Podcast
Questions and Answers
What are pharmacists' duties?
What are pharmacists' duties?
Clinical
Where will a medication with the prescription sig code 'ii gtts os tid' be used?
Where will a medication with the prescription sig code 'ii gtts os tid' be used?
Left eye
What is room temperature?
What is room temperature?
20-25 degrees C
What is refrigerator temperature?
What is refrigerator temperature?
What is the freezer temperature?
What is the freezer temperature?
What is the formula for Celsius and Fahrenheit conversion?
What is the formula for Celsius and Fahrenheit conversion?
What is the expiration date for insulin in the fridge and outside the fridge?
What is the expiration date for insulin in the fridge and outside the fridge?
What are the steps in the disposal of controlled substances?
What are the steps in the disposal of controlled substances?
What does a Class I medication recall indicate?
What does a Class I medication recall indicate?
What does a Class II medication recall indicate?
What does a Class II medication recall indicate?
What does a Class III medication recall indicate?
What does a Class III medication recall indicate?
When should a vial of insulin be discarded if stored at room temperature after being removed from the refrigerator?
When should a vial of insulin be discarded if stored at room temperature after being removed from the refrigerator?
What does USP 800 refer to?
What does USP 800 refer to?
What are P-listed medications?
What are P-listed medications?
Which medications are P-listed?
Which medications are P-listed?
What are D-listed medications?
What are D-listed medications?
What are some examples of D-listed medications?
What are some examples of D-listed medications?
What are U-listed medications?
What are U-listed medications?
Which medications are examples of U-listed medications?
Which medications are examples of U-listed medications?
What are statutes?
What are statutes?
What happens if there are federal and state laws covering the same things?
What happens if there are federal and state laws covering the same things?
What is a PPI?
What is a PPI?
What is MedWatch?
What is MedWatch?
What does CSA stand for?
What does CSA stand for?
What does DEA stand for?
What does DEA stand for?
What does HIPAA stand for?
What does HIPAA stand for?
What is the Minimum Necessary Standard?
What is the Minimum Necessary Standard?
How often must employers of pharmacy staff provide training about HIPAA's privacy and security rules?
How often must employers of pharmacy staff provide training about HIPAA's privacy and security rules?
What does OBRA stand for?
What does OBRA stand for?
Can pharmacy technicians offer advice?
Can pharmacy technicians offer advice?
Can technicians read info from the label or the medication guide?
Can technicians read info from the label or the medication guide?
What is a legend statement?
What is a legend statement?
What does NDC consist of?
What does NDC consist of?
How many numbers does an NDC contain for billing?
How many numbers does an NDC contain for billing?
What is the general rule for how much of a prescription a patient must use before health insurance will cover a refill?
What is the general rule for how much of a prescription a patient must use before health insurance will cover a refill?
What does the Poison Prevention Packaging Act of 1970 require?
What does the Poison Prevention Packaging Act of 1970 require?
What must be dispensed in its original, unopened containers?
What must be dispensed in its original, unopened containers?
When should sharps containers be sealed and replaced?
When should sharps containers be sealed and replaced?
What are PMPs?
What are PMPs?
What might be a sign of forgery when reviewing the quantity requested on a prescription for a controlled substance?
What might be a sign of forgery when reviewing the quantity requested on a prescription for a controlled substance?
What do patient profiles contain?
What do patient profiles contain?
What does the Controlled Substances Act of 1970 do?
What does the Controlled Substances Act of 1970 do?
What are Schedule I Drugs?
What are Schedule I Drugs?
What are Schedule II Drugs?
What are Schedule II Drugs?
What are Schedule III drugs?
What are Schedule III drugs?
What are Schedule IV drugs?
What are Schedule IV drugs?
What are Schedule V drugs?
What are Schedule V drugs?
What are the steps to determine the DEA number?
What are the steps to determine the DEA number?
Are CII refills allowed?
Are CII refills allowed?
How many times are CIII & CIV prescriptions allowed to be refilled?
How many times are CIII & CIV prescriptions allowed to be refilled?
What is the maximum quantity a CV prescription can be refilled?
What is the maximum quantity a CV prescription can be refilled?
When did the DEA give prescribers the option to write electronic prescriptions for controlled substances?
When did the DEA give prescribers the option to write electronic prescriptions for controlled substances?
What is the Combat Methamphetamine Epidemic Act of 2005?
What is the Combat Methamphetamine Epidemic Act of 2005?
What is DEA Form-222 used for?
What is DEA Form-222 used for?
How is DEA Form-222 filled out by the pharmacist?
How is DEA Form-222 filled out by the pharmacist?
What is Controlled Substance Ordering System (CSOS)?
What is Controlled Substance Ordering System (CSOS)?
What is DEA Form-41 used for?
What is DEA Form-41 used for?
What is DEA Form-106 used for?
What is DEA Form-106 used for?
What are dosage forms?
What are dosage forms?
What is sublingual administration?
What is sublingual administration?
What is buccal administration?
What is buccal administration?
What do the abbreviations LA, SA, SR, CR, ER, TR stand for?
What do the abbreviations LA, SA, SR, CR, ER, TR stand for?
What is enteral administration?
What is enteral administration?
What is parenteral administration?
What is parenteral administration?
What is otic route?
What is otic route?
What are side effects?
What are side effects?
What are adverse effects?
What are adverse effects?
What are contraindications?
What are contraindications?
What are common signs of instability in a medication?
What are common signs of instability in a medication?
What are visible vs. invisible incompatibilities?
What are visible vs. invisible incompatibilities?
What do vaccine schedules cover?
What do vaccine schedules cover?
