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290 Cards in this Set
- Front
- Back
lescol
|
fluvastatin 20, 40
|
|
sular
|
8.5,17,25.5,34 ER
nislodipine |
|
avandamet
|
metformin/rosiglitazone
500/2,500/4,1000/2,1000/4 |
|
relpax
|
eletriptan 20, 40
|
|
methylin
|
methylphenidate
|
|
asmanex
|
mometasone
|
|
nasonex
|
mometasone
|
|
Novolog 70/30
|
insulin aspart/insulin aspart protamine
|
|
Humulin 70/30
|
NPH and regular
|
|
Humalog 75/25
|
lispro and protamine
|
|
Uroxatral
|
alfuzosin: alpha blocker
|
|
IV drugs with short stability
<<24h at RT after mixing |
levothyroxine indomethacin *
ampicillin dexfuroxime* smx/tmp ceftaztidime acetazolam unasyn doxycycline acyclovir meropenum synagis impenum ertapenum |
|
IV drugs to protect from light
|
norepi, epinephrine, amiodarone,
amphotercin B, labetolol, nitroprusside levothyroxine, doxycycline, hydrocort leukovorin, methylpred, isoproternol acebutolol |
|
do not refrigerate
|
metronidazole clindamycin acyclovir
bactrim susp: bactrim clarithro, zithromax |
|
NS only
|
phenytoin, erythromycin, metronidazole
methohex. metoclopramide |
|
D5W only
|
amiodarone, ampho B, azithro, nitroprusside, septra, procainamide, mycophenolate, neupogen
|
|
saquinavir
|
protease inh
hard gel = Invirase usually with Ritonvr soft gel = Fortovase |
|
ampicillin stability
|
72 fridge or 24 at RT in NS
4 hours fridge 2 h RT in D5W |
|
Peak flow
|
Green 80-100
yellow 50-79 red <50 (emerg plan implemented) |
|
max dose DM
|
120mg/day
|
|
max dose codeine
|
120mg/day
|
|
max dose
|
24 pieces
|
|
caffiene
|
200mg/day
|
|
diphenhydramine max dose
|
75
|
|
guafenasin
|
2400
|
|
common constipation
|
iron, Ca Al antacids,
CCBs verapamil in particular TCA, anticholinergics, opiods, sucralfate antihistamines |
|
H2RA ade
|
HA, constipation, diarrhea
|
|
max dose
apap asa ibu nap |
apap 4000
asa 4000 ibu 1200 nap 660 |
|
opthalmic vasoconstrictors
|
tetrahydrozine
naphlzoline oxymetalozone (lease ocular pressure effects) phenylephrine |
|
opthalmic allergies
|
ketotofen = zatador alaway
combo naphzoline + pheniramine = napcon opcon A visine A Naph+ antoazolin Vasacon A |
|
ocular decongestants CI
|
glaucoma, prostate issue BP
Heart disease |
|
eye: refer to MD
|
corneal edema: seeing halo foggy
FB chemical exposure trauma |
|
earwax
|
carbamide peroxide
h202 and water 1:1 |
|
ear drying
|
swim ear
95% isopropanol and %5 anhydrous glycerin |
|
acyclovir
|
short stability
do not fridge |
|
levoxyl
|
short stability
protect from light NS only |
|
ceftazidime
|
short stability
|
|
smx/tmp
|
short stability
D5W only do not fridge |
|
indomethacin injectable?
