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| Question | Answer |
|---|---|
| lisinopril | zestril antihypertensive, ACE inhibitor |
| Levothyroxine | Synthroid Thyroid hormone |
| Atorvastatin | Lipitor Antihyperlipidemic, Statin (HMG,CoA reductase inhibitor) |
| Metformin | Glucophage Antidiabetic, biguanide |
| Simvastatin | Zocor Antihyperlipidemic, Statin (HMG,CoA reductase inhibitor) |
| Omeprazole | Prilosec Acid reduser, proton pump inhibitor |
| Amlodipine | Norvasc Antihypertensive,Calcium channel blocker |
| Metoprolol | Lopressor,tropo xl Antihypertensive, Beta blocker |
| Acetaminophen with hydrocodone | Noroc,Lotab Opiod Analgesic |
| Albuterol | Proair, Proventil, Ventolin Bronchodilator, beta 2 antagonist |
| Anti-diabetics | Lower blood sugar |
| Anti-neoplastic medication | (Chemotherapy) combat cancer |
| ACE inhibitor | Antihypertensive Captopril Capoten |
| Opioid receptor antagonist | Opioid reversal/Antidote Naxalone Narcan |
| Macrolide | Antibiotic Azithromycin Zithromax |
| Vitamin K antagonist | Anticoagulant Warfarin Coumadin |
| Insulin | Antidiabetic Insulin glargine Lantus, Toujeo, Basaglar |
| Benzodiazepine | Anxiolytic Clonazepam Klonopin |
| SSRI | Antidepressant Fluoxetine Prozac |
| Cephalosporin | Antibiotic cephalexin kelfex |
| 5-HT3 (serotonin) receptor antagonist | Antiemetic Ondansetron Zofran |
| Azole | Antifungal Fluconazole Diflucan |
| H2 blocker | Acid reducer Famotidine Pepcid |
| Novel oral anticoagulant | Anticoagulant Apixaban Eliquis |
| Beta-blocker | Antihypertensive Metoprolol Lopressor |
| Bisphosphonate | Bone resorption inhibitor Alendronate Fosamax |
| Beta-2 agonist | Bronchodilator Albuterol ProAir |
| Calcium channel blocker | Antihypertensive Nifedipine Procardia |
| Corticosteroid | Anti-inflammatory Prednisone Deltasone |
| Fluoroquinolone | Antibiotic Ciprofloxacin Cipro |
| Fluoroquinolone | Antibiotic Ciprofloxacin Cipro |
| Estrogen | Female sex hormone Estradiol Estrace |
| Proton pump inhibitor | Acid reducer Pantoprazole Protonix |
| Sulfonylurea | Antidiabetic Glipizide Glucotrol |
| Statin | Antihyperlipidemic Simvastatin Zocor |
| Cyclooxygenase-2 inhibitor/NSAID | Analgesic Celecoxib Celebrex |
| Opioid receptor agonist | Analgesic Oxycodone Roxicodone |
| Z-drug | Sedative-hypnotic Zolpidem Ambien |
| Thiazolidinediones | Antidiabetic Pioglitazone Actos |
| Triptan | Migraine abortive Sumatriptan Imitrex |
| Cardiovascular Heart and blood vessels | Digoxin Lanoxin |
| Endocrine Glands, hormones, and receptors | Insulin glargine Lantus, Toujeo, Basaglar |
| Gastrointestinal Stomach, intestine, and colon | Sucralfate Carafate |
| Hematologic Blood and bone marrow | Enoxaparin Lovenox |
| Immune Immune cells and lymphatic system | Oseltamivir Tamiflu |
| Integumentary Skin | Isotretinoin Accutane |
| Musculoskeletal Bones, muscles, and connective tissue | Indomethacin Indocin |
| Nervous Brain and spinal cord | Donepezil Aricept |
| Urinary Kidney, ureter, and bladder | Tamsulosin Flomax |
| Reproductive Hypothalamus, gonads, uterus, and genitals | Leuprolide Lupron |
| Respiratory Upper airway and lungs | Salmeterol Serevent |
| Buccal tablets | placed in the buccal pouch, which is the area between the cheek and the gums. The active ingredient(s) absorb directly into the bloodstream through the lining of the cheek without passing through the digestive tract |
| sublingual tablets | under the tongue. They dissolve rapidly and absorb directly into the bloodstream without passing through the digestive tract. |
| Vaginal tablets | inserted into the vagina. Absorption is through the mucosal lining of the vagina. |
| orally disintegrating (fast-dissolving, rapidly disintegrating) tablets | solid dosage form that dissolves quickly on the tongue. The patient then swallows the dissolved medication. It is like effervescent tablets except the dissolution occurs in the mouth instead of a glass of water |
| Effervescent tablets | dissolve in a liquid prior to administration. The ingredients in the tablet cause bubbling or fizzing. The body absorbs the active ingredient more quickly than it would whole tablets |
| Suppositories | melt at body temperature after insertion into the rectum, vagina, or urethra. Medication is delivered either locally or systemically. Rectal suppositories are a practical alternative to oral administration for babies and for patients who are vomiting. |
| Creams | combinations of water, oil, and other ingredients. They are less greasy than ointments and are easier to apply over large surface areas. Creams are used to dry, cool, soothe, and protect the skin. Compared to ointments, they wash off easily. |
| Ointments | various combinations of solid and liquid medications that lubricate and protect the skin. Ointments may be applied to mucous membranes or the skin. There are several different types of ointments. |
