PC 707-MODULE questions and answers
Full prescriptive authority - Full prescriptive authority is the legal right to prescribe
independently and without limitation.
How is prescriptive authority determined? - -part of the affordable care act
-Prescriptive authority is determined by state laws -regulated by health
professional boards.
Two criteria that FDA looks at for approval of all drugs? - 1) safety and 2) efficacy
Over the Counter medications - drugs sold directly to a consumer without a
prescription from a healthcare professional
Prescription (noncontrolled) - sold only to consumers possessing a valid
prescription from a healthcare prescriber who is authorized to prescribe.
Controlled (Scheduled) - Drugs are classified into five (5) distinct categories or
schedules depending upon the drug's acceptable medical use and the drug's
abuse or dependency potential
,PC 707-MODULE questions and answers
1. Why are some drugs controlled/scheduled? - Drugs are classified into five (5)
distinct categories or schedules depending upon the drug's acceptable medical
use and the drug's abuse or dependency potential.s
Schedule I drugs - Abuse potential: Highest
Drug examples: Heroin, LSD, cocaine
Effects (dependence): Unpredictable, psychological or physical dependence, death
Medical use: No accepted medical use
Rx writing: None- only researchers
Refills: Not applicable
Schedule II drugs - Abuse potential: High
Drug examples: Hydromorphone, methadone, meperidine, oxycodone, and
fentanylEffects (dependence): may lead to severe psychological or physical
dependence.
Medical use: yes
Rx writing: Must be typed or filled out in ink, signed by prescriber. Oral
prescription can be called in over the phone, only for emergencies, written script
must follow within 72 hours.
Refills: new Rx must be written each time
,PC 707-MODULE questions and answers
Schedule III drugs - Abuse potential: Moderate
Drug examples: Tylenol with codeine & suboxone
Effects (dependence): abuse may lead to moderate or low physical dependence or
high psychological dependence.
Medical use: yes
Rx writing: Oral, written, or electronic
Refills: Up to 5 refills
Schedule IV drugs - Abuse potential: low
Drug examples: alprazolam, carisoprodol, clonazepam, clorazepate, diazepam,
lorazepam, midazolam, temazepam, and triazolam.
Effects (dependence): None
Medical use: yes
Rx writing: Oral, written, or electronic
Refills: Up to 5 refills
Schedule V drugs - Abuse potential: low
Drug examples: Robitussin AC, Phenergan with Codeine, and ezogabine.
Effects (dependence): None
Medical use: yes
, PC 707-MODULE questions and answers
Rx writing: Oral, written, or electronic.
May be dispensed without a prescription when: drug is dispensed by pharmacist,
very limited amount of medication, must be 18 years old, pharmacist keeps record
of recipient receiving drug, and local law doesn't prohibit dispensing schedule 5
drugs w/out prescription.
Refills:
What is a DEA number required for? - DEA numbers are required for prescribing
controlled/scheduled drugs
elements that create a bona fide patient-provider relationship - Complete hx,
physical exam, and documentation
Is it legal to prescribe off-label? - -Off-label drug use occurs in situations when a
drug has been found useful for conditions other than those that are FDA approved
-Often seen for pediatrics and pregnancy due to lack of drug-trial inclusion
Patient education -- Risks, benefits, alternatives. If considered experimental for
off-label use, this must be discussed with patient/caregivers.
-Providers must document the decision making processes when prescribing an off-
label medication in the patient's medical record. (Existing evidential support)
Full prescriptive authority - Full prescriptive authority is the legal right to prescribe
independently and without limitation.
How is prescriptive authority determined? - -part of the affordable care act
-Prescriptive authority is determined by state laws -regulated by health
professional boards.
Two criteria that FDA looks at for approval of all drugs? - 1) safety and 2) efficacy
Over the Counter medications - drugs sold directly to a consumer without a
prescription from a healthcare professional
Prescription (noncontrolled) - sold only to consumers possessing a valid
prescription from a healthcare prescriber who is authorized to prescribe.
Controlled (Scheduled) - Drugs are classified into five (5) distinct categories or
schedules depending upon the drug's acceptable medical use and the drug's
abuse or dependency potential
,PC 707-MODULE questions and answers
1. Why are some drugs controlled/scheduled? - Drugs are classified into five (5)
distinct categories or schedules depending upon the drug's acceptable medical
use and the drug's abuse or dependency potential.s
Schedule I drugs - Abuse potential: Highest
Drug examples: Heroin, LSD, cocaine
Effects (dependence): Unpredictable, psychological or physical dependence, death
Medical use: No accepted medical use
Rx writing: None- only researchers
Refills: Not applicable
Schedule II drugs - Abuse potential: High
Drug examples: Hydromorphone, methadone, meperidine, oxycodone, and
fentanylEffects (dependence): may lead to severe psychological or physical
dependence.
Medical use: yes
Rx writing: Must be typed or filled out in ink, signed by prescriber. Oral
prescription can be called in over the phone, only for emergencies, written script
must follow within 72 hours.
Refills: new Rx must be written each time
,PC 707-MODULE questions and answers
Schedule III drugs - Abuse potential: Moderate
Drug examples: Tylenol with codeine & suboxone
Effects (dependence): abuse may lead to moderate or low physical dependence or
high psychological dependence.
Medical use: yes
Rx writing: Oral, written, or electronic
Refills: Up to 5 refills
Schedule IV drugs - Abuse potential: low
Drug examples: alprazolam, carisoprodol, clonazepam, clorazepate, diazepam,
lorazepam, midazolam, temazepam, and triazolam.
Effects (dependence): None
Medical use: yes
Rx writing: Oral, written, or electronic
Refills: Up to 5 refills
Schedule V drugs - Abuse potential: low
Drug examples: Robitussin AC, Phenergan with Codeine, and ezogabine.
Effects (dependence): None
Medical use: yes
, PC 707-MODULE questions and answers
Rx writing: Oral, written, or electronic.
May be dispensed without a prescription when: drug is dispensed by pharmacist,
very limited amount of medication, must be 18 years old, pharmacist keeps record
of recipient receiving drug, and local law doesn't prohibit dispensing schedule 5
drugs w/out prescription.
Refills:
What is a DEA number required for? - DEA numbers are required for prescribing
controlled/scheduled drugs
elements that create a bona fide patient-provider relationship - Complete hx,
physical exam, and documentation
Is it legal to prescribe off-label? - -Off-label drug use occurs in situations when a
drug has been found useful for conditions other than those that are FDA approved
-Often seen for pediatrics and pregnancy due to lack of drug-trial inclusion
Patient education -- Risks, benefits, alternatives. If considered experimental for
off-label use, this must be discussed with patient/caregivers.
-Providers must document the decision making processes when prescribing an off-
label medication in the patient's medical record. (Existing evidential support)
