No CDPH (CA dept pub health) registration required - ✔✔CLIA-waived tests (clinical lab
improvement amendments)
- CIII (Narcolepsy)
- CI (abuse)
> REMS program: This is a 'date rape' drug (Sedative, called GHB that requires strict measures to
ensure it is going to narcolepsy with cataplexy patients only
BBW
- Respiratory depression
- Sodium oxybate is a salt form of hydroxybutyrate (GHB), a drug of abuse
SE
- dizziness, nausea, somnolence, enuresis (dose-related), daytime hangover effect - ✔✔Sodium
oxybate (Xyrem, Xywav)
%
- Complying with Current Good Manufacturing Practices
- Labeling with adequate direction for use
- Need to complete New Drug Application - ✔✔Compounding exemptions
- comprehensive med review
- adherence to dm meds, acei/arb, statins
- statin use in dm pts 40-75 yo
- appropriate use or avoidance in high risk meds for >65 yo - ✔✔Medicare star ranting system,
quality measures factored in
- Need CDC/ACIP approved immunization training program
- Need BLS
- Complete 1hr of CE every 2yrs
*Must notify PCP or prenatal care provider w/in 14 days
**Report to CAImmRegistry (pharmacies, not pharmacists, must be enrolled in CAIR)
***Pt vax admin record must be kept and readily retrievable - ✔✔Immunization requirements
- Opioid. Risk of overdose and addition
- Impaired ability to operate a vehicle or vessel.
- Substantial risk when drug is taken in combination with alcohol.
- Cautuon: federal law prohibits the transfer of this drug to any person other than the person for whom
it was prescribed. - ✔✔Control auxiliary labels
%
"Med name generic for Brand, generic drug manufacturer" - ✔✔Label requirement for generic med
(Butrans) for pain, must be indicated on order
with naloxone (Suboxone) for opioid addiction, needs DATA waiver X - ✔✔Buprenorphine
•Communication plans
•Elements to assure safe use
•Implementation systems
•Medication guides - ✔✔Risk Evaluation and Mitigation Strategies (REMS)
1 day - ✔✔Delivery to hospital central receiving location then to pharmacy within
stuvia
, STUVIA 2024/2025
1 hr CE
US Medical Eligibility Criteria
Self screening form initially, annually, and with any major health change
Measure BP if combined oc (estrogen/progestin) recommended
PPI provided with every fill - ✔✔Pharmacist furnished self-admin contraception
1 hr CE - ✔✔Pharmacist furnished naloxone
1 hr of CE required
If no rx, but wants to use insurance
Counsel:
- allergies
- within 120hrs
- will not interfere with set pregnancy
Can also dispense 12 spermicidal condoms to Medi-Cal and Family
Planning/Access/Care/Treatement beneficiaries - ✔✔Pharmacist furnished EC
%
1 year - ✔✔Records kept for: med error/QI reports
1 year - ✔✔Records kept for: pt profiles
1:2
ie 0.2 mg po to 100 mcg IV - ✔✔Levothyroxine (Synthroid) IV to PO
13 members; elect pres, vp, treasurer
1-2 four year terms - ✔✔CA State Board of Pharm size/terms
14 days - ✔✔Time to report impaired or theft by pharmacist to the board
18 yo with ID - ✔✔Dextromethorphan restrictions
2 days of error - ✔✔Med error investigation within
2 factor authentication of the following:
- something known ie password
- have ie cryptographic key on device separate from computer
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