PHARMACY PRACTICE / ETHICS LABORATORY

Name: ____________________________________ Date: _____________ Section: _______ Station #: ______

Instructions:
1.) Prepare, sign-off and complete the label for the following prescription.
2.) Place all answers in the spaces provided (math answers must be in the box to receive credit).
3.) A portion of this assignment will be evaluated by an instructor, the remainder will be self-evaluated
by the student.

Rx #501
OFFICIAL NEW YORK STATE PRESCRIPTION
Arthur Fonzarelli, MD
Al’ s Medical Center Suite 55-Aaaayy
Slingerlands, NY 12159
(518) 694-7309
LIC. 8675309
PRACTIONER DEA NUMBER

Patient Name _____________________________________________________________

Address_____________________________________ Date ________________________

City ______________________ State _________ Zip_________ Age _____ Sex M F

℞ Drug X 2.5% Drug X 25% solution

ACP
Drug B 6% Lot: 031405 exp 09/10
Rx 501
White petrolatum qs 50g
3/26/06 Aquaphor
50g INITIALS Sig: aaa bid ud Beiersdorf Inc
Lot 36017
Exp 01/07
Drug B powder, USP White petrolatum, USP
Amid Fougera
Lot: 7845 exp 6/08 Lot: S058 exp 01/10

MAXIMUM
DAILY DOSE

Prescriber Signature X_____________________________________________________________________

THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES daw IN BOX BELOW

REFILLS
None
032706 01
Refills: ______
Dispense as Written |||||||||||||||||||||||||||||||||
PHARMACIST
TEST AREA
 PHARMACY PRACTICE / ETHICS LABORATORY
Name: ____________________________________ Date: _____________ Section: _______ Station #: ______

For the following questions, you must show all Albany College of Pharmacy
106 New Scotland Ave
calculations to receive credit. Albany, NY 12208
Enter your answers inside the boxes provided.
Drug X 25% aqueous solution SG = 1 Rx 501 3/26/06
Richie Cunningham
1974 Happy Day Drive
Auxiliary Label(s): Slingerlands, NY 12159
External Use Only
Apply to affected area twice daily as directed.

Weight of jar with ointment _________ Drug X 2.5%/Drug B 6% ointment

Weight of jar without cap __________ 50g
Weight of ointment __________
One refill Initials Dr. Arthur Fonzarelli, MD

1. Calculate the amount of Drug X grams required for this prescription.

If we need 2.5% of Drug X for this Rx,

2.5g = x
100g 50g x = 1.25gof Drug X 1.25g
Answer:

2. Calculate the amount of Drug X aqueous solution in mls required for this Rx?
Drug X 25% solution means there is 25g of Drug X in 100ml of liquid so
25g = 1.25g
100ml x x = 5ml 5ml
Answer:

3. Calculate the amount of Aquaphor in milligrams required for this Rx?

Aquaphor should be used at a ratio of 1g of Aquaphor/1ml of liquid, so if
we need 5ml of Drug X 25% solution, we will use 5g of Aquaphor to 5000mg
incorporate it.
Answer:

4. Calculate the amount of Drug B in grams required for this prescription?

If we need Drug B 6%,

6g = x
100g 50g x = 3g
Answer : 3g
 PHARMACY PRACTICE / ETHICS LABORATORY
Name: ____________________________________ Date: _____________ Section: _______ Station #: ______

5. Calculate the amount of white petrolatum in grams required for this Rx?

50g total
- 5g Drug X 25% aqueous soln (SG =1 so 5ml = 5g) Answer: 37g
- 5g Aquaphor
- 3g Drug B
= 37g of white petrolatum

6. Write the method for compounding this prescription.

1. Weigh 37g of white petrolatum. Label and set aside.

2. Weigh 5g of Aquaphor. Label and set aside.
3. Weigh 3g of Drug B. Label and set aside.
4. Measure 5ml of Drug X 25% aqueous solution in a 10ml cylindrical graduate.
5. Incorporate the 5ml of Drug X 25% aqueous solution into the 5g of Aquaphor until a uniform
product is formed.
6. Levigate the Drub B powder into a small amount of white petrolatum until a uniform product is
formed. Incorporate this product into the rest of the white petrolatum using geometric dilution.
7. Incorporate the Drug X/Aquaphor mixture via geometric dilution into the Drug B/white
petrolatum product until a uniform product is formed.
8. Pack the ointment into a clean 2 oz. ointment jar ensuring pharmaceutical elegance.
9. Label, affix an “External Use Only” label and any other appropriate auxiliary labels to the jar,
and dispense.

afppe06

afppe06