Final

CB was due to renew in January, but renewed in February. What fee is due to the board? $5 $25 $100 Pharmacy licensed are renewed every two years on odd numbered years A pharmacist with a lapsed license must show proof of competency after a year A pharmacist with a lapsed license may show competency by providing proof of practice in another state A pharmacist with a lapsed license for at least one year must complete continuing education requirements

$5 for each month or partial month past due. Pharmacy licensed are renewed every two years on odd numbered years True. A pharmacist with a lapsed license must show proof of competency after a year True. A pharmacist with a lapsed license may show competency by providing proof of practice in another state True. Unclear why NAPLEX is not needed based on previous flashcard from notes. A pharmacist with a lapsed license for at least one year must complete continuing education requirements True. This is true for every renewal period as well.

What are the three scenarios for faxing a controlled substance schedule II?

(i) A prescription for a Schedule II controlled narcotic substance to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion in the patient's home. (ii) A prescription for a Schedule II controlled substance for a resident of a long-term care facility. (iii) A prescription for a Schedule II controlled narcotic substance for a patient enrolled in a hospice care program.

Under what circumstance that a prospective drug utilization review is required, what two situations are stricter than OBRA? A patient visits a physician in the physician's office and receives a prescription. The patient has the prescription filled in a retail pharmacy. (ii) A pharmacist fills a prescription for a patient who lives in a personal care home. (iii) A pharmacist in a hospital pharmacy fills an outpatient prescription for a hospital employee. (iv) A patient is treated on a nonemergency basis in an outpatient clinic of a hospital and is given a prescription. The patient has the prescription filled either in the hospital pharmacy or in a retail pharmacy. (v) A pharmacist fills a prescription for a patient in a nursing home. (vi) A pharmacist in a hospital dispenses a drug which will be administered to a patient in the hospital.

(v) A pharmacist fills a prescription for a patient in a nursing home. (vi) A pharmacist in a hospital dispenses a drug which will be administered to a patient in the hospital. OBRA does not require PDR for these, but the Pennsylvania code does.

How long does a pharmacy have to obtain a new pharmacy manager WITHOUT a request for additional time? 5 days 10 days 15 days 30 days 45 days 60 days 90 days

15 days The pharmacy may request an additional 30 days The total will be 45 IF the additional 30 days is requested

Schedule III-V CS may be faxed A pharmacist/pharmacy may not provide or contribute to the installation of a fax machine for a prescriber's office or institution Fax copies must be maintained for two years since the date it was received

Schedule III-V CS may be faxed True. CII may only be faxed in the three scenarios provided in the last flashcard. A pharmacist/pharmacy may not provide or contribute to the installation of a fax machine for a prescriber's office or institution True. Fax copies must be maintained for two years since the date it was received True.

When a pharmacist dispenses a refill not authorized by a prescriber, an "emergency refill," is the pharmacist required to notify the prescriber and what is the timeframe to notify? Yes, 24 hours Yes, 48 hours Yes, 72 hours No requirement to notify the prescriber

Yes, 72 hours

1) What act established prescription vs. OTC and required a prescription before dispensing a prescription drug? 2) What act transferred advertising for Rx to FDA, established CGMP, required drugs be proven to be SAFE and effective before marketing interstate commerence? 3) What act allows the FDA to inspect any location where drugs are stored? Kefauver-Harris Amendment Durham-Humphrey Food, drug, and cosmetic act

1) Durham-Humphrey 2) Kefauver-Harris Amendment 3) Food, drug, and cosmetic act

What is the limit to fill the remaining balance of a partial fill for a CII for the following patients: 1) Normal patient 2) Terminally Ill 3) Patient in assisted living facility 4) Patient in long-term care facility (nursing home) 48 hours 72 hours 7 days 15 days 60 days

1) Normal patient - 72 hours (before CARA is promulgated) 2) Terminally Ill (60 days) 3) Patient in assisted living facility - 72 hours (normal) 4) Patient in long-term care facility (nursing home) - 60 days The time to fill the balance is 72 days. Under CARA, it will be 30 days, but CARA is not promulgated yet. There are two exceptions to the 72 hour limit (slide 63). Long term care facility patient and terminally ill.

What are the three criteria for a verbal prescription for a controlled substance?

