Homework - Session 10

___________ means a unit of a prescription drug that is not intended to be sold and is intended to promote the sale of the drug A. Drug parcel B. Drug sample C. Drug unit D. Drug starter pack

B.

Which of the following is/are acceptable forms of ID when picking up a controlled substance? Select all that apply A. Social Security Card B. Passport C. State-issued driver's license D. Military ID E. State-issued non-driver ID F. Library card G. Student ID but only from a state/publicly funded school

B. C. D. E.

WV Law: Which is/are true regarding the storage of prescriptions that have been transferred? Select all that apply A. When kept in an off-site location, the prescription must be available within 48 hours B. Records must be kept "readily available" (on-site) for 1 year C. Records must be kept "readily available" (on-site) for all 5 years (they are never allowed to be stored off-site). D. When kept in an off-site location, the prescription must be available within 24 hours E. Records must be maintained for 5 years from the date of the last fill F. Records must be maintained for 5 years from the date of the first fill G. Records must be kept "readily available" (on-site) for 2 years H. When kept in an off-site location, the prescription must be available within 72 hours I. Records must be maintained for 5 years from the original date written

B. E. H.

The information on a prescription is the property of A. The pharmacy B. The prescriber C. The patient

C.

Which of the following are true regarding the partial filling of CIIs for a long term care facilities, Hospice, or terminally ill patients? A. Partial fills for CIIs in these settings are viable for 90 days from the day the script is written because CIIs are good for 90 days in WV B. Partial fills for CIIs in these settings are viable for 90 days from the date of issuance because the 90 day expiration for CII scripts is expanded for patients in these settings. C. Partial fills for CIIs in these settings are viable for 60 days from the date of issuance even if the partial fills begin 30 days after the date of issuance (essentially only allowing 30 days of partial fills). D. Partial fills for CIIs in these settings are viable for 60 days from the day the partial fills begin (not to exceed the 90-day expiration on CII scripts).

C.

After dispensing an emergency supply of Xanax, the pharmacist is not allowed to dispense another emergency supply of Xanax to the same period within the next _____ months. A. 1 B. 6 C. 2 D. 12

D.

In order to be considered a mail-order pharmacy, a pharmacy must mail or deliver ____% of the prescriptions they fill in 12 months. A. 10% B. 50% C. 5% D. 25%

D.

Your patient comes to the pharmacy requesting an emergency supply of a CII pain medication. The patient takes Percocet on a regular basis and has no mediation remaining and no prescriptions on file waiting to be filled. You determine this to be an emergency because you anticipate patient harm if the medication is stopped abruptly. Select the BEST answer A. Give the patient a 72-hour emergency dispensing supply but you must make sure you notify the doctor within 72 hours. B. Give the patient a supply that does not exceed the emergency period (essentially one day during the week and up to three days over the weekend) and notify the MD within 72 hours. C. Contact the prescriber for an emergency dispensing authorization before you dispense a 72-hour supply of the medication. The physician should then send in a new script for the medication. D. Contact the prescriber for an emergency dispensing authorization before you

D.

Your patient comes to the pharmacy requesting an emergency supply of a CII pain medication. The patient takes Percocet on a regular basis and has no mediation remaining and no prescriptions on file waiting to be filled. You determine this to be an emergency because you anticipate patient harm if the medication is stopped abruptly. Select the BEST answer A. Give the patient a 72-hour emergency dispensing supply but you must make sure you notify the doctor within 72 hours. B. Give the patient a supply that does not exceed the emergency period (essentially one day during the week and up to three days over the weekend) and notify the MD within 72 hours. C. Contact the prescriber for an emergency dispensing authorization before you dispense a 72-hour supply of the medication. The physician should then send in a new script for the medication. D. Contact the prescriber for an emergency dispensing authorization before you

D.

Which of the following MUST be documented when transferring prescriptions between pharmacies? A. Number of refills remaining B. Original number of refills C. Original RX number D. Original RX date written E. All of the above

E.

Which of the following MUST be documented when transferring prescriptions between pharmacies? A. First AND last name of RPh giving the transfer B. Date of transfer C. Date of last fill D. TIme of transfer E. Date original RX was dispensed (in other words: the first fill) F. The word TRANSFER must be documented on the new RX at the receiving pharmacy G. All of the above

G.

A copy of a prescription may be provided to the patient if the words "For Information Only" is marked on the copy. A. True B. False

A.

A patient brings in an RX for a 30-day supply of MYDRUG (a new CII opioid *made up name*) written by a mid-level practitioner in another state. Which of the following is true? A. The pharmacist should fill the prescription if the mid-level practitioner is permitted to write for a 30-day supply of CII opioids in the state in which he/she is licensed. B. The pharmacist should fill the prescription because mid-level practitioners are permitted to write for a 30-day supply of CII opioids in WV. C. The pharmacist should tell the patient to take the drug out of WV because mid-level practitioners are not permitted to write for a 30-day supply of CII opioids in WV. D. The pharmacist should fill the prescription because mid-level practitioners are permitted to write for CII opioids in WV. E. The pharmacist should tell the patient to take the drug out of WV because mid-level practitioners are not permitted to write for CII op

A.

