OTP
True or false: Does every OTP have to have a onsite pharmacy
What is True
What is the MOA of Methadone
Morphine opioid agonist
No person shall furnish by retail sale any poison without:
What is distinctly
Labeling the bottle, box, vessel, or paper in which the poison is contained.
The outside wrapper is contained and also the wrapper or cover thereof with the name of "poison"
The name and place of business of the person who furnished the same
Each individual, customized, multi-drug single dosing container shall bear a label, which at minimum contains the following:
a) The name of the patient;
(b) The name of the prescribing practitioner of each drug;
(c) The name, address, and telephone number of the pharmacy
(d) Rx number for each drug contained therein;
(e) The name, strength, physical description, and total quantity of each drug contained therein
(f) The directions for use, and/or time of administration or time to be taken for each individual multi-drug single-dosing container;
(g) Either the dispensing or preparation date, as well as a beyond use (expiration) date for each drug contained in the multi-drug single-dosing container; The expiration date of each drug included therein shall not be longer than one (1) year from the date of preparation of the multi-drug single-dosing container
In the absence of a pharmacist in an OTP how often do drugs have to be inventoried?
What is every 7 days or once per week
Can you dispense Methadone in a retail pharmacy? And under what conditions?
What is yes and if it is being used for pain
How long must poisons record be maintained?
What is five years
A drug packaged in a multiple dose container expiration date cannot be longer than ____from the date of preparation of the multi drug dosing container
What is 1 year
In absence of a pharmacist how often does emergency kits inspection have to be done?
What is every 90 days
Methadone initial dose requirements?
Initial dose does NOT exceed 30 mg and total daily dose does not exceed 40 mg
Pharmacist may sell poisons and record
- The date of delivery
- Name and address of the purchaser
-Name and quantity of hr poison
-Name of pharmacist
- Purpose for the purchase of the poison
A multiple Drugs in a Single Dose Container cannot exceed what day supply?
What is 96 days
In an OTC it is the director responsibility to (6 things. (MOM ERA)
What is:
Maintain patient profile
Only dispense / administer OTP medications
Maintain records for 2 years
Ensure physician order
Record of daily dosing summaries
Approiate receipt / dispensing records
What are examples of medications used for narcotic dependence
Wear is Subutex, Suboxone, Naloxone, Naltrexone
Tell me the important dates in poison that she said everyone must get it right
What is 5 years
In a mulitple Drugs in a single Dose container whenever a drug is in such a container previously dispensed to a patient has / have been discontinued the remaining container _____?
What is must be returned to the dispensing pharmacy for the removal of discontinued drugs from the container for destruction
What does a label in OTC have to include?
What is drug name, strength, lot number, and exp date
Where are take home Methadone rules/ regulations?
What is
First 90 days a single dose each week
Second 90 days two doses per week
Third 90 days three doses per week
Remaining months max 6 day supply
After one year max 2 week supply
After two years max 1 month supply
Tell me about 3 points ion poisons
GO TO POWERPOINT
Redispensing by a different pharmacy:
What do you do when a patient gets his / her medications from XYZ pharmacy and asks you to put into a single dose container?
must have written permission
must maintaining a redispensing log
Record keeping for 2 years