1) Not possible to get a written Rx to patient 2) No alternative treatment is appropriate/available 3) Immediate administration is necessary

T/F: Tort law means civil liability and occurs when citizens file law suits against other citizens, it is not a criminal offense Violation of the law is an automatic breach of duty A pharmacist committed breach of duty when the law is violated by a staff member supervised by the pharmacist The conditions for civil liability are met, regardless of injury, harm or loss to the patient, if breach of duty occurs (failure to provide standard of care) What four parts must the injured party prove in order to prove negligence of the pharmacist? 1) D 2) Breach of D 3) I/H/L 4) C

1) Tort law means civil liability and occurs when citizens file law suits against other citizens, it is not a criminal offense True. 2) Violation of the law is an automatic breach of duty True. 3) A pharmacist committed breach of duty when the law is violated by a staff member supervised by the pharmacist True. 4) The conditions for civil liability are met, regardless of injury, harm or loss to the patient, if breach of duty occurs (failure to provide standard of care) False. Injury, harm, or loss must occur. There is no civil liability without harm, even if breach of duty occurs. 5) What four parts must the injured party prove in order to prove negligence of the pharmacist? 1) Duty (responsibility to protect and not harm) 2) Breach of Duty (violated the standard of care) 3) I/H/L 4) C

1) What terms are synonymous with an OTC DRUG? 2) What contains both adequate information for use and adequate directions for use? Legend and non-proprietary proprietary, and patent drug Legend, non-proprietary, and patent drug

1) proprietary, and patent drug 2) Legend and non-proprietary (prescription) Prescription drugs have both adequate information for use and directions for patients

How many days does a LICENSED pharmacist have to report a mailing address to the board of pharmacy? 5 days 10 days 30 days 60 days 180 days

10 days

What is the minimum age to be licensed as a pharmacist? 18 21 22 24 No minimum age for licensure

21

30 credit hours are required for licensure of a pharmacist license. How many CE units is this? 3 90 300

3 10 contact hours = 1 CE (no one uses this)

How many hours of continuing credit are required in a given timespan? 30 hours biyearly 30 hours annually 15 hours annually 15 hours biyearly T/F: Pharmacists must take courses with two hours of credit each related to injectables, patient safety, reporting child abuse, and alcohol misuse Certificates must be retained for at least two years after the date of passing the course Excess hours can be carried into the next period The state board of pharmacy inspects hospital pharmacies

30 hours biyearly Pharmacists must take courses related to injectables, patient safety, reporting child abuse, and alcohol misuse False. Two hours of credit for each is correct, but alcohol misuse is not a required CE course. Patient safety, reporting child abuse, and injectables are required. Certificates must be retained for at least two years after the date of passing the course True. Everything is two years. Excess hours can be carried into the next period False. The state board of pharmacy inspects hospital pharmacies False. The department of health inspects hospital pharmacies.

T/F: 500 of 1500 pharmacy hours must be served in a pharmacy A pharmacist may have more than two interns if approved by the board An intern may receive hours outside Pennsylvania if evidence of experience is satisfactory Pharmacist licenses are renewed every two years on odd numbered years

500 of 1500 pharmacy hours must be served in a pharmacy False. 1500 can come from a pharmacy school program. A pharmacist may have more than two interns if approved by the board True. Typically two, but more than two are possible. (Skledar acts as preceptor for hundreds of students) An intern may receive hours outside Pennsylvania if evidence of experience is satisfactory True. Pharmacy licenses are renewed every two years on odd numbered years False. Must renew every two years, but even number years.

How many days do you have to retrieve computerized records for non-controlled substances? 24 hours 48 hours 72 hours

72 hours

Pennsylvania state board requires a written prescription to be delivered to a pharmacy/pharmacist after an emergency oral prescription is prescribed by a nurse practitioner within _____________ 24 hours 48 hours 72 hours 96 hours 7 days

72 hours Federal law provides 7 days Report to DEA in 7 days if nothing comes (double check this)

T/F A Pharmacy must have one phone number; however, it is not required to list the pharmacy number on the prescription label A television screen may not be visible from the prescription department A prescription department must have a sink for all uses The prescription department may contain a restroom if approved by the state board of pharmacy

A Pharmacy must have one phone number; however, it is not required to list the pharmacy number on the prescription label False. The phone number must be on the prescription label. A television screen may not be visible from the prescription department True. A prescription department must have a sink for all uses False. It must have a sink for "pharmaceutical purposes only" The prescription department may contain a restroom False.

