BIG pharm review

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DEA form 106

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Medicine

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602 Terms

1

DEA form 106

report of theft or loss of controlled substances

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2

DEA form 41

request permission to destroy exp C-2

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3

DEA form 224

Apply for a DEA registration number (to disp control)

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4

DEA form 222

Order form for CI and CII substances. Must be kept for 2 years.

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5

Medicare part A

hospital insurance

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6

Medicare part B

-physicians services -diabetic services -specialty meds -medical equipment

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7

Medicare part C

provides supplemental coverage allow patients to participate in HMO/PPO for extra cost

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8

Medicate part D

Prescription drug coverage (insulin, vaccines..)

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9

DAW 0

no product selection indicated, generic ok, pt ok

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10

DAW 1

substitution not allowed by prescriber, fill exactly as written

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11

DAW 2

substitution ok, but pt request that brand be disp'd

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12

DAW 3

substitution ok, but pharmacy fills bran even though generic is available

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13

DAW 4

Substitution allowed - generic drug not in stock

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14

DAW 5

substitution allowed but pharmacy uses the brand

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15

DAW 6

override

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16

DAW 7

substitution not ok, brand mandated by state

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17

DAW 8

substitution ok, brand disp'd because generic is not manufactured

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18

DAW 9

other

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19

Drug Utilization Review (DUR)

(pharmacist's job) reviewing the patient's profile with medication to ensure safety

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20

How many hours of CE are technicians required to complete? How often?

20 hours every 2 years

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21

Adjudication

submitting 3rd party insurance claim for payment

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22

How are legend and controlled prescriptions filed?

legend are filed together, c-ii are filed separately, and c-iii to c-iv are filed together

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23

ad

right ear

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24

as

left ear

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25

au

both ears

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26

bu

buccal

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27

im

intramuscular

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28

it

intrathecal (into the spine)

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29

od

right eye

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30

os

left eye

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31

ou

both eyes

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32

po

by mouth

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33

pr

rectal

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34

pv

vaginally

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35

sub q

subcutaneous

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36

sl

sublingual (under the tongue)

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37

ac

before meals

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38

bid

twice daily

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39

hs

at bedtime

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40

pc

after meals

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41

prn

as needed

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42

qh

every hours

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43

qid

four times daily

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44

tid

three times daily

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45

aaa

apply to affected area

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46

gtts

drops

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47

ha

headache

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48

qs

quantity sufficient

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49

ung

ointment

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50

Patience Adherence

pt taking meds exactly as directed and going to all doctor appointments and labs

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51

Why do hospital pharmacies only give a 24 hour supply?

reduces stealing, any qty after 24 hours would clutter the upper floor, its best to wait for pt's tests and results to come in

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52

the basic layout of the pharmacy

intake area, processing area, processed rxs area, out window

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53

first in first out

method for stocking medications, earlier exp date goes in the front

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54

common refrigerator vaccines

hepatitis B vaccine (all age groups) influenza vaccine (6 months/older) DTAP vaccine, tetinus, pertussis (11-18 y/o)

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55

common freezer vaccines

measles, mumps, rubella, varicella (MMRV) zoster

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56

USP 800

handling hazardous drugs

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57

Who releases medication recalls?

the FDA

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58

Class 1 medication recall

serious adverse effects or death

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59

Class 2 medication recall

temporary adverse effect or a small chance of an adverse effect

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60

Class 3 medication recall

problem not likely to cause adverse effects

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61

Department of transportation (DOT)

regulates how medication waste should be shipped

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62

P-listed

acutely hazardous waste (epinephrine, nicotine, warfarin)

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63

D-listed

toxic, ignitable, corrosive (benzoyl alcohol, albuterol inhaler)

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64

U-listed

toxic (chemotherapy)

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65

What is on a patient profile

(basic demographic info) name, address, DOB, phone#, email

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66

types of drug interactions

drug-drug drug-age drug-health condition

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67

NKDA

no known drug allergies to all drugs

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68

NKA

no known allergies to anything

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69

Trissel's Handbook on Injectable Drugs

Provides information on the stability and compatibility of injectable drugs

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70

post

after, behind

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71

peri

around, surrounding

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72

how to dispose of antibiotics

mixed with coffee grounds or soaked in water

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73

how to dispose of warfarin

hazardous, so meant to be placed in a specific bin for professional disposal

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74

how to dispose of chemotherapy

yellow sharps container

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75

how to dispose of fentanyl patches

flush down toilet

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76

USP

United States Pharmacopeia: info about product, med quality standards, and info about legend + OTC

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77

Pink book

provides info about vaccines and diseases

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78

The Merck Index

lists chemical attributes of chemicals, meds, and biologicals

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79

barbiturates

central nervous center depressant, used to treat seizures and anxiety

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80

medicaid

health care coverage for low income children, adults, elderly, and people with disabilities

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81

National Formulary (NF)

list of officially recognized names of drugs that have an established usefulness

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82

how often is the national formulary updated

every 5 years

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83

PDR (Physician's Desk Reference)

The most widely used refernces for drugs in current use.

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84

Who act created the FDA

Pure Food and Drug Act of 1906

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85

Pure Food and Drug Act of 1906

prevented the adulteration and mislabeling of foods and pharmaceuticals

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86

The Joint Commission

Independent non-profit organization, sets healthcare quality standards and protects patients and visitors, conducts inspections of healthcare facilities.

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87

tort

act that causes harm/injury to a person intentionally or negligently

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88

Harrison Narcotic Act of 1914

curb the recreational use of opium, established that opiums cannot be purchased without an rxs

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89

Federal Food, Drug, and Cosmetic Act of 1938

created because the pure food and drug act was not worded strictly enough, emphasized adulteration and misbranding

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90

Durham-Humphrey Amendment of 1951

required all rx drugs to be labeled "caution: federal law prohibits dispensing without an prescription", created the distinction between legend and OTC

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91

Kefauver-Harris Amendment of 1962

ensured that drugs be proven safe and effective, gave FDA authority to approve manufacturers marketing

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92

Controlled Substances Act of 1970

enforced by the DEA, created the drug classes I-V

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93

Poison Prevention Packaging Act of 1970

Requires use of child-resistant containers for prescription and nonprescription drugs

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94

what is required for non childproof lids

patient's written consent

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95

Drug Listing Act of 1972

implemented under the FDA, required that all drugs have an NDC code

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96

NDC number

number that identifies manufacturer, product, and package size

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97

Orphan Drug Act of 1983

Provided incentives for the development of orphan drugs for treatment of rare diseases

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98

Prescription Drug Marketing Act of 1987

solidified legal supply channel of rx drugs from manufacturer to authorized distributors, prevent the selling of counterfeit drugs

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99

Omnibus Budget Reconciliation Act (OBRA)

law passed by the federal government that includes minimum standards for nursing assistant training, staffing requirements, resident assessment instructions, and information on rights for residents

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100

OBRA '87

set requirements for facilities participating in medicare and medicaid

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