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Controlled substance

QuestionAnswer
Orange book Approved drug products with therapeutic equivalence evaluations
Red book Drug prices
State board of Pharmacy Each state has it's own board of pharmacy that is responsible for protecting the health, safety and welfare
Food and Drug Administration (FDA) Enforces drug manufacturing laws and regulates prescription drug advertising
Drug Enforcement Administration (DEA) Enforces the federal controlled substance act (CSA) and makes decisions the classification of certain drugs as controlled substances
Occupational Safety and Health Administration (OSHA) Enforces occupational health and safety laws
Federal Trade Commission (FTC) Regulates advertising for over-the-counter drugs (OTC), medical devices, cosmetics, food products
1 section of NDC #s Manufacturer
2 set of NDC #s Drug (strength and form)
3rd set of NDC #s Packaging size
Schedule 1 Not accepted medically Not legal High potential for abuse
Schedule 2 Accepted medically Rx only High potential for abuse
Schedule 3 Accepted medically Rx only Moderate potential for abuse
Schedule 4 Accepted medically Rx only Mild potential for abuse
Schedule 5 Accepted medically Rx, limited OTC in some states Low potential for abuse
Schedule 1 Heroin, LSD, marijuana
Schedule 2 Methadone (Dolophine), oxycodone (oxycontin), cocaine, Adderall (amphetamine/dextroamphetamine)
Schedule 3 Burprenorphine (buprenex), codeine (tylenol ll3), benzphetamine (didrex), testosterone (androgen testim, axiron)
Schedule 4 Xanax (alprazolam), ambien (zolpidem), tramadol (ultram)
Schedule 5 Pregabalin (lyrica), robitussin (codeine w/gualfenesin)
Controlled substance prescription Pt's name and address Prescribers name, work address and DEA # Drug name, date, and dosage form Quantity, directions and # of refills l
Pseudoephedrine 30 day limit 9 for 30 days 7.5 mail order 3.6 daily
Controlled substances Keep all records for 2 years Faxed c-ll rx's are valid for home Infusions, long-term care, and hospice pts Verbal c-ll rx's are valid as long as the prescribing MD provides a hard copy in 7 days
Refills C-ll refills not permitted C-lll to lV 5 refills for 6 months C-V refills premitted, no max
DEA 41 Reporting destruction of controlled substance
DEA 104 Reporting a pharm closure or surrender of a pharm permit
DEA 106 reporting loss or theft of controlled substances
DEA 222 ordering schedule 2 controlled substances
DEA 224 Applying for a DEA registration #
DEA 222 form 1st page Brown (original) Retained by drug supplier
DEA 222 form 2nd page Green (1st carbon copy) Forwarded to DEA by drug supplier
DEA 222 form 3rd page Blue (2nd carbon copy) Retained by pharamacy
DEA # Prescriber identification #. Required by practitioners who prescribe controlled substances
NPI # National provider identifier #, 10 digit #
Poison Prevention Packaging Act 1970 Requires child resistant packaging. Nitroglycerin and birth control are exempt because it restores blood flow to the heart, and could cause someone having a heart attack to struggle with packaging. Difficult to open for pts under 5.
Omnibus Budget Reconciliation Act of 1990 Requires drug utilization reviews (DUR) and pharmaceutical care for Medicaid pts. Offers counseling to make sure all pts were receiving same level of service
Health Insurance Portabilty and Accountability Act 1996 (HIPPA) To protect the privacy of individual health info, PHI.
Combat Methamphetamine Epidemic Act of 2005 (CMEA) The reason pseudoephedrine is stored behind the counter. Info must be recorded when buying: product name, quantity, name and address of pt, date and time, signature of pt
Safety Data sheets (SDS) OSHA requires by manufacturers
Kefauver-Harris Admendment Requires manufacturers to provide proof of safety and effectiveness. Requires manufacturers to provide accurate info of side effects
Durham-Humphrey Amendment Requires any drugs habit forming, be prescribed under supervision of licensed practitioner
Fair packaging and Labeling Act Requires drugs to be labeled: The identity of product Name of distributor The net quantity of drug
IPledge REMS program: ensuring pts who begin Isotretinoin are not pregnant and preventing pregnancy in pts recieving treatment
T.I.P.S REMS program designed to communicate the risk of cardiac arrhythmia associated with Tikosyn
Clozaril National Registry A database for recording and referencing the white blood cell count of pts who recieved clozapine
Clinical trial phase 1 Small study 20-80 of healthy male volunteers Low doses are tested
Clinical trials phase 2 Study involving 40-300 pts with the disease of interest Minimum effect dose and max toxic dose determined
Clinical trial phase 3 Study involving 300-3000 pts of various gender, race, lifestyle and age Risks and benefits using the drug Drug formulation refined Placebo studies are conducted
FDA recall class 1 Serious adverse health consequences
FDA recall class 2 Temp or medically reversible adverse health consequences
FDA recall class 3 Products unlikely to have adverse health consequences
Prescription Drug Marketing Act 1987 Requires whole distributors to be licensed
Drug Listings Act 1972
Established rules for all drug manufacturers to supply a current drug list to FDA
Prescription Drug Marketing Act 1987 Requires wholesale distributors to be licensed
How to get DEA # 2nd letter is dm's last name. 1st+3rd+5th, and get the sum. 2nd+4th+6th and get the sum then times by 2. Last digit of DEA # is the last digit in the sum of both numbers
Created by: Ashley824
 

 



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