OBRA-90 also required states to establish standards governing patient counseling. In particular, pharmacists must offer to discuss the unique drug therapy regimen of each Medicaid recipient when filling prescriptions for them. Such discussions must include matters that are significant in the professional judgment of the pharmacist.
Full Answer
What information should a pharmacist discuss under Obra 90?
Pharmacists are not mandated to discuss any specific information under OBRA 90; it is of the pharmacists own discretion and professional judgement. Suggested topics include:
Do pharmacists comply with the omnibus Budget Reconciliation Act of 1990?
The first study measured by observation, pharmacists' compliance with the mandates of the Omnibus Budget Reconciliation Act of 1990 (OBRA '90) before (December 1992) and after (June 1993) the law took effect in January 1993. The … Two separate studies were conducted in Georgia for this investigation.
What is OBRA-90 and how does it affect you?
While OBRA-90 was geared to ensure that Medicaid patients receive specific pharmaceutical care, the overall result of the legislation provided that the same type of care be rendered to all patients, not just Medicaid patients.
Why should pharmacists care about the safety of drugs they dispense?
Today, because of this law, pharmacistshave the assurance that thepharmaceuticals they dispense are of thehighest quality and safety of any drugs inthe world.
Which of the following best applies to the counseling provision in OBRA?
Which of the following best applies to the counseling provision in OBRA? Counseling can help prevent potential problems that may arise after a medication has been dispensed to a patient.
Which of the following statements is are true of record keeping as it they apply to controlled substances?
Study GuideQuestionAnswerWhich of the following statements is true of record keeping as if they apply to controlled substances?All of the aboveIn which of the following forms can prescriptions for schedules c-2 through c-5 drugs accepted by the pharmacy?Written Orally Facsimile43 more rows
What is the name for the information on a prescription that provides the pharmacist with directions?
Signatura (Sig): These are the doctor's instructions to the pharmacist indicating how the patient should use the medication. Latin or English abbreviations are used to provide specific instructions translated by the pharmacist for patient use.
Which of the following may indicate incompatibility in a non sterile compound?
What may indicate incompatibility in a non-sterile compound? An unanticipated change in color. A pharmacy technician fills a prescription with the wrong medication because of the similarity of the two containers, but then catches the error.
Which of the following is true about calling in prescriptions to pharmacies quizlet?
Which of the following is true about calling in prescriptions to pharmacies? A medical assistant may call in prescriptions, except those for Schedule II drugs.
What are the laws surrounding refills and the amounts you are allowed to dispense with the Schedule II and III medications in the state of CA?
Under federal law, prescriptions for Schedule II substances cannot be refilled. Prescriptions for Schedule III and IV controlled substances can be refilled up to five times in six months, and prescriptions for Schedule V controlled substances can be refilled as authorized by the practitioner.
What can a pharmacist prescribe?
Pharmacists may prescribe all Schedule 1 drugs and blood products. There are no lists of drugs; instead, all pharmacists are expected to limit their prescribing to situations where they have an adequate understanding of the patient, the condition being treated, and the drug being prescribed.
What part of a prescription's information may look different on the label but is not an error?
What part of a prescription's information may look different on the label but is not an error? Since a generic drug may be substituted for a brand, the name may look different but then it should be a correct, approved substitution for the brand name.
Can a pharmacist ask what your prescription is for?
Alterations on a prescription, even if they are from the doctor, can make the pharmacist second guess its validity and prompt them to verify its details with your doctor—which is usually not a fast process.
What is considered non-sterile compounding?
a. Non-sterile compounding is defined as the process of combining, admixing, diluting, pooling, reconstituting other than as provided in the manufacturer's labeling, or otherwise altering a drug or bulk drug substance to create a non-sterile preparation (adapted from the latest draft of USP <795>).
Can a pharmacy technician prepare non-sterile compounds?
There are no major prerequisites, which should attract individuals in all experience levels, including certified and non-certified pharmacy technicians. Our Non-Sterile Compounding Certification Course is designed to cover all of the information you will need for skill as a pharmacy technician, including USP 795.
