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198 Cards in this Set
- Front
- Back
Apothecary
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Latin term for pharmacist, also a place were drugs are sold
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How are DEA numbers verifiable?
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Second letter corresponds to last name of prescriber. 1st, 3rd, 5th number summed (a); 2nd, 4th, 6th is summed and doubled (b). Sums are summed, last digit equals last digit of DEA number.
Ex. RP 1234563 |
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Clinical Pharmacist
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Pharmacist who monitors patient medications in inpatient and some retail settinngs
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Who approves new drugs to be sold in the US?
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FDA
Food and Drug Administrations |
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Formulary
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A list of preferred drugs to be stocked by the pharmacy; also a list of drugs covered by an insurance company.
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it prohibits the distribution or sale of adulterated or misbranded foods and drugs.
When was it enacted? |
Food, Drug, and Cosmetic Act(FDCA) - 1906
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Inpatient Pharmacy
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A pharmacy in a hospital or institutional setting
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Who processes new drug applications?
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FDA
Food and Drug Administrations |
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Opioid
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A synthetic analgesic that is similar to opium
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Pure Food and Drug Act "PFDA" 1906
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Required all foods and drugs to meet a standard of strength and purity.
prohibits the interstate transportation or sale of adulterated & misbranded food or drugs Congress passed this law in 1906 to protect ppl from unsanitary and poorly labeled food. |
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Opium
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An analgesic that is made from teh poppy plant
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Who regulates advertising of drugs?
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FDA
Food and Drug Administrations |
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Outpatient pharmacy
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Pharmacies that serve patients in their communities (not inpatient)
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This legislation oversees the marketing of all new drugs.
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Food, Drug, and Cosmetic Act(FDCA) - 1906
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Adulteration
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Mishandeling of medication that can lead to contamination and cause injury or illness to the consumer
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Who issues recalls of drugs?
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FDA
Food and Drug Administrations |
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Board of Pharmacy
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State board that regulates pharmaceutical practice
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Sherley Amendment
1911 |
prohibited false claims about a drugs therapeutic effects
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Controlled Substance
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Any substance that is similar to the structures of drugs in schedule I or II, primary stimulants, depressants, and hallucinogens
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Is a Federal Agency?
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FDA and DEA
Food and Drug Administrations Drug Enforcement Agency |
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DEA
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Federal Agency with the Department of Justice that enforces the laws against the misuse of controlled substances
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the presence of any decomposed substance, packaging under unsanitary conditions, or if the product's strength, quality, or purity is different from what is indicated on the label.
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Adulteration
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Drug Facts and Comparisons
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Referece book found in all pharmacies containing detailed information on all medications
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Who enforces the CSA (Controlled Substances Act)?
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DEA
Drug Enforcement Agency |
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FDA
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Federal agency within the Department of Health and Human Services that regulates the manufacturing and safeguard of medications
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True or False: Claims made on the label of a food product must be documented by research studies
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False
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HIPAA 1996
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Federal act for protecting patient's rights
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Who track controlled substances manufactured and sold?
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DEA
Drug Enforcement Agency |
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Legend Drug
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Drug that requires a prescription for dispensing
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false or misleading labeling or when proper warnings and directions are absent.
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Misbranding
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Misbranding
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Deceptive or misleading labeling of a product that may lead the consumer to believe that the product will cure an illness.
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Who investigates all violations involving controlled substances.?
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DEA
Drug Enforcement Agency |
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Monograph
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Medication information sheet provided by the manufacturer that includes side effects, dosage forms, indications, and other important information
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Harrison Narcotic act
1914 |
controlled the distribution and usage of narcotics
Regulated drugs that produced or sustained physical or psychological dependence |
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Narcotic
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A drug that in moderate doses dulls the senses and relieves pain and induces profound sleep, but in excessive doses causes stupor, coma, or convulsions
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Who sets the DEA Scheduled Definitions?
