Pharmtech chapter 1 intro

1. Pharmtech chapter 1 intro

2. What comprises the Pharmacist's code of ethics?

3. Code of Ethics of the pharmacist: • 1. Ensure the safety and health of the patient • 2. honesty and integrity • 3. distribute health care resources in a safe and effective manner • 4. respect other pharmacists and health care workers • 5. maintain one’s competency and gets education always • 6. respect the confidentiality of patients’ records • 7. never distribute unfit drugs • 8. supports professional organizations in the field

4. Pure Food and Drug act of 1906; what does it say?

5. It prevents the interstate transportation of adulterated and/or misbranded food or drugs

6. What does the Food, Drug and Cosmetics Act of 1938 say?

7. It defines adulteration and misbranding; • What is “adulteration?”

8. Adulteration is a drug which is unsanitary, decomposed, falsely represents the contents of the drugs actual contents

9. What is “misbranding?”

10. False labeling of contents, label that fails to identify the manufacturer and address accurately, failure to warn its habit forming if it is, fails to identify all ingredients and their proportions, failure to use a recognized name in a compendium, failure to identify directions, overdosing recommendations that might be lethal

11. Durham-Humphrey Act of 1951; what did it say?

12. Requires drugs to have proper directions and identify as Rx only if that’s the case, identified which drugs are Rx and which are OTC, permitted oral Rx’s and refills on the phone

13. The comprehensive drug abuse prevention law of 1970 did what?

14. Established the DEA under the DOJ. Set up five schedules of types of drugs; what is schedule I?

15. Schedule I includes drugs with no accepted medical usefulness whatsoever but a high potential for addiction. What are examples?

16. Crack, crystal methamphetamine, ecstasy, hashish, heroin, LSD, marijuana, mescaline, opium, PCP, peyote, psilocybin, rohypnol (rufies)

17. What’s a schedule II substance?

18. Has medical use BUT highly addictive liability both physical and psychological. Give examples:

19. Dilaudid, adderall, cocaine, codeine, demerol Dexedrine, duragesic, morphine, oxycontin, Percocet, Percodan, Ritalin, seconal

20. What’s a schedule III substance?

21. Has medical use but abuse potential is less than sched. I or II substances. What is a sched. IV substance?

22. Less addictive liability than sched. III meds but still may have slight physical and psychological addiction in some people. What meds are included in sched. IV?

23. Sched. III and IV includes; ambiens, Ativan, dalmane, Darvocet, Darvon, empirin with codeine, equanil, fastin, fioricet,fiorinal,, fiorinal with codeine, Halcion, hycodan, klonopin, Librium, lomotil, lorcet, lortab, phenobarbital,resotril,robitussin, soma with codeine, stadol, talwin, tranxene, Tylenol with codeine, valium vicodin, wygesic, Xanax

24. Anything with codeine or synthetic forms like oxycodone, hydrocodone are sched. III. Some meds that teenagers have popularized used to be sched. IV but NOW are sched. III to warn users of addictions, mainly in young experimenting kids. Ex. Valium is now sched. III but Xanax and Ambiens still IV classification. This will likely change.

25. What is a schedule V medication?

26. Least addictive but still requires a prescription for in higher doses and continued use, dependency often sets in. Mostly synthetic analgesics.

27. All institutions which dispense controlled substances must register with the DEA. What form do pharmacies file to get a DEA license?

28. Form 224 and renew Q 3 years!

29. Sched. II substances require a DEA form-------?

30. Form 222 in a triplicate format and must be signed by the person prescribing the medication and has a DEA number on the license. Can only be written in pen or typewriter or indelible pencil, one item per line, up to ten items per form and is only good for 60 days. How does one care for unused forms?

31. Under lock and key! As drugs received, each must be checked off and kept on form 222 as a permanent record. • How does one order sched. III and IV meds?

32. Written, faxed or verbal. Upon receiving the shipped meds to the pharmacy, the packing slip must be stamped with a red “C” and the receipt kept for two years.

33. Keep DEA meds records for two years! These must be kept separately from other other medications, like OTC invoices, and be readily available to inspectors of the DEA. Red “C” stamp on all class III, IV and V meds’ receipts. • How soon after demand by DEA inspectors does the pharmacy have to produce these records?

34. 72 hours! What happens to incomplete and/or defective forms? Or forms that appear to be altered/erased?

35. Keep them for 2 years as well! • How often do pharmacies need to do a complete inventory of all controlled substances in its Inventory?

36. Every two years. What is meant by a perpetual inventory?

37. The amount of narcotics and controlled substances on hand at any moment in time. • Can controlled substances be returned?

38. Yes, but only to other DEA licensed facilities. • You use form 222 for this as well. • LTCF’s have no DEA numbers and therefore cannot return their controlled substances at any time

39. What is DEA form 41 used for?

40. It is a once a year form accounting for any meds destroyed by the pharmacy, explains how they were destroyed, etc.

41. What does form 106 apply to?

42. For accounting for stolen meds.

43. Schedule II drugs can be prescribed by handwritten notes or computer generated but must be signed by hand in ink by the physician. NO REFILLS ON SCHED. II permitted EVER. • How can you prescribe a sched. Ii drug in an emergency?

44. Oral RX on phone but, the pharmacist must try to identify the dr. is real, limited Rx only for the emergency period only, pharmacist must write it down in Rx format and the DR. has one week to follow up to the pharmacist with a true written Rx.

45. Can LTCF’s send faxed Rx’s from their doctors?

46. Yes, but the LTCF must retain the original Rx for their records. Also, a partial filling of the Rx for terminal pts. is permitted despite the dr. s orders. Can fill them for up to 60 days, but pharmacist must note they are a LTCF or have a terminally ill pt. so only did a partial filling of the Rx.

47. Sched. III or IV drugs; how Rx’d?

48. Handwritten or computer generated is okay by a Dr.s office. But must be signed in ink! Telephone orders okay as well for III, IV, V types. Faxes okay as well. Up to five refills okay within 6 months.