused" drug when used for non-medical purposes or used in excessive quantities

Front 4

What are controlled substances?

Back 4

Recognized by federal law as possessing abuse potential

Front 5

Describe Schedule I drugs?

Back 5

-high potential for abuse
-no currently accepted medical use (FDA)
-Lack of accepted safety data (FDA)
-ie heroin, LSD

Front 6

Which classes of controlled substances are used in medical care?

Back 6

Schedules II-V

Front 7

ToF: Ritalin is considered a schedule IV in NY?

Back 7

FALSE, schedule II

Front 8

What are the characteristics of schedule 2 drugs?

Back 8

-high abuse
-currently accepted for medical use
-abuse of drug may lead to SEVERE physical or pyshological dependence
-ie. Morphine, methylphenidate, codeine, (ritalin, benozos and barbiturates in NYC)

Front 9

APAP/hydrocodone or codeine combinations are Schedule __ drugs

Back 9

3

Front 10

What are examples of Schedule IV in most of the US?

Back 10

Benzos and barbiturates, but not in NY

Front 11

Give examples of Schedule V drugs.

Back 11

codeine containing cough preparations, diphenoxylate/atropine

Front 12

ToF: a Rx form the HCP is not a legal document.

Back 12

False; it is

Front 13

What are the 2 types of Rx forms?

Back 13

-Regular blank
-official NYS Prescription bland (ONYSRx)

Front 14

WHich Rx form must be used for controlled substances?

Back 14

ONYSRx

Front 15

What are the new features of the ONYSRx?

Back 15

-new security features for more effective curtaliing of diversion and abuse
-new test of authenticity are of RPh
-new test area in upper Right corner
-NYS seal encircled by "pharmacist test area" fades from blue to clear
-standard register turns from orange to yellow

Front 16

ToF: ONLY ONE medication per bland in NYS can be written per form, regardless of the Rx blank?

Back 16

True

Front 17

ToF: the DEA number is required for all Rx forms?

Back 17

False! only controlled substances

Front 18

How long is the Rx of a non-controlled substance good for once written?

Back 18

1 year; 6 months if pt has medicaid

Front 19

What is included in the inscription of the Rx?>

Back 19

Drug name, strength and dosage form

Front 20

What is the name of the section where instructions are given to the pharmacists?

Back 20

subscription

Front 21

ToF: all numbers must be written out in the Refills section and throughout the Rx in peds

Back 21

True

Front 22

What is the rule for refills for pts taking non-contolled substances on medicaid?

Back 22

Rx have a max of 5 refills within 6 months and can only be refilled when 10 day supply is left

Front 23

What is included in the sig?

Back 23

-amount to take
-route
-frequency
-exact time
-duration

Front 24

What does DAW mean? what must be included in it?

Back 24

dispense as written; brand medically necessary

Front 25

ToF: a diagnosis does not need to be written on the Rx?>

Back 25

False: in some cases it does

Front 26

ToF: the gender of the pt does not need to be included on the Rx form?

Back 26

False: for controlled substances it is needed

Front 27

A supply of 3 months can be given to pts taking controlled substances in categories __ to __

Back 27

A to E

Front 28

Which disorder can have a 6 month supply prescribed of a controlled substance?

Back 28

Hormone deficiency states in males; gynecologic conditions that are responsive to treatment with anabolic steroids or chorionic gonadotropin; metastatic breast cancer in women; anemia and angiodema

Front 29

What is the maximum supply of a controlled substance that can be prescribed with no extenuating conditions?

Back 29

30 days

Front 30

Describe Codes A, B, C, D, E, F.

Back 30

A: panic disorder
B: ADD or ADHD
C: Convulsive disorder
D: relief from pain in patients suffering form diseases know to be chronic and incurable
E: Narcolepsy
F: Hormone deficiency

Front 31

ToF: refills for controlled substances written on ONYSRx can have up to 90 days of Refills.

Back 31

FALSE: no refills!

Front 32

What is the refill policy for controlled substances written on Non-ONYSRx?

Back 32

< or = 5 refills within 6 months of issue and not until 7 day supply left

Front 33

What must be included in the sig of a controlled substance?

Back 33

Dosage
route
frequency/exact time
duration
Maximum daily Dose

Front 34

As a rule in NYS, which drug classes fall under schedule II?

Back 34

Anabolic steroids
Opiates
dextroamphetamines
narcotics
benzodiazepines

Front 35

Benzodiazepines can be prescribed for 3 months for Codes __ and __

Back 35

A and C

Front 36

Stimulants can be prescribed for 3 months for code _-

Back 36

B: ADHD

Front 37

CII __ can be prescribed for 3 months with Code D

Back 37

opioids

Front 38

Modafinil (Provigil) can prescribed for 3 months for __ using code ___

Back 38

nacrolepsy; E

Front 39

ToF: refills for Schedule II are allowed with a code?

Back 39

FALSE: No refills, just a bigger supply allowed

Front 40

ToF: a Schedule III that is written for a > 30 day supply may be refilled 5 times within 6 months

Back 40

FALSE: only 1 refill!

Front 41

List the facsimile prescription requirements for sched III-V

Back 41

-Rx may be transmitted by facsimile from the practitioner or an employee or agent of the individual practitioner
-facsimile is considered to be equivalent to an original Rx

Front 42

What are the laws surrounding telephone Rx autho for sched III-V?

Back 42

1. only the HCP can prescribe controlled substances and this authority cannot be delegated to anyone else
2. the HCP, an employee, or agent of the individual HCP may call in a Rx issued by he HCP to the pharmacists
3. it is the pharmacists responsibility to ensure that these telephone Rx's are valid and properly authorized by the HCP

Front 43

What is the def of an emergency situation in Rx writing?

Back 43

-needing immediate admin of the drug for proper treatment
-lacking alternative treatment
-not reasonably possible for HCP to provide a written Rx for the drug at the time.

Front 44

How many days worth of a Rx will the pharmacists give the HCP or pt in an emergency situation without a written Rx?

Back 44

5 day supply

Front 45

When must the pharmacists receive the written or typed Rx following a verbal dispensing in an emergency situation?

Back 45

mailed 72 hours later with "authorization for emergency dispensing" written on the face

Front 46

who must the RPh turn in a practitioner to that is noncompliant in providing an exact written Rx following an emergency situation?

Back 46

Dept of Health

Front 47

what is meant by "be a leader, not a trailer"?

Back 47

the use of decimals in Rx writing

Always put a "0" before the decimal, not after the last number.

ex. 0.5mg and 5mg
not .50mg and 5.0mg

Front 48

What is the method for calculating the DEA number?

Back 48

2 letters and 7 numbers

Letters are A or B and then the first initial of your last name ex (AD)

formula for the numbers:
Add 1st, 3rd and 5th digits = x
add 2nd, 4th and 6th = y
then add x + 2 times y
the last digit should equal the last digit of the dea number