Law Exam ( March 19-23)

As of 12/4/2017, certified pharmacy technicians may take verbal orders for non-controlled substances and transfer non-controlled substances under the supervision of a pharmacist. a. True b. False

. True 4729:3-3-04

A pharmacy orders a bottle of 100 Percocet 5/325 mg from a wholesaler with a DEA Form 222. There are several other items ordered on the same form. The wholesaler does not have this in stock and does not know when it will be off "backorder". Can the wholesaler cancel that drug line from the DEA 222 form and fill the rest of the order? a. Yes b. No

A

Ned Ryerson drops off a prescription for Nexium 40mg. "DAW" is pre-printed on the prescription, and is circled. Ned cannot afford the brand name and it is not paid for by his insurance. May the pharmacist fill it with the generic without calling the prescriber? a. Yes b. No

A

Tammy C. comes to your pharmacy with a prescription for metronidazole 250 mg, 2 tablets four times a day until finished, qty # 40. You only have metronidazole 500 mg tablets in stock. Can you change the prescription to say take 1 tablets four times a day, dispense # 20, without contacting the prescriber? a. Yes, if you dispense the 500 mg tablets, and the total amount of drug dispensed is the same as was prescribed. b. No

A

Prescriptions for weight loss. Write true or false next to each statement. a. A physician may write a prescription for Vyvanse® for weight loss. 4731-11-04 OAC b. If a patient is taking phentermine for weight loss, there may be no more than a 30 day break in therapy. OAC 4731-11-02 and 04 c. The total combined length of treatment for short term weight loss medications, such as phentermine, benzphetamine or phendimetrizine, is no more than 4 weeks. OAC 4731-11-02 and 04 d. A patient who took Adipex-P for 12 weeks may not take another controlled substance short-term weight loss drug until 12 weeks more have elapsed since the last dose. OAC 4731-11-02 and 04

A:false; this is a C-II and C-II stimulants may not be used for weight loss. Vyvanse may be used for binge-eating disorder. B: False; no more than a 7 day break in therapy (there are several exceptions; know those exceptions) C: False. Short-term weight loss medications may not be prescribed for more than "a few weeks" according to the package insert; Ohio law interprets this as 12 weeks. D:False; the time period that must elapse is 6 months from the date of the last dose.

When performing prospective DUR, the pharmacist must look for which of the following? Select all that apply. a. Therapeutic duplications b. Abuse/misuse c. Inappropriate duration of treatment d. Drug-drug interactions e. Drug-disease interactions f. Incorrect drug dosage g. Drug-allergy interactions

ALL

3. Patient package inserts are required to be given with prescriptions for which of the following drugs: Ortho-TriCyclen Medroxyprogesterone Premarin (Conjugated estrogens) A and C only All of the above

All of the above

. A patient brings in a prescription to Rite Aid Pharmacy written for glyburide 10mg, one tablet once daily, # 30 tablets with 3 refills. The patient would like to price match Kroger's price of 90 tablets for $10. Are you able to dispense 90 tablets to her today? a. Yes, under any circumstances. b. Yes, if you document that the patient has been taking this and is stable on it. 4729.40 ORC c. No, under no circumstances.

B

If a physician writes on a prescription for an elderly patient "no childproof caps", the pharmacist must dispense all future prescriptions for the patient with an easy-open lid. a. True b. False

B

In 1997, the Food and Drug Administration Modernization Act changed the labeling requirement for legend drugs, thereby authorizing the use of the "Rx Only" symbol. Prior to this change, the label was required to read as follows: A. Caution: Federal law prohibits the transfer of this prescription to anyone other than the person for whom it was prescribed. B. Caution: Federal law prohibits dispensing without a prescription. C. Caution: Federal law restricts this device to sale by or on the order of a physician or a properly licensed practitioner. D. Only a licensed physician can advise you on the use of this drug. E. The FDA has determined that, to ensure safe and effective use of this drug, a prescription is required.

B

Which of the following are true? Select all that apply. a. Patient leaflets are a substitute for patient counseling b. Pharmacists do not have to counsel a patient if they feel the counseling would harm the patient. c. Technicians may ask a patient if they would like counseling d. Technicians may counsel patients

B,C

Which of the following statements are true? Select all that apply a. Schedule III and IV controlled substances must be ordered on a DEA 222 form. b. Schedule III and IV controlled substances may be ordered via CSOS c. Schedule I substances may be ordered on a DEA 222 form d. CSOS may be used to order non-controlled substances

B,C,D

Which of the following are standard references are NOT officially recognized and approved by the Ohio State Board of Pharmacy? Select all that apply. See 4729-11-07 a. Drug Facts and Comparisons b. Lexicomp c. Martindale: The Extra Pharmacopoeia d. USP/NF e. AHFS g. A controlled substance reference table compiled by the state board of pharmacy using any of the reference works listed in this rule. This table shall be made available on the board's web site. h. The Homeopathic Phamacopoeia of the US - note that this is not listed in Ohio, but federal law recognizes it as official compendia i. United States Dispensatory

B,H

MR brings a prescription to your pharmacy for an Advair inhaler. The physician forgot to write the dose of Advair on the prescription (i.e., 100/50, 150/50, 200/50, or 250/50). The patient has been taking Advair 200/50 for the past six months and, when asked, the patient said his physician did not change his dose. Based on the information provided in the patient profile and by the patient, is the pharmacist permitted to dispense the prescription as Advair 200/50 without contacting the doctor? a. yes b. no

B. no. Without a collaborative agreement, pharmacists have no prescribing authority. The office of the prescriber must be contacted, and the strength may be added to this prescription.

A patient brings you a prescription for Roxicodone 10mg 1 tablet q4-6h, #60. You note that the Roxicodone only comes in 5mg or 15mg tablets. Can you legally dispense the 5mg tablets instead? a. Yes, you may make a generic substitution, without calling the office. b. No, never c. If you call the prescriber himself/herself, the strength and quantity may be changed, as long as it is documented with your positive ID on the prescription, and the name of the prescriber. d. You may speak with the office person to change anything on this prescription.

C

A small bottle of nitroglycerin 0.4 mg tablets that is too small to bear a complete label must have at least the following information on it. a. Rx number and name of drug b. Patient name and date c. Rx number and patient name d. Rx number and directions

C

If a patient is taking a short-term controlled substance for weight reduction, there can be no more than a ______ day break in therapy unless there was injury or documentation of unavailability of the patient or doctor. 4731-11-04 (C) a. 1 b. 3 c. 7 d. 30 e.180

C

Prescription files and records must be kept for _____ years under Ohio law. a.1 b.2 c.3 d.5 e.6

C

Which of the following drugs is considered to be "exempt" from the narcotic schedules (that is, they are not scheduled), even though they may contain small amounts of narcotics? Select all that apply. a. Guaifenesin with codeine b. Fiorinal® c. Librax® (chlordiazepoxide 5mg with clidinium 2.5mg) d. Donnatal® Elixir and Tablets (phenobarbital with belladonna alkaloids) e. Tylenol #2 tablets

C,D a. Guaifenesin with codeine This is an exempt narcotic, not a drug that is "exempt" even though it contains a narcotic b. Fiorinal® this is a C-III c. Librax® (chlordiazepoxide 5mg with clidinium 2.5mg) d. Donnatal® Elixir and Tablets (phenobarbital with belladonna alkaloids) e. Tylenol #2 tablets this is a C-III

Mrs. Smith, a regular customer at your pharmacy, asks you to refill her Prinivil®, Xanax®, and Vicodin®. As you begin to refill her prescriptions, you note that she is out of refills for the blood pressure med and anti-anxiety medication. The third was originally a partial fill, which was written 32 days ago. After you tell her she is out of refills and that she will need to get new prescriptions from her doctor, she becomes very worried because she took the last pills this morning and being that it is Saturday, will not be able to get in touch with her physician until Monday. This has never happened to her before, at least not in your pharmacy. What, if anything, can you do to help Mrs. Smith? a. You may not refill any of these at this time. She should be sent to the ER if she needs any over the weekend. b. You may refill all of these for 30 days only to avoid an ER visit. Instruct her to call her physician for further prescriptions or refills. c. You may refill the Prinivil and the Xanax for 30 days only, but you may not complete the partial on the Vicodin. Instruct her to call her physician for prescriptions or refills. d. You may refill the Prinivil and the Xanax for 3 days only. You may not give her any remaining Vicodin, as the partial refill period has expired. Instruct her to call her physician for prescriptions or refills. c. You may refill the Prinivil for 30 days. You may refill the Xanax for 3 days only. You may not give her any remaining Vicodin, as the partial refill period has expired. Instruct her to call her physician for any further prescriptions or refills.

C. . Remember that a new law was passed in the last year or so. 30 days for non-CS; 3 days for CS III-V; none for C-II. Only once per year is allowed.

. How many times may a prescription for flurazepam be transferred between pharmacies that utilize a real-time shared database? This is a C-IV. Real-time shared database is almost like working in the same pharmacy. Almost...not quite. a. once b. twice c. none d. as many times as the prescriber has authorized, or 6 months from the date it was written, whichever comes first.

D

10. Which of the following statements is false? 4731-11-04 (note: you must know the difference between a short-term anorexiant and a medication used for chronic weight management. a. A physician shall utilize phendimetrazine for purposes of weight reduction only if it has an F.D.A. approved indication for this purpose and then only in accordance with all of the provisions of the 4731-11-04 b. Before initiating treatment with phentermine, a physician shall review all records of the patient, and determine that past efforts to lose weight has been ineffective. c. Before a physician may use a C-III or C-IV short term anorexiant for weight loss, the physician must personally meet face to face with the patient every 30 days. d. After initiating treatment, the maximum amount of time a physician may prescribe any combination of short term anorexiant is 6 months.

D

A federal government practitioner is exempt from registration with the DEA if his or her _______ is provided on the prescription. A. Branch of service B. Service identification number (if military) C. Social security number (if a public health service employee) D. All of the above E. B and C only

D

Which of the following statements are true? Select all that apply a. A pharmacist may partially fill an oxycodone prescription if he does not have enough in stock, as long as the remainder can be filled within 72 hours. b. A pharmacist may partially fill an oxycodone prescription for a patient in an LTCF, and continue to partially fill it until the remainder is used up, or within 60 days, whichever comes first. c. A pharmacist may partially fill an oxycodone prescription for a regular outpatient, and continue to partially fill it until the remainder is used up, or within 30 days, whichever comes first. d. all of the above

D

A woman comes into your pharmacy and states that her mother has just passed away and asks you to dispose of all of her extra medications as she does not want them laying around the house anymore. She has lisinopril, hydrochlorothiazide, pravastatin, hydrocodone/APAP, and meloxicam tablets. Can your pharmacy dispose of these medications for her? Select the best answer a. Yes, she can actually just drop them off to any pharmacy. b. No, she may only dispose of them during a drug take-back event sponsored by law enforcement. c. No, she should flush them down the toilet or mix them with kitty litter. d. Yes, if the pharmacy is registered with the DEA as an Authorized Collector and that pharmacy follows the guidelines. e. No, pharmacies may only be used in this way if the person bringing in the drugs is the "Ultimate User."

D a. Yes, she can actually just drop them off to any pharmacy. Incorrect because the pharmacy has to be registered as an authorized collector. b. No, she may only dispose of them during a drug take-back event sponsored by law enforcement. Take back events may still happen, but this is not the only way. c. No, she should flush them down the toilet or mix them with kitty litter. This is no longer appropriate; must be "non-retrievable" by chemical destruction or incineration d. Yes, if the pharmacy is registered with the DEA as an Authorized Collector and that pharmacy follows the guidelines. e. No, pharmacies may only be used in this way if the person bringing in the drugs is the "Ultimate User."

5. Which DEA form must be used to report lost or stolen controlled substances? DEA Form 224 DEA Form 222 DEA Form 41 DEA Form 106

DEA Form 106 DEA Form 224 new pharmacy registration DEA Form 222 order form for CI and CII DEA Form 41 this one is to report destruction

If the prescriber in the previous question wrote the prescription on 1/3/2018, what is the last day it may be filled? a. 3/2/2018 b. 4/2/2018 c. 5/2/2018 d. 6 months after the patient fills the prescription e. None of the above

E. None of the above ORC 3719.05

You call a pain clinic to let them know that a patient has gotten several early refills on an opioid. This is a HIPAA violation. True False

False

You talk to a prescriber on the phone in your pharmacy, and you are overheard by the technician. This is a HIPAA violation. True False

False

A pharmacist may give a vaccination newly available on the market, as long as he passed a basic course in pharmacy school. True False

False Please be sure to read through the ORC and OAC postings on immunizations. ORC 4729.41, OAC 4729-5-36, 5-37 and 5-38

A pharmacist who has not taken a training course in MMR vaccinations may supervise MMR immunizations for an intern who has been trained in MMR vaccinations. True False

False Please be sure to read through the ORC and OAC postings on immunizations. ORC 4729.41, OAC 4729-5-36, 5-37 and 5-38

If a physician prescribes methadone for pain, there must be the prescriber's DEA # with an "X" as the first letter. a. True b. False

False (the x number is required for addiction treatment for Suboxone and Subutex)

Invoices of C-II controlled substances may be kept in the same file as C-III's, C-IV's, and C-V's a. True b. False

False Also in the DEA pharmacist's manual. C-II are stored separately from other CS.

