PHARMACY TECHNICIAN ROLE Role in assisting the Pharmacist in the preparation of prescriptions Receiving a written prescription or request for a prescription refill from the patient or representative Ensuring completeness of information on prescription Preparation of prescription labels Retrieving, counting, pouring, weighing, measuring, and mixing medications Reconstituting medications Selecting type of prescription container Affixing prescription and auxiliary labels to prescription containers Pricing prescriptions Filling prescriptions Establishing and maintaining patient profiles Repackaging and labeling of medications Maintaining packaging and dispensing equipment Preparing specialty products Role Clerical Activities Preparing and reconciling third party billings Preparing receipts, invoices, letters and memos and general filling Maintaining drug information files Receiving and sending electronic communication Billing of medication Role- Communicating Skills Communicating with customers, physicians and suppliers Questions relating to prescription, drug information, poison information, or any health matter must be referred to the pharmacist Role- Inventory management Monitoring stock levels to ensure sufficient quantities for optimal operation Preparing and placing orders from specified sources Receiving and checking supplies purchased Restocking medications and related supplies Rotating stock and monitoring expiration dates Identifying expired products for disposal, destruction, or return to manufacturer POLICIES WITH REGARDS TO SALE AND PRICE OF SYRINGES It is inappropriate for a pharmacy to have a policy for the pricing of needles and syringes which is determined according to the reason of use. The placement of needles andsyringes and their sale is left to the professional judgement of the pharmacist Although OCP encouraged pharmacists to sell syringes to anyone requesting them, the matter is left to the professional judgement of the individual pharmacist. ARE PHYSICIANS ABLE TO PRESCRIBE FOR THEMSELVES? Physicians place themselves at risk of losing their privilege to prescribe, possess or dispense narcotics and controlled drugs by repeatedly prescribing to themselves or members of their immediate family. Self-prescribing is in violation of Code of Ethics. Physicians should not obtain drugs for their won or for family except in an emergency CONFIDENTIALITY OF PATIENT INFORMATION The pharmacist reserves the confidentiality of information about individual patient acquired in the course of his or her professional practice, and does not divulge this information except where authorized by the patient or required by law. SpousesIf someone is asking a copy of his or her spouses prescription information, get permission from the patient whose information is being released. ChildrenChildren aged 13 and above is entitled to decide who will have access to their information. This may not be true if the parents insurance is paying for the prescription, but let the parent get that information from the insurer and not from you. Estates The executor of the estate is entitled to request the prescription information of someone who is deceased and he is also entitled to give permission for its release to another party. Third Parties Third parties payors right s to information regarding its subscribers are governed by the agreement they have with their subscribers and the pharmacy. Investigations Police are entitled to information only if they have search warrant. Investigators from OCP have access to this information by virtue of the laws governing the practice of pharmacy. MAILING OF PRESCRIPTION TO PATIENTS WHILE IN U.S. Narcotic and controlled drugs cannot be mailed to U.S. U.S. customs requires some documentation for all medications sent to Canadian Citizens at U.S. address. If patients carries these types of medications into U.S. they are advised to obtain a letter from their physician attesting their treatment. Can canadian pharmacy accept prescription from a U.S prescriber? NO. What is the role of the pharmacy technician to assist the pharmacist? I. Receive written prescription from regular customer II. Research drug information from the internet III. Talk to physician regarding prescription A-I only B-III only C-I and II only D-II and III only E-All of the above Ans:A NARCOTIC, CONTROLLED DRUGS AND BENZODIAZEPINES AND OTHER TARGETED SUBSTANCES Classification and DescriptionLegal Requirements Narcotic Drugs 1 narcotic (eg, Cocaine, Codeine, Hydromorphone, Morphine) 1 narcotis + 1 active non-narcingredient

