Prescription Dispensing Requirements Flashcards
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Read the first 7 Prescription Dispensing Requirements flashcards as text
A pharmacist receives a prescription for a quantity of 120 tablets of alprazolam (Schedule IV). State law limits Schedule IV prescriptions to a 30-day supply. The prescriber wrote the quantity for a 60-day supply. What should the pharmacist do?
Answer: Dispense only the quantity allowed under the more restrictive state law
When federal and state laws conflict, pharmacists must follow the more restrictive law; since state law limits a 30-day supply, only that quantity should be dispensed.
Under OBRA '90, pharmacists are required to offer counseling to Medicaid patients. Which statement best describes the scope of this requirement?
Answer: Counseling must be offered verbally; written materials alone do not satisfy the requirement
OBRA '90 requires pharmacists to offer verbal counseling to Medicaid patients; merely providing written information does not fulfill the obligation.
A prescription label for a dispensed medication must include directions for use. If the prescriber wrote 'use as directed,' how should the pharmacist handle the label?
Answer: Obtain clarification from the prescriber and include specific directions on the label
Pharmacists should obtain specific directions from the prescriber so the label can include clear, unambiguous instructions for the patient's safety.
Which of the following is correct regarding compounded preparations dispensed pursuant to a prescription?
Answer: Compounded preparations must be labeled with the name and strength of the active ingredient(s), beyond use date, and pharmacist's name
Compounded prescriptions must be labeled with the active ingredient(s) and strength, the beyond-use date, and the dispensing pharmacist's or pharmacy's identifying information.
A patient presents a prescription for Adderall (amphetamine/dextroamphetamine, Schedule II) dated today. The patient states the prescription is from out of state. What must the pharmacist verify?
Answer: The prescription must meet federal requirements and, if the state permits, may be dispensed after verifying its legitimacy
Out-of-state Schedule II prescriptions are valid if they meet federal and state requirements; the pharmacist must verify authenticity and prescriber legitimacy before dispensing.
A pharmacist dispenses a 30-day supply of lisinopril and mistakenly gives the patient atenolol. The error is discovered after the patient has left. Which step is the MOST immediate priority?
Answer: Contact the patient immediately to inform them of the error and provide guidance on next steps
Patient safety requires immediately contacting the patient to disclose the dispensing error and provide guidance on what to do with the wrong medication.
A pharmacist receives a written prescription for 'codeine sulfate 30 mg #30 – no refills.' Codeine is Schedule II in this state. How long is this prescription valid for dispensing?
Answer: Validity depends on state law; many states limit Schedule II written prescriptions to a specific timeframe (e.g., 90 days)
Federal law does not specify an expiration date for Schedule II prescriptions, so state law governs; most states impose a validity period such as 90 days from the date written.