When is PDR required? SELECT TWO A physician fills a prescription in the emergency department A hospital pharmacist dispenses a drug to be administered to a patient A pharmacist dispenses a radiopharmaceutical to a physician that will administer to a patient A physician dispenses a drug A pharmacist fills a prescription for a patient in a long-term care facility for seniors (nursing home)

A hospital pharmacist dispenses a drug to be administered to a patient A pharmacist fills a prescription for a patient in a long-term care facility for seniors (nursing home)

T/F: A licensed pharmacist must be present when an unauthorized person is present in the pharmacy Schedule II prescriptions must be kept in a safe Amber vials may be re-used for new prescriptions if cleaned and the label is new Schedule II-V controlled substances must contain a warning stating "caution: federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed." Pharmacies may not enter into contract with a non-licensed person (broker) that is intended to seek refills and deliver prescriptions on behalf of the patient

A licensed pharmacist must be present when an unauthorized person is present in the pharmacy True. Schedule II prescriptions must be kept in a safe False. They may be dispersed throughout the stock. Amber vials may be re-used for new prescriptions if cleaned and the label is new False. Amber vials may not be re-used. The only containers that may be re-used are glass because they can be cleaned. If the bottle is re-used, the label must be new. Schedule II-V controlled substances must contain a warning stating "caution: federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed." False. The statement is true, except it only applies to schedule II-IV. CS schedule V are not prescription products and are typically over-the-counter with a few exceptions like codeine products. Pharmacies may not enter into contract with payments to a non-licensed person (broker) that is intended to seek refills and deliver prescriptions on behalf of the patient True. A broker used to be able to negotiate a "contract" with a pharmacy, which is likely unethical. Pharmacies would be brokers and remove freedom of choice from patient.

Which of the following is considered compounding? Select all that apply. A pharmacy registers as a human drug compounding outsourcing facility under the drug quality after inspection by the FDA and security act and produces non-prescription products for hospitals A company is licensed by the FDA and uses CGMP to produce prescription and OTC drug products A pharmacy compounds a prescription for a specific patient A pharmacist or their designee compounds a stock bag in anticipation of a prescription

A pharmacy registers as a human drug compounding outsourcing facility under the drug quality after inspection by the FDA and security act and produces non-prescription products for hospitals This is compounding under the drug quality and security act. A pharmacy compounds a prescription for a specific patient A pharmacist or their designee compounds a stock bag in anticipation of a prescription

T/F: Explain why or why not A prescription that left the pharmacy to be delivered to a patient may be returned to stock While not a regulation, it is advised to dispense within 6 months of returning to stock

A prescription that left the pharmacy to be delivered to a patient may be returned to stock True. The prescription never left the control of the pharmacy and that is key. This is not promulgated by the board, but it is written. While not a regulation, it is advised to dispense within 6 months of returning to stock True. Not promulgated so not required, but advised.

T/F: A separate pharmacy permit is required for each pharmacy in a hospital or institution A graduate of a pharmD program may apply for licensure 5 years of the conviction date after committing a felony of the controlled substance A pharmacist with a suspended license is still a pharmacist A pharmacist with a revoked license must sit for the NAPLEX again after a minimum period of time based on the nature of their violation that led to revocation

A separate pharmacy permit is required for each pharmacy in a hospital or institution False. All hospital pharmacies may use the same permit. A graduate of a pharmD program may apply for licensure 5 years of the conviction date after committing a felony of the controlled substance False. There must be a ten (10) year gap between the date of conviction and the application for a license when a felony is committed under the CSA drug act. 5 Years is correct for any form of revocation that is NOT a felony of the CSA. A pharmacist with a suspended license is still a pharmacist True. A pharmacist with a revoked license must sit for the NAPLEX again after a minimum period of time based on the nature of their violation that led to revocation True.

T/F: Biological injectables can be administered to 18 year olds Flu shots can be administered to patients 9 and older DAW 2 indicates the prescriber allows generic substitution All controlled substances prescriptions must be submitted to PDMP (prescription drug monitoring program)

Biological injectables can be administered to 18 year olds False. Must be older than 18, literally 18 and one day is fine. Flu shots can be administered to patients 9 and older True. DAW 2 indicates the prescriber allows generic substitution False. Daw 0 = generic sub. Daw 2 = brand requested. All controlled substances prescriptions must be submitted to PDMP (prescription drug monitoring program) True.