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DEA
Drug Enforcement Agency |
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OTC Meds
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Without a prescription, non-Legend
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Must be filed to prove effcacy and safety before any drug is available commercially.
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New Drug Application (NDA)
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PTCB
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National board for the certification of Pharmacy Techs
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Who regulates licensing of Pharmacits?
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BOP
Board of Pharmacy (each state) |
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Physician's Desk Reference
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Reference book of medications
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Food Drug and Cosmetic Act
(FDC) 1938 |
Required new drugs to prove safety before marketing
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1906 Federal Food and Drug Act
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One of the first laws inacted to stop the sale of inaccurately labeled drugs, not very effective.
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Who regulates licensing of Pharmacy Technicians?
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BOP
Board of Pharmacy (each state) |
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1914 Harrison Narcotic Act
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Individuals no longer able to get opium without a prescription, prescriptions harder to get. Result of number of opium addicts in US
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An amendment to the Food, Drug, and Cosmetic Act(FDCA) separating drugs into 2 categories:
Legend & Non-legend drugs |
Durham-Humphrey Amendment (1951)
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1938 Food, Drug, and Cosmetic Act
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Expanded 1906 act to include cosmetics; prohibits the misbranding and adulteration of medication and cosmetics; provides legal authority for FDA; requires habit-forming warning on controlled substances; requires medications include patient inserts with usage directinos
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Who sets state laws and requirements?
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BOP
Board of Pharmacy (each state) |
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1951 Durham-Humphrey Amendment
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Requires prescription-only labels on drugs, made initial distinction between legend and non-legend drugs
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Alberty Food Products vs. US 1950
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the purpose for which a drug is being used must be indicated on its' labeling
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1962 Kefauver-Harris Amendments
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Put the burden on drug companies to ensure safety of drugs
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Who outlines the operating guidelines in the pharmacy?
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BOP
Board of Pharmacy (each state) |
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1970 Comprehensive Drug Prevention and Control Act
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Established the Drug Enforcement Administration (DEA). Creates drug schedule and documentation requirements
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The following info must appear on the label of a drug approved for OTC distribution
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DIM CHoWN
D - directions for use I - Ingredients (active & nonactive) M - Manufacturer name & address C - net contents H - habit forming drugs in product o - omit W - warnings & cautions N - name of product |
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1970 Poison Prevention Packaging Act
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Requires childproof caps on all medications, Legend and non-legend, unless requested by physician, patient, or for use in hospital
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Who investigates violations of the operating guidelines?
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BOP
Board of Pharmacy (each state) |
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1983 Orphan Drug Act
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Loosened testing requirements for drugs developed for patients with rare diseases to encourage their development.
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Federal Food, Drug, and Cosmetic Act (FFDCA) 1938
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Requires that Manufacturers of drugs and cosmetics must prove that their products are safe and Medical devices must be proved effective. Gives the FDA authority to remove products from the marketplace
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1987 Prescription Drug Marketing Act
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Requires veterinarians to write prescriptions for substances that are considered controlled
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Who determines state regulated controlled substances?
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BOP
Board of Pharmacy (each state) |
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1990 Omnibus Budget Reconciliation Act
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Requires counseling from pharmacist be offered to all patients. Pharmacist can be fined for non-compliance
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amendment to FDCA that standardized labeling requirements for the manufacturer and dispenser to the patients.
In what year was in established? |
Kefauver-Harris Amendment (1962)
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HIPAA 1996
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Protects patient's confidential medical information and requires signed release and consent forms
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Who watches over Healthcare Organizations?
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The Joint Commission
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2005 Combat Meth Control Act
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Places restrictions on pheudoephedrine, must be sold and dispensed by pharmacist of tech, no more than 9g in a 30 day period
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Durham-Humphrey Amendment
1951 |
ensured "caution: Federal law prohibits dispensing without a prescription" to be on all prescription bottles
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Drugs Requiring Additional Information
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Estrogens
Injectable Contraceptives Intrauterine Devices Oral Contraceptives Progestational Drugs Retinoids |
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Who are third party auditors and regulators for insurance providers
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The Joint Commission
|
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teratogenictiy
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genetic harm
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regulates proper drug advertising and package inserts issued by the manufacturer.
