QUESTIONS AND ANSWERS SURE A+
✔✔Misbranding Definition - ✔✔Label is misleading, fails to reveal facts. Drug is sold or
dispensed with a labeling that is in violation of the FDCA.
✔✔Adulteration - ✔✔Change or variation from official formulary standards or from
manufacturer's standards..
✔✔Name badges - ✔✔1st line = full name. 2nd line = title! color doesnt matter.
✔✔KOW (kindly oblige with) - ✔✔allows pharmacy to furnish drug to another pharmacy
to fill waiting RX.
✔✔Refills - ✔✔Must be authorized and dates of refill must be placed on BACK of RX.
✔✔Copy of CS RX - ✔✔DO NOT GIVE TO PT
✔✔Copy of Other RXs - ✔✔may be given to pt - mark RX = FOR INFORMATION
PURPOSES ONLY.
✔✔Oral Auth to REFILL RX ON FILE. MUST PLACE ON BACK OF RX ======== -
✔✔1) Date
,2) Time
3) Name of MD authorizing refills
4) Initials and sig of receiver
✔✔Examples of error in dispensing - ✔✔Untrue label,
Illegal sub,
Dispense a quantity greater or less,
Deviate from terms of Rx,
W/O knowledge and consent of prescriber.
✔✔Can give less of a drug in cases= - ✔✔1) 3rd party restriction
2) request for less by pt
3) OOS
4) Rxs in which quantity would exceed expiration date.....
✔✔Can give more of drug if - ✔✔1) Dispensing package CANNOT be broken by law..
EX) SL NTG, Cytotec.....
✔✔Fire, flood,! Notify BOP in - ✔✔48 hrs
✔✔LABEL of NON-CS RX CONTAINER MUST HAVE (KNOW THIS) - ✔✔1) Name and
address of dispenser.
2) Serial number of prescription
3) Date prescription dispensed
4) Name and address of patient
5) Name of prescriber
6) Name of manu and distributior
7) Name / strength / directions of drug
✔✔One RX per blank - ✔✔Does not apply to drugs dispensed in hospitals, nursing
homes, or residential health care facilities!!
✔✔One RX per blank rules - ✔✔Written Rx's only, not orals.
Rx and non Rx drug on same Blank = not good.
Needles and syrgines + insulin on blank? = okay.
Two OTC in blank? No.
Written out of state? Exempt - okay.
Written in VA? - Exempt - okay.
✔✔All oral RX's must have same info as written except - ✔✔1) No sig of prescriber
2) Need initials of RPH
✔✔Upon filling, RPH must - ✔✔1) Initial or sign RX
2) Date filled
3) Rx number
, 4) indicate number of MFGR/DIST.
✔✔Refill RX, must enter on back of RX (manual) - ✔✔1) Date
2) Initials or sig of RPH (and intern)
✔✔Refill instruction (written on face of RX) - ✔✔1) Number of times
2) Time period or
3) PRN = 1 time (zero for CS)
✔✔Substitution w/o auth if presumed unless entered on back of RX - ✔✔1) Date
2) Time
3) Manner of auth
4) Sig of RPH receiving auth
✔✔Daily log must contain - ✔✔1) Name of prescriber
2) Name of pt
3) Sig or initials of RPH who filled
4) Rx number
✔✔Electronic data processing - ✔✔1) Printout must list both new and refilled Rx's
2) Refills must be identified with initials o fRPH
3) Log must be signed by RPH
4) Refills for non-CS drugs dont have to be recorded on back of original rx
✔✔Verbal order for refills must include what? - ✔✔1) Date
2) Time
3) Initials of RPH or intern
4) Name of authorizing practitioner.
***Date of refill and RPH / intern initials must appear on back of RX.
✔✔Partial fill requirements? - ✔✔1) Req'd by pt
2) Needed to comply with insurer's restrictions
***Providing some when OOS doesnt count.
✔✔What cant be transferred? - ✔✔1) CONTROLLED SUBSTANCES.
2) MEDICAID RXS
***Can only do one refill at a time, per patient request ONLY. If another transfer
expected, must call again. Can pick full RX at original pharmacy.
✔✔Prohibited activities for unlicensed persons? (only RPH or intern can do) - ✔✔-
Received oral rx
-interpret rx
-make determination of therapeutic equivalence
-measure, weight, cmpd or mix ing
-counsel