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Chapter 6
chapter 6 notes
| Question | Answer |
|---|---|
| Schedule 1 | No perscriptions or refills allowed |
| Schedule 2 | No Refills allowed. Pharmacy can take emergancy orders over the phone but a perscription must be brought in within 7 days. The perscriptions must be filled within 72 hours of being written. |
| Who is the only exception to the rules applied to scheduale 2 drugs? | Hospice |
| Schedule 3 & 4 | 5 refills within a 6 month period. |
| Schedule 5 | No perscriptions necessary. Must be 18 or older to get, and must have a valid id, and you have to sign for it. |
| Out of all the Schedule 1 drugs which is not a hallucingenic? | Marijuana |
| Examples of Schedule 1 drugs are: | Peyote, Acid (LSD), Mushrooms, PCP |
| Which drug can be used legally in the schedule 1 section? | Peyote- it is registered to native american tribes for religious cerimonial purposes. |
| Who is in charge of monotoring peyote? | DEA and the tribal counsule |
| What are the common Schedule 2 drugs? | Amphetamines (Adderall) Cocain in the liquid form, Ritalin, and Oxycodone (#1 drug), Percocet (Oxycodone and APAP) |
| What are the common Schedule 3 drugs? | Acetaminophen with codine (Tylenol with codine), Hydrocodone w/ APAP (Lortab), Hydrocodone w/ IBV and APAP (Vicoden); The #1 drug in this list is Lortab |
| What are the common Schedule 4 drugs? | Xanax, Propoxyphene w/ APAP (Darvocet) |
| What is the #1 Schedule 5 drug? | Sudafed |
| What classified drugs into schedules based on their abuse potental? | The Controlled Substance Act |
| What Does HIPAA stand for and what does it do? | Health Insurance Portability and Accountability Act; and it protects your PHI (Protected Health Information) and it applies to covered entities |
| What does NDC stand for? | National Drug Code |
| How many numbers are on the NDC? | 11 |
| What do the first five digits stand for and what do the last six identify? | The first 5 identify the manufacturer or the distributor. And the last 6 identify the drug name, package size, and type of drug. |
| Class 1 recall | Severe adverse health consequences or death |
| Class 2 recall | Temporary or medically reversible adverse health consequences |
| Class 3 recall | Not likely to cause adverse health consequences |
| Who is responsible for notifying sellers of the recall? | The manufacturer |
| Who is responsible for contacting consumers if necessary? | The sellers |
| What does JCAHO stand for? | Joint Commission on Accreditation of Healthcare Organization |
| What does it do? | It offers voluntary accreditation; if you don't have JCAHO accreditation then you can't bill Medicare or Medicaid for Perscriptions |
| What four pieces of evidence must be presented to grant prior approval for nonformulary drugs? | 1. Patient intolerance of existing drug choices; 2. Treatment failures; 3. Dianoses without any listed treatments on the formulary; 4. New drug modalities |
| Open Formulary | Reimburse all prescription medications |
| Closed Formulary | Only reimburse a list of medications, generally low-cost alternatives |
| What is a formulary? | Pharmaceuticals avaliable (dispensed) and/or approved (List) |
| Every insurance company has a what? | A Formulary |
Created by:
kpetitfils
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