Prescription drug labels must contain the full name of the prescriber, full name of the patient, prescription number, name and address of the dispenser, drug name (with manufacturer or distributor's name if not a brand name), strength (if more than one exists), quantity and explicit directions for use, and date of dispensing. Refills on a label are not a requirement. a. True b. false

False, Part of this is not true 4729-5-16; federal law drug name not required; Ohio law drug name is required. Note the specific rule regarding generic drug name, and when drug name may be omitted.

An immunization-certified pharmacy intern would like to help administer vaccinations at flu shot clinic. If a nurse is present, the supervising pharmacist does not need to be present True False

False, Supervising pharmacist must be present

An immunization-certified pharmacy intern may give immunizations at work, where pharmacist who is filling in is not immunization certified True False

False, Supervising pharmacist must be trained.

The definition of generic drug is a drug that contains identical active and inactive ingredients of the brand name product. a. True b. False

False, only the active ingredients need to be identical

. Go to OAC 4729-36 Charitable pharmacies a. Can samples be given to a charitable pharmacy? Under what circumstances? b. Can a hospital be a charitable pharmacy? c. Is a charitable pharmacy exempt from regular pharmacy requirements, such as security, record keeping, labeling, DUR, or counseling? d. Is a pharmacist allowed to provide a drug sample to a patient without a prescription? e. Is a charitable pharmacy allowed to charge for a drug sample?

Look up

Place the following list of controlled substances in order of control, with letter a being the most controlled or highest level of monitoring. Start with C-I and end with non-controlled substances. Example: A C-I substance would have the letter "a" next to it. Choose letter a, b, c, d, e, or f. Meperidine b. don't forget-and this is Demerol Diphenoxylate with atropine e. or d (they are both C-V) Marijuana a. is a C-I federally Fiorinal® with codeine c. all combination tabs/caps w/ apap/cod are C-III Acetaminophen with codeine elixir d. or e. (they are both C-V) Fioricet® f. (not a CS)

Meperidine: b. don't forget-and this is Demerol Diphenoxylate with atropine e. or d (they are both C-V) Marijuana a. is a C-I federally Fiorinal® with codeine c. all combination tabs/caps w/ apap/cod are C-III Acetaminophen with codeine elixir d. or e. (they are both C-V) Fioricet® f. (not a CS)

A physician writes "refill for 6 months" on a prescription for Ativan 1 mg. Can the physician legally write refills in this manner? a. Yes b. No

No

2. Is the following DEA number for nurse practitioner Jane Goodall legal correct? = AB 2456728? Yes No

No because nurse practitioners must use the letter "M" as the first letter. A, B, and F are used for physicians and dentists.

10. A patient brings you a prescription for the controlled substance Vyvanse® #30, one daily for weight maintenance. Is this prescription fillable if her BMI is 31? Yes No

No, C-II stimulants may not be used for weight loss or maintenance in Ohio. Vyvanse (lisdexamphetamine) may be used for binge eating disorder, which is not weight loss or maintenance.

4. May a prescriber write a prescription "For office use" for lorazepam 0.5 mg to use in the office prior to outpatient procedures? Yes, if the prescriber has an appropriate DEA number for the purchase. Yes, if the physician and pharmacist keep records of the transaction. Only if a DEA form 222 is used.

No, the prescriber should purchase it from the pharmacy as a wholesale sale, and it must be reported to OARRS

8. In Ohio, it is illegal to prescribe an opioid if the morphine equivalent dose (MED) is: 60 70 80 100 None of the above

None of the above This is just a "press pause" number; there is no limit; use tools available for good judgement including Narx care guidelines on OARRS website.

A drug order that is transmitted by fax in an institution must be retained as the original if it is the only record of the order. OAC 4729-17-09 True False

True

Electronic orders in a hospital pharmacy may be considered as the "original" order for the dispensing of drugs. OAC 4729-17-09 True False

True

Judy Dench has taken up a new hobby, spy technology. She is making a mini camera out of paper clips. She asks for some syringes from the pharmacist to apply super glue to the camera parts. You may sell her the syringes. Is this True or False?

True

You are a pharmacist in a hospital and your grandfather is admitted through the ER. You want to help and check his information. This is a HIPAA violation. True False

True

You leave a message on an answering machine that Ian's sildenafil rx is ready. This is a HIPAA violation True False

True

You talk to a prescriber on the phone in your pharmacy, and you are overheard by a customer standing near the pharmacist. This is a HIPAA violation True False

True

7. Is this statement True or False: Schedule II drugs (C-I) have no medicinal use and may not be prescribed True False

True, C-II may be prescribed, C-I may not be prescribed/no medical use

A pharmacist in an institutional pharmacy may not leave the pharmacy while the pharmacy is open during normal business hours. OAC 4729-17-07 True False

True, There are several examples here of circumstances where a pharmacist may leave the pharmacy department while others are there. Know what can be done in pharmacy while pharmacist is gone.

A pharmacist must review a patient's drug interactions, duplications, underuse and overuse of all prescription medications on a profile for every new and refilled prescription that comes in to the pharmacy. a. True b. False

True, This is a prospective DUR, required by law.

A lab technician and a doctor may legally enter the pharmacy to obtain medications when the pharmacy is closed. OAC 4729-17-03 True False

True. One must be a licensed health care practitioner authorized to administer drugs.

What is office based opioid treatment? What is "Terminal distributor of dangerous drugs with an office-based opioid treatment classification" and who does it not include?

What is office based opioid treatment? "Office-based opioid treatment" means the treatment of opioid dependence or addiction using a controlled substance. b. What is "Terminal distributor of dangerous drugs with an office-based opioid treatment classification" and who does it not include? If you search 4729-18-01, it explains: -that OBOT is an office, facility, clinic or other location that has a category III TDDD license, and treats more than 30 patients for opioid addiction at any one time. -that OBOT does not include hospitals, certain research facilities, or SAMSHA certified facilities or facilities registered under the mental health board

9. Is it legal for a certified pharmacy technician take a refill authorization from a physician? Yes No

Yes At least according to the rule posted on the Ohio State Board of Pharmacy website under Technicians, dated 12/4/17

6. Janet Newsome is a resident at a local hospital. Is she permitted to use the hospital's DEA number with a suffix number assigned specifically to her name to write prescriptions for controlled substances while as a resident? Yes No

Yes Know requirements of a suffix

. Can a pharmacy technician legally make the offer to counsel a patient? a. Yes b. No

a

If a patient is on phentermine from January 1st to January 31st, and is switched to Belviq for the entire month of February, can the patient be switched back to phentermine in March? a. yes see guidance document b. no

a

In Ohio ____ hours of safety/medication errors and _____ hours of pharmacy law must be completed every ____ years. a. 2, 3, 3 b. 3, 2, 2 c. 2, 3, 2 d. 3, 2, 3

a

Schedule ____ drugs have the lowest potential for abuse. a. V b. IV c. III d. II e. All have the same potential for abuse

a

Under Ohio law, the pharmacist may not personally supervise more than ______ pharmacy interns at a time unless special permission is granted by the Board of Pharmacy. a. 2 b. 3 c. 4 d. There is no pharmacist to intern ratio in Ohio

a

What must pharmacies report to the database? a. All controlled substance medications for outpatients b. All prescriptions filled c. Only controlled substance prescriptions billed to third-party agencies d. All controlled substances ordered for inpatients

a

Which of the following acts created the two classes of drugs - Rx and OTC? a. Durham-Humphrey Amendment b. 1906 Pure Food and Drug Act c. 1938 Federal Food, Drug and Cosmetic Act d. 1962 Harris-Kefauver Amendments

a

Which of the following is an invalid reason(s) for a pharmacist to run an OARRS report on a patient? a. On a prospective pharmacy technician to see if they have a prescription for controlled drugs and therefore more likely to divert medications b. On a patient who has brought you a new opioid (first time) prescription to fill c. On an employee who is getting a controlled substance prescription filled d. On a patient who refers to a prescription by a slang or street name. e. On a patient who has not had an OARRS report run in over a year.

a

Which of the following statements is true? See 4729-16-10 and Guidance Document "Compounding for Drug Shortages" available at https://pharmacy.ohio.gov/Documents/Pubs/Special/Compounding/Compounding%20for%20Drug%20Shortages.pdf a. The BOP allows an in-state compound pharmacy to provide non-patient specific compounded drug to a health care facility in Ohio during a shortage if an exemption is granted. b. A compounded drug made during a drug shortage may be transferred to another facility within the same company. c. Once an exemption to compound in a drug shortage has been granted, it is in effect indefinitely. d. Any out-of-state outsourcing facility is permitted to provide drugs in the event of a drug shortage. e. All of the above are true f. None of the above are true.

a

According to rules in OAC 4729-5-30, which of the following are true? a. If a patient receives a prescription for loratadine 10 mg tablets #30, the pharmacist may use loratadine liquid to fill the prescription as long as the label indicates the same dose of the drug required by the patient, and equivalent quantity. b. Lyrica prescription refills may be written for up to 1 year. c. Alprazolam prescription refills may be written for up to 1 year d. Pharmacists must enforce the rule that prescriptions for medications containing hydrocodone for acute pain may only be written for a 7 day supply.

a,b

Which of the following are true? 4729-16-03 a. The pharmacist shall be responsible for proper maintenance, cleanliness, and use of all equipment b. Personnel in a compounding pharmacy will wear appropriate clean and protective clothing to protect themselves from chemical exposure and drugs products from contamination. c. A label with the words "compounded drug product" must be placed on containers of reconstituted amoxicillin. d. A label with the words "compounded drug product" must be placed prominently on the label of a container containing a medication that has been compounded.

a,b

Which of the following statements are true? Select all that apply. a. Ketamine is a C-III drug b. Androgel is a C-III drug c. Tylenol with codeine elixir is a C-III drug d. Lortab is a C-III drug

a,b

Which of the following statements is/are true? Select all that apply a. The Ohio Board of Pharmacy is made up of 8 pharmacists and 1 non pharmacist who is at least 45 years old. 4729.02 b. Board tems are 4 years and are renewable once c. Theft or loss of prescription blanks do not need to be reported to the Board of Pharmacy d. A state board inspector wants to see records dating back to 2015. These records must be immediately retrievable.

a,b

Which of the following statements is/are true? Select all that apply. See 4729-16-12 Drugs compounded by a pharmacy for use by a veterinarian. a. The pharmacy may supply a limited quantity that is sufficient for that vet's office use consistent with the beyond use date of the product. b. Using professional judgement, a pharmacy may supply a limited quantity considering the intended use of the medication and the nature of the veterinarian's practice. c. Veterinarians may sell a compounded product to another veterinarian or pharmacy d. A vet may only return a compound to a pharmacy for an error or drug recall. e. A veterinarian may personally furnish up to a 30 day supply of a compounded drug to a patient when, in their professional judgment, failure to provide the drug would result in potential harm to the patient. Only a 7 day supply.

a,b

Which of the following are true about syringes? Select all that apply. 3719.172 Possession or sale of hypodermics. a. Pharmacists may sell syringes to a farmer for use in animal care. b. Pharmacists may sell syringes to a machinist who wants to use them to inject oil into small machinery. c. A syringe with a needle is a considered to be a hypodermic. d. Syringes may be kept on shelves outside the pharmacy department with the other diabetic supplies.

a,b,c

Which of the following statements are true? Select all that apply a. Under Ohio law, a prescriber's professional credentials (MD, DO, etc) must be on every prescription. 4729-5-30 b. All faxed prescriptions must contain a header that identifies the source of the fax. 4729-5-30 c. Pharmacies can fax prescription copies (transfers) directly between two pharmacists. 4729-5-24 d. Prescription refill information is a required component of patient counseling. 4729-5-22 Note: the difference between "shall" and "may"; these words mean different things.

a,b,c

Which of the following statements is/are true? Select all that apply. See "Compounding in Ohio", and links provided within the document. a. Compounding records in a pharmacy, including a fluid therapy pharmacy, and those kept by a prescriber, must contain the name, address, and wholesale or terminal distributor of dangerous drugs license number of the person from whom the drugs were purchased. b. Compounding records must be kept by the responsible pharmacist or prescriber, including compounding logs. c. An exact duplicate of an original prescription for a compound must be retained by the pharmacist or prescriber and may be kept using an alternate recordkeeping system. d. Compounding records must be kept three years and be readily retrievable within 48 hours for inspection by the Board of Pharmacy.

