Class Marker

Info about "generic" equivalents can be found in the

Orange Book

Companies that administer drug benefit programs are called

PBMs (aka Pharmacy Benefit Managers, eg. CVS/Caremark)

If the dose of liquid amoxicillin for a child is one and one-half teaspoonful three times a day for 10 days, what is the volume needed to fill the prescription?

(1.5 x 5 ml x 3 x 10) 225 ml

What is the % concentration of 268 g of sugar is in 400 ml of aqueous solution?

(Note: When asking for "% concentration you must first "convert g into %), (268g/400ml = x%/100ml) 67%

How much should be withdrawn from a vial if the strength of the medication is .5mg/ml and a dose of 250 mcg is needed?

.5 ml (Calculation: .5mg/ml = 500 mcg/ml> 500 mcg/ml = 250 mcg/ (x)ml> x = .5ml)

Which DAW code should be used for a prescription written for Cymbalta 20 mg if DAW was not written on the prescription?

0 (Note: Cymbalta is a CII)

All of the following are used to store medications

1) Automated Dispensing machines 2) Carousels 3) Pyxis machines (Note: Shoe boxes are not used to store medications)

Good interpersonal skills include

1) Making eye contact 2) Calling the patient by name 3) listening carefully

HIPPA is a federal law that protects a patient's PHI (Protected Health Info) when it is

1) Written 2) Electronically transferred 3) Spoken

All of the following pharmacy personnel must be formally trained in HIPAA

1) pharmacy technicians 2) pharmacist 3) pharmacy clerks

How much hydrocortisone powder is needed to compound 60 g of hydrocortisone cream 2%?

1,200 mg (Calculation: 60 g x .02 = 1.2 g or 1,200 mg)

Plan B has dual marketing status and can be sold without a prescription to individuals

17 years and older

Which DAW code should be used for a prescription written for Norvasc 5 mg if the patient requested brand name and DAW was not written on the prescription

2

How many mls of magnesium sulfate 4 mEq/ml are needed to add 10 mEq of magnesium sulfate to an IV bag?

2.5 ml (Calculation: 4mEq/1ml = 10mEq/(x)ml> x = 2.5 ml)

How many grams of sucrose are needed to prepare 4 ounces of a 20% solution?

24 g (Calculation: 1 oz = 30 ml> 1oz/30ml = 4 oz/(x)ml; x = 120 ml > Formula: g/ml = %/100ml > (x)g/120 ml = 20%/100 ml> x = 24 g)

For the following script, how much drug is taken each day? Amoxicillin 250mg/5ml 150 ml, Sig: 2 tsp tid

30 ml (Calculation: 2 tsp x 3> or 10ml x 3 = 30 ml)

Each tablet of Claritin D 12 contains 120 mg of PSE. What is the max number of tablets that could be sold in a single transaction if the max amount per transaction of PSE is 3.6 g, or 3,600mg?

30 tablets (3,600mg/120mg)

How many cases of 8 dram vials should be ordered to last 2 weeks if there are 500 vials per case and the pharmacy uses 120 vials per day on average?

4 cases ( Calculation: 500 vials/case = 120 vials/(x) case per day> .24 cases per day x 14 days = 3.36 cases> round up to 4 cases for 14 days)

Exempt narcotics are regulated for how many dosage units can be sold without a prescription in a _____hour period.

48

For aseptic technique, all work should be performed at least ____ inches inside the laminar flowed.

6

An antibiotic is prescribed 15mg/kg twice a day by IV. What is the daily dose in mg for a child weighing 66 pounds?

900 mg (15mg x 2 = 30mg kg 1kg 1kg=2.2 lbs 1kg = (x)kg 2.2 lbs 66lbs x = 30 kg 30mg = (x) mg 1kg 30kg x = 900 kg)

The CPT codes for billing MTM Services provided by pharmacies are

99605, 99606, 99607

Controlled Substance Act is enforced by the

DEA (Drug Enforcement Administration)

A patient brings in 2 new prescriptions from 2 different doctors. One prescription is for ibuprofen 800 mg, 1 tablet po tie and another prescription is for Anaprox DS, 1 tablet bid. What should the tech do?