What steps should be taken if a prescription is illegible?
What steps should be taken if a prescription is illegible?
What does DAW stand for?
What does DAW stand for?
How long is an Rx for noncontrolled medication valid?
How long is an Rx for noncontrolled medication valid?
What does BIN stand for?
What does BIN stand for?
What does PCN stand for?
What does PCN stand for?
What is DUR?
What is DUR?
What does the Rx Group Number identify?
What does the Rx Group Number identify?
What does Person Code identify?
What does Person Code identify?
Who is a third-party program comprised of?
Who is a third-party program comprised of?
Where are claims processed?
Where are claims processed?
Who standardizes rejection messages?
Who standardizes rejection messages?
What is Prior Authorization?
What is Prior Authorization?
What are tiered copayments?
What are tiered copayments?
What is a formulary?
What is a formulary?
What is coordination of benefits?
What is coordination of benefits?
How does Medicare or Medicaid work with COB?
How does Medicare or Medicaid work with COB?
What is DME?
What is DME?
What are requirements for billing Medicare part B?
What are requirements for billing Medicare part B?
What are requirements for filling medical supplies (non-diabetic related) under Medicare Part B?
What are requirements for filling medical supplies (non-diabetic related) under Medicare Part B?
What is adjudication?
What is adjudication?
What is a processor?
What is a processor?
What does the sig include?
What does the sig include?
What are some common medications that should be dispensed in original packaging?
What are some common medications that should be dispensed in original packaging?
What does teratogenic mean?
What does teratogenic mean?
What are REMS?
What are REMS?
What are Elements to Assure Safe Use (ETASU)?
What are Elements to Assure Safe Use (ETASU)?
What is USP?
What is USP?
What are auxiliary labels?
What are auxiliary labels?
Study Notes
Pharmacy Technician Duties and Guidelines
- Pharmacists have clinical duties that include patient care, medication management, and counseling.
- Prescription sig code "ii gtts os tid" indicates medication for the left eye, to be administered two drops three times a day.
Temperature Settings
- Room Temperature: 20-25 degrees Celsius.
- Refrigerator Temperature: 1.7-7.8 degrees Celsius.
- Freezer Temperature: -15 degrees Celsius or lower.
Medication Expiration
- Insulin expiration in the refrigerator is based on the manufacturer's date; outside the fridge, it lasts for 28 days.
- Insulin vials removed from refrigeration should be discarded 28 days later if stored at room temperature.
Disposal and Recall Procedures
- To dispose of controlled substances: remove from inventory, complete DEA-41 form, and dispose with two witnesses present.
- Medication recalls are classified as:
- Class I: strong chance of serious adverse effects or death.
- Class II: temporary or reversible adverse effects; little chance of serious effects.
- Class III: unlikely to cause any adverse effects.
Hazardous Medications Management
- USP 800 deals with hazardous medications and their management.
- P-listed medicines are acutely hazardous; empty containers are also considered hazardous. Examples include epinephrine, nicotine, and warfarin.
- D-listed medicines are toxic, ignitable, corrosive, or reactive. Examples include benzoyl alcohol and silver sulfadiazine.
- U-listed medicines are toxic, typically associated with chemotherapy, like cyclophosphamide and mercury.
Legal and Regulatory Framework
- Statutes are laws passed by legislatures; when federal and state laws overlap, the more stringent law applies.
- PPI (Product Package Insert) provides prescribing information for healthcare providers.
- MedWatch is a program for reporting adverse medication reactions.
Controlled Substances Regulations
- The Controlled Substances Act of 1970 categorizes drugs into five schedules based on their potential for abuse.
- Schedule I: Highly addictive, illegal substances.
- Schedule II: High potential for abuse (e.g., morphine, oxycodone).
- Schedule III: Moderate-low potential for dependence (e.g., acetaminophen with codeine).
- Schedule IV: Low potential for abuse (e.g., diazepam).
- Schedule V: Limited narcotics (e.g., pregabalin).
Prescription Management
- No refills allowed for Schedule II drugs; Schedule III and IV allow for up to five refills within six months.
- The DEA number can be verified through a specific calculation.
- Transactions involving controlled substances require various DEA forms for ordering (222), disposal (41), and reporting theft (106).
Medication Dispensing Guidelines
- Medications like sublingual nitroglycerin must be dispensed in original containers.
- Elkek in original packaging ensures stability and safety.
- The general rule for insurance coverage on refills requires the patient to use 75% of the prescription.
Patient Care and Monitoring
- Common signs of medication instability include discoloration, separation, and texture changes.
- Patient profiles include demographics, medication history, allergies, and health conditions.
- Prescription Monitoring Programs (PMPs) track the dispensing of controlled medications within a state.
Insurance and Billing Procedures
- Third-party programs consist of patients, pharmacies, and insurers and process claims electronically.
- Medicare and Medicaid require specific billing protocols, with claims being processed by designated entities.
- Adjudication is the process of obtaining insurance approval for prescriptions.
Risk Management
- REMS (Risk Evaluation and Mitigation Strategies) ensure that benefits of medications outweigh their risks.
- Elements to Assure Safe Use (ETASU) require healthcare professionals to perform appropriate medical interventions before dispensing medications.
Key Terminology
- Auxiliary labels provide important safety information and instructions for medication use.
- Teratogenic agents can cause malformations in embryos; precautions are necessary during pregnancy.
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Description
Prepare for the ExCPT Pharmacy Technician Exam with these flashcards covering essential definitions and concepts. Study pharmacists' duties, temperature regulations, and prescription sig codes to enhance your knowledge and readiness for the exam.
