Pharm ch2 web

• Adv: 1. certain meds cause GI distress in solids form
• DisAdv: 1. preservatives 2. interactions may dvlp from changes in solubility. 3. bulkier to carry

either alc or oleaginous solutions or emulsions that applied thru rubbing

alc or hydroalc sols of PURE chemicals or extracts

• Dispersion: solute dispersed thru a dispersing vehicle.
• Emulsion: a o/w emulsion dilutes in water, w/o will not dilute in water

• semisolid. Anhydrous ointments absorb water, but insol in water and not water washable.
• Oleaginous ointments insol in water, do not contain or absorb water are not water washable

similar to ointments, more solid materials

Applied o/w emulsions

• 1. Use DEA 41 for expired, must be kept 2 yrs. must be completed atleast 2 weeks before destruction of substances (triplicate form)
• 2. Controlled substances can only be returned by institutions with DEA number

sets requirements for labeling meds, in multidose vial or unit dose container, IV, or compound

requires unit dose dispensing and IV

responsible for enforcing Controlled Substances Act

cannot be dispensed until original prescription is presented to pharmacy. EXCEPT Schedule II emergency and for long term care facilities

info on hazards of particular substance. Manufacturer provides MSDS to pharm, and pharm provides to long term care facilities

not a dispersion, either alcoholic or oleaginous or emulsion, applied thru rubbing

o/w or w/o , they are in a dispersing vehicle

4 parts oil, 2 parts water, 1 part gum.

triturating 1 part gum 2 parts water to form mucilage. slowly add 4 parts oil and triturate slowly.

• oleaginous, water soluble or hydrophilic
• drug delivery system inserted into rectum or vag. Compression Mold (mix base and drugs into compression mold) or Fusion mold (base is melted, poured and overfilled into special mold)

To register a pharm, to stock controlled substances

to order Sched II drugs

to destroy outdated or unused substances

theft

authorizes pharmacist to order sched II drugs

• hazards.
• Manufacturer provides MSDS to pharm, and pharm provides MSDS to purchaser

• Reimbursement = AWP + percentage + dispensing fee
• -encourages generics vs. brand name bc percentage return is greater for generic

price pharmacy pays for drug after discounts from manufacturer or wholesaler

max price insurance company will pay for generic medication

reimbursement system in which pharmacy receives fixed payment each month per patient, regardless of number of prescriptions filled or cost of prescriptions

predetermined amt of money paid to indv or institution for daily service