a,b,c

Which of the following statements is/are true? Select all that apply. See guidance docs a. The Ohio Drug Database (OARRS) contains two years' worth of outpatient prescription records for required drugs. b. If a police officer wants to obtain an Ohio Drug Database (OARRS) report for a person they are investigating for drug abuse and using multiple doctors to obtain controlled substances, they must have an active case number assigned from the investigating agency and approval of a supervisor. c. When requesting an OARRS report, the request must also include border state prescription monitoring reports if the pharmacy is located in a county bordering another state. d. If an OARRS report is not available due to technical difficulties, a pharmacist cannot dispense a prescription for a controlled substance until one is obtained.

a,b,c

If there is an automated storage system of controlled substances within the institution, the responsible pharmacist must cause a periodic reconciliation using positive ID to ensure: OAC 4729-17-05 a. Accountability of all doses b. Package integrity c. Reporting of discrepancies d. Access to one drug and strength at a time e. That nurses are giving medications to all patients on time.

a,b,c,d

Pharmacies who compound prescriptions ahead of time in anticipation of a prescription drug orders based on routine, regularly observed prescribing patterns must contain a label with which of the following? Select all that apply. a. Name, strength, and quantity of each drug used in the compounded prescription b. Identification of the repackager by name or by the final six digits of its terminal distributor's license c. Pharmacy control number d. Pharmacy's expiration date or beyond use date e. Prescriber's name f. Patient's name g. directions for use

a,b,c,d

Which the following are considered hospital orders? Select all that apply. OAC 4719-27-09 a. A faxed order from a nursing unit b. A telephone order from a nurse on the nursing unit c. An oral order from a physician, which will be verified and signed by the doctor d. An electronic order entered by authorized personnel with positive ID. e. A faxed order from outside of the hospital

a,b,c,d

A practitioner (MD) can issue a prescription for levothyroxine 0.1 mg in which of the following manners? 4729-5-30 Select all that apply. a. on a written prescription blank b. left on voicemail in pharmacy c. called in by agent of the prescriber d. facsimile (fax) e. electronic order f. email g. text

a,b,c,d,e

According to 4729-17-04, in an institution, a record of compounded or repackaged medications must be kept. Which of the following must be kept on the record? a. Name of drug, strength, quantity, and dosage form; b. Manufacturer's or distributor's control number; c. Manufacturer's or distributor's name, if a generic drug is used; d. Pharmacy control number; e. Manufacturer's or distributor's expiration date; f. The pharmacy's expiration date or beyond-use date; g. Positive identification of the pharmacist responsible for the compounding or repackaging of the drug. h. Name and address of the pharmacy

a,b,c,d,e,f,g

The label of a compounded product for a veterinarian must contain which of the following? Select all that apply. See 4729-16-12 Drugs compounded by a pharmacy for use by a veterinarian. a. Proper storage conditions and beyond use dates b. The name(s) of the active and inactive ingredients c. The amount or percentage of active drug ingredients d. The quantity of compounded drug provided; e. The route of administration; f. The pharmacy name, address, and telephone number g. The pharmacy control number assigned to the compounded drug product. h. The statement "Compounded Drug Product" or other similar statement. i. The name and address of the veterinarian.

a,b,c,d,e,f,g,h

Which of the following regarding compounding are true? Select all that apply. a. Technicians can compound as long as the pharmacist inspects and approves the final product and the technician makes no professional judgements. b. All Ohio pharmacies that compound non-sterile preparations must comply with USP chapter 795 c. A pharmacist has receiving many prescriptions from a dermatologist. It is lawful to make non-specific patient compounds in anticipation of orders from this dermatologist. d. All Ohio pharmacies that compound sterile preparations must comply with USP chapter 797. e. A pharmacist may compound any drug that is commercially available. f. A pharmacist may not compound a drug that is on the "do not compound" list.

a,b,c,d,f

25. Which of the following professionals may write prescriptions under Ohio law? Select all that apply a. Advance practice nurse b. D.O. c. DDS d. DVM e. Chiropractor f. DP g. OD h. naturopath (NMD

a,b,c,d,f,g h. naturopath (NMD) Not legal to write in Ohio, but may fill if prescriber authorized and prescribes in a different state and brings it to Ohio.

All inpatient hospital orders must have which of the following? Select all that apply. OAC 4729-17-09 a. Name of patient b. Date the order was written c. Name, strength, and dosage form of the drug d. Patient address e. Directions for use f. Rx # or serial number

a,b,c,e

Before dispensing an outpatient prescription for a controlled substance, the pharmacist must review the patient's OARRS report covering at least a one year time period in which of the following circumstances? Select all that apply. See guidance docs a. A patient from outside your geographical area brings a controlled substance in your pharmacy b. A patient from your area brings a prescription written by a prescriber who is outside of your geographical area. c. A patient adds a different or new controlled substance to their therapy that was not previously prescribed. d. There is no note on the profile that an OARRS report for the patient has been run in the last 30 days. 12 months If you don't have a documented record of having run an OARRS report in the past year, run it. This creates your baseline. e. A patient asks if there is a refill on his "Zannies". f. A patient seems to be under the influence.

a,b,c,e

An inpatient IV label must contain: (select all that apply). OAC 4729-17-10 a. Name of the drug, dosage form and strength b. Name and final volume of the solution used c. Expiration or beyond use date d. Prescriber's name e. Cautionary statements f. Name and address of the institution

a,b,c,e,f

A container with multiple doses in it (such as a bottle of guaifenesin syrup) for a specific patient may be dispensed in an institution if the label has which of the following (select all that apply). 4729-17-10 a. Identification of the dispensing pharmacy b. The full name of the patient c. The name and strength of the medication in metric if possible. d. The directions for use e. The quantity of medication in the container f. The date of dispensing

a,b,c,f

Which of the following are true regarding generic substitution? Select all that apply a. Patients have the right to refuse generic b. If the brand is dispensed, the name of the manufacturer or distributor must be on the label in addition to the brand name. c. Physicians cannot make an electronic prescription "DAW" The generic may cost more than the brand name d. If a brand name is ordered and a generic is dispensed, the label must have a statement similar to "Generic Medication Dispensed" on the vial.

a,b,d

Which of the following are true? 4729-16-03 a. For all non-sterile compounded drug products, the pharmacy shall comply with the United States pharmacopeia chapter <795>, USP 38 - NF 33, or any official supplement b. The pharmacist shall inspect and approved the compounding process c. The certified pharmacy technician may perform the final check on the finished product d. The pharmacist shall be responsible for all records of the compounded products

a,b,d

Which of the following statements are true? Select all that apply a. For prescription drugs, the words "Federal law prohibits dispensing without a prescription" or "Rx only" must be on every stock bottle of medication from a manufacturer b. All tablets and capsules must have markings or imprints that identify the drug and the manufacturer or distributor. c. A drug product has an NDC number of 00014-8619-01. The "00025" indicates the package size d. Any compounded drug product must have on the label "compounded drug product". (or similar indication; note that amoxicillin for reconstitution and other powdered antibiotics or meds do not need this label!)

a,b,d

Which of the following statements are true? Select all that apply. ORC Sec. 4729.01(C a. Definition of compounding includes preparation mixing, packaging, and labeling of one or more drugs. b. Anticipatory compounding is not considered manufacturing. c. A physician may write a prescription for enalapril with the directions "Take as directed" d. The correct temperature for refrigerated drugs is 2 to 8 degrees C° (35-46° F

a,b,d

Which of the following statements is/are true? Select all that apply. See "Terminal Distributor Requirements for Prescribers Possessing Compounded Drugs." a. A prescriber who orders drugs that are compounded must register as a TDDD. b. A physician's office that orders drugs that are intended to be used for compounding must register as a TDDD. c. A doctor's office next door to your compounding pharmacy wants to buy progesterone powder from you. You may sell the progesterone powder to the office without checking whether they are registered as a TDDD. d. Any TDDD registrant must have a responsible person. e. Medium-risk level and high-risk level compounded drug products may be prepared as immediate use in a physician's office.

a,b,d

Which of the following statements is/are true? Select all that apply. See Compounding Guidance Document for Renewal a. All prescribers that possess compounded drugs or engage in the compounding of dangerous drugs (i.e. prescription drugs) must obtain a license as a terminal distributor of dangerous drugs. b. A facility that is not licensed as a terminal distributor will not be able to purchase any compounded medications or drugs used for the purpose of compounding from any wholesaler, outsourcing facility or pharmacy c. For the purposes of terminal distributor licensure, compounding by a prescriber includes (if non-hazardous and when administered to an individual patient) dilution of a conventionally manufactured nonsterile dangerous drug product with no intervening steps. d. If any activities involve the compounding, combining, admixing, mixing, diluting, or reconstituting of a cytotoxic drug, then the prescriber practice is required to obtain a terminal distributor license

a,b,d

Which of the following statements is/are true? Select all that apply. See guidance doc a. To provide immunizations, pharmacists and interns must complete a certified course that either provides CPR and automated external defi¬brillator (AED) training for laypersons or a more advanced ba¬sic life-support (BLS) training course for health care providers. b. Pharmacists and interns are required to maintain such BLS and AED certification in order to legally administer immunizations pursuant to the law. c. A pharmacist or pharmacy intern may provide the initial dose of the rabies post-exposure vaccine. d. A pre-exposure rabies vaccine can be administered by a pharmacist or pharmacy intern if under a physician-approved protocol.

a,b,d

Which of the following statements is/are true? Select all that apply. See guidance docs a. The Ohio Automated Rx Reporting System (OARRS) includes drugs in the database from C-II through C-V. b. Legally, OARRS reports can be kept in the pharmacy profile of a patient. c. Emergency rooms that dispense less that a 24-hour supply of a controlled substance are not required to report their dispensing data to the Ohio Drug Database. d. Doctors who prescribe 3 day supply of alprazolam to a patient do not need to run an OARRS report

a,b,d

According to 4729-17-10 In an institution, the label of a single unit package of an individual-dose or unit-dose system of packaging of drugs shall include which of the following: (Select all that apply) a. The non-proprietary or proprietary name of the drug; b. The route of administration, if other than oral; c. The name of the pharmacist who packaged it d. The strength and volume, where appropriate, expressed in the metric system whenever possible; e. The control number and expiration date; f. Identification of the manufacturer, packer or distributor, or if the repackager is the dispensing pharmacy identification of the repackager, shall be by name or by the final seven digits of their terminal distributor of dangerous drugs license number, and such identification shall be clearly distinguishable from the rest of the label; g. Special storage conditions, if required.

a,b,d,f,g

Which of the following statements is/are true? Select all that apply. a. Benzphetamine is a C-III b. Phendimetrazine is a C-III c. Diethylpropion is a C-III d. Phentermine is a C-III e. Bupropion and Naltrexone is a C-III f. Buprenophine and naloxone is a C-III

a,b,f

Which of the following are true regarding compounding for drug shortage? See resources listed in the previous question. a. The drug must be on the FDA drug shortage list and not commercially available. b. A drug that has been compounded under an exemption may be given to a patient even after it has been removed from the drug shortage list.. c. The Board may place restrictions or limitations on a request for an exemption. d. An in-state health care facility is any of the following facilities licensed as a TDDD in Ohio: hospital, ambulatory surgery facility, EMS, dermatology clinic, veterinary care clinic. e. All of the above f. None of the above g. a and c only

a,c

Which of the following controlled substances does the pharmacist have to do an exact count? Select all that apply. OAC 4729-9-14 a. An opened 100 tablet bottle of methadone --b. An opened 1000 tablet bottle of zolpidem 10 mg c. An opened 5000 tablet bottle of diazepam 2 mg d. An opened 500 table bottle of Tylenol® #4

a,c

Which of the following statements are true? Select all that apply. a. Tramadol is a C-IV drug b. Gabapentin is a C-V drug c. Pregabalin is a C-V drug d. Cyclobenzaprine is a C-V drug

a,c

Which of the following statements is/are true? Select all that apply. See guidance docs a. OARRS prescription data must be reported by pharmacies to the Board of Pharmacy daily. b. You may run an OARRS report for a patient, and print it and give it to the patient. c. If you sell or transfer controlled substances to another pharmacy, physician, or terminal distributor, you must register as a wholesale distributor with OARRS and report this transaction through OARRS. d. Gabapentin is tracked in OARRS

a,c

Which of the following are considered to be professional duties of an intern under Ohio Law? Assume the intern is being supervised by a pharmacist. Select all that apply. 4729-5-08 Pharmacy intern professional functions. a. Patient counseling b. Transferring controlled substance prescriptions c. Selling Schedule V cough syrups as an OTC d. The administration of influenza immunizations to individuals eighteen years of age and older

a,c,d

Which of the following statements is true? Select all that apply. ORC 4729.41, OAC 4729-5-36, 5-37 and 5-38 a. A pharmacist may give travel vaccines in Ohio if training has occurred and has been documented. b. Pharmacists and interns may give immunization recommended by the Advisory Committee on Immunization Practice (ACIP) of the Centers for Disease Control (CDC) and any immunization specified in the rules adopted by the Board to individuals 7 years and older without a prescription. c. Pharmacists and interns may give the flu vaccine to patients aged 7 years old without a prescription. d. When a pharmacist immunizes a patient with a vaccination other than the flu vaccine, the patient's family physician must be notified. If the patient does not have a family physician, the board of health in the county in which the patient resides must be notified.

