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When laws differ, always follow the _____ law.
stricter
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When state law is stricter than federal law, follow the _____ law.
state
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Class of recall for a medication that causes aroids serious adverse events or death
Class I Recall
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Class of recall for medication that catered caused temporary but reversible effects
Class II Recall
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Class of recall for medication that is unlikely to cause adverse events in people
Class III Recall
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Brand-name relabled and marketed under generic name
Authorized generic
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Generic in place of brand-name
Generic substitution
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Identical in active ingredients, strength, dosage form
Pharmaceutical equivalence
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Generic equivalent to brand name
Therapeutic equivalence
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Same active ingredients but differ in dosage form or strength
Pharmacologic alternative
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In same drug class or can treat condition but in different drug class
Therapeutic alternative
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No product selection preference
DAW Code 0
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Prescriber must indicate on Rx for brand product
DAW Code 1
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Appropriate if there are multiple brands for generic
DAW Code 5
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Substitution allowed but brand-name dispensed as generic
DAW Code 5
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Patient wants brand-name or specific product
DAW Code 2
-
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This code means other
DAW Code 9
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Doctors write "generic OK" or "substitution permissible" on prescription
DAW Code 0
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Substitution allowed by provider BUT generic is unavailable
DAW Code 8
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When prescriber writes for brand or generic AND product available from multiple sources
DAW Code 3
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Pharmacy does not have product in stock
DAW Code 4
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No substitution b/c brand drug mandated by law
DAW Code 7
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Some states have laws prohibiting dispensing generic IF brand-name written on Rx face
DAW Code 7
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Lowest abuse potential
Schedule V controlled substances
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Illegal substances (i.e. Marijuana, LSD, etc.)
Schedule I controlled substances
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Often called "C2s"
Schedule II controlled substances
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Labels contain a "C-III" to designate classification
Schedule III controlled substances
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Examples include aprazolam (Xanax), clonazepam (Klonopin), etc.
Schedule IV controlled substances
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Who can prescribe controlled substances?
Any prescriber with DEA number and state permission
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Restricts sale of pseudoephedrine
Methamphetamine Epidemic Act of 2005
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Maximum OTC sales of pseudoephedrine
3.6 grams per day; 9 grams per 30 days
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Maximum mail-order sales of pseudoephedrine
7.5 grams per 30 days
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Federal requirements for dispensing OTC pseudoephedrine
Kept behind pharmacy, ID's checked, logs, records
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Isotretinoin (Accutane, etc.) restricted drug program
iPLEDGE program
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Clozapine Restricted drug program
Clozaril National Registry (CNR)
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Lab test for isotretinoin program
Pregnancy test
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Lab test for clozapine program
White blood cell count
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