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Kefauver-Harris Amendment (1962)
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The only medication that does not have a dosage limit for dispensing without a child-proof cap
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Nitroglycerin
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What schedule does marijuana, heroin and MDMA (extasy) fall into?
No accepted medical use. High potential for abuse and addiction. |
Schedule I
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What must be listed on OTC product labels?
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Various uses,adverse effects, contraindications and warnings
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What schedule does oxycodone, codeine and ritaline fall into?
Has medical use. High potential for abuse and addiction. |
Schedule II
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Manufacturers must register annually, be inspected at least once every 2 yrs and must report any drug reactions to the agency.
Must also follow standard investigational procedures for drug testing. |
Kefauver-Harris Amendment (1962)
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What schedule does vicodin and tylenol/codeine fall into?
Has medical use. Moderate abuse potential. |
Schedule III
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Federal Hazardous Substances Act
1960 |
required all hazardous materials be handled cautiously and disposed of in a easily recognizable container labeled "hazardous material"
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What schedule does Ambien, Darvocet and Lorazepam fall into?
Abuse potential exists. |
Schedule IV
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GMP were established with this legislation
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Kefauver-Harris Amendment (1962)
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What schedule does cough medicine with codeine or anti-diarrheals fall into?
Abuse potential exists but is lowest abuse potential. |
Schedule V
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The Durham-Humphrey Amendments to the FFDCA 1952
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amendment to FDCA 1938
req. adequate directions made OTC (nonlegend) & Rx (legend) Rx needs supervision of a doc. *This law is also known as the "drug efficacy amendment" *It generally differentiates between prescription and OTC drugs. *It authorizes to fill and refill oral presciptions. *It suggest that each drug should be labeled "caution: Federal law prohibits dispensing without a prescription". allows refills to be called in from doc's office |
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What is DEA Form 222?
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form must be used whenever Sch I or II drugs are bought, sold or transferred between Pharmacies or qualified distributors.
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THIS FEDERAL LAW WAS ENACTED TO TRY AND REDUCE ACCIDENTAL POISONINGS IN CHILDREN by requiring all pharmacy dispensed meds in child resistant containers.
What year was it established? |
Poison Prevention Packaging Act (1970)
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What is the prescription expiration date of a controlled substance?
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6 Months
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Kefauver-Harris Amendments
1962 |
ensured that manufacturers must prove effectiveness and safety of a drug before marketing
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What is the prescription expiration date of a Legend Drug?
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12 Months
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Exceptions to the PPPA ( 1970)
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EARL
E - emergency medications (nitroglycerin) A - arthritic patients R - requests written from patient/prescriber L - labeled as non-child proof on OTC products |
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How many times can DEA Schedule II be refilled?
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ZERO
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Legend
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Federal law prohibits the dispensing of this drug without a prescription
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How many times can a DEA Schedule III thru V be refilled?
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upto 5 times but only 5 times.
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contains amendments to the Medicare/Medicaid programs funded by the fed govt.
What year? |
OBRA - Omnibus Budget Reconciliation Act (1990)
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Fair Packaging and Labeling Act
1966 |
required all consumer products in interstate to be labeled properly
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This act requires that only drugs that are approved as safe and effective will be reimbursed
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OBRA (1990)
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The Kewfauver-Harris Amendments to the FFDCA 1962
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*It is known as the "Drug Efficacy Admendment"
*This law indicates that new approved drugs must be safe as well as effective. *It also establishes Good Mfg Practice Requirements |
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This act requires that pharmacists must provide consulting services when dispensing medications.