a,c,d

Which of the following situations represents drugs that are misbranded? Select all that apply. a. A prescription filled with the wrong drug. b. Prescription drugs that are expired. c. Wrong patient name on the label of a prescription d. The manufacturer's name is different from the generic company used to dispense. e. There is no manufacturer address on a stock bottle for a prescription drug.

a,c,d,e

Which of the following statements is/are true? See https://pharmacy.ohio.gov/FAQ/TDDD.aspx See http://codes.ohio.gov/orc/4729.54 See 4729.541 Exemption from licensure as terminal distributor of dangerous drugs. a. There are four categories of TDDD licenses: Category II, Limited Category II, Category III, limited Category III b. To discontinue business as a terminal distributor of dangerous drugs you must submit a discontinuation of business form within 14 days of closing the business. Must be within 14 days. c. A person who obtains a Category II license may possess, have custody or control of, and distribute only the dangerous drugs described in category II, which are any dangerous drug that is not included in category III d. A person who obtains a Category III license may possess, have custody or control of, and distribute the dangerous drugs described in category II and category III, including any controlled substance that is contained in schedule I, II, III, IV, or V. e. If a person who has a Category III license also has a pain management clinic classification, the person may operate a pain management clinic. f. If the person is seeking to be licensed as a limited category II or limited category III TDDD, the application must have a list of the drugs and purpose for which they will be used, and their source g. A person who has control of or distributes compounded medications, or medications used for the purpose of compounding, or has possession of a controlled substance, must hold a TDDD license. h. A local EMS may buy injectable atropine from your pharmacy if you have a wholesaler classification and the atropine is on the list of drugs on their protocol.

a,c,d,e,f,g,h

Which of the following statements is/are true? Select all that apply. See guidance docs a. A delegate may run a report for a pharmacist b. An intern must register for an OARRS account c. All pharmacists who dispense controlled substances must register for an OARRS account d. A physician prescribing zolpidem must run an OARRS report e. A pharmacist filling zolpidem for the first time for a patient must run an OARRS report.

a,c,e

Which of the following are true? Select all that apply. ORC 4729.38 a. If a prescriber, on a prescription, hand writes DAW, dispense as written, or any other statement or numerical code that indicates the intent to prevent substitution, the pharmacist must dispense the brand-name product ordered. b. If a prescriber hands a preprinted prescription for a brand name drug, with DAW pre-printed on a prescription, the pharmacist must dispense the brand-name product ordered. c. If a prescriber has her nurse handwrite DAW on the Rx, the pharmacist must dispense the brand-name product. d. If a prescriber "stamps" the words "brand medically necessary" the pharmacist should fill the prescription with the brand name. e. If a prescriber electronically sends a prescription to a pharmacy for a brand name drug, and the box is checked for DAW, the pharmacist should fill the prescription with the brand name. f. If a prescriber faxes a prescription for a brand name drug with a DAW box checked, the pharmacist should fill the prescription with the brand name. g. If a prescriber may orally or verbally indicates that the brand name is necessary, the pharmacist should fill the prescription with the brand name.

a,e

Which of the following medications are short term anorexients? Select all that apply a. benzphetamine b. lorcaserin c. phentermine d. phentermine and topiramate e. phendimetrazine

a,e

Which of the following statements is/are true? Select all that apply. See guidance doc a. Pharmacist may initiate drug therapy under a consult agreement. b. Per Board of Pharmacy resolution pharmacists may currently initiate a controlled substance under a consult agreement (2018). c. A pharmacist may never order tests for a patient under a consult agreement d. A pharmacist must evaluate a patient on at least a monthly basis under a consult agreement e. Patient evaluations done by pharmacists under a consult agreement may take place by video conference

a,e

Which of the following does not fit the definition of hazardous drugs that is found in USP 800. Select all that apply. See "Terminal Distributor Requirements for Prescribers Possessing Compounded Drugs." a. Does not follow GMP (good manufacturing practices. b. Carcinogenicity, teratogenicity, or developmental toxicity c. Reproductive toxicity in humans d. Organ toxicity at low dose in humans or animals e. Genotoxicity or new drugs that mimic existing HDs in structure or toxicity f. Is not properly labeled with the exact BUD (beyond use date).

a,f

You work in a 24 hour pharmacy. Yesterday afternoon, you filled a prescription for Tapentadol, and counted the remaining amount in the bottle yourself. This morning, you filled another prescription for Tapentadol, and there are now 3 tablets missing. You cannot account for the missing tablets. You must be report the missing tablets immediately to the Board of Pharmacy. a. True b. False

a. True, You must know all controlled substance schedules for controlled drugs. Them remember the requirements for significant loss or theft. The word "significant" does not mean a lot must be stolen or missing. You may always call the Board if you find them.

Controlled substances may be mailed using the United States Postal Service if the outer wrapper is plain and does not indicate its contents a. True b. False

a. True, Yes read the DEA Pharmacists manual and find the postal requirements. Also in Guide to Federal Pharmacy law.

A patient comes to the pharmacy with the two prescriptions for Adderall XR (C-II) dated 1/22/2018. One of the prescriptions has written on it "do not dispense until 2/22/18." Are these valid prescriptions, if all of the other information is complete and correct? a. Yes, both of them are valid b. No, neither of them are valid. c. Only one of them is valid.

a. Yes, both of them are valid Federal law allows up to a 90 day supply issued in multiple prescriptions. They all must have the issue date, and "do not fill until" on the ones that are to be filled; all must be signed by the prescriber

Next to each of the medications, write the controlled substance schedule and the brand name. a. benzphetamine b. lorcaserin c. phentermine d. phentermine and topiramate e. phendimetrazine

a. benzphetamine C-III Didrex b. lorcaserin C-IV Belviq c. phentermine C-IV Adipex P, Fastin, Lonamin d. phentermine and topiramate C-IV Qsymia e. phendimetrazine C-III Bontril

The Board of Pharmacy regulates the sale of poisons. Read 3719.30 to 3719.35 a. How old does a person have to be to purchase a poisonous substance? b. List ten of the poisonous substances in 3719.32

a: 16 years old B: Compounds and salts of antimony, arsenic, chromium, copper, lead, mercury, and zinc; the concentrated mineral acids; oxalic and hydrocyanic acids and their salts, and carbolic acid; yellow phosphorus; the essential oils of almonds, pennyroyal, tansy, and savin, croton oil, creosote, chloroform, chloral hydrate, and cantharides; aconite, belladonna, bitter almonds, colchicum, cotton root, cocculus indicus, conium, digitalis, hyoscyamus, ignatia, lobelia, nux vomica, opium, physostigma, phytolacca, strophanthus, stramonium, veratum viride, or any of the poisonous alkaloids or alkaloidal salts or other poisonous principles derived from such alkaloids, or other poisonous alkaloids or their salts; or other virulent poison

. If a pharmacy does not have enough Concerta 18 mg in stock, the pharmacy has ______ to fill the remainder of a patient's prescription. a. 48 hours b. 72 hours c. 7 days d. 30 days e. 60 days

b

A pharmacist receives a prescription for #60 tablets of OxyContin® 20 mg, with "DAW" written on the prescription by the prescriber. After checking, the pharmacist sees that there are only 30 tablets of the drug in stock. She is expecting a shipment the next day and anticipates having enough OxyContin 20 mg to fill the remainder of the prescription. What is her best course of action? a. Send the patient to a different store because refills are not permitted for OxyContin®. b. With the patient's permission, the pharmacist may partially fill the prescription as long as the she fills the remainder within 72 hours. c. She may tell the patient to return within 6 months for a refill. d. Without calling the physician, she may substitute with a generic to fill the prescription.

b

A prescriber calls your pharmacy and asks you, the pharmacist if a patient is receiving oxycodone from your pharmacy, because she thinks the patient may be "doctor shopping". The pharmacist checks the patient's profile and prints an OARRS report. Which of the following may the pharmacist do? See guidance docs a. The pharmacist may fax the OARRS report to the prescriber b. The pharmacist may discuss the report with the prescriber c. The pharmacist may mail the report to the prescriber.

b

A prescription is written for atorvastatin 10mg with 1 year refills indicated. The patient brings the prescription in, which is dated September 15, 2017. The date the script is brought in is April 15th 2018. Are you legally permitted fill this prescription? a.Yes b.No

b

A resident physician has left an institution, and is now training at a site in a different state. The hospital DEA number with a suffix that was assigned to the resident is no longer in effect, and must be reported to the Board of Pharmacy within ______ of the date the change was made. a. 1 day b. 5 days c. 7 days d. 30 days

b

By law, pharmacists must counsel each patient even if the patient refuses counseling. a. True b. False

b

Dr. Marcia Wilson is a neurologist treating attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD) patients. Among her treatments for these patients, she prescribes Ritalin, Concerta, and Adderall. Her general policy is that patients using these medications must be seen in her office every 3 months for evaluation. Because most of her patients prefer to obtain their prescriptions locally and third-party prescription drug plans will reimburse only for a 30-day supply, Dr. Wilson is forced to issue three prescriptions to provide adequate medication between office visits. According to the applicable DEA regulation on issuing multiple prescriptions for a schedule II controlled substance, for how many total days' supply of a schedule II controlled substance may Dr. Wilson issue multiple prescriptions to a patient? a.. 60 b. 90 c. 120 d. 150 e. 180 Explanation: The applicable DEA regulation is 21 CFR 1306.12.

b

How many C.E.U.s of continuing education must a pharmacist complete every three years to maintain his license in Ohio? a. 3 b. 6.0 c. 2 d. 30 e. 60

b

How often must a pharmacy report the dispensing of reportable drugs to the database? a. Real time (at point of sale) b. Daily c. Weekly d. The last day of the month for all reported drugs dispensed that month.

b

In an institution, a reconciliation of a floor stock of controlled substances shall be conducted ______________ by both the leaving and arriving licensed health care professional responsible for the security of these drugs, and must include ____________ of both individuals. OAC 4729-17-05 a. Every hour, name of supervisor b. Every shift, positive ID c. Every 24 hours, name of supervisor d. Every 48 hours, positive ID

b

On December 10, 2017, a patient presents a prescription for 60 capsules of Fiorinal, with the maximum number of refills allowed by law. Patient gets all refills during the allowable time period. It is now one year later, and you are looking at the patient profile. How many Fiorinal tablets has the pharmacist given to the patient since December 10, 2017? A. 60 B. 360 because the original, plus 5 refills x 60 = 360 C. 420

b

Patient has been on phentermine for 12 weeks. She did not return to the doctor's office for follow up until 2 months after her last dose of phentermine for reasons she would prefer not to discuss. She would like to try Qsymia. Is her doctor allowed to prescribe this for her? a. Yes. The patient may be switched to one of the new drugs if treatment is interrupted for more than 7 days due to purely personal reasons. b. No. If a patient's treatment was interrupted for over 7 days without a valid reason, the patient may not begin treatment with one of the new drugs until 6 months after the last date the physician prescribed phentermine.

b

Pharmacies must have the phone number of the nearest poison control center available as part of the library requirement. a. True b. False

b

Pharmacist Joleen Green is closing the prescription department (pharmacy) for the day. The rest of the store remains open. Is the pharmacist allowed to leave a prescription at the front of the store to be picked up after the prescription department is closed? a. Yes b. No

b

Pharmacist receives a prescription with 10 preprinted medications; three of them are selected. None are controls. Is this a legal prescription? OAC 4729-5-13 a. Yes b. No

b

Regarding multiple drugs in the same container (nursing homes), the maximum amount of drug that can be dispensed is _________ supply and cannot have an expiration date of not more than ________. a. 60 days; 31 days b. 31 days; 60 days c. 7 days; 45 days d. 31 days; 31 days

b

The DEA number of a hospital is often assigned to residents and trainees in that hospital. An internal code consisting of a suffix to the DEA number must be assigned to each individual resident. What must the suffix consist of? a. The hospital DEA number followed by and individual 4 digit number b. The hospital DEA number followed by a hyphen and a 3 digit number or a letter and 2 digits, for a total of 10 characters, not including the hyphen. c. The hospital DEA number followed by an asterisk and a letter d. The hospital DEA number followed by an asterisk and the resident's initials

b

True or False: A patient may be started on a prescription for Belviq on May 1st if patient was taking phentermine for the month of January. Patient has not had any other weight loss medications since January 31st. a. True b. False

b

Which of the following is true? OAC 4729-17-10 a. If medications are labeled for inpatient use only, it is okay for a nurse to leave a patient's medications on his night stand while in the hospital, so that he may take them himself. b. In an institution, is permissible to leave a patient's inhaler at bedside if it labeled as an outpatient prescription, and the physician authorizes the patient to use their own med. 4729-17-10(B) c. An inpatient with COPD is being discharged from Parkview Hospital. The nurse calls the staff pharmacist who is working at Parkview Hospital inpatient pharmacy. The nurse wants to send the patient's Advair Inhaler home with him. The pharmacist gives the go ahead to do so. This is perfectly legal. Not unless the pharmacist labels it like an outpatient prescription with all requirements for a normal prescription label.