|
very very short stability give immed
|
|
defuroxime
|
very very short stability give immed
|
|
doxycycline injectable
|
short stability
protect from light |
|
meropenum
imipenum ertapenum |
short stability
|
|
synagis
|
short stability
|
|
acetazolamide
|
short stability
|
|
ampho B
|
protect from light
D5W only |
|
epi/norepi
|
protect from light
|
|
amiodarone
|
protect from light
D5W only |
|
hydrocort, methylpred
|
protect from light
|
|
leukovorin
|
protect from light
|
|
labetolol
|
protect from light
|
|
isoproternol
|
protect from light
|
|
nitroprusside
|
protect from light
|
|
phenyton
|
NS only
|
|
erythromycin injectable
|
NS only
|
|
metronidazole
|
NS only
do not fridge |
|
methohex and metoclop
|
NS onlyh
|
|
azithromycin
|
D5W only
|
|
procainamide
|
D5W only
|
|
mycophenolate
|
D5W only
|
|
minimum Rx requirements if all other info can be retrieved in computer
|
name and signature of prescriber
name and address of pt name and qty drug directions date of issue |
|
do you need address and dea of doc if oral rx
|
not if can retrieve in computer
|
|
hardcopies for escripts?
|
not if can be retrieved for 3 years
|
|
label requirements include
|
drug name
directions name of pt issue date name address phone pharmace qty exp date physical description* |
|
exceptions to physical description
|
vet
new drug 120 days and not in databas none exists unit dose for facility individual dose systems |
|
clinical trials can falsely label if maintain records for ___ years?
|
3
|
|
pharmacists that adjust meds per protocol, notify doc of changes within ___?
|
24 hrs
|
|
can you charge a fee for EC
|
yes up to $10 admin fee
|
|
repackaging drugs must include
|
can at pt request
all container requrements name address of repacker and original pharmacy |
|
drugs must have valid rx EXCEPT:
|
manufacturer, wholesaler, pharmacy to:
eachother or phys or laboratory direct to dialysis pts needles to pt |
|
can you deliver drugs to a hospital with no one there?
|
only if to central recieving area and way to know if anyone entered after they were left.
deliverer must leave docs showing what they left |
|
drugs delivered to central recieving area with no RPh must be checked in within ___time?
|
1 working day
|
|
do drug reps need an Rx to leave samples
|
no, just need a written order and must be signed for name and address to and from
|
|
emergency mobile pharmacy must cease within____ of end of emergency
|
48 hours
|
|
when can a hospital dispense drugs to pt?
|
if pharmacy is closed, no RPh there
drug is acquired by hospital record info and provide to pharmacy when they open report all controls II III IV to DOJ |
|
if you are cited you must comply and submit action plan or written contest in_____ time
|
30 days
|
|
you have 30 days to notify board of:
|
change address
notify of termination of PIC report employee theft diversion etc contract to provide parenteral drugs |
|
non resident pharmacies that ship to CA must have what counseling service
|
toll free number 6 days/week 40 hr/week
must have a ca license |
|
how long do you have to name a new PIC?
|
120 days for interim and must be aproved by board
otherwise 15 days to replace |
|
tech ratio
|
1 pharmacist 1 tech
2 pharmacist 2 additional techs = 3 total |
|
intern ratio
|
1:2
|
|
epi pens to schools need
|
written order
records maintained by school x 3 yrs |
|
sterile products must be made in iso class?
|
5
|
|
how long to keep sterile certification records?
|
3 years
|
|
class ___ hepa filter
|
100
|
|
walls disinfected
|
weekly
|
|
hypodermic needle sales require
|
no Rx
must be 18 to buy |
|
free clinics dispensing fee
|
may NOT collect one
|
|
walk in customers of free clinic cannot exceed
|
1% of sales
|
|
schedule II drugs at a free clinic
|
may NOT dispense CII, nothing prevents them from administering though
|
|
continuing ed for cali
|
30 hours in 2 years
|
|
counseling is not required for:
|
refusal
correctional facility except at d/c inpatient |
|
permit for off site record storage must retain what in the pharmacy
|
past year of non control
past 2 years controls |
|
off site records must be retrievable in ____time?