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OBRA (1990)
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Transfer Warning
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State or federal law prohibits the transfer of this drug to any person other than to the person to whom it was prescribed
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Federal lesiglation regulating the use and distribution of drugs and other substances of abuse.
Year enacted? |
CSA - Controlled Substance Act (1970)
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Controlled Substances Act
1970 |
CSA= Controlled Substance act.
DEA= Drug Enforcement Admin. *Attorney Generally of USA has authority to place drugs into one of the five scld. controlled drugs regulates the distribution, manufacture, and sale of drugs that have a potential for abuse |
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Agency of the US Dept. of Justice and is responsible w/ the FDA for administering the provisions of the CSA.
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DEA - Drug Enforcement Agency
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Comprehensive Drug Abuse Prevention & Control Act of 1970
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DEA created; under supervision of the Dept. of Justice
created 5 schedules based on potential for abuse |
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Following activities requires registration w/ the DEA
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CRIME-N
C - compounding CS's R - research & activities w/ CS's I - Importing CS's M - manufacturing, distributing, & dispensing CS's E - Exporting CS's N - Narcotic treatment programs |
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No proven therapeutic benefit and are highly abusable (i.e heroin). Not commerically available
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C-I
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Congress established 5 schedules of CS's based on
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abuse potential (mental & phsyical)
accepted medical use |
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Federal Anti-Tampering Act
1982 |
makes it a federal offense to tamper with consumer products and gives enforcement authority to the FBI, Dept.of Agriculture, & FDA
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Which schedule of drugs has high potential for abuse?
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Schedule I
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Hazardous substance Labeling act
1970 Poison prevention packaging act |
requires childproofing laws
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Which schedule of drugs have low potential for abuse?
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Schedule V
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High potential for abuse, but therapeutically useful (i.e Morphine, Meperidine, Methadone)
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C-II
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To secure (purchase or transfer) a supply of schedule I or II substances, a registrant must complete
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DEA Form 222 triplicate order form
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Medical Device Amendment of 1976
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*This law passed in 1976, it includes #1,the classification od devices. #2, safety and efficacy of medical devices.
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Who is permitted to sign the order forms?
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Only the person who signed the app for registration w/ the DEA
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Prescription Drug Marketing Act
1987 |
ammendment to the FD&C Act to reduce the potential health risks that may develop from the diversion of prescription drugs from legitimate commercial channels
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In 1990, anabolic steroids were added to which schedule?
|
Schedule III
|
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Proven therapeutic benefit with less potential for abuse. May lead to dependence, but to a less degree. (i.e Benzodiazepines and modified opiates)
May be prescribed on a regular prescription form |
C-III
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any drug or hormonal substance, chemically and pharmacologically related to testosterone that promotes muscle growth.
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anabolic steroids
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Hazardous substance Labeling act
1970 Controlled substance act (CSA) |
Classification of drugs based of potential for abuse. Class drugs
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Why do some states sell controlled substances OTC?
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They contain small amount of CS's (primarily C-V) and the FDA feels that a prescription is not required.
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Drugs have much less potential for abuse and require less special documentation (i.e Xanax, lorazempam, Darvocet)
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C-IV
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Which states require prescription for CV Substances?
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Colorado and New York
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Dietary Supplement and Non-Prescription Drug Consumer Protection Act
2006 |
protects consumers by reporting adverse drug reactions from these products
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guidelines for sale of CV's
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- sale made by pharmacist
- 18yrs + identification - no more than 8 ounces (48 dosage units) in 48 hours for opium containing substances no more than 4 ounces (24 dosage units) for any other controlled substance in any 48 hr period may be dispensed. |
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Low potential for abuse
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C-V
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The pharmacist must maintain record of all such noprescription sales (ex: CV's) in a bound book that contains:
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C-DIP
-name and address of purchaser -name and quantity of controlled substance -date of purchase -initials of dispenser |
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JCAHO: Joint commission on accreditation of health care organizations
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Mission: to improve the quality of care provided to the general public
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Fed regulations provide for 3 methods for filing prescriptions
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3 sep
-CII -CIII-CV -all others 2 sep -CII-CV; CIII-CV must have red "C" lower left -all others 2 sep -CII only -CIII-CV(must have red "C" stamp lower left) + all others |
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Where are C-II drugs stored?
