Dispensing and Labeling Flashcards
7 cards from real MPJE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Dispensing and Labeling flashcards as text
A prescription label reads 'Take 1 tablet twice daily.' The patient asks the pharmacist what 'b.i.d.' means. Which abbreviation matches this direction?
Answer: b.i.d.
B.i.d. (bis in die) means twice daily, corresponding to the directions on this label.
Under the Durham-Humphrey Amendment, which category of drugs requires a prescription from a licensed practitioner before dispensing?
Answer: Drugs that are habit-forming, not safe for self-medication, or require professional supervision
The Durham-Humphrey Amendment defines legend drugs as those habit-forming, unsafe for self-diagnosis/treatment, or requiring practitioner supervision.
A pharmacist is about to dispense a 30-day supply of warfarin. The patient's profile shows a new prescription for fluconazole from a different prescriber. What is the pharmacist's legal and professional obligation?
Answer: Conduct a drug utilization review (DUR) and counsel the patient on the significant interaction.
OBRA '90 requires pharmacists to perform prospective DUR and offer counseling, especially for significant drug interactions like warfarin-fluconazole.
Which federal law requires pharmacies that dispense Medicaid prescriptions to offer patient counseling?
Answer: OBRA '90 (Omnibus Budget Reconciliation Act of 1990)
OBRA '90 mandated that pharmacies participating in Medicaid offer patient counseling and conduct prospective drug utilization review.
A patient presents a prescription for amoxicillin 500 mg #30. The pharmacist has only 250 mg capsules in stock. Which action is most appropriate?
Answer: Dispense 60 capsules of 250 mg with directions to take 2 capsules per dose and notify the prescriber.
A pharmacist may make a therapeutic equivalent substitution in strength by adjusting quantity and directions after notifying the prescriber, as it constitutes the same drug.
Under the Drug Supply Chain Security Act (DSCSA), which document must accompany a drug product through each transaction in the pharmaceutical supply chain?
Answer: Transaction Information, Transaction History, and Transaction Statement (T3)
DSCSA requires the three-T documents (Transaction Information, History, and Statement) to travel with each drug product transfer to ensure traceability.
A pharmacist discovers a dispensing error after the patient has left the pharmacy. What is the most appropriate first action?
Answer: Contact the patient immediately to prevent or minimize potential harm.
Patient safety requires the pharmacist to contact the patient immediately upon discovering a dispensing error to prevent harm and arrange correction.