NHA Excpt Exam !!!!! 202333

18 lb (divide weight by 2.2)

8.2 kg

1 tbsp

15 mL

80 kg (1 kg=2.2lbs)

176 lbs

20 drops

1 mL

30mL

1 fl oz

1 gram

1,000 milligrams

1 L

1000 mL

Automated dispensing machines (ADMS)

are comprised of cabinets of various sizes that contain drawers and compartments for different medications.

Which of the following medications is included under the (BTC) classification? (Behind the Counter)

Pseudoephedrine (Sudafed)

Which of the following might have contributed to an error?

Not visually verifying the NDC on each bottle

PPE

personal protective equipment

Antineoplastic

chemotherapy

Risk Evaluation and Mitigation Strategies (REMS)

are required risk management plans that use risk-minimization strategies beyond professional labeling to ensure that the benefits of certain prescription medications outweigh their risks.

USP<800>

Ensures new standards for handling hazardous materials.

Auxiliary labels

Are placed on medication container to help educate patients about proper use of their medication.

Patient Package Insert (PPI)

Is a document provided by the manufacturer with additional information about the medication. Must always be included for birth control medication

Poison Prevention Packaging Act of 1970

Requires child-resistant caps on prescription medications

The middle set of NDC numbers

Represents medications' strength and dosage form of the drug

Which is located in medication guide?

Safe usage instructions

Nitroglycerin sublingual tablets

Should be stored in original glass package away from heat, moisture, and sunlight

Safety Data Sheet

Form that provides printed information regarding the hazards of materials that contain chemicals

Schedule II prescriptions

CANNOT have refills

antineoplastic

Should be handled with PPE

Levothyroxine (Synthroid)

Should be taken on empty stomach

Technician's role with automated dispensing system is to:

Restock medication in the system

OBRA (Omnibus Budget Reconciliation Act)

requires pharmacists to offer counseling to Medicaid patients regarding medications

4 oz

120 mL

Prilosec (omeprazole)

Is available OTC in a 20-mg tablet

DEA Form 222

Should be complete when ordering and shipping controlled substances

The last set of numbers on the NDC

Represents the package size

EC

enteric coated

If the patient does not want child-resistant caps he or she must have a

Written consent from the patient(he or she)

8 oz bottle

For a quantity of 200 mL

DAW

dispense as written

DEA Number

For controlled substances

Third Party Payer Info.

Processor bank identification, number (BIN), Processor control number (PCN)

drug-drug interactions

DDIs

Prior authorization

This means the insurance company requires additional information to determine if the medication will be covered.

coordination of benefits COB

explains how an insurance policy will pay if more than one policy applies

Third Party Program

Is comprised of the patient, the pharmacy, and either the insurance company or government program.

Centers for Medicare and Medicaid Services (CMS)

a federal agency within the U.S. Department of Health and Human Services that is responsible for Medicare and Medicaid, among many other responsibilities.

PC, HS

after meals and at bedtime

H, HR

hour

DAW 0

No product selection indicated

DAW 1

substitution not allowed by prescriber

DAW 2

Patient requested brand

DAW 3

- generic substitution permitted, but pharmacist selected brand.

DAW 4

Substitution allowed - generic drug not in stock

DAW 5

Pharmacy uses a branded generic

DAW 6

override

DAW 7

Substitution not allowed - brand drug mandated by law

DAW 8

Substitution allowed; generic drug not available in marketplace

DAW 9

The other codes do not accurately describe the note required

Prescription Monitoring Program (PMP)

Are state-run programs that collect and distribute data about the prescribing and dispensing of federally controlled substances.

Schedule IV

A prescription can be refilled up to 5 times within 6 months of the date it was written.

PRN

as needed

Medicare Part B covers

prescription medical equipment

PO

by mouth

Patient Code

Identifies the cardholder

Medicare Part D

Provides coverage for prescriptions, biological medications, insulins, vaccines, and selected medical supplies.

Sharps disposal (OSHA regulations)

Dispose of sharps immediately by dropping them into a rigid, specifically designated, impervious container that is usually red and with a biohazard symbol on it.

Sublingual nitroglycerin tablets and sublingual/chewable isosorbide

Must be in their original, unopened containers because they are heart medications. Does NOT have child-resistant cap.

The Poison Prevention Act of 1970

Requires child resistant packaging for any substance that could cause serious injury to children if they handle, use, or ingest it.

Medication label must contain:

Name & address of the dispenser

Prescription's serial/identification #

Date the pharmacy filled the medication

Name of prescriber

Directions of use, Patients name, Cautionary Statements

HIPPA 1996

It provisions guard against any misuse or inappropriate disclosure of patient's PHI

FDA (Food and Drug Administration)

Supervises the development, testing, purity, safety, and effectiveness of prescription and OTC medications.

FDA requires medication guide

For medications with black box warnings

The controlled substance act (CSA)

Regulates the manufacture, importation, possession, use, and distribution of medications and substances that have potential for abuse.

Drug Enforcement Agency (DEA)

Regulates the sale and use of specific medications.

How often is staff trained about HIPPA?

Annually

OBRA 90

Requires pharmacists to offer counseling to all Medicaid recipients about correct use of their medication.

OBRA 90

Requires pharmacists to keep records(patient profiles) for all medications that Medicaid recipients use.

Schedule I

Includes drugs that have high potential for abuse. Ex: heroin, LSD, marijuana

Schedule II

Includes medications that have high potential for abuse, are dangerous, and using them can lead to psychological and physical dependence. Ex: morphine, oxycodone, hydrocodone, methamphetamine

Schedule III

Includes medications that have a moderate to low potential for physical and psychological dependence. Ex: acetaminophen, anabolic steroids, testosterone

Schedule IV

Includes medications that have a low potential for abuse and dependence. Ex: diazepam, temazepam, clonazepam

Schedule V

Includes medications that contain limited quantities of some narcotics, usually for anti diarrheal, antitussive, and analgesic purposes. Ex: pregabalin

Schedule II

Refills are NOT allowed

Schedule III and IV

Medications can be refilled 5 times within 6 months after prescription's date.

Schedule V

Some C-V medications are by prescription only; others are OTC.

DEA Form 222

Order form for CI and CII substances. Must be kept for 2 years. Only valid 60 days once they are written.

DEA 41 form

Used to document the destruction of controlled substances

DEA 106 Form

used to report stolen or lost controlled substances

Durham-Humphrey Amendment

Requires medication manufacturers to place a label stating, "Caution: Federal law prohibits dispensing without a prescription" on medication stock bottles

ad

right ear

as

left ear

au

both ears

od

right eye

ou

both eyes

os

left eye

bu

buccal

po

by mouth

pr

Rectal

pv

Vaginal

sl

sublingual

ac

before meals

Pc

after meals

qh

every hour

USP Chapter 800

addresses the way hazardous drugs are stored and promotes safety for patients and workers in health care and veterinarian care.

Freezer

Measles, mumps, rubella, and varicella (MMRV), zoster