Pharmacy Tech NHA Modules

A pharmacy technician should identify that which of the following tasks is within a technician's scope of practice?

Prepare insurance claims for online adjudication

Which of the following federal agencies should a pharmacy staff member contact if controlled substances are stolen from the pharmacy?

DEA

A pharmacy technician should recognize that the prefix "hypo" has which of the following meanings?

Too little or below (Hypoglycemia means low blood sugar)

A pharmacy technician should dispose of which of the following medications in a hazardous waste bin?

Cytotoxic agents are extremely toxic and should be placed in a hazardous waste bin for disposal

Which of the following communication techniques should a pharmacy technician use when communicating with a patient at the pharmacy counter?

Listen carefully to the patient

Which of the following references should a pharmacy technician use to look up the compatibility of two intravenous solutions?

Trissel's Handbook on Injectable Drugs

Which of the following forms should a pharmacy technician use to request permission to destroy expired controlled substances?

DEA Form 41

Which of the following tasks should a pharmacy technician complete when assisting a pharmacist with medication therapy management (MTM)?

Schedule patient appointments (technicians should also collect patient's medication and health histories and consent forms)

A pharmacy technician should identify that which of the following word parts is placed at the beginning of a medical term?

A prefix is placed at the beginning of a medical term

A pharmacy technician should recognize that how many different types of controlled substances can be ordered on DEA Form 222?

10

Which of the following references lists FDA-approved medications and their therapeutic equivalents?

Orange Book

A pharmacy technician should identify that a varicella vaccine should be stored in which of the following locations?

Freezer

Based on the prescription below, which of the following directions should a pharmacy technician include on the prescription label for the patient?

ii tsp po bid ac

"Take 2 teaspoons by mouth twice per day before meals"

Which of the following strategies should a pharmacy technician use when communicating with a patient who speaks a different language?

Show pictograms

A pharmacy technician should report an adverse drug, event to which of the following?

FDA MedWatch

A pharmacy technician should identify that which of the following tasks is a part of medication reconciliation?

Obtaining medication history

If a manufacturer refuses to recall a medication and there is a clear evidence of risk to human health, a pharmacy technician should recognize that which of the following government agencies can enforce a recall?

Food and Drug Administration (FDA)

Which of the following strategies should a pharmacy technician use to optimize communication with a patient?

Ask the patient open-ended questions

Which of the following tasks is within a pharmacy technician's scope of practice?

Compound IV chemotherapy medications

A pharmacy technician should recognize that which of the following medications should be flushed for disposal?

Fentanyl (Duragesic) patches

Besides presenting a written prescription, what other information must appear on a prescription for a controlled substance like Morphine?

Every prescription for a controlled substance must include include the prescriber's DEA number, it is unnecessary for other prescriptions

How long, will the pharmacy have to keep the prescription the patient returns with on file?

Pharmacies must keep all records for Schedule II drugs for 2 years. They must keep these records separate from those noncontrolled substances

Suppose the pharmacy did not have enough Morphine tablets in the strength prescribed to fill the patient's prescription completely. What should the pharmacy technician tell the patient?

She should tell the patient that she'll give him enough pills to last until the pharmacy has the rest to give him. If the pharmacy doesn't have the full supply, the patient can return after the pharmacy obtains the entire amount to dispense or accept a small portion (a partial fill) to cover the period of time until the whole amount is available. This patient has already stated that he has no more of the medication, so the second option is the one technician should explain. The pharmacy has limited amount of time to complete the remainder of the fill. Otherwise, the patient will need a new prescription for the rest of the fill

Which of the following processes should a pharmacy technician use to file prescription hard copies for controlled substances?

File controlled substances prescriptions separately form legend prescriptions

A pharmacy technician should recognize that exempt narcotics are included in which of the following controlled substance schedules?

Schedule V

A pharmacy technician should recognize that which of the following laws requires medication manufacturers to place a label stating, "Caution: Federal law prohibits dispensing without a prescription" on medication stock bottles?

Durham-Humphrey Amendment

According to the DEA, how often should a pharmacy technician conduct an inventory check for controlled substances?

Every 2 years

A pharmacy technician should identify that which of the following organizations issues a pharmacy's National Provider Identifier (NPI)?

Centers for Medicare and Medicaid Services (CMS)

A pharmacy technician is required to include a patient package insert (PPI) when filling a prescription for which of the following types of medication?

Contraceptives

A pharmacy technician should identify that which of the following organizations issues a pharmacy's National Provider identifier (NPI)?

Centers for Medicare and Medicaid Services (CMS)

A patient presents a pharmacy technician with a prescription for Zolpidem (Ambien) that the prescriber wrote 6 weeks ago. Which of the following actions should the technician take?

Process the prescription for the pharmacy to fill

Which of the following organizations enforces concerning medication quality standards?

Food and Drug Administration (FDA)

According to the HIPPA guidelines, which of the following documents should a pharmacy technician have a new patient sign?

