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PHM 103 - Chapter 8
Study guide
| Question | Answer |
|---|---|
| What are four different ways a new prescription can be received in a community pharmacy? | telephone, fax, e-prescribing, hard copy |
| What information must EVERY prescription contain? | prescriber information, patient information, superscriptions, inscription, subscription, signa |
| What are six advantages of e-prescribing/ | reduce time on calls, increase patient convenience, improved formulary savings, enhanced patient security, improved workplace |
| What tasks can a pharmacy technician perform to help the pharmacist focus on clinical activities and making an MTM program more sustainable? | Inventory, counting, double checking, helping patients |
| What does NDC stand for? | National Drug Code |
| What is the definition of NDC number? | Unique 10-11 digit number, composed of three segments, that is assigned to a medication |
| The first segment of the NDC consisting of four/five digits identify what? | Drug manufacturer |
| The second segment of the NDC consisting of four digits identify what? | Specifics about the product |
| The third segment of the NDC consisting of two digits identify what? | Drug packaging |
| What is an inscription? | The name, dosage form, strength, and the quantity of the medication prescribed. |
| What is a Signatura (Signa, sig)? | The directions on a prescription that explain how the patient is to take the prescribed medication; a Latin expression meaning to "write on label" |
| What is a Subscription? | The part of the prescription that provides specific instructions to the pharmacist on how to compound the prescription |
| What is the difference between proprietary, brand, and trade names? | It's all the same. |
| What is the primary role of the pharmacy technician? | Support the pharmacist |
| What was the result of the Combat Methamphetamine Act of 2005? | Medications that contain ephedrine (an ingredient used to make methamphetamine) became an OTC subclassification known as BTC medications |
| What information should a pharmacy technician collect from a new patient? | Full name, home address, telephone numbers, DOB, sex, allergies, generic preference, request for non-child-resistant container |
| What must be on a medication label? | Name/address/number of dispensing pharmacy, prescription number, prescriber's name, patient's name, date prescription was dispensed, name/strength/quantity of medication dispensed, directions for use, "Federal Legend" |
| How should instructions look on a medication label? | Begin with a verb, no abbreviations, identify dosage form, indicate route of administration, use everyday language terminology (Should be in a format patient can easily understand) |
| What must happen when instructions for "as directed" are received? | Pharmacy technician must inform pharmacist, pharmacist calls prescriber for explicit directions |
| If no refills are indicated on the prescription, what should the technician add to the system? | 0 / zero |
| How do you calculate the day supply? | Day supply= Total quantity dispensed / Total quantity taken per day, Day Supply= (20 gtts/mL X Number of mL) / Number of drops per day, Day Supply= Number of inhalations per container / number of inhalations per day |
| What are Auxillary Labels in Pharmacy? | Provides patient with additional information about taking the medication |
| What kind of information do Auxillary Labels provide? | May indicate when to take medication, what to avoid, potential side effects, & Beyond-Use-Date |
| What options should the technician consider when a patient's medication is not in stock? | Notify the pharmacist. Can offer to order & locate it somewhere else |
| What is the best way to count solid dosage forms? | Multiples of 5 |
| What is the primary task in a pharmacy that a technician cannot do? | Technicians cannot counsel patients |
| What is the technician allowed to do when transferring prescriptions? | Pharmacy technician may pull the original prescription |
| What is the Board of Pharmacy responsible for? | Regulate the practice of Pharmacy for that state |
| What is every pharmacy required to have a current copy of? | Controlled Substances Act & United States Pharmacopoeia -National Formulary (USP-NF) |
| What is a community pharmacy required to have? | Security system |
| What might a state BOP require? | Pharmacy bench be of a specific length |
| What do state BOP regulations determine? | Physical standards for all pharmacies, like the minimum amount of space for prescription department of pharmacy |
| Who is permitted in the pharmacy? | Pharmacists, Pharmacy techs, Pharmacy interns |
| What is BUD? | Beyond-use-date is used when medications are repackaged for patient use, BUD usually set to expire a year from repackaging, unless the bulk packaging is set to expire earlier than a year. |
| How does expiration date differ from BUD? | Medication expires according to original drug manufacturer packaging. |
| What does MTM stand for? | Medication Therapy Management |
| What is the ACA? | The Patient Protection and Affordable Care Act |
| What does the ACA require insurance companies to do? | Cover all applicants within a certain standard. Contains Electronic Health Record ( EHR) & MTM |
| How do Pharmacists utilize MTM? | Offer medical care used to optimize drug therapy & improve therapeutic outcomes for patients |
| What does DME stand for? | Durable Medical Equipment |
