1. Pharmaceutical Prescriptions – Break the Code
Jill J Luebbert, CPOT, ABOC
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2. Luebbert Consulting and Training
Prescriptions
Ophthalmic Prescriptions Pharmaceutical Prescriptions
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3. How many Rx’s are written annually?
1,000,000
500,000,000
1,000,000,000
3,000,000,000
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4. Ophthalmic Prescription
Formulation for lenses in eyewear
Used to better visual task demands
x 090
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5. Pharmaceutical Prescription
Medication for health betterment
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6. Written Prescriptions
Why should you have to understand what it means?
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7. Verifying Prescription
Comparing to previous To the patient To the pharmacist
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8. Patient Safety Comes First
Tamper Resistant Security Paper is used to help prevent tampering as well as unauthorized document duplication.
Tamper Resistant Paper CAN:
prevent unauthorized copying of a completed or blank prescription form;
help the viewer or recipient identify an original document;
act as a deterrent against unauthorized duplication;
prevent the erasure or modification of information written on the prescription by the prescriber;
cause information modification to be visible to the recipient;
prevent accurate duplication and prevent the use of counterfeit prescription forms.
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9. Luebbert Consulting and Training
E-Prescribing
is the ability to electronically send an accurate, error-free and understandable prescription directly to a pharmacy from the point of care.
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10. Components of Written Prescription
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11. 1234 Wellness Road · Anywhere, NE (555) 999-2020
Sample Prescription
Eyecare Associates
1234 Wellness Road · Anywhere, NE (555)
Name Priscilla Promtly DOB 04/21/1978 Date 03/14/2010
Address124 Cream St Anywhere, NE   
 RX Doxycycline 100 mg Disp #14 Sig: Take 1 capsule bid x 7 days  
    
 __________________ 
Timothy Romes, O.D.  DEA #000
Dispense as Written Substitution Permissible      Refills     __0__    

12. Luebbert Consulting and Training
Superscription
The Date the order is written Name of patient Address of patient Age of the patient
Name Priscilla Promtly DOB 04/21/ Date 03/14/2010
Address124 Cream St Anywhere, NE
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13. Luebbert Consulting and Training
Inscription
The body of the prescription
Containing
Name of pharmaceutical
Dosage
Dosage form
Amount or strength of ingredient
RX Doxycycline 100 mg Disp #14 Sig: Take 1 capsule bid x 7 days 
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14. Luebbert Consulting and Training
Prescriber's
full name
address
telephone number
DEA number
Eyecare Associates
1234 Wellness Road · Anywhere, NE (555)
__________________ 
Timothy Romes, O.D.  DEA #000
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15. Luebbert Consulting and Training
Subscription
Direction to the pharmacist
Example”
“dispense 15 capsules”
Disp #14
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16. Luebbert Consulting and Training
Signatura
Directions to the patient
Example ‘
“use ung OS q.h.s.”
Pharmacist translates into English for patient
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17. Luebbert Consulting and Training
Refills
The prescriber indicates many refills are allowed
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18. It’s not official unless it contains
Signature of prescriber
Example:
James L. Townsend, M.D.
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19. Proprietary vs Non-Proprietary
Are generics allowed??? N.P.P. box
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20. Luebbert Consulting and Training
Let’s Read Latin
Abbreviation of the Latin word for “recipe”
“to take or take thus”
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21. Luebbert Consulting and Training
Dosage
AMT
amount
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22. Luebbert Consulting and Training
PrescRibed Amount mg
milligram mL
milllitre oz
ounce g
gram
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23. Luebbert Consulting and Training
What form?
gtt
drop
ung
ointment
susp
suspension
tab
tablet
cap
capsule
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24. Luebbert Consulting and Training
How often? qd
Every day
bid
Two times a day
tid
Three times a day
qid
Four times a day
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25. Luebbert Consulting and Training
When? q
every qd
Every day qh
Every hour hr
hour hs
At bedtime
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26. Luebbert Consulting and Training
When?
prn
as needed pc
after meals ac
before meals wf
with food
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27. Ready? Let’s read these Luebbert Consulting and Training

28. Luebbert Consulting and Training
Examples
1 gtt bid OU
“1 drop twice a day each eye”
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29. Luebbert Consulting and Training
2 tab po ac
“2 tablets by mouth before meals”
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30. Luebbert Consulting and Training
1gtt OD bid
“1 drop right eye twice a day”
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31. Luebbert Consulting and Training
1gtt OU qhs
“1 drop each eye before bed”
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32. Ung OU qhs
Ointment both eyes before bed

33. 1 cap po wf
1 capsule by mouth with food

34. OK
Now, you write it

35. The fictitious pharmaceutical
RAMICANI

36. Another fake medication
BRIFICOL

37. Luebbert Consulting and Training
If in doubt,
ASK!!!!!
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38. Luebbert Consulting and Training
ABBREVIATION
LATIN
MEANING
a.c.
ante cibum
before meals
agit
agita
stir/shake
amt
amount aq
aqua
water
b.i.d. / b.d.
bis in die
twice daily
cap., caps.
capsula
capsule
cr., crm.
cream
dil.
dilute g
gram
gtt(s)
gutta(e)
drop(s)
h, hr
hora
hour
h.s.
hora somni
at bedtime mL
millilitre
nebul
nebula
A spray
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39. Luebbert Consulting and Training
o.d.
oculus dexter
right eye
o.s.
oculus sinister
left eye
o.u.
oculus uterque
both eyes oz
ounce
p.c.
post cibum
after meals
p.m.
post meridiem
evening or afternoon
prn
pro re nata
as needed
p.o.
per os
by mouth or orally q
quaque
every
q.i.d.
quater in die
four times a day
q.d.
quaque die
every day
qqh
quater quaque hora
every four hours
q.h.
quaque hora
every hour
q.o.d.
every other day
qwk
every week
q.s.
quantum sufficiat
A sufficient quantity
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40. Luebbert Consulting and Training
sol
solutio
solution
susp
suspension
tab
tabella
tablet
tbsp
tablespoon
tsp
teaspoon
t.i.d.
ter in die
three times a day
top.
topical
u.d., ut. dict.
ut dictum
as directed
ung.
unguentum
ointment wf
with food (with meals)
w/o
Without
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41. Prescriptions are written by licensed doctors

42. Pharmacists fill prescriptions

43. You can be a valuable intermediary

44. Because…………………………..
You can break the code

45. Jill Luebbert, CPOT, ABOC Independent Consultant Phone: 402-372-2079
Ophthalmic Consulting and Training
Jill Luebbert
1975 ‘B’ Rd
West Point NE
Jill Luebbert, CPOT, ABOC
Independent Consultant
Phone:
Cellular:
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