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29 Cards in this Set
- Front
- Back
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Poison Prevention Packaging Act: Exemptions from Child-proof caps
hint: "F.O.C.K. B.(y) N.E. P.M.S" CARD #1 |
NTG (SL) / ISDN (SL & chewable)
Erythromycin (Granules p.o. susp & Tablets) cyclically administered O.C. Cholestyramine powder Colestopol powder |
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Act: Exemptions from Child-proof caps
CARD #2 |
Conjugated Estrogen tabs
Norethindrone tabs Medroxyprogesterone tabs Betamethasone tabs Prednisone tabs |
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Act: Exemptions from Child-proof caps
CARD #3 |
Methylprednisone tabs
Potassium supplements Sodium Fluoride Pancrelipase Mebendazole tabs Sacrosidase (sucrase) in glycerol & H2O |
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Exemptions to HIPAA: Discloser of patient info
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Payer
Treatment Operation |
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How long does Medicare D require Rx's to be retained?
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10 years:
3 years as paper; the remaining 7 years in electronic format |
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What is unique about Class III medical devices?
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Its the only class of medical devices that requires pre-market approval
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DEA 41
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used when destrying controls
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DEA 106
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used when controls are lost/stolen
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DEA 222a
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used to order more DEA 222
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When can a fax serve as an ORIGINAL C-II Rx?
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if:
#1 Rx for a substance compounded for direct administration #2 Rx for resident of a LTCF #3 Rx for a pt of a Hospice Care Program &/or paid by Medicare |
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Re: Partial Fill of C-II
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Rest filled within 72 hrs of 1st partial fill. If cant fill within this time>>Notify MD! No further meds supplied beyond 72 hrs w/o new Rx
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Re: Partial Fill of C-II for LTCFs
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The time limit is extended to 60 days with MEDICAL DOCUMENTATION OF TERMINAL ILLNESS!
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What three components of a C-II Rx must never be changed?
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Patient's name
Name of Control (Generic subst. still OK) Prescriber's signature |
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Dispensing a Legend drug w/o a presciption is what violation?
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Misbranding
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Federal Limits on Non-Rx Dispensing of controls:
CSA |
NMT 240mL (8oz) or 48 units of opium-containg substance
NMT 120mL (4oz) or 24 units of any other control-containing substance |
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Only two FDA approved opioid agonists used to treat pts enrolled in Opioid Treatment Program
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Methadone
Levomethadyl acetate (LAAM) |
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RE: Methamphetamine Control Act
Whats the threshold for PSE, PPA & combo EPH? |
24 grams
Any sales above this threshold must be recorded & maintained for 2 years. Get proof of ID & report suspicious sales to DEA |
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Re: Combat Meth Epidemic Act of 2005 Sale limits
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3.6gm/ day for PSE, EPH or PPA based products &
9 gm /30 days (regardless # of transactions) Show ID & sign logbook if sale >60mg |
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You can compound a substance containing a control if it does not exceed___% of total w/o registeringas a __________
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20%
Manufacturer |
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You can distribute controls to other registrants as long as _______________without needing to register as a ________
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the total # of dosage units does not exceed 5% of the total units of controls dispensed in 1 year
Distributor |
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RE: Dispensing C-II in emergency (via oral authorization)
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Amt limited to amt necessary for duration of emergency
RPh. must make reasonable effort to ensure prescriber is legit Rx must be delivered within 7 days or else! |
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Any RPh who feels a prescriber is involved in diversion of controls should report them to...
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Department of Health
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Re: State Law on non-Rx sales of C-V
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Rph may dispense up to:
240mg opium 120mg codeine 60mg Dihyrocodone 30mg of Ethyl morphine |
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In Florida
what schedule is carisoprodol (Soma) classified? |
C-IV
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Anabolic steroids (Testoderm, Winstrol) fall under what schedule?
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C-III
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Outdated drugs must be removed from the inventory at what interval?
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A minimum of 4 months
NEVER sell outdated Rx! |
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Re: Prescription Refills
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In Florida every Rx expires 1 year after it has been issued
After 1year no Rx may be filled as an initial filling or refill; a new order must be created |
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Continuing Education hours for a licensed RPh.
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30 hours within 2 years;
10 out of 30 is 'Live" & 2 hours Medical errors |
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Negative Formulary (Cant substitute these!)
hint 'no P.E.T C.D.D.' |
Pancrelipase (p.o. forms)
Theophylline (CR) Chlorpromazine (solid dosage) Dicumarol Conjugated Estrogen Digitoxin |