T/F: CB is a pharmacist at a Giant Eagle, a retail establishment, with a pharmacy. CB takes a break and leaves the prescription department to buy a meal from the store. Pharmacy technicians and interns are still present in the prescription department. 1) CB is required to lock the pharmacy/prescription department and the technicians and interns may not be in the pharmacy without the pharmacist present. 2) A prescription image or physical document must be stored for five years from the date of the most recent filling 3) Pharmacies must store a physical document of the state board of pharmacy regulations and PA pharmacy act within their pharmacy and ready for presentation to inspectors 4) All changes to physical pharmacy must be approved by the board and approval will occur within 365 days

CB is required to lock the pharmacy/prescription department and the technicians and interns may not be in the pharmacy without the pharmacist present. False. As long as the pharmacy is within the retail establishment (I.E, not a MALL), the pharmacist may leave the prescription department with employees in the pharmacy 2) A prescription image or physical document must be stored for five years from the date of the most recent filling False. It must be stored for two years from the date of the most recent filling. 3) Pharmacies must store a physical document of the state board of pharmacy regulations and PA pharmacy act within their pharmacy and ready for presentation to inspectors False. Pharmacies must have access, but it is not required to store it in the pharmacy 4) All changes to physical pharmacy must be approved by the board and approval will occur within 365 days False. All changes must be approved, but the approval or decline response is 90 days.

T/F: Central fill pharmacies must have 10 feet of length and 2 feet of depth of counter space for two pharmacists. For each pharmacist after two working at the same time, the length must be increased by 5 feet The safe for the pharmacy may be contained in the pharmacy as long as it is out of sight The pharmacy hours must be posted on the front door of the business containing a pharmacy such as a retailer Security dogs are allowed in the prescription department

Central fill pharmacies must have 10 feet of length and 2 feet of depth of counter space for two pharmacists. For each pharmacist after two working at the same time, the length must be increased by 5 feet False. This is NOT required for central fill pharmacies. The safe for the pharmacy may be contained in the pharmacy as long as it is out of sight False. No safe and no electrical equipment! The pharmacy hours must be posted on the front door of the business containing a pharmacy such as a retailer True. Security dogs are allowed in the prescription department True.

What agency enforces the poison packaging act: Consumer product Safety Commission Federal trade commission HHS Poison and drug commission

Consumer product Safety Commission

T/F: Executed electronic form 222s may be stored off-site in a cloud Executed form 222s may be used for non-controlled substances Community pharmacies may not have samples Generic/therapeutic equivalents are listed in the purple book

Executed electronic form 222s may be stored off-site in a cloud true Executed form 222s may be used for non-controlled substances true Community pharmacies may not have samples true Generic/therapeutic equivalents are listed in the purple book false. Orange. Purple = biosimilars.

T/F: Graduates of foreign schools and non-citizens are eligible for pharmacy licensure All Electronic prescriptions must be encrypted by the entity transmitting the prescription Electronic prescriptions may be transmitted by staff other than a physician A pharmacy or pharmacist may provide a prescriber with technology to transmit electronic prescriptions Electronic prescriptions require the prescribers telephone number, date of transmission, and name of pharmacy intended to receive it

Graduates of foreign schools and non-citizens are eligible for pharmacy licensure True All Electronic prescriptions must be encrypted by the entity transmitting the prescription True Electronic prescriptions may be transmitted by staff other than a physician True A pharmacy or pharmacist may provide a prescriber with technology to transmit electronic prescriptions False. Electronic prescriptions require the prescribers telephone number, date of transmission, and name of pharmacy intended to receive it True. TELEPHONE, DATE OF TRANSMISSION, AND pharmacy intended to receive it

What federal agency enforce HIPAA? HHS CMS NHS DEA

HHS

T/F: Hypodermic needles may be dispersed in the pharmacy over-the-counter stock or kept in the prescription department Hypodermic needles must be dispensed/sold by the pharmacist or designated intern Hypodermic needles may be sold without a prescription Unless a valid explanation is given, pharmacist may only refill a prescription within a reasonable timespan prior to when the contents of the prescription should be consumed based on the prescriber's directions

Hypodermic needles may be dispersed in the pharmacy over-the-counter stock or kept in the prescription department False. Must be kept in the pharmacy. Hypodermic needles must be dispensed/sold by the pharmacist or designated intern False. May be sold by technicians or clerks (pharmacy staff) Hypodermic needles may be sold without a prescription True. Unless a valid explanation is given, pharmacist may only refill a prescription within a reasonable timespan prior to when the contents of the prescription should be consumed based on the prescriber's directions True. No early refills unless an explanation is given.

drug therapy protocol/drug therapy management in institutions and collaborative practice agreements allow pharmacists to alter therapy for patients? 1) What are pharmacists UNABLE to do? Increase dose Decrease dose Change frequency Initiate therapy Change route of administration Order labs

Initiate therapy

T/F: Injectable administration records must be maintained for two years from the date of administration Informed consent is required for injection administration Pharmacists are responsible for errors of interns and pharmacy staff compounding under their supervision The expiration date of a drug in a cancer repository program should be longer than six months after the drug is restocked in order to be eligible A pharmacy/pharmacist must dispense a vaccine information sheet to a patient after receiving a vaccine and maintain record of the date of publication of the sheet, the identification of the VIS, and the date and whom it was provided to

Injectable administration records must be maintained for two years from the date of administration True. Informed consent is required for injection administration True. Pharmacists are responsible for errors of interns and pharmacy staff compounding under their supervision True. The expiration date of a drug in a cancer repository program should be longer than six months after the drug is restocked in order to be eligible True. A pharmacy/pharmacist must dispense a vaccine information sheet to a patient after receiving a vaccine and maintain record of the date of publication of the sheet, the identification of the VIS, and the date and whom it was provided to True. Keep these records for two years from the date of vaccination.