Alert the pharmacist of a possible "therapeutic" duplication

Federal law requires pharmacies to keep ______ of the DEA Form 222

Copy 3

How should a prescription of BenzaClin be stored after it has been mixed?

Room temperature (Note: Room temperature is 15 degrees - 30 degrees C, or 59 degrees - 86 degrees F)

Exempt narcotics are DEA Schedule

Schedule V ( or schedule 5)

The commission that surveys and accredits health-care organizations it the

TJC (The Joint Commission)

According to federal law, the prescriber must provide his/her DEA number for which of the following prescritions

Xanax (Note: Look for top C2 Drugs)

The CMEA (Combat Methamphetamine Epidemic Act) sets ____ and ____ limits on the over-the counter sale of pseudo ephedrine.

daily, monthly (Note: PSE Regulations, daily = 3.6 g, monthly= 7.5 g)

The following are antidepressants (eg. trazodone, venlafaxine, & citalopram) EXCEPT

diazepam (Treats anxiety, muscle spasms, seizures, and other medical conditions. This medicine is a benzodiazepine.)

MedWatch Form 3500 is for reporting adverse reactions to

drugs

Copy 2 of DEA Form 222 (Order form) is

forwarded to the DEA (Note: DEA 222 Form> Copy 1 goes to, Copy 2 goes to DEA, Copy 3 stays in the pharmacy)

Which of the following info is generally not required for online claim processing?

height

Accutane is associated with

iPledge

Nitroglycerin sublingual tablets should be dispensed

in a glass container

MSDS (Material Safety Data Sheets) provide

information about hazardous substances

Normal Saline Solution is

isotonic

Checking order reports to ensure the order contains no errors is don

manually

The common abbreviation ss means

one- half

Counseling is required by OBRA is provided by

pharmacist

Which abbreviation is on The Joint Commissions "Do Not Use List"

qd

Outdated drugs can be

sent to reverse distributors

Aseptic techniques are methods used to maintain

sterility

When a tech receives a rejected claim "unable to connect" this probably means

the connection with the insurer's computer is temporary unavailable due to computer problems

When a tech receives a rejected claim "NDC Not Covered", this probably means

the insurance plan has a closed formulary

When a tech receives a rejected claim "Invalid Person Code" this probably means

the person code entered does not match the DOB and/or sex in the insurer's computer

The class of drugs to dissolve blood clots is

thrombolytics

Tall man letters are used

to distinguish look-alike, soundalike drug names

Proper disposal or destruction of non-returnable medications include

using a company that meets EPA regulations

Premarin cream has been prescribed 0.5 g pv twice a week. The medication should be administered

vaginally

An example of a major drug-drug interaction is

warfarin-aspirin

A patient's ______ is necessary for billing a prescription

birth date

the directions state 2 gatt a.u. q12h. How is the drug to be administered?

both ears

A small volume intravenous bag specifically used to deliver medication is called

IVPB (Introvenous Piggy Back)

The directions on a prescription read ii gtt q8h ou. The directions on the label should read.

Instill two drops in each eye every eight (8) hours

A list of goods, or items a business will use in it's normal operation is called

Inventory

OSHA requires notice for hazardous substances that provide hazard, handling, clean-up and first aid info are called

MSDS (Material Safety Data Sheets)

1) requesting PHI from a patient such as DOB, Address, Allergy, and insurance info. 2) Inputting and updating patient info into a computer 3)Placing the medication in a vial and attaching the prescription label to it

May be performed by a pharmacy technician

1) Accepting a return call from a prescriber's office clarifying a prescription

May be performed only by the pharmacist

As you are putting away an order from a wholesaler, you notice one bottle is missing a label. The RPh tells you that the medication cannot be dispensed and must be returned to the wholesaler or destroyed. The drug cannot be dispensed b/c it is

Misbranded

If a medication is to be taken p.c., when should it be taken?

after meals

Lidoderm is an example of an

anesthetic

Sublingual nitroglycerin is used for

angina (a term used for chest pain caused by reduced blood flow to the heart muscle)

The term of a drug that reduces fever is

antipyretic (from the Greek anti, against, and pyreticus, pertaining to fever, are substances that reduce fever.)

In receiving an order, it is important to be alert for drugs that have been incorrectly picked, received damaged, are outdated, or missing, so orders are reconciled

item by item