MACE Medication Assistant Exam Prep

Category - Process & Dispense

A female patient wants the continuation of her prescription for Accutane. She has a prescription for Accutane from her doctor, but when the pharmacy calls the IPLEDGE system, it says that she is not qualified, since she did not complete her survey for this month. What can you do?
  1. Sell her the prescription anyway
  2. Tell her you cannot get authorization to fill her prescription until she completes her monthly survey
  3. Tell her the doctor must write another prescription for Accutane as the one she has is no longer valid
  4. Tell the patient that she must register as a patient with the IPLEDGE program
Explanation
Answer: B - You should tell her that you cannot get authorization to fill her prescription until she completes her monthly survey. A requirement of the IPLEDGE system is that a female patient must complete surveys monthly to verify that she is not pregnant, and has been counseled on the potential effects of this medication on a fetus. If a woman has not completed her monthly survey, the medication cannot be sold to her until she completes it.
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Additional Answers

Ted Chan, MBA says:

The iPLEDGE REMS is a safety program to manage the risk of isotretinoin’s teratogenicity and minimize fetal exposure. The REMS is required by the U.S. Food and Drug Administration (FDA) to ensure the benefits of isotretinoin outweigh its risks.

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