iPLEDGE

Multiple Choice

Which of the following parties are involved in the iPLEDGE system for isotretinoin drugs?

• Prescriber, Pharmacy, and Patient

• Only the Patient

• Only the Prescriber

• Pharmacy and Manufacturer

Open Ended

Why is it important to have a system like iPLEDGE when prescribing isotretinoin drugs?

Multiple Choice

Which of the following is NOT a requirement of the iPLEDGE system?

• Mandatory registration of prescribers, patients, pharmacies, and wholesalers

• Mandatory monthly laboratory pregnancy tests verified by prescriber

• Mandatory interactive educational questions about contraception and birth defects each month

• Optional registration of pharmacies

Open Ended

Describe the responsibilities of the prescriber and the patient in the iPLEDGE program.

Multiple Select

Which of the following are potential birth defects associated with isotretinoin exposure during pregnancy?

• Ear abnormalities

• Thymus gland abnormality

• Parathyroid hormone deficiency

• Lung cancer

Fill in the Blank

All isotretinoin prescriptions must be processed at ___ before dispensing.

Multiple Choice

Which of the following statements about isotretinoin and pregnancy is correct?

• Isotretinoin can be safely used by pregnant women with proper monitoring.

• Isotretinoin must not be used by female patients who are or may become pregnant.

• Isotretinoin has no risk of causing birth defects.

• Isotretinoin can be used without registration in the iPLEDGE program.

Open Ended

What information must be included on an isotretinoin prescription for it to be processed by the pharmacy according to iPLEDGE requirements?

Multiple Choice

Which of the following actions should be taken if a patient's pregnancy results are positive according to the iPLEDGE system?

• Contact prescriber

• Patient to call iPLEDGE

• Continue medication

• STOP taking medication and contact prescriber immediately.

Multiple Choice

Which of the following is NOT a reason for a prescription to be rejected by the iPLEDGE system?

• Pregnancy test NOT entered

• Patient counseling NOT confirmed

• Patient forgot to bring ID

• Prescriber has not confirmed 2 forms of birth control

Open Ended

What steps should a pharmacy take before processing an iPLEDGE prescription, based on the information shown in the images?

Fill in the Blank

After processing an iPLEDGE prescription, the pharmacy must document the ___ number on the prescription.

Open Ended

After learning about iPLEDGE, what questions do you still have or what would you like to know more about regarding the prescribing and dispensing of isotretinoin?

Open Ended

Summarize the main purpose of the iPLEDGE program and explain why it involves prescribers, pharmacies, and patients.