Final Test

Schedule IV (C-IV)

"-Have a low potential for abuse -Have a currently accepted medical use in the US -Abuse of these drugs may lead to limited dependence -EX: Valium, Librium -Prescription only good for 6 months -Max of 5 refill"

if a prescription states "refill prn" , for how long may this Rx be refilled?

1 year

How old must a person be to sign the exempt narcotic log?

18 years old

Pure Food and Drug Act

1906 - Forbade the manufacture or sale of mislabeled or adulterated food or drugs, it gave the government broad powers to ensure the safety and efficacy of drugs in order to abolish the "patent" drug trade. Still in existence as the FDA.

Drugs within which class of controlled substances contain no legal use?

CI

Cocaine belongs to which category of controlled substances?

CII

Methylphenidate belongs to which schedule of controlled substances?

CII

Which federal legislation enacted in 1970 regulates the use and distribution of substance with high abuse potential?

CSA

If a manufacturer's labeling results in a temporary adverse health consequence, what type of FDA recall would be instituted?

Class II

Harrison Narcotic Act of 1914

Created to regulate opium, coca leaves, etc Deemed unlawful for importation and distribution of opiates & required a prescription for opioids

Which drug agency is responsible for regulating medical devices?

FDA

Who is responsible for the drug recall process?

FDA

Which drug information source would a technician use for information concerning the dosing of a newly marketed antihypertensive?

Facts and comparisons

Schedule I (C-I)

High abuse potential and no accepted medical use (heroin, marijuana, LSD)

Federal Food, Drug, and Cosmetic Act of 1938

Is the nation's major law regulating contaminants in food, including pesticides. The Food and Drug Administration implements most of this law; the Environmental Protection Agency carries out its pesticide standard setting provisions (with FDA enforcement). See also Food Quality Protection Act. All addictive substances were required to be labeled: "Warning, May be habit forming.

which non governmental agency is responsible for the accreditation of institutional settings?

JCAHO

Schedule V Substances

Low potential for abuse Currently accepted medical use in the US Abuse may lead to limited physical or psychological dependence Narcotics diluted or mixed with non-controlled drug: - No more than 200 mg codeine/100 mL - No more than 2.5 mg diphenoxylate with not LESS than 25 mcg of atropine (Lomotil) - Promethazine with Codeine cough syrup - Robitussin AC (and generic equivalents) Pregabalin (Lyrica)

which government agency is responsible for safety in the workplace?

OSHA

DEA form 222 allows the pharmacy to:

Order controlled substances.

Who implements formulary review?

P & T (Pharmacy and Therapeutics) Committee is responsible for formulary review

Schedule III Substances

Potential for abuse but lower than C-I and C-II Currently accepted medical use in the US Abuse can lead to limited/moderate physical dependence or high psychological dependence Narcotics diluted or mixed with non-controlled: - No more than 1.8 g codeine per 100 mL - Codeine with APAP up to 60 mg/dose unit Buprenorphine Barbiturates (suppositories) - secobarbital Butalbital with Aspirin (Fiornal) Dronabinol (THC in FDA approved form) Anabolic steroids (testosterone gel)

Orphan Drug Act of 1983

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

codeine, meperidine, and oxycodone all belong to which controlled schedule?

Schedule II

Which of the following medications is a schedule IV controlled substances?

Xanax

Food and Drug Administration (FDA)

a federal agency charged with enforcing regulations against selling and distributing adulterated, misbranded, or hazardous food and drug products

Federal law requires which of the following information to be documented on a daily basis?

a log of controlled substances dispensed

The new California secure prescription:

a) Allows more than one schedule II drug to be written on the same form. b) Allos non controlled substance to be written on it. c) Allows multiple prescribers name like a group practice setting be preprinted on it

The five schedules for controlled substances were established on the basis of:

abuse potential

which duty may a pharmacy technician not do?

accept verbal medication order from a physician

C II substances

allow physicians to write up to three separate prescription at one time for multiple drugs, to be filled sequentially over 90 days. prescription can't be refilled before 90 days.

Purpose of OSHA

assure a safe and healthful environment

Schedule II (C-II)

classification of controlled substances which includes medications that has a currently accepted medical use in the U.S. and a high potential for abuse and physical or psychological dependence; examples include morphine (narcotic), methamphetamine (stimulant) and secobarbital (depressant)

Scheduled II medications must be ordered in which of the following ways?

completing the proper DEA form

according to federal and law, controlled substances must be safeguarded by all of the following

dispensing records

The primary function of the P+T committee is to:

establish standards for therapeutics

which drug information source would the pharmacy technician check for a possible drug interaction?

facts and comparisons

Federal law requires that all controlled substances dispensed near the following statement on the dispensing label:

federal law prohibits the transfer of this drug to another person

The poison prevention packaging act requires childproof packaging for all medications except:

nitroglycerin

how long may a schedule class II be refilled?

no refills

how often must controlled substances be physically inventoried?

once every 2 years

The pharmacist must complete DEA form 222 to obtain which of the following medications?

oxycodone

a patient hands you an empty vial of ritalin and asks for the Rx to be refilled. what should you

tell the patient that the medication is not reliable

A patient enters the pharmacy complaining of persistent heartburn. The pharmacy technician should:

tell the patient to speak to the pharmacist

another pharmacy calls for a copy of an Rx and the pharmacist is busy counseling a patient. the pharmacy technician should:

tell them that the pharmacist is busy and to call back later

If state and federal pharmacy differ, which law applies?

the more stringent law

Which of the following medications is schedule IV substance?

triazolam

Durham-Humphrey Amendment of 1951

• Created a distinction between "OTC" and "Legend Drugs". • Legend Drugs can only be dispensed with a valid Prescription.. • Required Legend Drugs to carry the statement: "Caution: Federal law prohibits dispensing without a prescription.". • Most people refer to Legend drugs simply as "Prescription Drugs". • The emphasis on this act was to insure safety thru qualified medical supervision.