Which of the following is contained on the container + package insert? Label Labeling Promotional labeling

Labeling Label = container only

What topical products require safety caps? Select three Lidocaine Camphor Hydrocortisone Minoxidil Dibucaine

Lidocaine Minoxidil Dibucaine

T/F: Management of drug therapy occurs in the institutional setting, while collaborative practice agreement occurs in the community or outpatient setting Malpractice insurance is required for a pharmacist in a collaborative practice agreement or written protocol for management of drug therapy with a minimum 1 million payout per occurrence or annually Completion of an ACPE accredited course and current BLS license is required for a license to administer injectables A license to administer injectables must be renewed every one year.

Management of drug therapy occurs in the institutional setting, while collaborative practice agreement occurs in the community or outpatient setting True Malpractice insurance is required for a pharmacist in a collaborative practice agreement or written protocol for management of drug therapy with a minimum 1 million payout per occurrence or annually True. Completion of an ACPE accredited course and current BLS license is required for a license to administer injectables True A license to administer injectables must be renewed every one year. False. Two years.

T/F: NPIs are required due to HIPAA All drugs designated as needing safety caps have safety caps on all package sizes "Improves memory" is legal based on the dietary supplement health and education act of 1994 Patients may request a non-safety container for all their prescriptions Prescribers can request non-safety container for all their prescriptions

NPIs are required due to HIPAA True. All drugs designated as needing safety caps have safety caps on all package sizes False. Some drugs have package sizes without safety seal, such as aspirin. "Improves memory" is legal based on the dietary supplement health and education act of 1994 True. That is a structure and function claim, but cannot say it treats a disease Patients may request a non-safety container for all their prescriptions True. Patients can, but prescribers cannot. Prescribers can request INDIVIDUAL prescriptions be non-safety, but not all prescriptions. Prescribers can request non-safety container for all their prescriptions. False. Patients can, but prescribers cannot. Prescribers can request INDIVIDUAL prescriptions be non-safety, but not all prescriptions.

T/F: Omnibus only required manufacturers to pay a rebate to the states based on volume of a drug sold for Medicaid prescriptions and refills Omnibus historically only required prospective drug utilization review to be done for new prescriptions for medicaid patients only Class 1 recall permitted by the FDA is designated for products that are not likely to cause harm Dietary supplements must be oral Pharmacies may display abstracts/publications for dietary supplements, but they must be separate from the dietary supplement in the pharmacy

Omnibus only required manufacturers to pay a rebate to the states based on volume of a drug sold for Medicaid prescriptions and refills False. New prescriptions only, otherwise this statement is true. Omnibus historically only required prospective drug utilization review to be done for new prescriptions for medicaid patients only True. Eventually this was expanded to all new prescriptions. Class 1 recall permitted by the FDA is designated for products that are not likely to cause harm False. Class 1 is the most serious with the highest risk of harm including death. Dietary supplements must be oral True. Sublingual is considered oral. Pharmacies may display abstracts/publications for dietary supplements, but they must be separate from the dietary supplement in the pharmacy True.

T/F Only pharmacists may counsel patients under the Pennsylvania code If a pharmacist discovers an issue during a PDR and does not intervene, it is malpractice A patient profile must be maintained for two years from the date of the last entry Pharmacists do not need to document refusal to counsel

Only pharmacists may counsel patients under the Pennsylvania code True. If a pharmacist discovers an issue during a PDR and does not intervene, it is malpractice True A patient profile must be maintained for two years from the date of the last entry True Pharmacists do not need to document refusal to counsel. False. Refusal to counsel must be documented.