|
2 days
|
|
you must maintain Rx profiles for how long
|
1 year unless you dont think they will obtain another Rx there
|
|
can be a PIC of how many pharmacies
|
2 and cant be farther than 50 miles apart
|
|
hospital walk in and out pt rx's cannot exceed
|
1% of total rxs
|
|
CI drug examples
|
illegals
THC methaqualone methcathinon (cat) marijuana GHB/sodium oxybate mescaline |
|
CII
|
"really bad pain"
opium extracts pentobarbital secobarbital sufentanyl amobarbitol levorphanol coa leaves poppy straw stimulants LAAM nalbilone |
|
CIII
|
'pain'
mixt or supp of seco/amo/pentobarb mixures of narcotics anabolic steroids dronabinol chorionic gonadatropin |
|
CIII qty limits
codiene |
1.8g codiene/100ml or 90mg/dosage
with equal or greater non-narc |
|
CIII limits hydrocodone
|
300mg hydrocodone/100ml or 15mg/dosage unit
with one or more non-narcs in therapeutic amounts |
|
CIII liquid restrictions
|
cannot contain 2 antihistamines as its non narc
|
|
CIII limits ethylmorphine
|
300mg per 100ml or
15mg per dosage unit therapeutic amt non narc |
|
CIII limit opium
|
500mg opium per 100mg/100ml or
2.5mg per dosage unit with therapeutic amount non narc |
|
CIII morphine limit
|
500mg morphine per 100ml/mg
with therapeutic amt non narc |
|
any compound containing anabolic steroid or chorionic gonadatropin is schedule____
|
CIII (three)
|
|
CIV drugs
|
"the rest"
benzos butorphanol sleep aids midazolam diet drugs modafinil cathine etc |
|
CIV qty limit of difenoxin
|
1mg of difenoxin with not less than 25mcg atropine per dosage unit
|
|
CV drugs
|
cough and 'shit'
lyrica buprenorphine |
|
CV qty limits codiene
|
200mg per 100ml/g
|
|
CV qty limits hydrocodone
|
100mg per 100ml/g
|
|
CV qty limits ethylmorphine
|
100mg/100ml or g
|
|
CV qty limits opium
|
100mg per 100ml/g
|
|
CV qty limits difenoxin and diphenoxlate
|
0.5mg difenoxin with no less than 25mcg atropine per dose
2.5mg diphenoxylate with no less than 25 mcq atropine |
|
betadine povidone limits
|
1% sol in 8oz or less
2% tincture in 1 oz or less |
|
pseudophed limit
|
18 and older
3.6 g day no more than 3 packages 9 g per month |
|
CII must be filled within ___ time of date written
|
6 months
|
|
CV may be fore more than one person in same family
|
true
|
|
post date and ante date of controls?
|
not allowed
|
|
emergency supply on oral or electronic order for CII requirements
|
only if intense suffering will occur or loss of life
signed and dated in ink if escript or fax written by RPh if oral |
|
must obtain the hardcopy of a CII that was dispense in a emergency by ____ time?
|
7 days
|
|
who can you accept electronic or oral CII ordres for?
|
SNF hospice but must be written by RPh on a form for that purpose must reduce to writing
|
|
prescribers must report dispensed controls to DEA how oftne?
|
weekly
|
|
emergency fill of a CIII, IV, V if hazard or suffering?
|
yes but only resonable qty
|
|
can a prescriber dispense a CII to a pt?
|
yes if only for 72 hour supply and pt not expected to need more than 72 hours of drug
|
|
keep control substance records for ____time?
|
3 years
|
|
addiction treatment can only occur in the authorized place of treatment exept?
|
non narcotic tx in physicians office
|
|
limitations of narcotics in treatment?
|
only for 30 days of treatment limiited to how much you can give of certain drugs in first 15 days, and after 15 days of treatment. end of 30 days all d'cd except methadone
|
|
who can you sell controls to without a prescription?
|
physician dentist vet podiatrist optometrist
|
|
who do you report out of state CII orders to?
|
attorney general within 24 hours
|
|
when can you dispense a CII that is in error or doesn't meet the requirements
|
write terminally ill or exeption 11159.2 on it
if error return for correction within 72 hours |
|
partial filling of CII must be completed by________time
|
72 hours
|
|
can you partial fill if pt only wants half?
|
NO! voids the rest of qty can only partial fill and fill remainining if you are out of stock and fill within 72 hours
|
|
refills allowed on CIII CIV?