Acknowledgement of notice of privacy practices

According to HIPPA guidelines, which of the following actions should a pharmacy technician take to safeguard a patient's protected health information (PHI)?

Shred computer printouts that include PHI

A pharmacy technician should recognize that anabolic steroids are included in which of the following controlled substances schedules?

Schedule III

A pharmacy technician is storing prescription in compliance with document retention regulations. The technician should file the prescriptions sequentially according to which of the following?

Prescription's serial number

A pharmacy technician is storing prescription in compliance with document retention regulations. Technician should file the prescriptions sequentially according to which of the following?

Prescription's serial number

Which of the following sublingual medications is an exception to the mandate for children-resistant caps on prescription medication containers?

Nitroglycerin

A pharmacy technician is verifying a prescriber's DEA number on a prescription. As a part of the verification process, which of the following parts of the DEA number should the technician multiply by two?

The sum of the second, fourth, and sixth digits (Add the 1st, 3rd, 5th digits of the DEA number. Add the 2nd, 4th, 6th and multiply the sum by 2. Add the results of the previous steps. Check the last digit of this sum is the same as the last digit of the DEA number. If so, the DEA number is valid)

A pharmacy technician should identify that Fentanyl patches are included in which of the following controlled substance schedules?

Schedule II

According to the HIPPA guidelines, which of the following patient information is considered protected health information (PHI)?

E-mail address

A pharmacy technician should recognize that which of the following information is mandatory for controlled substance prescriptions and unnecessary for noncontrolled substance prescriptions?

The prescriber's DEA number

A pharmacy technician is filling prescriptions for storage according to federal regulations. Which of the following should the technician identify as the minimum amount of time prescriptions for controlled substances should be retained on file?

2 years

A pharmacy technician receives a handwritten prescription from a patient. The technician should verify that the prescription contains which of the following information?

Quantity of the medication

Schedule II (C-II)

Morphine, Methadone, Oxycodone, Hydromorphone, Hydrocodone, Fentanyl, Levorphanol, Meperidine, Methylphenidate, Secobarbital, and Methamphetamine

Schedule III (C-III)

Ketamine, Acetaminophen with Codeine, Butabarbital, Dronabinol, Thiopental, Anabolic steroids, and testosterone

Schedule IV (C-IV)

Phenobarbital, Chloral Hydrate, Diazepam, Zolpidem, Eszopiclone, Alprazolam, Chlordiazepoxide, Pentazocine, Temazepam, Triazolam, and Clonazepam

Schedule V (C-V)

Diphenoxylate with Atropine, Pregabalin, Lacosamide, Guaifenesin with Codeine, Kaolin and Pectin with Belladonna

Hydrocodone Plus Acetaminophen

Brand name: Vicodin, Norco, Lortab

Classification: Opioid (narcotic) pain reliever

Levothyroxine

Brand name: Synthroid

Classification: Thyroid hormone

Prednisone

Brand name: Rayos, Deltason

Classification: Corticosteroid, glucocorticold

Lisinopril

Brand name: Prinivil, Zestrill

Classification: Antihypertensive, ACE inhibitor

Amoxicillin

Brand name: Amoxil

Classification: Antibiotic

Gabapentin

Brand name: Neurontin

Classification: Anticonvulsant

Metformin

Brand name: Glucophage

Classification: Hypoglycemic

Atorvastatin

Brand name: Lipitor

Classification: Antilipemic, Statin

Alprazolam

Brand name: Xanax

Classification: Benzodiazepine

Amlodipine

Brand name: Norvasc

Classification: Calcium Channel Blocker

To which therapeutic-action classification does Simvastatin (Zocor) belong?

Lipid-lowering agents called HMG-CoA reductase inhibitors, but pharmacy professionals and providers commonly call them statins. They help lower cholesterol levels, except for high-density Lipoproteins ("good" cholesterol)

How should patients take effervescent tablets?

Dissolve them in water. Effervescent tablets contain mixtures of acids, Sodium Bicarbonate, and active ingredients. These bubbling tablets release Carbon Dioxide and dissolve rapidly in water. Patients do not chew these tablets. They dissolve them in water then they drink

What is the term for liquids for that dry and flexible films on the skin?

Collodions. Wart, corn, and callus removers are Collodions. Liquid bandage preparations are also Collodions

What is the name for Cleocin?

Clindamycin. Clindamycin is an antibiotic that provider's prescribe to treat skin, bone, respiratory, and reproductive system infections

If the patient continued to have nausea after taking the antibiotic with food or milk, the pharmacist could recommend that she try an OTC medication in which of the following drug classifications?

Antiemetic

If the patient had reported having trouble breathing after taking Clarithromycin, what should the pharmacy technician have done first?

Inform the pharmacist of the patient's reaction immediately

If the patient's nausea had become more persistent and the OTC preparations did not help, which of the following medications would the pharmacy technician expect the patient's provider to prescribe?