T/F: Optometrists may prescribe agents for glaucoma Optometrists may order schedule II prescriptions for pain graded severe for advanced eye diseases A physician's assistant may prescribe a 30 day supply of a controlled II substance for initial therapy A physician assistant or supervising physician must immediately produce a written agreement providing the authorization to prescribe to the PA and it must include drugs the PA is not able to prescribe A CRNP may not request or dispense prescription medication samples

Optometrists may prescribe agents for glaucoma True. Optometrists may order schedule II prescriptions for pain graded severe for advanced eye diseases False. They cannot prescribe any CIIs A physician's assistant may prescribe a 30 day supply of a controlled II substance for initial therapy False. They can only provide 72 hours for initial therapy. They may provide a 30 day supply for ongoing therapy. A physician assistant or supervising physician must immediately produce a written agreement providing the authorization to prescribe to the PA and it must include drugs the PA is not able to prescribe True. They must provide evidence of their authority to prescribe (written agreement) and it must include what drugs they cannot prescribe A CRNP may not request or dispense prescription medication samples False. They may request, receive, and dispense samples to patients.

You received your license by examination in state A, but moved to state B. You obtained a license by reciprocation in state B and passed the MPJE in state B. You chose not to renew your pharmacy license in state A. You are moving to state C. How can you obtain a pharmacy license? Reciprocate your license from state B Pass the NAPLEX to obtain a license by examination Reciprocate your license from state A Apply for a license with knowledge that you passed the NAPLEX in state A and are qualified to practice pharmacy

Pass the NAPLEX to obtain a license by examination You can only reciprocate a license to a new state from a state that you receive a license by examination (Naplex) Key point: Always maintain your original license that you received via examination

T/F: Patient name, drug name, drug strength, dosing instructions and lot number are not required for unit dose orders Community pharmacies and hospitals are required to complete a perspective drug utilization review for every new prescription/order and refill with a few exceptions Counseling must be offered for each new prescription and refill The offer to counsel must be made by the pharmacist The offer to counsel must be verbal

Patient name, drug name, drug strength, dosing instructions and lot number are not required for unit dose orders True. Community pharmacies and hospitals are required to complete a perspective drug utilization review for every new prescription/order and refill with a few exceptions False. The Pennsylvania code DOES require a PDR for community pharmacies and hospitals, but it does NOT need to be completed for all refills, only new prescriptions and orders. Note this is stricter than OBRA, which does not require PDR for hospital orders. Counseling must be offered for each new prescription and refill False. The offer to counsel must be made for each NEW prescription. The offer to counsel must be made by the pharmacist False. Any pharmacy staff member may offer counsel by the pharmacist The offer to counsel must be verbal False. It may be written if needed.

T/F: Pharmacies may use the same refrigerator for drugs and employee beverages and food items The pharmacy may not be used as storage for anything that is not required for the dispensing of prescriptions The prescription department of the pharmacy must be at least 500 sq feet The prescription department must have at least 10 feet of minimum counter length and the depth must be two feet for all employees

Pharmacies may use the same refrigerator for drugs and employee beverages and food items False. Must contain a fridge for prescription products only. The pharmacy may not be used as storage for anything that is not required for the dispensing of prescriptions True. The prescription department of the pharmacy must be at least 500 sq feet False. 250 square feet. The prescription department must have at least 10 feet of minimum counter length and the depth must be two feet for all employees False. The pharmacy must have 10 feet of length and 2 feet of depth of counter space for two pharmacists. For each pharmacist after two working at the same time, the length must be increased by 5 feet

T/F: Pharmacist's licenses are stored in the pharmacy A pharmacist with a suspended or revoked license must mail their license to the state board of pharmacy It is a civil offense to NOT mail in a suspended license to the board of pharmacy Physicians should not own pharmacies

Pharmacist's licenses are stored in the pharmacy True. Typically. A pharmacist with a suspended license must mail their license to the state board of pharmacy True. It is a civil offense to NOT mail in a suspended license to the board of pharmacy False. It is a criminal offense. Physicians should not own pharmacies True. The state board should never offer a permit to a physician-owned pharmacy.

T/F: Physicians must request samples from hospital pharmacy and samples will be provided by manufacturers Manufacturers must keep record for 3 years

Physicians must request samples from hospital pharmacy and samples will be provided by manufacturers True Manufacturers must keep record for 3 years True

T/F: Schedule V cough preparations containing codeine and/or dilaudid (hydromorphone) require a prescription in the community and hospital A prescription is void if the prescriber is deceased or no longer practicing medicine A pharmacy may not mail a reconstituted antibiotic product, but may mail the dry powder and adequate directions for reconstitution to the patient or caregiver Mailed prescriptions must be sent via first class or common carrier, but may be sent via slower methods if the patient desires

Schedule V cough preparations containing codeine and/or dilaudid (hydromorphone) require a prescription in the community and hospital False. They do require a prescription in the community, but do not require one in the hospital (institution) A prescription is void if the prescriber is deceased or no longer practicing medicine True. A pharmacy may not mail a reconstituted antibiotic product, but may mail the dry powder and adequate directions for reconstitution to the patient or caregiver True. Mailed prescriptions must be sent via first class or common carrier, but may be sent via slower methods if the patient desires True.