|
5 and not exceeding total of 120 days of refills
|
|
electronic monitoring of controls must be submitted online Q 30 days and not later than____ of month
|
18th of month following month rx was dispensed
|
|
physicians may dispense if:
? |
own pt
they give option of taking Rx to pharmacy meet all label requirements he doesn't keep a pharmacy |
|
can a prescriber obtain controls from you for dispensing?
|
no for general dispensing, he must order from the manufacturer
|
|
there are laws stating you must warn for sleepy, impair, operate machinery, anticholinergics and impair vision
|
true
|
|
quality assurance must investigate errors within ____ time and record and keep records for _____ time?
|
investigate within 2 business days
keep records x 1 year |
|
expiration of a compounded drug?
|
NTE 180 days or real expiration date
|
|
can you compound T3:T4 mix ahead of time if you dont have the Rx yet?
|
yes. you may compound a reasonable amt in advance to ensure continutity of care
|
|
report a theft and stolen drugs in your pharmacy to who?
|
DOJ
|
|
report theft and stolen drugs to DOJ within
|
3 days??
|
|
pure food and drug act
|
prohibits food and drugs thru interstae to be misbranded adulterated
|
|
food drug cosmetic
|
any new drug cant be marketed unless proven safe as labeld. also req labels for habit forming. dose not include cosmetics or devices
|
|
durham humphry
|
divides drugs into 2 classes Rx and OTC but manuf dont have to put directions on Rx drugs because physicans sig is . req to list federal law prohibits dispensing without a.... also provided oral and electronic rxs
|
|
kefauver harriss amendment
|
thalidomide
new drugs must be proven safe and effective. puts advertising in hands of FDA good manufacturing practice requrements |
|
waxman hatch
|
aka patent term restoration
streamlined generic approval gave 5 years exclusivity |
|
drug marketing act of 1987
|
more controls on samples wholesalers be licensed by states undre fed guidlines
bans reimportation store and handling record for samples |
|
FDA modernization act
|
clarifies how to do extemporaneos cmpding
6 more months of patent for pediatric trials warning...habit forming eliminated |
|
USP DI volumes are
|
for drug informaiont
I healthcare prof II advice for pt and general public III orange book |
|
STEPS program
|
thalidomide
limits to 28 days fill within 7 days |
|
iPLEDGE
|
prescriber must register
pharmacy and wholesaler must register sign document informin risks of dep, suicide, birth defect agree to monthly office visits must fill within 7 days of neg preg test |
|
PPL for
|
lotronex
prescribers must affix program stickr to all Rx's written must dispense med guide cannot fax or escribe original package with med guid and followup survey |
|
TAP
|
tracleer access for bosentan
|
|
clozaril nat'l registry
|
must supply pharmacy with labwork within 7 days of dispensing
|
|
TIPS
|
tikosyn
|
|
EPASS
|
exjade only thru specialty pharmacies
|
|
fosamax 40?
|
for pagets
|
|
IRESSA
|
gefitinib chemo
physician must be certified |
|
xyrem success program
|
GHB for narcolepsy with episodal catapexy
|
|
REACH
|
sorafenif (Nexavar) advanced renal cell carcinoma
|
|
CARE
|
plan B
|
|
repackaging meds must make expiration date
|
NTE 25% of time rememaining or original exp or 6 months, whichever is less
|
|
exp pt med packs
|
60 days
|
|
can you partial fill CII for facility pt?
|
yes and hospice pt but only for 60 days
|
|
medical device probs report to?
|
FDA
|
|
vet products probs report to
|
FDA ved med center
|
|
drug recalls class I
|
may cause serious harm
recall include stock in pharmacies and call the patients |
|
class II recall
|
manuf sends written recall notice
recall pharmacy stocks temp or reversible side effects |
|
class III
|
unlikely to cause harm
|
|
compounds of non aqueous solids exp date
|
25% of time remaining or 6 months
|
|
aqueous compound at room temp expiration dating
|
14 days
|
|
a drug is made into unit dose and not labeled with the exp date. this is an example of?
