PharmExam 4,5

True/False Pharmacists may compound drugs prior to receiving a valid prescription drug order based on a history of receiving valid prescription drug orders within an established pharmacist/patient/prescriber relationship.

Answer: (a) True, [Rules of Georgia State Board of Pharmacy 480-11-.02(1)(c)] .Pharmacists may compound drugs prior to receiving a valid prescription drug order based on a history of receiving valid prescription drug orders within an established pharmacist/patient/prescriber relationship, and provided that they maintain the prescriptions on file for all such products compounded at the pharmacy.The compounding of inordinate amounts of drugs, relative to the practice site, in anticipation of receiving prescriptions without any historical basis is considered manufacturing which requires a manufacturer's license.

True/False A 42-year-old female has a prescription for Metoprolol written by a valid prescriber. She calls the pharmacy and requests to pick up the prescription, which she is going to transfer via fax soon after finishing the telephone conversion. The pharmacist refuses to fill the prescription. The pharmacist is in accordance with Georgia Pharmacy Law.

Answer: (a) True, [Pharmacy Practice Act of Georgia 26-4-80(c)(1),(2)] Electronically transmitted prescription drug orders shall be transmitted directly by the prescribing practitioner, except in the case of a prescription drug order sent via facsimile by the practitioner or the practitioner's agent acting under the direct supervision of the practitioner, to the pharmacy of the patient's choice with no intervening person or intermediary having access to or retaining information contained in the prescription drug order.No patient or agent for a patient may transmit a prescription drug order to a pharmacy.

Each dispenser shall submit a controlled substance prescription information to the Department of Public Health (PDMP) at least every _________. A. 24 hours B. 48 hours C. 72 hours D. 7 days

Answer: (a) 24 hours, [Rules of Georgia State Board of Pharmacy Title 16, 16-13-59(b)]. The department shall, in consultation with members of the Georgia Composite Medical Board, the State Board of Pharmacy, and the agency, establish and maintain a program to electronically record into an electronic PDMP prescription information resulting from the dispensing of Schedule II, III, IV, or V controlled substances and to electronically review such prescription information that has been entered into such data base. The purpose of such PDMP shall be to assist in the reduction of the abuse of controlled substances; to improve, enhance, and encourage a better quality of health care by promoting the proper use of medications to treat pain and terminal illness; to reduce duplicative prescribing and overprescribing of controlled substance practices, for health oversight purposes; and to gather data for epidemiological research. The PDMP shall be administered by the department. Each dispenser shall submit a controlled substance prescription information to the Department of Public Health (PDMP) at least every 24 hours.

Which of the following information regarding "Remote Order Entry Pharmacist" in a hospital setting is/are NOT TRUE? I. The remote entry pharmacist shall maintain records of any and all records entered for the hospital for a minimum of 5 years. II. Before a hospital may engage in remote order entry, the director of pharmacy of the hospital shall submit to the board written policies and procedures for the use of remote order entry. III. A hospital utilizing a remote order entry pharmacist shall maintain a record of the name and address of such pharmacist. A. I only B. I and II only C. II and III only D. All

Answer: (a) I is not True, [Rules of Georgia State Board of Pharmacy 480-13-.04(3),(4),(5) and Pharmacy Practice Act of Georgia 26-4-80(c)(7)(B)(iii)].When a licensed pharmacist is not physically present in the hospital and the pharmacy is closed, written policies and procedures shall be prepared in advance by the Director of Pharmacy for the provision of drugs to the medical staff and other authorized personnel of the hospital by use of night cabinets and/or by access to the pharmacy.The policies and procedures may include the use of remote order entry pharmacist to ensure that in-patient needs are met at the hospital when a licensed pharmacist is not physically present.A hospital utilizing a remote order entry pharmacist shall maintain a record of the name and address of such pharmacist, evidence of current licensure in the State of Georgia, and the address of each location where the pharmacist will maintain records of remote order entries.A hospital pharmacy shall be authorized to utilize remote order entry when:(i). The licensed pharmacist is not physically present in the hospital, the hospital pharmacy is closed, and a licensed pharmacist will be physically present in the hospital pharmacy within 24 hours;OR(ii). When at least one licensed pharmacist is physically present in the hospital pharmacy and at least one other licensed pharmacist is practicing pharmacy in the hospital but not physically present in the hospital pharmacyOR(iii)**. When it is a weekend and the hospital has a daily census of less than ten acute patients, and the remote licensed pharmacist is physically present in another hospital in this state which is owned or under the same management as the hospital.**Conflict information Rule 26-4-80(7)(B)(III): (iii) At least one licensed pharmacist is physically present in a hospital within this state which remotely serves only on weekends not more than four other hospitals under the same ownership or management which have an average daily census of less than 12 acute patients.Before a hospital may engage in remote order entry, the director of pharmacy of the hospital shall submit to the board written policies and procedures for the use of remote order entry.Each remote entry record must comply with all recordkeeping requirements and shall identify, by name or other unique identifier, the pharmacist involved in the preview and verification of the order.The remote entry pharmacist shall maintain records of any and all records entered for the hospital for a minimum of two (2) years (NOT 5 Years), and such records shall be readily available for inspection, copying by, or production of upon request by the Board, its designee, or a representative for the Georgia Drugs and Narcotics Agency (GDNA), upon request.

