The prescription information on this site follows Federal guidelines and may not reflect tighter laws in individual states. The Federal requirements for pharmacy technicians are what the PTCB and ExCPT exams will ask about.
When the sig is properly decoded, it becomes the directions for the preparation and use of the medication.
This is important because it tells pharmacy technicians how to dispense it. The sig is also printed on the container the prescription is dispensed in, but, translated into regular words for the patient to read.
Besides decoding a prescription's sig, there are several other concerns. There are refill limits, DEA laws, PPPA requirements, patient requests and many other considerations. Pharmacy technicians must know with certainty how to decode prescription orders.
A prescription order must be dated, and it has an appropriate expiration date based on the type of drug ordered. If it's not filled in time, the script expires.
DEA Sch II
DEA Sch III thru V
If refills are allowed by the prescriber, it will be noted on the prescription. However, there are boundaries and limitations. These are the guidelines:
DEA Schedule II
NO REFILLS ALLOWED
DEA Schedule III thru V
up to 5, but only 5 times*
up to 12 Months worth
*If a patient has a Sch 3-5 prescription with 5 refills of 100, but can only afford 50 at a time, they will only get 250 total. (not 500) Period. Each time a refill is redeemed, that refill is then voided. So, if you are authorized a refill of 100, but only get 50, you then forfeit the other 50.
Generic drug substitutions may not be used unless the prescriber has authorized it. Generic substitutions may only be used if the prescriber has requested or authorized them.
→ Must be manually signed by the practitioner. No exceptions.
→ May not be Faxed or Called in, except for a valid emergency.
→ May not have any refills.
Pediatric Dosage Calculations
Pediatric Dosage Calculation methods
should be memorized to prepare for the pharmacy technician exam. However, in the field most prescribers will use a ratio to body weight formula for more accuracy. Pharmacy technicians will be better equipped to package the correct dosage with this more straight-forward method.