| Suspensions | Suspensions are liquids with small solids contained within the liquid; they include magmas, lotions, gels, and extractives. The solid ingredient is not dissolved in the liquid. Suspensions must be shaken well before administration to re-disburse solid |
| Emulsions | Emulsions are mixtures of oil and water. |
| parenteral route of administration | mainly refers to IV, IM, intradermal, and subcutaneous. |
| Intravenous | Major veins, most often in the arms and hands, or via central venous access devices |
| intramuscular | Deltoid, vastus lateralis, ventrogluteal, dorsogluteal muscles |
| intradermal | Top layer of skin |
| Subcutaneous | under the skin |
| Behind-the-counter medications | OTC products that are kept behind the counter prior to sale per state and federal law. These include cough medicine with codeine, any product with pseudoephedrine (Sudafed, SudoGest), and regular insulin. |
| Contraindications | taking multiple medications together or has a certain disease or condition. A medication interaction occurs when one or more medications or substances (such as food) are taken together, and the combination affects one or more of the medications' |
| Opioids and benzodiazepines, | can both cause respiratory depression and, when given together, can cause profound respiratory depression |
| posaconazole (Noxafil), an antifungal, and an acid-reducing medication (proton pump inhibitor, omeprazole [Prilosec, Zegerid]) are taken together | the body does not absorb as much posaconazole. |
| valproic acid and warfarin are administered together, | valproic acid binds to proteins in the blood more, which causes more warfarin to be in circulation and have stronger therapeutic effects. This can lead to an increase in INR and increased risk for bleeding. |
| levothyroxine (Synthroid) at the same time as an iron or calcium supplement, | they would absorb less of the levothyroxine |
| cimetidine (Tagamet) for a stomach ulcer or at the same time as metformin (Glucophage) to treat diabetes mellitus, | absorption of both medications would increase. |
| USP 795 | establishes the official quality and safety standards for compounding non-sterile preparations (CNSPs) in human and animal medicine. |
| compounded medications | |
| Nonsterile Compounding | |
| Sterile Compounding | |
| USP 797 | |
| indication for bupropion (Wellbutrin) | depression |
| Contraindications | taking multiple medications together or has a certain disease or condition. A medication interaction occurs when one or more medications or substances (such as food) are taken together, and the combination affects one or more of the medications' |
| Opioids and benzodiazepines, | can both cause respiratory depression and, when given together, can cause profound respiratory depression |
| posaconazole (Noxafil), an antifungal, and an acid-reducing medication (proton pump inhibitor, omeprazole [Prilosec, Zegerid]) are taken together | the body does not absorb as much posaconazole. |
| valproic acid and warfarin are administered together, | valproic acid binds to proteins in the blood more, which causes more warfarin to be in circulation and have stronger therapeutic effects. This can lead to an increase in INR and increased risk for bleeding. |
| levothyroxine (Synthroid) at the same time as an iron or calcium supplement, | they would absorb less of the levothyroxine |
| cimetidine (Tagamet) for a stomach ulcer or at the same time as metformin (Glucophage) to treat diabetes mellitus, | absorption of both medications would increase. |
| USP 795 | establishes the official quality and safety standards for compounding non-sterile preparations (CNSPs) in human and animal medicine. |
| compounded medications | |
| Nonsterile Compounding | |
| Sterile Compounding | |
| USP 797 | |
| indication for bupropion (Wellbutrin) | depression |
| Elements for a prescription | |
| A prescription for a non-controlled medication is usually valid for 1 year from the date it is written by the prescriber | |
| Non-controlled prescriptions can be filled as many times in 1 year as the prescriber authorizes | |
| By contrast, controlled substances in Schedules III to V are limited to five refills and are usually valid for 6 months from the date they are written. | |
| Schedule II prescriptions require a new written prescription for each fill; they are not refillable. | |
| Most third-party payers will not pay for a prescription refill more than 7 days before it is due to be refilled. | |
| Processor BIN | A six-digit number that is assigned to third-party processors for electronic routing of transactions. This number on the insurance card helps pharmacy personnel correctly route pharmacy claims for processing. |
| PCN | A secondary identifier that can be used in routing pharmacy claims. The PCN is alphanumeric and defined by the pharmacy benefits manager or processor. |