|
misbranded
|
|
bioequiv means
|
orange book
A and AB rated (B means NOT equiv) |
|
DEA form 224
|
registration of entities
|
|
DEA form 224 registration is good for
|
36 months
|
|
you will recieve dea registration renewal when?
|
60 days before exp or if not by 45 days then contact them in writing
|
|
everywhere controlled subs are manu, distr, or dispensed must have own DEA registration EXCEPT?
|
warhouse
practitioners office where prescribed but not administered or dispensed common freight carriers (UPS) office where sales are conducted but doesnt contain the drug |
|
bulk manufacturer can apply for reregistration when?
|
120 days before exp
|
|
CII symbol enough dont need to say "schedule"
|
true
|
|
DEA form 222
|
sale or transfer of Ci or CII
|
|
copy 1 of 222
|
supplier
|
|
copy 2 of 222
|
first to supplier then dea
|
|
copy 3 of 222 form
|
retained by purchaser
|
|
222 colors?
|
1 brown supplier
2 green dea 3 blue purchaser |
|
DEA form222a
|
to get more 222 forms
|
|
ordering steps for CII
|
complete form 222
keep 3rd copy submit 1 and 2 to supplier |
|
can an order for a CII from a supplier be partially filled?
|
yes but complete by 60 days
|
|
how many lines on 222 form?
|
10 drugs
|
|
what if supplier doesnt have your CII drugs?
|
space on back for second supplier but they must fill ENTIRE QTY
|
|
keep DEA form 222 copies for____ years
|
2 years
|
|
keep the vet drugs carfentanil etorphine and diprenorphine seperate
|
true
|
|
CSOS
|
electronic CII ordreing
|
|
can you order CII and non CIIs on same order?
|
you can if online CSOS
|
|
you dont need to sign the sudafed log if?
|
single package containing no more than 60 mg
|
|
drug tax act 2000
|
addiction certification or 8 hrs training. participated in clinical trial
lifted 30 day limit on narc treatment |
|
approved drugs in treatment?
|
methadone
LAAM buprenorphine |
|
unique number for CSOS?
|
2 digs of year "10"
then X then 6 digs 10X123456 |
|
what can you change on a CII
|
pt address
strength qt directions |
|
colors of warf
|
look it up
|
|
Sched V codiene cough syrup OTC qty limits for purchase
|
only by RPh and NTE:
8oz if contains opium 4 oz or 48 dosage units of any other control |
|
total amt in time period of CV cough suppressant you can get
|
18 and older
4 oz in 48 h period log book x 2 years |
|
dea number formula
|
1, 3, 5 added
2, 4, 6 added then x 2 add together should match last 2 digs |
|
nurse gives the wrong drug to a pt who gets notified
|
just tell the MD,dont report to board, medwatch all that crap
|
|
orphenadrine?
|
muscle relax
|
|
nesiritide is natrecor
|
dont give if sbp <90
|
|
form 363
|
narcotic treatment programs
|
|
form 41
|
to destroy unwanted controlls
|
|
when do you have to notify dea to destroy narcs?
|
2 weeks prior then get the auth. hospitals can get a blanket auth to destroy
|
|
form 106
|
theft or loss of drugs
|
|
transferring between pharmacies. total number of dosage units cannot exceed ___% or you have to do what?
|
5% or register as a wholesaler
|
|
what do you do in case of a theft or loss
|
form 106 for theft of loss and notify dea directly for controls report within 3 days to DOJ
|
|
how long to keep refill data?