b

Which of the following statements about emergency refills is/are true? a. Pharmacists are required to give the patient 30 days' worth of medication if the patient requests a refill on a medication necessary to sustain life, and no refills remain on the prescription. b. Pharmacists may not refill a prescription under the emergency refill law if the pharmacy does not have a record of the medication in the system. c. An insurance company must reimburse the pharmacy for a prescription filled under the emergency refill law. d. A pharmacist must notify the prescriber within 24 hours of an emergency refill.

b

Which of the following statements is TRUE? a. A physician may prescribe a controlled substance to his/her spouse under any circumstances. b. An electronic prescription is one that is sent directly from a prescriber's computer to a dispenser's computer. c. A prescriber may post-date a prescription, i.e., write a date in the future as the "issue date". d. A prescription for guaifenesin with codeine containing 200 mg of codeine in 100 mL of product is a classified as a C-III controlled substance. e. all of the above

b

Which of the following statements regarding limits on filling prescriptions for opioids by pharmacists is/are true? a. Chronic pain is defined as pain that normally fades with healing, is related to tissue damage, significantly alters a patient's typical function and is expected to be time limited. b. The days' supply is required on all acute opioid and gabapentin prescriptions. c. A pharmacist may not fill a prescription for an opioid unless it has the diagnosis or procedure code and the days' supply. d. All of the above are true.

b

Which of the following statements regarding limits on opioid prescribing is/are true? a. Prescription opioids are limited to 7 days for chronic pain in adults. b. Prescription opioids are limited to 5 days in acute pain for minors (less than 18 years of age) and only after the written consent of the parent or guardian is obtained. c. Pharmacists are expected to enforce the acute pain prescribing laws. d. All of the above are true. e. None of the above is true. f. Only a and b are true.

b

Pharmacists do not have to make the offer counsel patients on refilled prescriptions. a. True b. False

b 4729-5-22

Which of the following statements is/are true? See 4729.552 License as a category III terminal distributor of dangerous drugs with a pain management clinic classification. a. A pain management facility may be owned and operated by a person other than a physician. b. Owners and employees of a pain management facility must submit to a criminal records check. c. A list of owners must be submitted to the Board of Pharmacy and notify the pharmacy if any changes are made. d. A person with a Category II classification may operate a pain management facility. Must be a Category III with a pain management classification.

b,c

Regarding OAC 4729:17 Institutional Pharmacy, which of the following is true? Select all that apply. a. A pharmacist who is only registered to practice pharmacy in the state of Michigan may act as director of pharmacy in an institution in Ohio. b. The director of pharmacy shall work with other disciplines to develop policies and procedures for the distribution of drugs within the institution. c. The responsible pharmacist in an institution is the director and must assure security of all drugs within the institution, in all areas, including the ER, surgery and nursing units. d. The director of pharmacy must develop, implement, supervise, and coordinate all services provided by the pharmacy.

b,c,d

Terminal Distributor Questions. See 4729.54 (all sections), and 4729-18 (all sections) https://pharmacy.ohio.gov/Licensing/TDDD.aspx Write next to each statement whether statement is True or False. a. If a pharmacy has a Category II terminal distributor's license, it can sell (dispense) drugs in categories II and III. b. A prescriber who compounds, has custody of or control of, or distributes dangerous drugs that are compounded, or even used for the purpose of compounding, is required by Ohio law to hold a current TDDD license. OAC 4729-49-09 c. Regarding OBOT (Office Based Opioid Treatment); a person with a felony conviction may work in an OBOT environment if a waiver is granted by the Board d. Regarding OBOT, and regarding a person who is granted a waiver described in (c), the Board must be notified if the individual is no longer employed by the facility. More to come on TDDD. 4729.54, 541, 55, 552, 553, 561, 57

b,c,d

The FDA Safety and Innovation Act grants permission for hospitals and health systems to repack and share drugs, including controlled substances, in short supply during an FDA published shortage plus 60 days after the drug is taken off the list. b. Requirements for drugs compounded in a fluid therapy pharmacy include rules regarding non-sterile drugs. c. Orders for patients receiving drugs from a fluid therapy pharmacy must include: (1) Name and address of the patient;(2) Name, strength, and dosage form of the drug; (3) Directions for use, including route of administration; (4) Date prescribed; (5) Prescriber's positive identification;(6) Length of therapy or total quantity to be dispensed. d. When prepared in a fluid therapy pharmacy, no compounded parenteral product prescription may be dispensed unless the label includes (1) The name and address of the pharmacy as it appears on the terminal distributor of dangerous drugs license (2) The telephone number of the pharmacy;(3) The full name of the patient for whom the drug is prescribed; (4) The full name of the prescriber; (5) Directions for use of the drug which must include route of administration; (6) The date of dispensing; (7) Any cautions which may be required by federal or state law; (8) The name and amount of the drug(s) added;(9) The name and volume of the parenteral solution; (10) The quantity of drug dispensed, if appropriate;(11) Beyond use date; (12) Storage conditions.

b,c,d

Which of the following are true? Select all that apply. a. Pharmacy Interns may legally transfer a lorazepam prescription to another pharmacy. b. Pharmacy Interns may legally accept a verbal order for acetaminophen with codeine. c. Pharmacy Interns may fax a transfer of clonidine to another pharmacy d. Pharmacy technicians (certified) may accept a transfer of atenolol from another certified technician.

b,c,d

Which of the following statements is/are true? Select all that apply. See guidance doc a. An initial consultation between a pharmacist and a patient under a consult agreement must be face to face. 4729:1-6-03 Standards may be in person, by telephone or video conference b. When a pharmacist issues a prescription, it must include the signature of the pharmacist and a number where the pharmacist may be reached during normal business hours. c. A pharmacist may issue a prescription on behalf of a physician in writing, orally, by a manually signed drug order sent via facsimile or by an electronic prescribing, with positive identification. d. Under a consult agreement, the definition of Managing pharmacist" means a pharmacist managing a patient's drug therapy pursuant to a consult agreement.

b,c,d

Which of the following statements is true regarding poisons? Records of poison sales must be kept for 3 years under Ohio law. a. You must be at least 18 years old to purchase a poison. b. Compounds labeled for "external use" are not considered poisons. c. The definition of a poison is a compound that is harmful to an adult life in quantities of 8 grams or less. ORC 3719.01W d. The pharmacist must keep a record of purpose of use for the poison as well as other information required by law.

b,d

Which of the following statements is/are true? Select all that apply. See "Compounding in Ohio", and links provided within the document. a. An Ohio pharmacy may compound human drugs at an Ohio pharmacy for direct administration by a prescriber if the pharmacy only provide a 1 week supply of a non-patient specific compounded drug that is not commercially available to a prescriber for the following situations: (a) To treat an emergency situation; (b) For an unanticipated procedure for which a time delay would negatively affect a patient outcome; (c) For diagnostic purposes. 4729-16-07 b. All non-resident (facilities located outside of Ohio) compounding pharmacies must submit documentation that it is in compliance with USP 795 and USP 797 c. In the event of a drug shortage, an in-state pharmacy may request an exemption to allow compounding of medications for an outpatient. d. In order to obtain the exemption, the responsible pharmacist for the in-state pharmacy and the medical director of an in-state health care facility or Ohio licensed pharmacist who is authorized by the in-state health care facility to act on behalf of the medical director must notify the executive director of the state board of pharmacy in a manner prescribed by the board.

b,d

Which of the following statements are true? Select all that apply a. A pharmacist can give the consumer a detailed patient leaflet or drug information sheet as a substitute for the offer to counsel as long as it thoroughly covers the drug dispensed. 4729-5-22 OAC b. A pharmacist who has accepted responsibility for the supervision and training of a pharmacy intern is responsible for all acts performed by the pharmacy intern working under the pharmacist's supervision. c. A prescriber may write prescriptions for alprazolam and tizanidine on the same prescription blank as long as an OARRS report is done. OAC 4729-5-13 d. A clinical pharmacist may legally return to stock and re-dispense a medication that has been brought back to your pharmacy by a patient. OAC 4729-5-14 e. A hospital pharmacist may legally return to stock and re-dispense a medication for an inpatient. OAC 4729-9-04

b,e

A pharmacist can only sell one schedule V codeine cough syrup (Robitussin AC®) over-the-counter to the same patient every _____ hours. a. 24 b. 48 c. 72 d. 96

b. 48 DEA Pharmacists Manual

If a pharmacist makes an error filling out a DEA Form 222 when ordering schedule II's, he may erase the mistake and correct it. a. True b. False c. Only if the form was filled out in pencil

b. False Forms may not be altered in any way.

In Ohio, a controlled substances inventory must be taken every two years and a federal inventory every one year. a. True b. False

b. False It's the other way around. Ohio law is more strict; CS inventory is annual in Ohio, biennial (every 2 years) for federal. There are other requirements for inventory. DEA Pharmacist's manual

Dr. Joe Jeffries, calls in an emergency prescription for Percocet. He gives you the following DEA number: BJ 7980457. Is this a valid DEA number? a. Yes b. No

b. No Make sure that you not only check that the numbers add up, but also the first and second letters. Know what these can be for each practitioner. (Physician, PA, APN, etc.)

A patient comes to your pharmacy with a prescription for 30g of triamcinolone 1% cream. You only have a 60g tube in stock. Can you dispense the 60g tube? a. yes b. No

b. No. Without a collaborative agreement, pharmacists have no prescribing authority. The office of the prescriber must be contacted, and the quantity may be changed with permission on this prescription.

A medical device that requires pre-marketing approval, and must demonstrate safety and effectiveness is a __________ device. Hint: Classification of Medical Devices The FDA categorizes medical devices into one of three classes - Class I, II, or III - based on their risks and the regulatory controls necessary to provide a reasonable assurance of safety and effectiveness. Class I devices generally pose the lowest risk to the patient and/or user and Class III devices pose the highest risk. a. Class I b. Class II c. Class III

c

According to the applicable DEA regulation on issuing multiple prescriptions for a schedule II controlled substance, for how many total days' supply of a prescription for Adderall may a prescriber issue multiple prescriptions to a patient? A. 30 B. 60 C. 90 D. 120 E. 180

c

All drugs in an institution dispensed in greater than a _____________ supply shall be dispensed in tamper-evident, unit-of-use containers except multidose liquids and injectables where unit-of-use packaging is not available. a. 24 hour b. 48 hour c. 72 hour d. 7 day

c

How long may a pharmacist's identification card lapse before renewal requires further examination? (Assume the pharmacist has not been practicing in another state.) 30 days a. 1 year b. 2 years c. 3 years

c

How many milligrams of codeine can a consumer purchase in a schedule V cough syrup over-the-counter per 48 hours? 3719.16 4 grains (about 60-65 mg per grain) a. 125mg b. 30mg c. 250mg d. 250g e. 30g

c

Inventory Pharmacies have _______ to dispose of outdated drugs and wholesalers have ________. a. 1 year; 1 year b. 2 years; 2 years c.1 year; 2 years d.2 years; 1 year e.1 year; 3 years

c

Inventory Ohio pharmacies must take a controlled substance inventory every ________; federal law requires controlled substance inventory every _______. a. 2 years, 1 year b. 1 year, 1 year c. 1 year, 2 years d. 3 years, 2 years

c

Lortab® 5/325 drug can have a maximum of a. 5 refills or 6 months b. 1 refill c. No refills d. 1 years' worth of refills

c

On which of the following medications is information collected by the OARRS database? a. Fioricet b. Pseudoephedrine c. Drugs in Schedules 2 through 5 d. Guaifenesin with codeine dispensed as an exempt narcotic.

c

When a prescription that is needed for evidence is given to a BOP inspector, what must the pharmacist ask for in return? a. An official email from the BOP b. The official business card of the BOP agent c. A receipt of the prescription taken, including the following information: Rx#, name of drug, quantity of drug prescribed, quantity of drug dispensed, prescriber name, and the date, name, agency and signature of the person who is removing the record. d. You may not give an original prescription to a BOP inspector for evidence.