| Member ID number | n ID number unique to the primary insurance holder on a plan. Most family members under the plan will have the same ID and group number but different person codes. |
| Person code | A code that identifies which household member under one plan is receiving services and prescriptions. For example, member 01 is usually the primary cardholder, 02 is the spouse or domestic partner, and subsequent numbers are children. |
| Rx group number: | Identifies which specific insurance plan a member falls under. The group number often identifies the patient's employer. |
| Third-party processing or billing | how the pharmacy determines what portion of a prescription's payment will be reimbursed by the insurance company. |
| copay | The amount of payment to the pharmacy left to be covered by the insured patient. |
| patient is covered by multiple insurance plans | determine which plan is to be billed as the primary insurance and the extent to which the other plans will contribute after the primary has been billed. |
| Diabetes supplies are most commonly covered under Medicare Part B. | Diabetes supplies include glucometers, test strips, lancets, lancing devices, alcohol swabs, needles, and syringes. |
| DME | ike canes, hospital beds, nebulizers, ostomy supplies, toilet cushions, wheelchairs, and walkers. DME comes with specific billing requirements when adjudicating claims through Medicare Part B. |
| IV | Intravenous |
| EN | each nostril |
| IVPB | intravenous piggyback |
| LOC | locally |
| UD, UT | as directed |
| TOP | topically |
| VAG | vaginally |
| AMP | ampule |
| CAP | capsule |
| CR | cream |
| ELIX | elixir |
| EXPECT | expectorant |
| LOT | lotion |
| PULV | powder |
| SOL | solution |
| SUPP | suppository |
| SUSP | suspension |
| SYR | syrup |
| TINC | Tincture |
| UNG, OINT | Ointment |
| AD LIB | AD LIB |
| ATC | |
| NOC | |
| NV | |
| PC, HS | |
| STAT | |
| first step in the prescription dispensing process | create or update the patient profile. |
| DAW 0 | No product selection indicated (may also have missing values) |
| DAW 1 | Substitution not allowed by prescriber |
| DAW 2 | Substitution allowed pharmacist selected that brand product be dispense |
| DAW 3 | Substitution Allowed - Pharmacist Selected Product Dispensed |
| DAW 4 | Substitution Allowed - Generic Medication Not in Stock |
| DAW 5 | Substitution Allowed - Brand Medication Dispensed as Generic |
| DAW 6 | Override |
| DAW 7 | Substitution not allowed brand medication mandated by law |
| DAW 8 | Substitution Allowed - Generic Medication Not Available in Marketplace |
| DAW 9 | other |
| ADMs and Patient Safety | This reduces the risk of medication errors due to lookalike or soundalike medications, ensuring that patients receive the correct medication and dosage. |
| barcode on the prescription | label and the stock bottle need to match for the computer to allow the prescription to continue to be filled. Every prescription label should have the NDC |
| should remain in manufacturer packaging because that packaging is critical to the contents | nitroglycerin sublingual tablets. |
| Dabigatran | also must be dispensed in the original packaging to protect the medication from degradation and moisture. |
| teratogen | agent that can disturb the development of an embryo or fetus. Teratogenic medications have the potential to cause birth defects. They often require special handling procedures and may necessitate the use of specific personal protective equipment (PPE) |
| Medications that can cause birth defects | isotretinoin, finasteride, dutasteride, thalidomide, and methotrexate. |
| USP <800> | Provides standards for safe handling of hazardous medications to minimize the risk of exposure. |
| Medication Package Labeling | Pharmacy name, address, and phone number, Prescription number, Dispense date of the prescription, Patient name, Directions for use, Name, strength, and dosage form of the medication, Number of refills, Prescriber’s name ,Expiration date Name or initial o |
| Contraceptives | Take as directed. |
| Nonsteroidal anti-inflammatory drugs (NSAIDs) | Take with food. |
| Narcotics | Do not drink alcohol, and/or drinking may increase the effects of the drug. |
| Macrolide antibiotics | Take on an empty stomach. |
| All antibiotics | Take until gone. |
| Sulfa antibiotics | May cause sun sensitivity. Take with plenty of water. |
| Warfarin | Do not take aspirin unless prescribed. |
| which needs to be stored and shipped at insulin | 2.2° to 7.8° C (36° to 46° F) to ensure efficacy |
| Risk evaluation and mitigation strategies (REMS) | risk management plans containing risk-minimization strategies to ensure that the benefits of certain prescription medications outweigh their risks. |
| drug utilization reviews (DURs) | An authorized, structured, ongoing review of prescribing, dispensing, and use of medication. |