T/F: PMDP may only be checked for valid reasons Refills for controlled substances must be reported to PDMP and must submit zero if zero refills occurred A PDMP user must have their own account and password 1) Prescriptions that were verified and checked by the pharmacist may be sold by interns when the pharmacist is on a break away from the pharmacy 2) Prescriptions may be filled (counted and data entered) while the pharmacist is absent.

T/F: PMDP may only be checked for valid reasons True Refills for controlled substances must be reported to PDMP and must submit zero if zero refills occurred True A PDMP user must have their own account and password True. Delegates must have their own account and password too. 1) Prescriptions that were verified and checked by the pharmacist may be sold by interns when the pharmacist is on a break away from the pharmacy True. 2) Prescriptions may be filled (counted and data entered) while the pharmacist is absent. True.

T/F: The Pennsylvania code determined It is legal to advertise the use of controlled substances as long as their schedule is III-V Advertisements must be truthful and informative to the public A patient may request a copy of a prescription The pharmacist must ask for a driver's license or form of identification when a patient asks for a copy of a prescription The copy of a prescription must state that it is a copy to prevent the misuse of it to be used for a refill

The Pennsylvania code determined It is legal to advertise the use of controlled substances as long as their schedule is III-V False. No controlled substance may be advertised. Advertisements must be truthful and informative to the public True. A patient may request a copy of a prescription True. The pharmacist must ask for a driver's license or form of identification when a patient asks for a copy of a prescription False. It is not required, but normal for a pharmacist to do. The pharmacist must document the date and the name of the person it was given to. The copy of a prescription must state that it is a copy to prevent the misuse of it to be used for a refill True

Define reciprocation of a license

The ability to obtain a license to practice pharmacy in a state other than the state that you obtained licensure by examination

T/F: The expiration date is required to be on the label of all prescriptions dispensed by a pharmacy The name of the manufacturer is required to be on the label The prescriber and patient must be notified when providing the patient with a refill that consists of a different product (such as a manufacturer difference)

The expiration date is required to be on the label of all prescriptions dispensed by a pharmacy False. The expiration date is only required if it is < 1 year The name of the manufacturer is required to be on the label True. The prescriber and patient must be notified when providing the patient with a refill that consists of a different product (such as a manufacturer difference) True. Notify the patient, typically this is just a sticker that is put on the label, but ideally the patient should be told.

T/F: The guilty party of a civil liability case is responsible for present and future medical bills incurred to the injured party due to breath of duty by the guilty party The guilty party of a civil liability case is responsible for harm to the injured party in the form of property damage, medical bills, suffering/embarrassment, and lost wages The guilty party of a civil liability case is responsible for indirect damage that occurs as a result of breach of duty

The guilty party of a civil liability case is responsible for present and future medical bills incurred to the injured party due to breath of duty by the guilty party True The guilty party of a civil liability case is responsible for harm to the injured party in the form of property damage, medical bills, suffering/embarrassment, and lost wages True. Ex: The pharmacist causes hip injury to a 15 year old requiring hip replacement. The 15 year old ages and requires a hip replacement every 15 years. The cost of that is incurred to the guilty party despite being a future problem. The guilty party of a civil liability case is responsible for indirect damage that occurs as a result of breach of duty True. Example: Dispense oxycodone to patient and pharmacist does not counsel patient to not drive or operate heavy machinery. The patient crashes into another car. The pharmacist/pharmacy is responsible for indirect damages.

T/F: The length of a collaborative practice agreement between a community pharmacy is two years from the date of execution A pharmacist may provide incentive to a physician to enter into a collaborative practice agreement In the context of centralized prescription processing, processing refers to the cognitive drug utilization review Automated medication systems require a written policy and procedure manual

The length of a collaborative practice agreement between a community pharmacy is two years from the date of execution True. A pharmacist may provide incentive to a physician to enter into a collaborative practice agreement False. In the context of centralized prescription processing, processing refers to the cognitive drug utilization review True. Automated medication systems require a written policy and procedure manual True.