c

Which of the following is NOT an exception to when a prescriber has to run an OARRS report on a patient? a. The drug is prescribed or personally furnished in an amount indicated for a period not to exceed seven days b. The drug is prescribed or personally furnished for the treatment of cancer or another condition associated with cancer c. The drug is prescribed or personally furnished to a minor d. The drug is prescribed or personally furnished to a hospice patient

c

Which of the following statements are true? OAC 4729-17-07 a. A pharmacist may not leave a hospital pharmacy unsupervised for any reason b. If a pharmacist must leave a hospital pharmacy to check a patient's chart, a pharmacy technician may continue to dispense new medications according to nursing requests. c. Policies and procedures shall be put in place regarding the operation of the pharmacy during the temporary absence of the pharmacist andshall include the authorized duties of pharmacy staff, the pharmacist's responsibilities for checking all work performed by staff, and the pharmacist's responsibility for maintaining the security and control of the drug stock.

c

Which of the following statements is TRUE? a. On Saturday, a patient presents you the second of three prescriptions that were issued as multiple prescriptions for Adderall®. The patient wants to fill the prescription on Saturday because the "do not fill by" date on the prescription is Sunday, and your pharmacy is not open on Sunday. The applicable DEA regulation allows you to dispense the prescription on Saturday prior to the "do not fill by" date. b. According to federal law, a prescription for a schedule III, IV, or V controlled substance may be transferred between pharmacies that are not electronically sharing a real-time, online database for a maximum two times. c. You work for Walgreens and can access a real time, online database. You may transfer a prescription for Tylenol #3 within the chain up to the maximum refills permitted by law and by the prescriber's authorization. d. All of the above are true. e. None of the above is true.

c

Which of the following statements is true? 4729:2-1-01 a. A pharmacist can be a supervisor for an unlimited number of interns b. A pharmacist may supervise only one intern at one time unless permission is granted by the board c. A pharmacist may supervise more than two interns at an immunization clinic d. An intern may administer the flu vaccine to a anyone zero through eighteen years. 4729.41

c

Which of the following statements is/are true regarding short-term anorexiants. Select all that apply. a. Short term anorexiants include C-II medications such as Vyvanse for binge eating disorder b. Short term anorexiants may be given for a period not exceeding 12 months c. Short term anorexiants may be used for a few weeks, determined by the BOP as being no longer than 12 weeks. d. In the physician's place, a physician's assistant is permitted to evaluate a patient every 30 days for the purpose of assessing weight loss. e. A patient must lose weight over every 30 day period to continue a short term anorexiant. f. A face to face visit and weight of patient taking short term anorexiant must be documented every two weeks in the patient's chart. g. Short-term anorexiants are those medications in Schedule III or IV that are intended to be used for weight loss purposes and have FDA approved labeling indicating that they can be used for weight maintenance.

c

Which of the following statements is/are true? a. A pharmacist wants to come out of retirement to earn some extra money. It has been two years since he renewed his license. He must take the state board exam again in order to practice pharmacy b. A pharmacist goes on an extended medical leave. He may remain the responsible pharmacist. c. To change a name, a pharmacist must provide to the board one i. A notarized affidavit. ii. A certified copy of a court record. iii. A certified copy of a marriage certificate (see https://pharmacy.ohio.gov/Documents/Licensing/Pharmacist/General/Ohio%20Pharmacist%20Renewal.pdf) d. All of the above e. None of the above f. a and c

c

Which of the following statements regarding limits on opioid prescribing is/are true? a. The total morphine equivalent dose (MED) of a prescription for acute pain cannot exceed an average of 80 MED per day. b. The opioid prescribing limits apply to both inpatient and outpatient prescriptions for opioids. c. The four digit ICD 10 code or CDT must be placed on all prescriptions, including chronic pain, for opioids and gabapentin. d. These rules apply to all prescribers including veterinarians. e. The diagnosis codes will only apply to opioids after June 1, 2018.

c

You must be ______ years old to buy Robitussin AC as a C-V exempt narcotic as an OTC and at least ______ years old to buy a poison. a.18; 18 b. 16; 16 c. 18; 16 d. 16; 18 e. 18; 21

c

____________ drugs are for those drugs required to meet the therapeutic needs of patients when a pharmacist is unavailable. _______________ drugs are those drugs required to meet immediate needs to save or sustain life. a. Emergency; contingency b. Crash cart; contingency c. Contingency; emergency d. Crash cart; floor stock e. Emergency; floor stock

c

Which of the following statements regarding lorcaserin and topiramate/phentermine, and weight reduction, are true? Select all that apply. a. They are indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of 27 or higher. b. The drugs may also be used for overweight adults with a BMI of 25 or higher and at least one weight-related condition such as high blood pressure, Type 2 diabetes, or high cholesterol. c. Before starting treatment for weight reduction that includes a Schedule III or IV controlled substance, the physician has to determine that the patient has made a substantial good-faith effort to lose weight in a treatment program utilizing a regimen of weight reduction based on caloric restriction, nutritional counseling, behavior modification, and exercise, without the use of controlled substances, and that the treatment has been ineffective d. Before starting treatment for weight reduction that includes a Schedule III or IV controlled substance, the physician has to assess and document the patient's freedom from signs of drug or alcohol abuse, and the presence or absence of contraindications and adverse side effects from the medication e. The time limit for Qsymia and Belviq use in any patient is 12 weeks.

c a:30 days b: 27 or higher

Which of the following statements are true regarding the sale of schedule V controlled substances at OTCs (example Robitussin AC®)? a. If a patient boils a schedule V to make the contents more concentrated, it automatically becomes a schedule IV. b. You must be 18 to purchase a schedule V as an OTC every 24 hours. c. A bound record book with the true name and complete address of the purchaser, the legible signature of the purchaser, the name and quantity of controlled substances sold, the date of each sale, and the name and legible initials of the pharmacist who sold the controlled substance at retail. d. A bound book with required information shall be maintained for a period of three years from the date of the last transaction and must be made available for inspection and copying by persons authorized to enforce the federal and state drug laws.

c,d

Which of the following situations describes adulteration of a drug? a. A pharmacist fills a prescription with the wrong directions. b. Dispensing a medication without a prescription. c. Mrs. Smith leaves the pharmacy building with her prescription. Two hours later she brings it back. She said she never opened the Rx vial. You re-dispense the medication. d. A pharmacy that does not meet all USP <797> specifications makes a sterile product. e. For multiple drugs packaged in the same container, if one drug is discontinued all of the medication in that pack may be used.

c,d,e

Which of the following statements are true? Select all that apply OAC 4729-9-11 a. The owner of your company, who is not a pharmacist, may legally have the keys to the pharmacy department. b. Needles and syringes (hypodermics) may be stored in self service areas c. Only a pharmacist may assume the responsibility for the storage of dangerous drugs d. Definitions of practice of pharmacy, compounding, dangerous drug, prescription, and terminal distributor may all be found at ORC 4729.01 e. The definition to dispense under Ohio law is the final association of a drug with a particular patient pursuant to a prescription, drug order, or other lawful order of a prescriber.

c,d,e

Which of the following statements is true? 4729-16-03 a. Anticipatory compounding is considered to be manufacturing and cannot be done by most pharmacies. b. Anticipatory compounding may only be done by 503B pharmacies c. A licensed wholesaler or terminal distributor of dangerous drugs cannot sell compounded drugs or drugs used for the purpose of compounding to a business unless that business is a licensed terminal distributor. d. If the exemption is granted by the Board, an in-state pharmacy may compound shortage drugs if a request is made by a medical director of an in-state health care facility for the purpose of direct administration to its own patients. e. An outsourcing facility that compounds sterile drug products must comply with FDCA 503B requirements. 4729-16-02

c,d,e

If a patient is under hospice care, a prescription for morphine may be partially filled several times, for up to _______ as long as the tablets dispensed don't exceed the total written on the prescription. a. 15 days b. 30 days c. 60 days d. 90 days e. There is no partial dispensing allowed for morphine

c. 60 days DEA Pharmacists Manual and Ohio law

If a physician calls in an emergency oral prescription for hydrocodone with acetaminophen 5/325, he has _________ to get the written original prescription to the pharmacy. a. 24 hours b. 72 hours c. 7 days d. 30 days e. 60 days

c. 7 days DEA Pharmacists

If you are filling a prescription for meperidine 25 mg #20, and you only have 10 tablets in stock, within what time period must the remainder be filled? a. 24 hours b. 48 hours c. 72 d. 7 days e. There is no time limit for this medication

c. 72 hours DEA pharmacists manual. Meperidine is Demerol, and is a C-II

. Which of the following is/are true regarding Registered Pharmacy Technicians in Ohio? a. They must be at least 21 years of age b. They must pass a national certification exam c. They must have at least 100 hours of practical experience and didactic training. d. They must have a high school diploma, GED or foreign school diploma equivalent to a U.S. high school diploma or have been employed continuously since before April 8, 2009, as a pharmacy technician without a high school diploma, GED or foreign school diploma equivalent to a U.S. high school diploma.

d

At what MED should a pharmacist refuse to fill a prescription for chronic pain? a. 80 b. 120 c. 300 d. There is no absolute threshold

d

If a pharmacy partially fills hydromorphone 4 mg for a regular outpatient who requested only a partial fill, the pharmacy has ______ to fill the remainder of the prescription, in partial amounts. a. 48 hours b. 72 hours c. 7 days d. 30 days e. 60 days

d

In Ohio pharmacies, the pharmacist may not personally supervise ore than ______ technicians at a time. a. 2 b. 3 c. 4 d. There is no pharmacist to technician ratio in Ohio

d

It has been discovered that there are some missing prescription blanks at a terminal distributor location (doctor's office, or pharmacy). When and how should this be reported? OAC 4729-9-15 a. Within 24 hours telephone the Board of Pharmacy b. Within 30 days submit a form to the Board of Pharmacy c. Within 2 weeks submit a written report to the Board of Pharmacy d. immediately upon discovery, telephone the Board of Pharmacy

d

Refills for zolpidem and acetaminophen with codeine #3 tablets are good for ______ from the date the prescription was written or a maximum of _________ total refills. a. 1 year; 5 b. 6 months; 4 c. 1 year; 4 d. 6 months; 5 e. None of the above

d

The definition of compounding in Ohio includes which of the following: OAC 4729.01 a. Mixing and/or measuring one or more drugs b. Preparation and assembly c. Packaging and labeling d. All of the above

d

The person responsible for a Category III terminal distributor of dangerous drugs with an office-based opioid treatment classification unless the physician will be physically present at the location for at least __________ per week, unless the site is not open for that amount of time, or there is documented illness or government holiday. a. 1 day b. 2 days c. 8 hours d. 15 hours

d

The potency of a narrow therapeutic index (NTI) drug: a. Is usually required by the FDA to be between 90-100% of the labeled claim. b. Is usually required by the FDA to be 90-110% of the labeled claim. c. Is usually required by the FDA to be 95-100% of the labeled claim. d.Is usually required by the FDA to be 95-105% of the labeled claim.

d

To whom is a pharmacist required to release an original prescription if the prescription is needed as evidence of a violation in a specific investigation? Read OAC 4729-5-27 a. When the person requesting the prescription is member of the state board of pharmacy b. When the person requesting the prescription is an inspector or agent of the state board of pharmacy c. When the person requesting the prescription is an officer of the state, county or municipality (city) d. All of the above e. B and c only

d

Under federal law, the monthly sales limit of ephedrine base, pseudoephedrine base, or phenylpropanolamine base is _____ grams per purchaser, regardless of the number of transactions. a. 1.8 b. 3.6 c. 7.2 d. 9.0

d

Under what circumstances can a pharmacist compound a product that is commercially available? a. In a drug shortage situation. b. If the patient has an allergy and needs a medication made without a certain inert ingredient. c. If a patient needs a dosage form different from what is commercially available d. All of the above e. None of the above; under no circumstances may a pharmacist compound a preparation that is commercially available.

d

When can the facsimile of a prescription for a schedule II controlled substance serve as the original prescription? A. When the prescription is for a narcotic to be compounded for direct administration to a patient via injection B. When a patient is a resident of a long-term care facility C. When a patient is enrolled in a hospice care program D. All of the above E. B and C only

d

When must a pharmacist run an OARRS report? a. When a patient adds a different or new reported drug to their therapy that was not previously included b. When a patient offers to pay cash for their prescription because it is not covered on their prescription insurance c. Prescription or patient is written by a prescriber who is out of the pharmacy's usual geographic region. d. A and c e. All of the above.