A person must be 18 years or older to pick up a prescription for a controlled substance (WV). A. True B. False

A.

An RPh may give a photocopy of a prescription to a patient IF the copy is marked "For information only" A. True B. False

A.

In WV, the pharmacist that partially fills a CII controlled substance but cannot fully fill the rest of the RX within the allotted time frame MUST notify the prescriber. A. True B. False

A.

It is highly recommended that samples remain in the original container from the manufacturer. A. True B. False

A.

The label on a sample drug should clearly say it is a sample A. True B. False

A.

When a prescription from one CVS is filled at another CVS it is not considered a prescription "transfer" A. True B. False

A.

Which of the following statement(s) is/are true? Select all that apply A. There are no federal or state limits on the transfer of non-controls B. CIIs may be transferred once if the CII was sent electronically and the transfer is done electronically C. CIII-CV can be transferred once D. CIII-CV can only be transferred if they have been filled once E. CIIs can only be transferred if they have been filled once F. CIIs that have been brought to the pharmacy as a written prescription can be transferred if the transfer is done electronically

A. B. C. D.

Which of the following MUST be documented when transferring prescriptions between pharmacies? Select all that apply A. First and last name of receiving RPh B. First and last name of giving RPh C. Date and time of transfer D. Pharmacy address E. Pharmacy name F. Pharmacy DEA number G. Pharmacy phone number

A. B. C. D. E. F.

A hospital pharmacy accepting a delivery of drug samples must document: Select all that apply A. Drug name B. Phone number of practitioner that requested the medication C. Drug strength D. Address of practitioner that requested the medication E. Date of deliver F. Drug quantity G. Name of practitioner that requested the medication H. Professional title of the person receiving the sample

A. C. D. E. F. G. H.

Which of the following is true regarding converting a script to a 90-day supply? Select all that apply A. We can do this for non-controlled substances B. We can do this for controlled substances except for CIIs C. We can do this for any controlled substance including CIIs D. We can do this if the drug is a maintenance drug E. We can do this for contraceptives F. We cannot do this for contraceptives G. We can do this if a drug is taken regularly to prevent disease H. We can only do this with medication used to treat diseases not for preventative measures

A. D. E. G.

Which is true regarding the filing/record keeping of prescriptions? Select all that apply A. WV law is almost identical to federal law B. There are three options when filing prescriptions C. WV and federal law regarding filling prescriptions are significantly different D. One option is to file all controls together but the non-controls must be filed separately E. There are two options when filing prescriptions F. One option is to file CII separately and file everything else together. However the CIII-CV must have a red "C" stamped in the lower right corner G. One option is to file CIIs separately, CIII-CV separately, and non-controls separately

A. E. F. G.

A Pharmacist can this prescription Patient Name: For Office Use Date: Date is within 6 months of current date Medication: Xanax (tab) Quantity: 0.5 mg Directions: As directed; for office use Refills: 0 A. True B. False

B.

A drug sample and a drug starter pack are the same thing. A. True B. False

B.

A pharmacist is permitted to refuse to transfer a prescription to another pharmacy even if the patient requests the transfer. A. True B. False

B.

Any pharmacy that mails prescriptions to patients is a mail order pharmacy. A. True B. False

B.

CIII - CV medication emergency dispensing cannot exceed what amount? A. Emergency dispensing of CIII, CIV, and CV medications cannot exceed a 48 hour supply B. Emergency dispensing of CIII, CIV, and CV medications cannot exceed a 72 hour supply C. Emergency dispensing of CIII, CIV, and CV medications cannot exceed a 30 day supply D. Emergency dispensing of CIII, CIV, and CV medications cannot exceed the amount needed for the emergency period.

B.

Community pharmacies are permitted to have samples if a local prescriber submits a written request from the manufacturer. A. True B. False

B.

Controlled substances cannot be mailed. A. True B. False

B.

DEA requires controlled substance transfer records to be kept for 5 years A. True B. False

B.

Drug samples may be sold but only if they are sold to another hospital or healthcare entity. A. True B. False

B.

Government-issued, photo IDs may be used for ID when picking up controlled substance prescriptions provided they have not been expired for more than three months. A. True B. False

B.

Hospital pharmacies are permitted to sell medications to community pharmacies on a regular basis provided they do not sell the drug samples. A. True B. False

B.

In WV, if a prescriber dies, the prescriptions he/she has written immediately become void. A. True B. False

B.

In WV, if a prescriber has his/her license suspended or revoked, the prescriptions they have written immediately become void. A. True B. False

B.

Partial fills of a schedule III - V medication is viewed the same as a refill of the medication, thus when a medication is partially filled five times, the prescription becomes void. A. True B. False

B.

Under no circumstance is it legal for a pharmacist to photocopy a prescription and give it to the patient. A. True B. False

B.

WV law permits interns to transfer controlled substance prescriptions between pharmacies. *WV, KY, and OH laws are the same on this issue (as of 11.2022)* A. True B. False

B.