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In a locked cabinet in the pharmacy or in a locked area of the medication cart
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Requires that each pharmacy registrant make a complete and accurate inventory of all controlled substances every 2 yrs.
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Controlled Substance Act (CSA)
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Orphan Drug Act of 1983
|
This law was passed for orphan drugs. Congrass passed this act to provide tax relief and other incentives for mfg to develop and market orphan drugs.
orphan drugs- meds. for treatment of diseases which have than 200,000 cases makes tax incentives & exclusive living |
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How many months may the biennial inventory be delayed past the biennial date (May 1)
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6 months
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DEA Form 222
|
C-II drugs must be written on this form, a triplicate form. Must be written in ink, no refills
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Second letter of the DEA # corresponds to what?
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Prescribers last name
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Omnibus Budget Reconciliation act (OBRA 90) 1990
|
required pharmacists to offer counseling to Medicaid regarding medications
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Two Limitations of pharmacy technicians
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1) recieve oral prescriptions
2) excercise professional judgement |
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Federal Hazardous Substances Act
|
Enforced by Consumer Product Safety Commission. Encompasses the Poison Prevention Packaging Act, OSHA
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If a patient needs additional medication for a CII drug what must happen?
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A new prescription must be issued by the prescriber
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Occupational Safety & Health Act of 1970 (OSHA of 1970)
|
created OSHA
ensures safe & healthful workplace for employees |
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3 safety considerations all pharmacies must have
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PRiM
- number of poision control center in dispensing area - reference guide to toxicities of ingestion or topical exposure -MSDS sheets for hazardous materials |
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Poison Prevention Packaging Act 1970
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substances available for home use must be in child-resistant packaging. Drugs may be dispensed in regular packing if 1.) the doctor or patient requests or 2.) the drug is exempt for this law, provided the label has a warning.
|
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How many years must a poison log be kept?
|
5 years
|
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Sublingual nitroglycerin
Sublingual or chewable isosorbide dinitatrate Oral contraceptives containing < 27 mg of conjugated estrogens or <50 mg of norethindrone Medroxyprogesterone tabs Oral suspensions of erythromycin containing <8 g of erythromycin Oral tabs of erythromycin containing <16 g of erthromycin Corticosteroids used for treatment of prevention of severe allergic reactions OTC products when labeled properly Institutional use |
Drugs exempt from PPPA
|
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What must a poison log include after a sale?
|
DiPPRoN
- Date of purchase -Name and address of purchaser -name and quantity of product -reason for purchase -full name of dispenser |
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Drug Listing Act of 1972
|
each drug gets an NDC
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All poisonous substances labels must include:
|
- the complete name of poison
-the word POISON boldly printed - place of business of the seller - directions for use |
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passed to ensure safety of the worker
|
OSHA
|
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What 2 things should every pharmacy be stocked with for safety when a toxin is ingested
|
One once bottles of syrup of Ipecac
Activated Charcoal |
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FDA Modernization Act 1997
|
Changed the legend requirements to "RX only" to be phased in by February 2003
|
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Should be used to induce vomitting (emesis) for noncaustic substances only.
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Syrup of Ipecac
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If a flammable material is spilled...
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1st- contain, so that spill does not contact electrical outlets
2nd- ventilate the area 3rd- place absorbant material on spill, then sweep away and dispose |
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How can you dilute the caustic effects of an ingested toxin?