T/F: The pharmacy act states that schedule II may not be filled more than 6 months after the written date and schedule III-V may not be refilled more than 5 times within six months of the written date A pharmacy may choose to only stock their pharmacy with only prescription medications commonly prescribed Pharmacies may not provide a blank prescription book with a pharmacist's name or the name or address of the pharmacy The quantity of medication advertised during a drug advertisement is the freedom of the advertiser

The pharmacy act states that schedule II may not be refilled more than 6 months after the written date and schedule III-V may not be refilled more than 5 times within six months of the written date True. Note this is more stringent than the controlled substance act because federal regulations state that schedule V is not a prescription product. A pharmacy may choose to only stock their pharmacy with prescriptions are commonly prescribed False. This is not allowed. Stock must be diverse and serve patients with diverse needs. Pharmacies may not provide a blank prescription book with a pharmacist's name or the name or address of the pharmacy True. They may not give incentive to prescribers to send patients to a pharmacy. The quantity of medication advertised during a drug advertisement is the freedom of the advertiser False. The quantity advertised must be medically accurate of a typical prescription based on FDA labeling

T/F: The prescriptive authority written agreement between a physician and CRNP is to be made available, free of charge, to any licensed pharmacist or pharmacy upon request Opioid education is required for initial licensure Opioid education provides 2 credit hours Pharmacists do not need to complete CE requirements during their first renewal period after initial licensure with the exception of child abuse reporting Pharmacists are not responsible for maintaining records of CE certificates because of standard CE monitoring through the institutions that offer them

The prescriptive authority written agreement between a physician and CRNP is to be made available, free of charge, to any licensed pharmacist or pharmacy upon request True Opioid education is required for initial licensure True Opioid education provides 2 credit hours 4 credit hours Pharmacists do not need to complete CE requirements during their first renewal period after initial licensure with the exception of child abuse reporting True Pharmacists are not responsible for maintaining records of CE certificates because of standard CE monitoring through the institutions that offer them False. Standard monitoring of CE credits does occur, BUT ultimately pharmacists are responsible for maintaining their own records if something were to happen

T/F: The state board may inspect a pharmacy at anytime without a notice of inspection or warrant Medicaid originated from OBRA Medication therapy management is funded by part D Medicare Medicare is administered by the center for Medicare and Medicaid services (CMS)

The state board may inspect a pharmacy at anytime without a notice of inspection or warrant True. Permit of the pharmacy is informed consent. Medicaid originated from OBRA True. Medication therapy management is funded by part D Medicare True. Medicare is administered by the center for Medicare and Medicaid services (CMS) True.

T/F: The state/FDA may inspect without a warrant Inspectors may look at everything except sales, pricing, and financial data Community pharmacies may not have samples of prescription medications

The state/FDA may inspect without a warrant True. Inspectors may look at everything except sales, pricing, and financial data True. Community pharmacies may not have samples of prescription medications True.

T/F: Under the CSA, it is permissible to directly transmit a CS prescription to a central fill pharmacy without encryption The definition of alcohol implies 95% ethyl alcohol and a product is misbranded and adulterated if it is not 95% ethyl alcohol and uses alcohol The proof of a 90% ethyl alcohol is 45

Under the CSA, it is permissible to directly transmit a CS prescription to a central fill pharmacy without encryption True (slide 77) The definition of alcohol implies 95% ethyl alcohol and a product is misbranded and adulterated if it is not 95% ethyl alcohol and uses alcohol The proof of a 90% ethyl alcohol is 45

T/F: Unstable medications can be mailed in a manner that preserves stability such as cold packs, temperature control devices, and sensors that alert the patient if the stability or integrity was compromised An intern may receive a prescription over the phone with the supervision of a licensed pharmacist A prescription is to be administered by a health-care professional A Hospital is not required to have an outpatient pharmacy

Unstable medications can be mailed in a manner that preserves stability such as cold packs, temperature control devices, and sensors that alert the patient if the stability or integrity was compromised True. An intern may receive a prescription over the phone with the supervision of a licensed pharmacist True, but not recommended... A prescription is to be administered by a health-care professional False. That is the definition of an order. A prescription is self-administered by the patient or a non-professional caregiver. A Hospital is not required to have an outpatient pharmacy True.

What do the DEA need for inspection? a) Credentials b) Notice of inspection c) Administrative inspection warrant d) a and c e) all of the above

e) all of the above

Pharmacists may disclose PHI under HIPAA for: a) Treatment b) Payment c)Health Care operations d) A and C e) all of the above

e) all of the above Treatment, payment, operations

OBRA requires pharmacists to: a) Perform a prospective drug utilization review b) Offer to counsel c) Obtain and maintain patient information d) A and B e) A and C f) All of the above

f) All of the above 1. PDR 2. Counsel for each NEW prescription 3. Maintain