| What kind of equipment are DME? | beds, walkers, wheelchairs, & respiratory equipment |
| What does DAW stand for? | Dispense As Written |
| What is DAW code 0? | Substitutions allowed, No product selection indicated |
| What is DAW code 1? | Dispense As Written, no Substitutions |
| What is DAW code 2? | Substitutions allowed, patient requested |
| What is DAW code 3? | Substitutions allowed, pharmacist selected |
| What is DAW code 4? | Substitutions allowed, generic not in stock |
| What is DAW code 5? | Substitution allowed, brand name dispensed as generic |
| What is DAW code 6? | Override |
| What is DAW code 7? | Substitutions not allowed, brand drug mandated by law |
| What is DAW code 8? | Substitutions allowed, generic drug not available in marketplace |
| What is DAW code 9? | Other |
| What drug contains ephedrine? | Sudafed (pseudoephedrine) |
| What kind of drug is Sudafed (psuedoephedrine)? | BTC |
| What are the requirements for buying Sudefed (pseudoephedrine)? | Pharmacist must supervise, proper ID must be provided, must be 16 years or older, cannot purchase more than 3.6 g in a day or 9g in a 30-day period |
| Why is it important to track ephedrine carefully? | It can be used to make methamphetamine, a C1 substance |
| What is an example of therapeutic equivalence? | Tylenol 500mg (brand name) & Acetaminophen 500mg (generic name), and providing the same utilization and dosage for both |
| Why can't a patient go to different pharmacies for the same one control substance prescription from one day to the next? | The Prescription Monitoring Program (PMP) keeps track of controlled substances to combat drug diversion & drug abuse, which is connected to the DEA |
| When a prescriber works at more then one location and writes prescriptions from different locations, what should the pharmacy set in place to prevent errors? | Create different profiles; the separate locations will carry a different DEA for the prescriber. |
| What does OBRA '90 stand for? | Omnibus Budget Reconciliation Act of 1990 |
| What does OBRA '90 require? | Every ambulatory pharmacy maintain patient profiles |
| What can accurate patient profiles reduce the potential of? | Drug-food interactions, drug-disease interactions, drug-environmental chemical interactions, & drug-labratory interactions |
| what does DUE stand for? | Drug Utilization Evaluation |
| What does a DUE do? | Keep patient profiles up-to-date, and prevent undesired drug interactions |
| What can patient profile identify? | Multiple pharmacological effects caused by medications being prescribed, distinguish multiple physicians a patient may be using, detect patient nonadherence to drug regimen, & disclose possible drug abuse by patient |
| Which controlled substances receive no refills? | C1 & C2 |
| Which controlled substances are allowed refills? | C3, C4, & C5 |
| What are the restrictions of controlled substances that are allowed refills? | Maximum of 5 refills & Prescription expires in 6 months |
| What is Step Therapy? | Lighter and cheaper medications must first be presented & proven to be ineffective before moving on to stronger and more expensive medications |
| What information must the technician receive from a new patient? | Name, address, DOB, prescription meds, nonprescription meds, vitamins, & herbs |
| Regardless of the state, every pharmacy is required to have a current copy of what? | Federal Control Substance Act & United States Pharmacopoeia-National Formulary |
| Who is permitted in the prescription department of a community pharmacy | Pharmacists, Pharmacy techs, Pharmacy interns |
| What beyond-use-date should be assigned to a newly filled prescription of furosemide (Lasix) 20 mg #30/ | 1 year from the date it was filled or the manufacturer's expiration date |
| Which of the following is NOT true regarding a tech's role in providing immunizations through the community pharmacy? A. Become trained in CPR B. Draw up syringe for vaccine C. Perform the required documentation D. Administer the vaccine | Technician can administer the vaccine |
| What is the meaning of the acronym, MTM? | Medication therapy management |
| Counseling as required by OBRA '90 is provided by who/what? | Pharmacists |
| Which organization regulates the practice of pharmacy in a state? | Board of Pharmacy |
| Which is a medical care service provided by pharmacists who aim to optimize drug therapy/improve therapeutic outcomes? | Medication therapy management |
| A pharmacy such as the Medicine Shoppe that pays a fee to use the established trade name is called a(n) | Franchise |
| Every prescription must contain all of the following except? A. prescriber's name B. prescriber's address and telephone number C. prescriber's Drug Enforcement Administration (DEA) number D. All options are correct | Prescriber's Drug Enforcement Administration (DEA) number |
| What is the primary role of the pharmacy technician? | Assist the pharmacist |
| What is an example of a sole proprietorship? | Locally owned independent pharmacy |
| Which of the following statements are true of the Combat methamphetamine Epidemic Act of 2005? A. Purchaser must be at least 16 yr old B. Led to classification of BTC medications C. Sales must be supervised by pharmacist D. All options are correct | Purchaser must be 16 years old, the act led to the classification of BTC meds, and sales must be supervised by pharmacist |
| Which of the following is the maximum amount of pseudoephedrine (Sudafed) that a patient can obtain in 1 month? | 9 g |
