pharmaceutical industry, wholesalers/distributors, pharmacy chains, healthcare providers, regulators
Who is responsible for the Opioid Epidemic? (5)
pharmacy federal laws, pharmacy state laws, state medical boards, insurance, pharmacy policies
Rank these from less strict to more strict:
Pharmacy policies, medicare/Medicaid/Private insurance, state medical boards, Pharmacy state laws/regulations, pharmacy federal laws and regulations
purpose of issuance, person permitted to prescribe, manner in which its used, person permitted to fill prescription
What are the 4 general issuance requirements for Controlled Substance
Prescriptions?
Narcotic
- a term used to describe drugs that serve as an analgesic; drugs that bind opioid receptors
Controlled Substance
-a legal designation used to describe drugs and other substances that are regulated by the government.
long-term care facilities, hospice/end of life care, sickle cell disease, active-cancer related pain
What are the exemptions to Medicare Part D prescribing policies? (4)
prevent new patient addiction, allow current chronic pain management patients to remain on regiments
What are the goals of Mississippi Medicaid Prescribing policies? (2)
max of 2, 7-day supply limit for opioid-naive patients in 30 days, alert at 90 MME/day, concurrent opioid & benzo use or duplicative long-acting opioid therapy, optional safety alert at >=200 MME
What are Medicare Part D prescribing policies? (4)
prescription, patient, prescriber
What are the 3 red flags for opioid abuse and diversion?
opioid, benzos, muscle relaxer, stimulant
Which drugs are involved in the "Trinity"? (4)
1
Marijuana is a schedule ______ substance.
California
Which was the first state to legalize marijuana?
Rohrabacher-Farr Amendement
-a piece of legislation that prohibits the justice department from spending funds to interfere with the implementation of state medical cannabis laws.
e
Which state(s) allow medical marijuana as an alternative to opioids?
a) Maine
b) Illinois
c) Delaware
d) Ohio
e) Missouri
a,d
Which state(s) leaves it up to physicians and requires no conditions?
a) Maine
b) Illinois
c) Delaware
d) Ohio
e) Missouri
c
Which state(s) have adult and pediatric indications?
a) Maine
b) Illinois
c) Delaware
d) Ohio
e) Missouri
3 ounces; 150 days
In the state of MS, patients are allowed to buy up to ______ of marijuana
per month; dispensaries were licensed within ________ of the bill
becoming law.
nurse practitioner, optometrist, PAs, pharmacists
What are examples of mid-level practitioners? (4)