|
2 years
|
|
combivir
|
nrti combo zio and lami q12h
|
|
trizivir
|
q12h
|
|
truvada
|
q24
|
|
epzicom
|
q24
|
|
zidovudine
|
NRTI retrovir
|
|
lamuvidine
|
NRTI epivir
|
|
abacavir
|
NRTI ziagen
|
|
didanosine
|
NRTI Videx
|
|
stavudine
|
NRTI zerit
|
|
tenofovir
|
NRTI zerit
|
|
emtricitabine
|
NRTI emtriva
|
|
dont give which NRTI together
|
zidovu and stav = both need thymadine
stav and didan = increased tox |
|
main ade for NRTI
|
lactic acidosis hepatic steatosis
renal dose them all except abacavir stav= pancreatitis and periph neurop |
|
efavirenz
|
non nuc.
sustinva |
|
nevirapine
|
non nuc. viramune
|
|
etravirine
|
non nuc. intelence
|
|
delavirdine
|
non nuc. respriptor
|
|
which is good in k103 mut?
|
etravirine intelence
|
|
non nuc main ade
|
rash nausea hepatisis increase LFT
|
|
take non nuc. with food?
|
most dont matter except efavirenz or unbooster
|
|
dreams and cns ade of hiv drugs
|
efavirenz
|
|
lopinavir
|
with ritonovir is kaletra
|
|
nelfinavir
|
viracept PI
|
|
atazanavir
|
reyataz PI
|
|
fosamprenavir
|
lexiva PI
|
|
saquinavir hard gel cap
|
invirase PI
soft gel i think was being taken off market |
|
darunavir
|
prezista PI
|
|
tipranavir
|
optivus PI
|
|
ritonovir
|
norvir PI
|
|
indinavir
|
crixivan
PI |
|
take which PI with food?
|
nelfinavir
atazan darunavir saquin with riton within 2 h of meal |
|
which PI without food?
|
unboosted indinavir
|
|
sulfa PIs?
|
fosampren
tipranavir darunavir FTD |
|
maraviroc
|
selzentry ccr5
|
|
enfuvirtide
|
fuzeon gp41 inj q12
|
|
isentress?
|
raltegravir
integrase |
|
mac tx
|
azithro clarithro
|
|
CI in preg
|
efavirenz
stavudine + didanoside |
|
triptans longest half life
|
frova and nara but have slower onset
|
|
tx for type I acne
|
benzoily peroxide non rx
|
|
type II acne tx
|
papular
topical abx, topical retinoids or both |
|
type III acne tx
|
pustular oral antibiotics in addition to topical
|
|
type IV
|
nodulocystic isotretinoin
|
|
benazclin
|
clinda
|
|
benzamycin
|
ery
|
|
warfarin 1mg
|
bright pink
|
|
warfarin 2
|
purple
|
|
3 warfarin
|
tan
|
|
warfarin2.5
|
green
|
|
warfarin 5
|
lighter pink
|
|
warfarin 4
|
blue
|
|
warfarin 7.5
|
peach
|
|
warfarin 10
|
white
|
|
warfarin 6
|
teal-ish
|
|
low pot steroids
|
aclometasone diproprionate 0.05
flucinolone 0.01 hydrocortisone 0.5, 1, 2.5 triamcinolone 0.025 |
|
clocortolone pivaitate 0.1
|
intermed
|
|
triamcinolone 0.1, 0.2
|
intermed
|
|
hydrocort valerate
|
intermed
|
|
fluconolone 0.01, 0.25
|
intermed
|
|
desonide 0.05
desoximetasone 0.05 |
intermediate
|
|
betamethasone val 0.12
|
intermed
|
|
mometasone
|
inter
|
|
flurandrenoline 0.025
fluticasone |
intermed
|
|
aclometasone diproprionate 0.05
|
low
|
|
flucinolone 0.01
|
low
|
|
hydrocortisone 0.5, 1, 2.5
|
low
|
|
triamcinolone 0.025
|
low
|
|
betamethasone aug
diprolene |
high
|
|
desoximetasone gel or 0.25 cream
|
high
|
|
diflorasone diacetate 0.05
|
high
|
|
flucinolonide
|
high
|
|
halcinonide
|
high
|
|
Triamcinolone 0.5
|
high
|
|
clobetasol
|
high
|
|
flurandrenoline cordon tape
|
high
|
|
halbetosol
|
high
|