What non-sterile compounds would you offer?
What are made with non-sterile compounding?Sustained-release oral products.Liquids.Topical gels, lotions, ointments, creams, and foams.Medicated shampoos.Medicated lip balms.Dissolving troches and lollipops.
What is OBRA 90?
Clinical abuse/misuse of medication. OBRA-90 also required states to establish standards governing patient counseling. In particular, pharmacists must offer to discuss the unique drug therapy regimen of each Medicaid recipient when filling prescriptions for them.
What is the Omnibus Budget Reconciliation Act?
While most federal laws provide the pharmacist with guidance on handling pharmaceuticals, the Omnibus Budget Reconciliation Act of 1990 (OBRA-90) placed expectations on the pharmacist in how to interact with the patient.
What is a Produr?
The ProDUR is intended to detect potential drug therapy problems. Computer programs can be used to assist the pharmacist in identifying potential problems. It is up to the pharmacists' professional judgment, however, as to what action to take, which could include contacting the prescriber.
Who has the authority to write prescriptions?
In addition to physicians, the health care professionals who have the authority to write prescriptions for medications is regulated by various state licensure laws. Of the four health care professionals listed below, the one who would be most likely to have the privilege of being able to write a prescription for a medication in any state would be.
Which antihypertensive drugs are overused by physicians, partially because of their fear of heart failure for elderly
The antihypertensive drugs that are overused by physicians, partially because of their fear of heart failure for elderly patients, are: cardiac glycosides. An important by-product of the muscle breakdown of stored proteins, which is also excreted by the kidneys, is: creatinine.
How long does a pharmacist license last?
Certificates of registration for pharmacist licensure are granted in most states for a period of: 1 to 2 years. Prescription pads must be used only for: writing prescriptions for medications. The first specialty area in the pharmacy profession for which a special regulation at the state level has been established is:
How long does it take for a child to survive on a drug?
A major problem concerning drug metabolism in children of all ages is the lack of: FDA requirements for pediatric studies. Full-term gestation is approximately 40 weeks, but prematurely born neonates are surviving with gestations as short as: 24 weeks.
What drugs may exhibit lowered protein binding in neonates?
milligrams per kilogram. Drugs that may exhibit lowered protein binding in neonates include all the following except: amoxicillin. Inadvertent poisoning may result if chemical agents are applied to the skin of a(n): premature infant. A major problem concerning drug metabolism in children of all ages is the lack of:
What is the effect of narcotic analgesics on geriatric patients?
Geriatric patients are often more sensitive to the respiratory effects of: narcotic analgesics. If hepatic and renal functions are decreased, the half-life of a drug is prolonged, which may result in: drug toxicity.
What is the practice of prescribing multiple medicines to a single patient simultaneously?
The practice of prescribing multiple medicines to a single patient simultaneously is known as: polypharmacy. After age 70, blood flow to the kidneys may decrease by as much as: 40%. A condition characterized by progressive memory and cognitive function impairment is known as: Alzheimer disease.
What is the FDA responsible for?
Misbranding and Adulteration. The FDA is responsible for enforcingthe provisions of the FDC Act. 4 This isdone by classifying offenses into 2 majorcategories: adulteration and misbranding.While many of the provisions of theFDC Act are directed toward manufacturers,pharmacists can violate this act ina number of ways.
Does the Omnibus Budget Reconciliation Act require pharmacists to practice?
The counseling provisions ofthe Omnibus Budget Reconciliation Act,while not directly requiring pharmacistactions, did require the individual stategovernments to establish expanded standardsof practice or risk losing federalfunding of their programs.
Is a pharmacist in violation of the FDC Act?
The pharmacist orpharmacy that holds for sale or dispensingany counterfeit drug is in violation ofthe FDC Act. 9 In addition, any pharmacistor pharmacy that even receives anadulterated or misbranded drug is inviolation of the FDC Act.