PT-1 Midterm Study Guide - ACC Ontario

In what year was the PTCB formed?

1995

Name the term used for Pharmacist and a drug store?

Apothecary

List some effects of Opioids

Euphoria, Analgesia, Sedation

Drug Facts and Comparison

One of the books most frequently used by pharmacists. This reference book was first published in 1946 and was created for quick and accurate reference and drug comparison.

Most used, most comprehensive, most updated

Red Book

This book is updated monthly and is a good source of information pertaining to average and wholesale drug costs and prices.

Contains current AWP for all drugs

Ident-a-drug

Lists tablet and capsule identifications. Most tablets and capsules have a code or number stamped on them by the manufacturer for identification purposes. Ident-A-Drug includes more than 38,000 listings. The drugs are not listed by pictures but by identifiable codes, colors, and shapes and also by whether the tablet is available scored. After these characteristics have been identified, the book provides the name of the manufacturer, generic and brand names, strengths, and use of the drug.

Identifies drugs by shape, color, and markings

Orange Book

A comprehensive list of approved drug products with therapeutic equivalence evaluations that is provided by the FDA.

Online resource to find formulary alternatives

Physician's Desk Reference (PDR)

Includes copies of package insert

Contains copies of drug monographs for FDA approved drugs

-LOL

Beta Blockers

-Pril

ACE Inhibitors

What do the three sections of the NDC number represent?

1. Labeler - Dista Products

2. Product code - Prozal Capsules

3. Package code - Total 100

DUE

A process that ensures that prescribed drugs are used appropriately. The main desired outcome of any DUE program is an increase in medication-related efficacy and safety.

PHI

A term used to describe a patient's personal health data. Under HIPAA, this information is protected from being shared or distributed without permission

Comprehensive Drug Abuse Prevention and Control Act

formed to enforce the laws concerning controlled substances and their distribution. A stair-step schedule of controlled substances was introduced, based on the drugs' intended medical use, the propensity of a drug to be abused, and safety and dependency concerns.

How many times can schedule drugs be transferred?

Schedule III, IV, and V prescription may be transferred to another pharmacy one time only

Know the procedure to verify a DEA number:

Dr. Zoe Johnson

BJ2548571

Valid

What is the iPledge program? What types of medication is covered under it?

The FDA regulates isotretinoin (formerly branded as Accutane and marketed now as Amnesteem, Claravis, Myorisan, and Absorica) under a special program called iPledge because of the severe adverse effects of the drug.

Form 41

Authorization to destroy damaged, outdated, or unwanted controlled substances

Form 224

To dispense controlled substances

Form 222

To order or transfer schedule II substances

What did Alexander Fleming discover?

Penicillin. He accidentally contaminated a plate of bacteria with mold while working in his laboratory in 1928; the mold inhibited the growth of the bacteria, and he named the mold penicillin.

What are some benefits of certification?

1. Standardized Pharmacy Technician education

2. Increased Salaries

3. More Opportunity for growth in the field

4. Proved competence in pharmacy

5. Increased trust

What are some side effects of taking opioids?

Respiratory depression, pupil constriction, reduced gastrointestinal motility, dysphoria, physical dependence

What is the difference between Opiate and Opioid?

Opium - a by-product of the plant Popover somniferum, commonly known as the opium poppy.

Opioid - refers to both synthetic and semisynthetic medications

USP-NF (United States Pharmacopeia - National Formulary)

Provides access to official standards of the FDA. It is a guide for the specifications - tests, procedures, and acceptance criteria - required for pharmaceutical manufacturing and quality control

Comes in multiple volumes and contains standards for non-sterile and sterile (UPS 797) compounding

-Prazole

Proton Pump Inhibitors (PPIs)

Define the three classes of recalls

Class 1: The highest level of recall; it deals with products that could cause serious harm or prove fatal. This includes life-saving drugs.

Class 2: The next level, which deals with products found to cause a temporary health problem or to pose a slight threat of serious harm.

Class 3: The lowest level, which is used for products that may have a minor defect or other condition that would not harm the patient but that prevents the drugs from being resold.

Formulary

A list of approved drugs to be stocked by the pharmacy; also a list of drugs covered by an insurance company

OSHA

Filing of an SDS in the pharmacy or workplace is usually a requirement

OBRA-90

Congressional act that changed reimbursement limits and mandated drug utilization evaluation, pharmacy patient consultation, and educational outreach programs.

Specific to Medicaid coverage

How many refills are allowed on a prescription for a schedule II, III, IV, and V?

C-II: No Refills

Most states limit refills of schedule C-III through C-V drugs to a minimum of five times or within 6 months from the original order, whichever comes first.

Know the procedure to verify a DEA number:

Dr. Arnie Daniels

AD1258745

(DEA beginning with X are used for prescribers that may prescribe medication to treat opioid addiction)

Not Valid because the End Number does not end with 3, but 5

When selling Sudafed, what are the restrictions to purchase?

The maximum amount sold may not exceed:

3.6g in a calendar day

9g per 30 days retail

7.5g per 30 days by mail order

Form 225

To manufacture or distribute controlled substances

Who is required to fill out the 222 forms?

This must be done by the receiving registrant to the registrant transferring the drugs. This is the pharmacist who signed the DEA 224 Form

How are electrolytes commonly measured?

mEq (MilliEquivalent)