d

Which of the following acts created scientific proof of efficacy (effectiveness) requirement for new drug approval? a. 1906 Pure Food and Drug Act b. 1938 Federal Food, Drug and Cosmetic Act c. 1962 Harris-Kefauver Amendments d. Durham-Humphrey Amendment

d

Which of the following drugs require registration with the Ipledge® program? a.Thalidomide b.Rosiglitazone c.Clozapine d.Isotretinoin

d

Which of the following is true regarding USP beyond use dates in the absence of stability data? a. The beyond use date for a compounded liquid that contains water is 14 days. b. The beyond use date for aqueous-based topicals is 30 days. c. The beyond use date for semi-solids that do not contain water is 6 months. d. All of the above are true.

d

Which of the following statements is true? a. You receive a facsimile prescription from a practitioner authorizing refills for phenobarbital. The facsimile has no signature but has been marked "OK" by the receptionist. You can legally dispense from this facsimile. b. You receive a C-II facsimile from Dr. Jones' office at the local hospital for a patient at his pain clinic. You may use the fax to fill the rx as long as the patient brings in the original to match up with the fax. c. Data waived practitioners may prescribe Suboxone® and must use a DEA number that begins with an "X". d. both b and c are true e. All of the above are true.

d

Which of the following statements is/are true? a. The purpose of the Orange Book is to compare drug products that are multisource. b. Substitution is permitted if a product is AB rated in the Orange Book. c. The electronic Orange Book uses the abbreviation RLD to indicate that the drug is used as the reference standard. d. All of the above. e. b and c only.

d

Which of the following statements is/are true? 4729-9-11 and 4729-9-05 a. The prescription department must contain all dangerous drugs, exempt narcotics, hypodermics, poisons, D.E.A. controlled substance order forms, all records relating to the distribution of dangerous drugs except where the board has granted a permission for such records to be stored at a secure off-site location b. The state board of pharmacy shall be notified of any new facilities, work or storage areas to be constructed or utilized for dangerous drugs or of any changes in operation of the licensee or registrant before being used or implemented. c. Neither is true d. all are true

d

Which of the following statements is/are true? Select all that apply a. Lorcaserin is a C-V b. Liraglutide is a C-IV c. Lisdexamphetamine is a C-III d. Orlistat is not a controlled substance e. Meperidine is not a controlled substance f. Diphenoxylate with atropine is a C-IV

d

Who may be the responsible person in charge of an office based opioid treatment area? a. a pharmacist b. an advanced practice nurse c. a physician's assistant d. a physician e. all of the above f. c and d

d

You have received a shipment of zolpidem. You must keep an invoice or packing slip on which you record A. the date the drug was received. B. the dosage form of drug products received. C. the number of commercial containers ordered and received. D. All of the above E. A and C only

d

Which of the following prescription medications may be given a year's worth of refills? (select all that apply). a. hydrocodone 5mg/acetaminophen 325mg b. alprazolam c. pregabalin d. Fioricet e. atorvastatin

d,e

Which of the following statements is/are true? Select all that apply. See "Ohio Licensed Outsourcing Facilities" a. The Drug Quality and Security Act (DQSA) created section 503 A in the United States Federal Food, Drug, and Cosmetic Act. b. Under section 503 A, a compounder can become an "outsourcing facility." c. The DQSA defines an "outsourcing facility" as a facility at one geographic location or address that is engaged in the compounding of sterile drugs; has elected to register with the FDA as an outsourcing facility; and complies with all of the requirements of section 503 A. d. 503 B facilities are permitted to provide non-patient specific compounded sterile drug products that must meet current good manufacturing practice (CGMP) requirements. e. An outsourcing facility is prohibited from selling compounded products in Ohio unless they hold a valid license as outsourcing facility.

d,e

. If a wholesaler does not have enough Concerta 18 mg in stock to fill a DEA Form 222 order from a pharmacy, the wholesaler has ______ to fill the remainder of the order. a. 48 hours b. 72 hours c. 7 days d. 30 days e. 60 days

e

A prescription is brought to your pharmacy for Procardia® 10mg. There is no DAW on the Rx and the patient wants the generic nifedipine. Under Ohio law, which of the following are true regarding generic substitution? Select all that apply. a. A sticker stating "generic substitution made" must be placed on the prescription bottle dispensed or printed on the prescription label. b. The name of the generic manufacturer or distributor must be included on the prescription label. c. The name of the generic manufacturer must be indicated on the prescription by the pharmacist. d. If the Procardia® (brand name) had been dispensed, the manufacturer or distributor name is not needed on the label. e. All of the above

e

According to federal law, what information is required on the label for a controlled substance prescription? A. The date of filling B. The name of the patient C. The phone number of the dispensing pharmacy D. All of the above E. A and B only

e

An elderly patient tells his physician's assistant that he does not want child-resistant packaging. Which of the following statements is true? A. Without asking the patient, the pharmacist may decide not to use child-resistant packaging for this patient at all, using his own judgement. B. The physician's assistant may request an easy-off lid, but only on a prescription-by-prescription basis. C. The patient may ask the pharmacist to fill all future prescriptions in packages that are easier to open. D. All of the above E. B and C only

e

An electronic order for a controlled substance may not be filled if which of the following is true? A. The required data fields are not completed. B. The order is not signed using a digital certificate issued by the DEA. C. The digital certificate used has expired or has been revoked prior to signature. D. The validation of the order shows that the order is invalid. E. All of the above.

e

How many HOURS of CE must a pharmacist complete every three years to maintain her license in Ohio? a. 3 b. 6.0 c. 2 d. 30 e. 60

e

If a pharmacy partially fills an oxycodone IR 5 mg prescription for a patient living in an LTCF or a hospice patient, the patient must use up the remainder of the total on the prescription within ______ in partial amounts. a. 48 hours b. 72 hours c. 7 days d. 30 days e. 60 days

e

If physical count and reconciliation of controlled substances and proof of use in an institution, taken at specified intervals, shows an unresolved discrepancy or a package has been tampered with, which of the following should occur? OAC 4729-17-05 a. Nursing must call the DEA immediately b. The pharmacy director, responsible person for TDDD must be notified c. Appropriate people within the institution must be notified. d. Local law enforcement must be called stat. e. B and c only. f. All of the above

e

The definition of a "dangerous drug" includes which of the following? Select all that apply. ORC 4729.01 a. ANY prescription drug b. guaifenesin AC c. insulin d. A drug requiring a label that says "Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian" or any similar restrictive statement e. all of the above

e

The scope of practice of a Certified Pharmacy Technicians in Ohio includes which of the following? a. Accepting new written, faxed or electronic prescription orders from a prescriber or a prescriber's agent. b. Accepting new verbal prescription orders for non-controlled drugs from a prescriber or a prescriber's agent, if pharmacist on duty who is supervising the activity of the certified pharmacy technician determines that the technician is competent c. Sending or receiving copies of non-controlled prescriptions (i.e. prescription transfers), if pharmacist on duty who is supervising the activity of the certified pharmacy technician determines that the technician is competent d. Contacting a prescriber or prescriber's agent to obtain clarification for a prescription order if the clarification does not require the exercise of professional judgment e. All of the above are true. f. Only a and b are true.

e

What is the federal expiration date for a prescription written for Ritalin (methylphenidate) 10 mg? A. 30 days B. 60 days C. 6 months D. 1 year E. There is no federal time limit. Be aware if the state law where the MPJE will be taken.

e

Which of the following prescription products, when dispensed to a patient, do not require child-resistant caps? Select all that apply. a. A bottle of nitroglycerin sublingual tablets b. A tube of hydrocortisone cream 2.5% c. A bottle of latanoprost eye drops d. Suboxone® sublingual film e. Isosorbide 20 mg tablets f. Avianne® birth control pills

e

Which of the following statements are true? Select all that apply a. Any substance that comes with a therapeutic claim is considered to be a drug. b. A dangerous drug is any prescription drug (Federal Food, Drug, and Cosmetic Act," 52 Stat. 1040 (1938), 21 U.S.C.A. 301) c. Under Ohio law, guaifenesin AC is considered a dangerous drug. ORC 3719 d. Under Ohio law, OTC insulins are considered dangerous drugs. ORC Sec. 4729.01(F)] e. all of the above

e

Which of the following statements is TRUE? a. Testosterone requires the use of a DEA Form 222 when purchasing. b. Secobarbital capsules require the use of a DEA Form 222 when purchasing. c. Guaifenesin AC may be purchased without a prescription every 48 hours if an exempt narcotic register (bound book) is properly filled out by the patient and pharmacist. d. CSOS may be used to purchase C-II, III, IV, V and non-controlled substances. e. Statements b, c and d are true. f. None of the above is true.

e

Which of the following statements is true? a. A prescription for carisoprodol, may be refilled up to a maximum of 5 times if filled within 6 months of the date on which the prescription was issued. b. A prescription for cyclobenzaprine may be refilled up to 12 months from the date the prescription was issued. c. A physician writes a prescription for 100 tablets of hydromorphone 2 mg. She notes on the prescription that the patient is terminally ill. The pharmacist may partially fill this prescription for 60 days if the total quantity dispensed in all fillings does not exceed the total quantity prescribed. d. There is no federal expiration date for a prescription written for Ritalin (methylphenidate). e. All of the above are true.

e

Which of the following statements is true? a. The DEA Form 41 is used to report significant loss and/or theft of controlled substances. b. The DEA Form 224a is the application used to renew DEA registration for pharmacies. c. The DEA Form 222 is used to order CI and CII controlled substances. d. None of the above is true e. Both b and c are true.

e

Which of the following statements is true? Select all that apply. ORC 4729.41, OAC 4729-5-36, 5-37 and 5-38 a. You must receive & document consent from the parent or guardian of any patient under the age of 18. b. With a prescription, pharmacists and interns can give an MMR immunization to a 10 year old child. c. A pharmacist may document their own administrative of an immunization, or an immunization administered by a pharmacy intern they are supervising, on a prescription form, which may be assigned a number for record keeping purposes. This documentation is in addition to the record keeping requirements in rule 4729-5-27. d. Ohio law authorizes the Board to waive the 2:1 pharmacist to intern ratio for the operation of immunization clinics or other special circumstances. e. all of the above

e

Which of the following statements is/are true? a. A director of a hospital pharmacy does not need to be a pharmacist b. If there is a change in responsible person, the BOP must be notified within 10 days. c. In general a responsible person may only be in charge on one pharmacy d. All of the above e. b and c only

e

Which of the following statements is/are true? a. A pharmacist should create a prescription for the emergency fill to record the dispensing of the medication. b. Health care providers may prescribe opioids in excess of the day supply limits only if they provide a specific reason in the patient's medical record c. Simultaneous refills may be given to a patient with a prescription for zolpidem 10 mg #30 with 2 refills. d. Simultaneous refills may be given to a patient with a prescription for lovastatin 20 mg #30 with 11 refills, if this is the first time the patient is filling the prescription for lovastatin. e. Only a and b are true f. All of the above are true. g. None of the above is true.

e

Which of the following statements is/are true? a. VIPPS is the best resource for providing verified consumer information for drugs offered for sale on websites. b. All pharmacies, including online pharmacies, must post the entire "Notice of Privacy Practices" in a prominent location and on its website, if one exists. c. A research paper must de-identify all patient information, including patient name, address and social security number. d. A suppository form of secobarbital is likely to be classified as a C-III controlled substance. e. All of the above are true.

e

Which of the following statements is/are true? OAC 4729-17 (sections -01 thru section -13) a. An institutional facility is one that is a hospital, nursing home, LTCF, psychiatric or rehabilitation facility, developmental disability or level-III sub-acute detox facility. b. An assisted living facility is included in the definition of an institutional facility c. Correctional facilities, or department of mental health and addiction service facilities are included in the definition of an institutional facility. d. all of the above e. A and c only

e

Which of the following statements is/are true? Select all that apply. See"Terminal Distributor Requirements for Prescribers Possessing Compounded Drugs". a. A prescriber who reconstitutes hazardous medications must register as a terminal distributor of dangerous drugs. b. A prescriber who performs the reconstitution or dilution of a conventionally manufactured non-sterile or sterile dangerous drug product with no intervening steps in accordance with the manufacturer's labeling for administration and beyond use dating, does not need to register as a terminal distributor of dangerous drugs. c. Personnel who mix sterile drugs in a physician's office must perform hand hygiene and wear powder free gloves during compounding. d. If a drug that is admixed in a physician's office is immediately and completely administered to the patient, the drug must be labeled with the exact beyond-use date. e. all are true

e

What are each of the following forms used for? (write or type the answer in lower case, proper spelling) a. DEA Form 222 b. DEA Form 223 c. DEA Form 224 d. DEA Form 224a e. DEA Form 41 f. DEA Form 106 E. TYPE THEM UP

e a. DEA Form 222 order C-I and II medications b. DEA Form 223 duplicate DEA registration c. DEA Form 224 new DEA registration d. DEA Form 224a renewal DEA registration e. DEA Form 41 destruction of controlled substances f. DEA Form 106 loss or theft of controlled substances