Metoclopramide (Regian)

A woman comes to the pharmacy during influenza season with her two children and asks if all three of them can get the immunization. Which of the following family members should you identify as not eligible for the immunizations?

The 4-month-old infant

A patient returns to the pharmacy the day after receiving the Herpes Zoster vaccine from the pharmacist. They report that their arm feels sore, and the skin is red around the injection site. After checking with the pharmacist, which of the following actions should you suggest?

Taking Acetaminophen according to the package directions

A patient comes to the pharmacy asking if they can receive the pneumonia vaccine. You note that the patient is 54 years old. What should you do next?

Ask the patient if he has any chronic illnesses

A pharmacy technician should recognize that an otic preparation should only be used for which of the following parts of the body?

Ears

A patient tells a pharmacy technician that his doctor recommended several over the counter (OTC) medications for him, but he can't remember which symptom Fluticasone (Flucose) will treat. The technician should tell him that his medication should help relieve which of the following symptoms?

Runny nose

A pharmacy technician is filling a prescription for Januvia. The technician should identify that the generic name for this medication is which of the following?

Sitagliptin

A patient at the pharmacy counter tells a pharmacy technician she wants to purchase the 24-hr formulation of Pseudoephedrine (Sudafed). The technician should understand that which of the following symptoms is an indication for this behind-the-counter (BTC) medication?

Nasal congestion

A pharmacy technician should identify that which of the following is the generic name for Cialis?

Tadalafil

A pharmacy technician should recognize that which of the following immunization is recommended for adults age 65 and older?

Pneumococcal Pneumonia

A pharmacy technician is filling a prescription for Tetracycline (Sumycin). Which of the following reactions should the technician recognize as an expected adverse effect of this medication?

Upset stomach

A pharmacy technician receives a prescription for Prozac and notes that a generic substitution is acceptable. Which of the following should the technician recognize as the generic name for Prozac?

Fluoxetine (for depression)

A pharmacy technician should recognize that which of the following immunizations is recommended for adults age 60 and older?

Shingles

A pharmacy technician should recognize that ACE inhibitor medication names end with which of the following suffixes?

"pril" (ex: ACE inhibitor Lisinopril) for HPB

A pharmacy technician is entering a prescription for buccal tablets. The technician should recognize which of the following is the appropriate method for administering this medication?

Place the tablet between the cheek and gum

Which of the following medications should a pharmacy technician expect a provider to prescribe for a patient who is experiencing muscle spasms?

Cyclobenzaprine (Flexeril)

A pharmacy technician should recognize that Gabapentin (Neurontin is classified as which of the following types of medications?

Anticonvulsant

A pharmacy technician receives a faxed prescription for Diltiazem (Cardizem). The technician should recognize that this medication is prescribed for patients who have the following conditions?

Hypertension

A pharmacy technician should identify that precipitation in an IV medication solution that was just prepared is an indication of which of the following?

Incompatibility

A pharmacy technician should recognize that Alendronate (Fosamax) is a part of which of the following classes of medication?

Bisphosphonate

A medication technician should recognize that Bisacodyl (Dulcolax) suppositories should be administered via which of the following routes of administration?

Rectal

A pharmacy technician is filling a prescription for Amitriptyline (Elavil) for a patient. The technician should recognize that which of the following is an adverse reaction to the medication?

Suicidal thoughts

A pharmacy technician should recognize that which of the following over-the-counter (OTC) medications treats heartburn?

Famotidine (Pepcid)

A pharmacy technician is preparing a vaccine for a pharmacist to administer to a patient intradermally. The technician should recognize that the pharmacist will administer this vaccine in which of the following ways?

Into the skin

A patient presents with a prescription for Crestor 20 mg daily #30. Upon processing the prescription, the processor rejects the claim with the following: Reject 70: Product/Service Not Covered. Which of the following actions should the technician take next?

Contact the processor that rejected the claim to find out what is on the formulary

Which is responsible to provide the information required on the prior authorization to the third party payer?

Prescriber

What can the technician do to help expedite a prior authorization?

Provide the prescriber with all pertinent information the pharmacy has

DAW

No product selection indicated: Prescriber authorized generic substitution and a patient accepts the generic substitution or a generic equivalent is not available.

DAW1

Substitution not allowed by prescriber: Prescriber requires that the prescription be filled exactly as written

DAW2

Substitution allowed: Prescriber authorized generic substitution and a generic equivalent is available, but the patient requested that the brand product be dispensed

DAW3

Substitution allowed: Pharmacist selected for the brand product to be dispensed, even though a generic is available.

DAW4

Substitution allowed: Brand product dispensed, because generic medication not in stock

DAW5

Substitution allowed. Pharmacy uses a branded generic

DAW6

Override

DAW7

Substitution not allowed: Brand medication mandated by state law; the generic might not have passed state testing

DAW8

Substitution allowed: Brand medication dispensed, because the generic medication is not currently manufactured, distributed, or is currently unavailable in the marketplace