VERIFIED TEST BANK WITH EXPLANATIONS
NYS Medicaid Mandatory Generic Program
Encourage prescribers to give A rated generics. If want to give BRAND< must call 24 hour prior
authorization call line and answer questions for reason. MUST WRITE ON THE FACE OF RX:
1) Prior auth #
2) DAW in box
3) Words: Brand necessary or brand medically necessary in handwriting.
-------RPH must call number and validate. GOOD for 6 MONTHS.
Exempt products from mandatory Medicaid Program
Coumadin // Gengraf, sandimmune, neoral // clozaril, tegretol, dilantin, zarontin // lanoxin,
levothyroxine
Poison
Drug, chemical, or preparation likely to be DESTRUCTIVE to adult human life in quantity of 60 GRAINS OR
LESS....
Schedule A = arsenic, atropine, chloral hydrate, strychnine, hydrocyanic acid....
Schedule B = belladonna, ergot, digitalis, chloroform, mineral and oxalic acids
Poison label
Name of article, word POISON, name and address of seller. ALL IN RED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!`
Poison Register - what required?
,1) Date of sale.
2) Name or address of purchaser.
3) Name and quantity of substance.
4) Purpose of purchase.
5) Name of dispenser.
Must keep records for 5 years.
Drug Prices
1) Retail price list in all pharmacies reg by NYS, must provide to any person upon request.
2) Posted sign near cmpding and dispensing, waiting area, etc
3) Contain 150 most freq prescribed drugs
4) Not unit price list
5) Price must be price charges
6) Prices updated every week
7) Must state = consult your RPH for te selection of the most economical drug product available to fill
your MD's RX.
8) Hospitals not exempt from this.
9) Pharmacy may change current selling at any time.
Unprofessional conduct with advertising
False /
Intimidation /
Testimonials /
Professional superiority /
Unsubstantiated claims /
Guarantees /
Offer bonuses //
,Also RX blanks with pharmacy name (NO!), or refusing to quote price of written RX
RX Drug Advertising in Print MUST INCLUDE:
1) Exp date of ad
2) RX must be separated from OTC
3) Prices agree with price list
4) Brand name must include generic (in not less than 1/2 size of brand)
5) Price must be specific
6) COPY OF AD KEPT ON FILE FOR ONE YEAR.
Professional Assistance Committee (PAP)
License will be accepted by committee if -
1) No harm done to pt
2) make app for permission to surrender license
3) must complete rehab before seeking restoration
4) must agree to restrictions
Professional Assistance Committee (PAP) - applicant must agree to
-Seek treatment
-The conditions of commmittee
-Remain inactive until restored
- Release of info by committee to facts why license surrendered, and if failed or completed program.
*******Accepted applicant provides immunity from discipllinary action, but IMMUNITY MAY BE
REVOKED if persons FAILS to complete TREATMENT!!
, Preceptor RPH
Must practice for one year prior to supervising intern.
May supervise 1 full time or 2 part time.
Pharmacy must fill 5M Rx/orders per intern per year.
Adulterated AND Misbranding - KNOW PG 41
1) Not manufactured acc to GMPs
2) Fails to meet stds of purity, potency, labeling, safety and effectiveness.
EX of BOTH) OTC drug that is not packaged in tamper resistant packaging or is not labeled in conformity
with tamper resistant regulations
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.