Which of the following statements about emergency refills is/are true? a. If no refills remain, a pharmacist is permitted to dispense up to a thirty-day supply of a blood pressure medication, one time in a 12 month period. b. If no refills remain, pharmacist is permitted to dispense a package of insulin glargine, even if it exceeds a 30 day supply, one time in a 12 month period. if the standard unit of dispensing for the drug exceeds a thirty-day supply, the amount of the drug dispensed or sold does not exceed the standard unit of dispensing c. If no refills remain, a pharmacist may dispense a 72 hour supply of alprazolam one time in a 12 month period. d. If no refills remain, a pharmacist may dispense a 24 hour supply of Vicodin one time in a 12 month period. e. Only a, b and c are true. f. Only b and c are true. g. All of the above are true. h. None of the above is true.

e,f

In which of the following cases may a doctor legally fax a schedule II (C-II) prescription for a patient, in order for the pharmacist to use it as an original prescription? a. A patient staying in a long term care facility. b. A prescription for MSIR® 5mg oral tablet for a hospice patient c. A compounded IV prescription for morphine for a terminally ill cancer patient d. A and C only e. B and C only f. A and B only e. All of the above

e. All of the above

DAW prescriptions. Write T for true and F for false next to each statement. a. An "oral" DAW from a physician is legally considered the same as a written "DAW" in Ohio. b. A doctor may write "medically necessary" on a prescription and the pharmacist must dispense the brand name. c. A DAW that is pre-printed and circled is not an official DAW in Ohio. d. A DAW checkbox on an electronic prescription would require that the pharmacist fill the brand name. e. A phone call to the prescriber is allowed to change DAW notations if patient requests, but physician might refuse. f. These are all true

f

In Ohio, which of the following medications may be filled if the patient brings in the prescription for the first time if, today is 1/26/2018, and the prescription was written 6/27/2018? a. Fioricet b. Fiorinal c. Fiorinal with codeine d. carbamazepine e. isotretinoin f. None of the above.

f

In an institution, what must be recorded regarding drugs administered to patients? Select all that apply. a. Name of the patient; b. Name, dosage form, and strength when applicable of the drug; c. Date and time the drug was administered; d. Quantity administered; e. Positive identification of the personnel administering the drug. f. all of the above

f

Physicians cannot write prescriptions for controlled substances for family members except in emergency situations. Which of the following are considered "family members"? 4731-11-08 a. Spouse b. Parent c. Child d. Sibling e. other individual when a physician's personal or emotional involvement could make that physician unable to use detached professional judgment in determining diagnoses or therapy choices f. All of the above g. a, b, c and d only

f

Regarding transfers of controlled substances, which of the following statements is true? a. An intern may transfer a prescription for Lorcet® one time, as long as the prescription has refills and it is filled within 6 months from the date issued. b. The receiving pharmacy for a controlled substance transfer must write "Void" on the face of the hard copy of the prescription and the sending pharmacy for a controlled substance transfer must write "Transfer" on the back of the hard copy of the prescription. c. When transferring a controlled substance between two pharmacies, the DEA # of the transferring pharmacy must be on the received transferred prescription and the DEA # of the receiving pharmacy must be on the sending pharmacy's voided prescription. d. When transferring a controlled substance between two pharmacies, the name and address of both pharmacies must be on both the sent and received transferred prescription. e. All of the above are true f. Only c and d are true.

f

Which of the following DEA registration numbers would be issued to an osteopathic physician named Julianne Fryes? A. AF3614511 B. BJ3614511 C. FF3614511 D.MF51163410 E. MJ51163410 F. A or C may both be appropriate DEA numbers for this prescriber. G. D or E would both be appropriate DEA numbers for this prescriber. H. None of these are appropriate DEA numbers

f

Which of the following dosage forms are exempt from child-resistant closure requirements? a. sublingual nitroglycerin b. topical ointments ointments and creams c. orders filled for hospital inpatients who don't have possession of the medications d. cyclically administered oral contraceptives. e. Methyl salicylate 2% aerosol spray f. all of the above

f

Which of the following statements is TRUE? a. A drug that has mold growing inside the stock bottle would render the drug product misbranded. b. If a Patient Package Insert is not included in the labeling of a designated potentially dangerous drug, under federal law the drug is said to be adulterated. c. Under federal law, the dosage form of the drug is required on a written prescription for a controlled substance. d. The dispenser is responsible for providing a patient with the Medication Guide. e. All of the above are true. f. Only c and d are true.

f

Which of the following statements is/are true? a. A pharmacist is changing his name. He must notify the Board of Pharmacy of the name change within 60 days. b. A pharmacist who is moving to a new address must notify the Board of Pharmacy within 10 days. c. A pharmacist who is changing her primary place of employment must notify the Board of Pharmacy within 30 days. d. All of the above are true e. None of the above is true. f. Only a and b are true.

f

Which of the following statements is/are true? a. A pharmacist must do a prospective DUR for all new and refill prescriptions prior to dispensing. b. Pharmacists are not required to counsel patients on medication side effects if the patient refuses counseling. c. If an online pharmacy sells controlled substances it must register with the DEA and display the name and address of the pharmacy as it appears on the pharmacy's DEA Certificate of Registration as well as the pharmacy's telephone number and e-mail address, the name of the pharmacist-in-charge, professional degree, and telephone number d. If safeguards are in place, the normal C-II labeling requirements do not apply if the ultimate user is institutionalized and no more than a 7 day supply of the medication is provided e. A controlled substance may be mailed by the USPS if the outer package does not identify the contents and the inner package is labeled properly f. All of the above are true.

f

Which of the following statements is/are true? a. There are three categories of pharmacy technicians: trainee, certified, registered b. All pharmacy technicians must be registered with the Board of Pharmacy by April 6th, 2018 c. A registered pharmacy technician has more training and potential responsibilities than a certified pharmacy technician. d. All of the above are true e. None of the above is true f.. Only a and b are true.

f

Which of the following statements is/are true? Select all that apply. a. Ketamine is a C-III drug b. Androgel® is a C-III drug c. Lortab® is a C-II drug d. Fiorinal® is a C-III drug e. Tylenol® with codeine elixir is a C-V drug f. all of the above

f

In an institution, which of the following must be recorded? a. All drugs purchased, the quantity received, and the name, address, and wholesale distributor registration number of the person from whom the drugs were purchased b. Drugs dispensed c. All records relating to the practice of pharmacy other than dispensing d. Drugs compounded or repackaged for use only within the institution e. Distribution of dangerous drugs to other areas of the institution for administration or use f. Drugs administered to patients' g. all of the above

g

Which of the following statements are true? Select all that apply. OAC 4729-17-08 a. Access to current and federal and state laws governing legal distribution of drugs in Ohio, and other references necessary to conduct the practice of pharmacy is REQUIRED in an institutional pharmacy b. Poison control center telephone number is REQUIRED in an institutional pharmacy c. Well lighted and well ventilated, sanitary rooms are REQUIRED in an institutional pharmacy. d. In an institutional pharmacy, areas where drugs are kept must be temperature controlled. e. Appropriate staffing of the pharmacy is REQUIRED in an institutional pharmacy. f. In an institutional pharmacy employees are REQUIRED to wear ID tags with JOB TITLE if they have contact with patients. g. all of the above

g

Which of the following statements is true? See the Guidance Document "Compounding in Ohio", available at https://pharmacy.ohio.gov/Documents/Pubs/Special/Compounding/Compounding%20in%20Ohio.pdf a. It is legal for one pharmacy to compound a drug and sell it to another pharmacy. b. Cancer drugs (anti-neoplastics) can be compounded in horizontal flow hood with annual certification. See USP 797 and USP 800 c. The State of Ohio Board of Pharmacy recognizes and enforces Federal law that compounding is performed by a pharmacist in a pharmacy and pursuant to a patient specific prescription. d. One requirement of outsourcing facility who provides non-patient-specific compounds is that it must be registered as a 503B pharmacy e. If an outsourcing facility provides patient specific compounds, it must register as a terminal distributor of dangerous drugs. f. All of the above are true g. C, d and e are true h. None of the above is true

g

Which of the following statements is/are true? a. An intern must notify BOP and employers 10 days if no longer enrolled in College of Pharmacy and return certificate to BOP within 72 hours of notifying BOP b. There are three categories of pharmacy technicians: trainee, certified, registered c. All pharmacy technicians must be registered with the Board of Pharmacy by April 6th, 2018 d. A registered pharmacy technician has more training and potential responsibilities than a certified pharmacy technician. e. All of the above are true f. None of the above is true g. Only b and c are true.

g

Which of the following statements regarding compounding pharmacy in Ohio is/are true? Select all that apply. a. An auxiliary label with the words (or similar) "Compounded Drug Product" must be placed on all compounded products in Ohio. b. The Board considers reconstitution of amoxicillin to be compounding, but the statement "Compounded Drug Product" or other similar statement is not required on bottles of amoxicillin that are reconstituted, if it was reconstituted in accordance with manufacturer's directions. c. In Ohio, prescriber practices are required to obtain a terminal distributor of dangerous drugs if the practice possesses or distributes dangerous drugs that are compounded or used for compounding d. USP Chapter 795 must be followed by all pharmacies involved in non-sterile compounding and USP Chapter 797 must be followed by all pharmacy involved in sterile compounding. e. Prescribers that possess compounded drugs or engage in the compounding of dangerous drugs (i.e. prescription drugs) must obtain a license as a terminal distributor of dangerous drugs f. A facility that is not licensed as a terminal distributor will not be able to purchase any compounded medications or drugs used for the purpose of compounding from any wholesaler, outsourcing facility or pharmacy g. all of the above

g

Which of the following statements is/are true? (you do not need to memorize the numbers for any test, just know how to get to them, and what OAC and ORC numbers look like.) a. 4279.01 is a law in the Ohio Administrative Code b. If the RP changes, the Board of Pharmacy must be notified within 10 days. c. OAC 4729-3-01 is rescinded. d. Only a pharmacist may be a responsible person in a community pharmacy. e. John Schmoe, a pharmacy manager was found guilty of embezzlement. He may still work as a responsible pharmacist if the BOP grants him a waiver. f. All of the above are true. g. None of the above are true. h. B, c, d and e are true.

h

Which of the following statements is/are true? Select all that apply. See guidance doc a. In accordance with an approved protocol a pharmacist or intern under the direct supervision of a pharmacist may dispense naloxone without a prescription to an individual who there is a reason to believe is experiencing or at risk of experiences an opioid-related overdose b. In accordance with an approved protocol a pharmacist or intern under the direct supervision of a pharmacist may dispense naloxone without a prescription to a family member, friend, or other person in a position to assist an individual who there is reason to believe is at risk of experiencing an opioid-related overdose c. In accordance with an approved protocol a pharmacist or intern under the direct supervision of a pharmacist may dispense naloxone without a prescription to a peace officer d. The pharmacy's responsible person shall ensure that all pharmacists, interns, and pharmacist's designees that dispensed naloxone are property trained to provide the in-person training requirement. e. The pharmacist may document the dispensing of naloxone on a prescription form with a number assigned for recordkeeping purpose. f. Any pharmacy that dispenses naloxone must notify the Board of Pharmacy within 30 days of establishing an approved protocol. If a pharmacy is no longer dispensing naloxone, they must notify the Board within 30 days of discontinuation. h. all are ture

h

Know the differences between simple, moderate, complex and hazardous non-sterile compounding see guidance document 10. Know the differences between low-risk, medium-risk, high-risk and hazardous sterile compounding. See guidance document

look up

Go to Guidance Documents on the Board Website. a. What is a drug repository? (see also 4729-35-01 through -09 b. Who may donate drugs to a repository? c. What are the requirements of drugs donated to a repository? b. Who can be a responsible person for a pain management clinic?

look up website

Based on OAC 4729-9-15, 21 CFR 1301.76(b) and ORC 2921.22, A pharmacist who discovers that 30 tablets of hydrocodone 5 mg/acetaminophen 325 mg are missing from stock must notify the following within _______ a. Board of Pharmacy immediately notify upon discovery, and must get a Copy of the DEA Form 106 within 30 days. b. Local Law Enforcement should be notified if the medication has not been found c. DEA in writing within one business day and fill out DEA Form 106 within 30days d. FDA does not need to be notified by the pharmacy

true

You mail a prescription profile to Ian Fleming for tax purposes. His wife opens the mail and sees what he has received over the year. This is a HIPAA violation. True False

true

Day 4 key look up

yes

1. Pharmacists and interns can give flu vaccine to persons 7 and older without a prescription True False

TRUE

How much methadone may be given to an inpatient in a hospital, or at a clinic?

The amount of the maintenance drug dispensed at any one time does not exceed the quantity necessary for a single dose, and the dose is administered to the patient immediately