Misc stuff that isn't drug/vitamin interactions that are left

C2 Drugs

Controlled substance with high potential for abuse.

NTI Drugs

Drugs for which tiny changes can result in toxicity or uselessness.

Which among walk in, call in, electronic prescribing, and fax cannot be use for C2 Drugs?

Walk in and electronic prescribing can be used for C2 drugs, but calling in and fax cannot.

DUR

Drug Utilization Review

DUE

Drug Utilization Evaluation

MSDS

Material Safety Data Sheets

ISMP

Institute for Safe Medication Practices (has possible errors)

TJC

The Joint Commission

What does a Prescription Order look like?

Pharmacy name/address, sequential #, patient name, date filled, prescriber, directions, federal legend, BUD (beyond use date)

• Need name of drug, strength, dosage form required, and quantity.

National Drug Code

05480-0330-20

• Manufacturer

• Drug

• Size

Computerized Physician Order

When a doctor enters in the order into their computer instead of physically.

EMR

Electronic Medical Record

Medicare Parts

Part [1, 2, 3, 4]	What It Covers	Who Provides It
Part A: Hospital Insurance	Inpatient hospital stays, skilled nursing care, hospice, and some home health care.	Federal Government
Part B: Medical Insurance	Doctor visits, outpatient procedures, preventive services, and durable medical equipment.	Federal Government
Part C: Medicare Advantage	All-in-one alternative bundling Parts A, B, and usually D. Often includes dental, vision, and hearing.	Private Insurance Companies
Part D: Prescription Drugs	Standalone prescription drug coverage to lower medication costs.	Private Insurance Companies

Insurance Card Checkboxes

1. Plan Name

2. Policy Holder’s name (dependents sometimes listed)

3. Member ID

4. Bank Identification # (RxBIN)

5. Processor Control # (RxPCN)

6. Group # (RxGRP

7. Co-pays

Compounding Pharmacy Types

Community, hospital, home care, long term care

Oral

Swallow by mouth

Topical

Apply to skin

Simple Compounding

reconstitution, manipulation

Moderate Compoudning

Needs special calcs and procedures

Complex Compounding

Needs Special Equipment

Geometric Dilution

Technique for even mixing of small concentrations of potency

Levigation

Dispersing solid drug into another liquid before usage of treatment

Trituration

Grounding into powder for fineness

Increasing Dissolution

Using heat, reducing particle size (rate of rxn up)

Chemical Stability

How long chemicals mixed are stable around each other

Physical Stability

How long mixed product will remain in form

Microbial Contamination

Risk of microbial growths

BUD (Beyond Use Date) Guidelines

• BUD mustn’t be later than the expiration of any ingredient

• With water BUD is no later than 14 days (oral)

• With water and topical, dermal, mucosal, or semisolid no later than 30 days

Proprietary Name

Defined, assigned by drug manufacturer and protected by patent

Non-proprietary Name

Defined, identifies active ingredient and has a word stem indicating drug class

Chemical Name

Defined, Scientific name determinging molecular structure

Pharmacology

Science dealing with origin, nature, chemistry, effects and uses of drugs

Bioavailability

The ratio of drug intake and absorbed into blood

Bioequivalence

When 2 or more drugs with identical active ingredients have identical body actions

Biosimilars

Similar purity, molecular structure, and activity

Pharmaceutical Equivalent

Essentially identical but with differing names

Pharmaceutical Alternatives

Same active ingredient, but differing salts, esters, and complexes

Therapeutic Equivalence

Certifies that a generic drug has the same active ingredients, dosage form, quality, purity, and absorption as the brand name drug

Some Prefixes

• Carcino=cancer

• terato=fetal

• hepa=liver

• nephro=kidney

• Hema=blood clot

• Gastro=bowels