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Milk or any other suitable substance
|
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Nation Drug Code number (NDC)
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1. First 4 indicate the mfg
2. middle 4 identify drug and strength 3. last 2 identify the package. |
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What is the dose of syrup of ipecac and how often should it be taken if vomiting hasn't occurred?
|
15ml (1 tbsp)
every 10-15mins |
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Caustic materials
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Must be neutralized before steps are taken to clean up
|
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Where exposure to the product is not likely to cause adverse health hazard.
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Class III drug recall
|
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Omnibus Budget Reconciliation Act of 1987
(OBRA-87) |
prevents importation of a drug from someone other than manufacturer in a foreign company
|
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Where exposure to the product will cause a severe health hazard or death.
|
Class 1 Drug recall
|
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Mandatory counseling of patients and monitoring of patient
|
The Consolidated Omnibus Budget Reconciliation Act
|
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ensures a safe and healthful workplace for all employees
|
Occupational and Safety Act of 1970
|
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Over the Counter drug (OTC)
|
Cat.1: includes ingredients generally considered safe, effective and not misbranded.
Cat.2: Include ingredients that are not considered safe, effective and are misbranded. at.3: Includes ingredients for which data are insufficient to permit the classification. Must be safe, efficacious and have NO abuse potential. Strength must be low to prevent overdosage |
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The Occupational Safety and Health Admin was created to
|
- develop job safety standards
- report job related injuries/illnesses - decrease hazards - enforce mandatory standards |
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All personally identifiable information must be protected. Patients are allowed to access and request copies of their medical records. Healthcare providers must provide a written statement explaining how information will be used. Use of medical information is limited. Patients are entitled to discussion of options. Complaints may be made with Office for Civil rights
|
HIPAA
|
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Standards that relate to pharmacy practice
|
- Air contaminants
- Flammable liquids - Eye and Skin protection - Hazard Communication Standard (HCS) |
|
Anabolic Steroid Control Act of 1990
|
harsher penalties for the abuse of anabolic steroids by athletes
Places "any drug or hormone substances chemically and pharmacy related to testosterone under regulatory provisions" |
|
Each repackaged drug must contain a label with the following:
|
SELDoM-G
-generic name -strength -dosage form -manufacturer name + lot # -expiration date after repackaging |
|
The Food, Drug, and Cosmetic Act provides for documentation of the safety and efficacy of drugs by reviewing what?
|
data from clinical trials and animal studies
|
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A repackaging log must include
|
- date of prepacking
-name of drug -manufacturers name -manufacturers expiration date + lot # - quantity of drug repackaged -sig of pharmacist |
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Patient Package Inserts (PPI)
|
FDA passed law in the 1970 that certain drugs require PPI's
*Isotretinoin *Oral Contraceptive *Isoproterenol *Ticlid *Progesterone *Estrogen *INtrauterine Device |
|
Lists all sources of drug products grouped as pharmaceutical equivalents
|
Orange Book
|
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Patient counseling
|
teaching the patient self-monitoring techniques; done by pharmacist
|
|
Orange Book
Drug products with this first letter code are considered therapeutic equivalents |
A
|
|
Omnibus Budget Reconciliation Act of 1990
(OBRA-90) |
reqs. That manufacturer provide lowest prices to any customer/Medicaid
"offer to counsel" patient profiles |
|
Orange Book
Drugs products w/ this letter code indicate that the products have a documented therapeutic in-equivalence |
B
|
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Package inserts must be distributed
|
to any patient receiving estrogen before the first dose and every 30 days after.
|
|
federal agency part of Dept of health and human resources which sets national standards for disease control and prevention.
|
CDC (Center for Disease Control)
|
|
Obra Act of 1190
|
It requires the pharmacists to offer counseling to patients.
|
|
Provides statistics and info to health professionals on the treatment of common and rare diseases. Primary function is to issue regulations for infection control.
|
CDC (Center for Disease Control)
|
|
protects the public against unreasonable risks of injury associated with consumer products.
assists consumers in evaluating the comparative safety of consumer products. develops uniform safety standards for consumer products and to minimize conflicting state and local regulations. promotes research and investigation into the causes and prevention of product related deaths, illnesses, and injuries. |
Consumer Product Safety Commission
|
|
FDA Safe Medical Devices Act of 1990
|
all medical devices be tracked
records be maintained for durable medical equip. (i.e. infusion pumps) |
|
Who chooses the drug formulary for the pharmacy?
|
the Pharmacy and Therapeutics Committee
|
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Letter coding System
|
AA: Drugs that are available in conventional dosage and have no bioequivalence problems.