Written prescription required Verbal prescription not permittedRefills not permitted Part-fills permitted for written prescription (eg. Empracet-30, Tylenol Noall narcotics for parenteral useFentanyl, Pethidine) All products containing diamorphine (hospital only), hydrocodone, oxycodone,methadone or pentazocine. Dextropropoxyphene, Propoxyphene (straight) prescription For part fills, copies of prescription should be made in reference to the original prescription. Indicate in original Rx: 1.new prescription number 2.date of part fill3.quantity dispensed 4.pharmacists initials Transfer not permitted Record and retain all documents pertaining to all transactions for a period of at least 2 years. Report any loss or theft of narcotic drugs as well as forged prescriptions within 10 days to the Office of Controlled Substances. Narcotic Preparations Verbal prescription narcotics: 1 narcotic + 2 or more active non-narcotic ingredients. (eg. Fiorinal w/ Codeine, Tylenol No.2 and 3) Exempted codeine compounds: codeine up to 8 mg/solid dosage form or 20mg/30ml liquid + 2 or more active non-narcotic ingredients (Robitussin w/ Codeine, Atasol-8) Written or Verbal prescription permitted Refills not permitted Part-fills permitted for writtenand verbal prescriptions For part fills, copies of prescription should be made in reference to the original prescription. Indicate in original Rx: 1. new prescription number 2. date of part fill3. quantity dispensed 4.pharmacists initials Transfer not permitted Exempted Codeine compounds when dispensed pursuant to a prescription follow the same regulations as for verbal prescription narcotics. Record and retain all documents pertaining to all transactions for a period of at least 2 years. Sales reports not required. Report any loss or theft of narcotic drugs as well as forged prescriptions within 10 days to the Office of Controlled Substances. Controlled Drugs Part I Eg. Amphetamines, Methylphenidate, Pentobarbital, Secobarbital preparations: 1 controlled drug + 1 or more active non-controlled drugs. (Cafergot-PB) Written or Verbal prescription permitted Refills not permitted for verbal prescriptions Refills permitted for written prescription if prescriber has indicated in writing the number of refills and the dates for, or intervals between refills Part-fills permitted for writtenand verbal prescriptions For refills and part fills, copies of prescription should be made in reference to the original prescription. Indicate in original Rx: 1. new prescription number 2. date of repeat or part fill3. quantity dispensed 4.pharmacists initials Transfer not permitted Record and retain all documents pertaining to all transactions for a period of at least 2 years. Sales reports required except for controlled drug preparations. Report any loss or theft of narcotic drugs as well as forged Part II Eg. Barbiturates(Amobarbital, Phenobarbital) Butorphanol, Diethylpropion, Nalbuphine, Phentherminepreparations: 1 controlled drug + 1 or more active noncontrolled ingredients (Fiorinal) Part III Eg. Anabolic steroids (methyltestosterone, nandrolone decanoate) prescriptions within 10 days to the Office of Controlled Substances. Written or Verbal prescription permitted Refills permitted for written or verbal prescriptions if prescriber has indicated in writing the number of refills and the dates for, or intervals between refills Part-fills permitted for writtenand verbal prescriptions For refills and part fills, copies of prescription should be made in reference to the original prescription. Indicate in original Rx: 1. new prescription number 2. date of repeat or part fill3. quantity dispensed 4.pharmacists initials Transfer not permitted Record and retain all documents pertaining to all transactions for a period of at least 2 years. Sales reports not required. Report any loss or theft of narcotic drugs as well as forged prescriptions within 10 days to the Office of Controlled Substances. Benzodiazepines and Other Targeted Substances Eg. Alprazolam, Bronazapam, Chlordiazepoxide, Clobazam, Lorazepam, Mazindol, Meporbamate, Written or Verbal prescription permitted Refills permitted for written or verbal prescriptions if prescriber has indicated in writing the number of refills and the dates Oxazepam for, or intervals between refills Part-fills permitted for writtenand verbal prescriptions For refills and part fills, copies of prescription should be made in reference to the original prescription. Indicate in original Rx: 1. new prescription number 2. date of repeat or part fill3. quantity dispensed 4.pharmacists initials Transfer of prescription permitted except prescription that has already been transferred. Record and retain all documents pertaining to all transactions for a period of at least 2 years. Sales reports not required. Report any loss or theft of narcotic drugs as well as forged prescriptions within 10 days to the Office of Controlled Substances.