| Which of the following is the maximum amount of pseudoephedrine (Sudafed) that a patient can obtain in 1 day? | 3.6 g |
| Which of the following items of information should the pharmacy technician collect from a new patient? A. Patient's address B. Known allergies C. Prescription insurance information D. All options are correct | Patients address, known allergies, and insurance information |
| A technician determines that the DOB is incorrect in the pharmacy's records. Where would the technician revise the DOB? | Patient Profile |
| An example of patient demographic information is _____________. A. patient age B. patient room number C. patient's medication names D. prescription number | Patient age |
| What is an NPI number? | National Provider Number |
| When validating a DEA number, a technician should identify that the 2nd letter should be the first letter of which? | Prescriber’s last name |
| Which term refers to the name, dosage form, strength, and quantity of a medication on a prescription? | Inscription |
| What are the directions on a prescription that explain how the patient is to use the prescribed medication? | Sig |
| Which of the following components needs to be included on a prescription that requires compounding? | Subscription |
| All the following are important to collect when a patient first visits a pharmacy EXCEPT __________. A. med history such as prescription and OTC medications, vitamins etc. B. drug/food allergies C. name, age, sex, race D. patient's credit score | Patient's credit score |
| Which of the following information should the tech verify to ensure they are working with the correct patient profile? A. Verify patient’s allergies B. Verify patient’s diagnosis C. Verify patient’s date of birth D. Verify patient’s prescriber | Verify the patient’s date of birth |
| A provider may put a NPI number with or without a DEA number on the prescription. When is it necessary to have both numbers? | The patient is prescribed a controlled substance such as an opioid for pain |
| Which of the following is a way a prescription may be received by the pharmacy? A. Walk in B. Call in C. E-presciption D. All of the above | Walk-in, call-in, & E-prescription |
| Which DAW code is matched correctly with its number? A. 0 = no product selection indicated B. 1 = substitution allowed by provider C. 2 = substitution allowed - pharmacist requested product D. 3 = substitution allowed - patient selected product | 0 = no product selection indicated |
| The second set of number in the National Drug Code (NDC) number identifies | specific product information: drug product, strength, name |
| Which is another name for a proprietary drug name? | Brand or trade name |
| Which of the following is the appropriate way to type directions on a prescription label? A. One capsule three times a day B. One capsule three times a day by mouth C. Take one capsule by mouth three times a day D. Take one by mouth three times a day | Take one capsule by mouth three times a day |
| What should the technician do if the prescription directions read, "as directed?" | Inform the pharmacist |
| If nothing is indicated on the prescription for refills, then the technician should: | Enter zero refills |
| A legal prescription label must include all of the following except: A. name, address, & telephone number of the dispensing pharmacy B. name, address, & telephone number of the prescriber C. date the prescription was dispensed D. directions for use | Name, address, and telephone number of the prescriber |
| What is the best procedure to follow when a customer brings in a prescription for a medication that is not in stock? | Offer to order the medication/ locate the medication from another pharmacy |
| What information does an auxiliary label provide to the patient? A. What to avoid when taking the medicine B. Potential side effects C. Beyond-use date D. All options are correct | What to avoid when taking the medicine, Potential side effects, & Beyond-use date |
| A legal prescription label must include all of the following EXCEPT: A. name, address, & telephone number of the dispensing pharmacy B. name, address, & telephone number of the prescriber C. date the prescription was dispensed D. directions for use | name, address, and telephone number of the prescriber |
| When counting medications on a tray with a spatula, the traditional method is to count in multiples of: | 5 |
| When transferring a prescription, a technician may do what? A. Document info on original prescription/computer B. Document receiving pharmacist C. Pull original prescription from file/computer D. Document info on original prescription/computer | C. Pull the original prescription from its file or pull it up on the computer |
| Which dispense as written (DAW) code indicates that the pharmacists may freely substitute a generic product? | DAW 0 |
| What is the process by which a prescription is submitted electronically to a third-party payer? | Adjudication |
| While performing a drug utilization evaluation on a prescription which of the following would a pharm tech not review? A. drug allergies B. drug-disease contraindications C. drug manufacturer D. therapeutic duplication | Drug manufacturer |
| Which of the following drug classifications require patient product information (PPI) be provided to be patient? A. ACE inhibitors B. NSAIDs C. Tetracyclines D. Thiazides diuretics | NSAIDS |
| A pharmacy must maintain electronic records electronically for ______ from the date of their creation or receipt. | 2 years |
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