AT: Topical drugs that meet bioequivalence standards AB: Drugs that meet neccessary bioequivalence requirments BC: Drugs in extended release dosage form with bioequivalence issues. BT: Topical drugs with bioequivalence issues. BX: Drugs with inadequate information to determine the bioequivalence. |
|
Who sets standards for proper hospital administration?
|
JCAHO
|
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Americans with Disabilities Act (ADA) of 1990
|
prevent discrimination against potential employees who may possess a disability
|
|
Counseling includes:
|
drug action.
basic physiology potential adverse effects foods and drinks to be avoided importance of proper dosing |
|
Posion Prevention Act
|
passed in 1973, all drugs need to be in child proof containers.
The drugs Exempt for this law are: *Sublingual dosage of nitroglycerine *Sublimgual and chewable form of Isosobide Dinitrate. *Cholestyramine Powder *Methylprednisolone tablet *Mebendazole tablet *Potassium Supplement *Erythromycin ethyl succinate *Colestipol in powder form *parcrelipase preparations *Prednisone *Oral Contraceptives |
|
Drug Price Competition & Patent Term Restoration Act of 1984
|
encouraged creation of both generic & new meds by streamling drug approval & extending licenses
This law was passed to provide generic drugs more readily to public extended the "abbreviated New Drug Application" (ANDA) process and extended the patent life for all drugs |
|
Resource Conservation & Recovery Act
|
EPA (Environmental Protection Agency) made fed. Guidelines & disposal of hazardous materials
|
|
FDA Modernization Act
|
Rx means fed. Law prohibit dist. Of drug w/o prescription
|
|
Dietary Supplement Health & Education Act of 1994
(DSHEA of 1994) |
herbal products are dietary supplements
|
|
Health Insurance Portability & Accountability of 1996
(HIPPA of 1996) |
improve portability & continuity of health coverage
|
|
Isotretinoin Safety & Risk Management Act of 2004
|
mandatory registry of pharmD & patients
education only for severe nodular acne certification of med. Offices 30 days of pills for refills preg. Testing |
|
Anabolic Steroid Control Act of 2004
|
increased anabolic steroids to 59 substances
|
|
Any Willing Provider Law
|
allows any pharmacy to participate in a benefit plan as long as the pharm. Agrees to their terms
|
|
Freedom of Choice Law
|
allows a member of an Rx plan to select any pharm. As long as the pharm. Agrees to the plan
|
|
Freedom of Choice With Regard to Long-term Care
|
long-term care residents may choose an outside pharm. For their meds. if the pharm. Services is not in their contract
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Prescription Drug Equity Law
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prohibits a Rx plan from req. mail order prescription
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Medicare Drug, Improvement, & Modernization Act of 2003
(MPDIMA of 2003) |
Medicare Part D Rx plan allows beneficiaries to enroll in either regional or national insurance programs
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Combat Methamphetamine Epidemic Act of 2005
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law that puts ephedrine, psuedoephedrine, & phenylpropanolamine in the Controlled Substances Act category "scheduled listed chemical products"
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Medicaid Tamper-resistant Prescription Act
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When Medicaid pays:
1.feature to prevent copying of form 2. prevents erasure 3. counterfeit form production |
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USP <797>
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Addresses: (for sterile products)
microbial contamination risk levels: low, medium, & high personnel training clean rooms environmental monitoring |