According to Georgia State Pharmacy Law, which of the following mid-level practitioners may prescribe and/or dispense a Schedule II controlled substance in the course of their professional practices? I. Optometrists II. Nurse practitioner III. Physician's assistant A. I only B. I and II only C. II and III only D. All

Answer: (a) I only Optometrists, [http://www.deadiversion.usdoj.gov/drugreg/practioners/mlp_by_state.pdf].Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an individual practitioner, other than a physician, dentist, veterinarian, or podiatrist, who is licensed, registered, or otherwise permitted by the United States or the jurisdiction in which he/she practices, to dispense a controlled substance in the course of professional practice.Examples of mid-level practitioners include, but are not limited to, health care providers such as nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialists and physician assistants who are authorized to dispense controlled substances by the state in which they practice.1. AMB (Ambulance Service)2. AS (Animal Shelters)3. DOM (Doctors of Oriental Medicine)4. ET (Euthanasia Technicians)5. HMD (Homeopathic Physician)6. MP (Medical Psychologists)7. ND (Naturopathic Physician)8. NP (Nurse Practitioners)9. NH (Nursing Homes)10. OD (Optometrists)11. PA (Physician Assistants)12. RPH (Registered Pharmacists)For the State of Georgia, only following mid-level practitioners can either prescribe or administer or both, schedule controlled substances.1. NP (Nurse Practitioner): Schedule III to V controlled substances (prescribe, dispense, administer).3. PA (Physician assistants): Schedule III to V controlled substances (prescribe only).4. OD (Optometrists): Schedule II Hydrocodone containing products and Schedule III to IV controlled substances.

Which of the following is/are TRUE regarding drugs included in HOSPICE emergency kits? I. A record of the drugs to be kept in an emergency drug kit must be kept in the hospice and the provider pharmacy. II. A valid, signed prescription drug order for any such drug must be issued to the vendor pharmacy supplying the emergency drug kit within 48 hours of the drug being taken from the kit. III. An emergency drug kit must be inventoried once a week by a pharmacist from the provider pharmacy and they must sign a card attached to the kit indicating the date it was inspected.

Answer: (a) I only, [Rules of Georgia State Board of Pharmacy 480-24-.07(1)-to-(7)]. Emergency Drug Kits may be placed in licensed hospices by the pharmacy of the consultant or vendor pharmacist provided the following guidelines are met: (1). A record of the drugs to be kept in an emergency drug kit must be kept in the hospice and the provider pharmacy. (2). Drugs shall not be accessed for use from the emergency drug kit in an emergency situation without a new prescription drug order from a licensed practitioner. A valid, signed prescription drug order for any such drug must be issued to the vendor pharmacy supplying the emergency drug kit within 72 hours (NOT 48 hours) of the drug being taken from the kit. (3). Emergency drug kits shall be stored in limited access areas and sealed to prevent unauthorized access and to insure a proper environment for preservation of the drugs therein. The provider pharmacy shall develop a method to readily determine if an emergency drug kit has been accessed without authorization. (4). An emergency drug kit must be inventoried once a MONTH (NOT week) by a pharmacist from the provider pharmacy and they must sign a card attached to the kit indicating the date it was inspected. The provider pharmacy must maintain an adequate record of such inspections.

Pharmacies may transfer the prescription for controlled III, IV and V substances: A. one time B. two times C. three times D. four times

Answer: (a) One time. Pharmacies may transfer the prescription for controlled III, IV and V substances only one time, [Rules of Georgia State Board of Pharmacy 480-22-.11(1),(2)].However, pharmacies electronically sharing a real-time, online computerized database may transfer the prescription drug order information as many times as there are authorized refills, up to the maximum of five (5) times, if it is within six (6) months from the date of issuance.(2). A transfer is considered a communication between two licensed pharmacists and/or pharmacy interns/externs. Transfers are subject to the following requirements:(a). The transferring pharmacist or pharmacy intern/extern shall record the following information in either real time or at the first opportunity after the transfer:1. The word "VOID" must be written on the face of the original, hard copy, invalidated prescription drug order;2. The following must be written on the back of the original, invalidated prescription drug order: the name, address, telephone number, and DEA number of the pharmacy to which it is transferred, and the name of the pharmacist receiving the prescription information; and3. The date of the transfer and the name of the pharmacist transferring the information must be recorded on the back of the prescription drug order.(b). The pharmacist or pharmacy intern/extern receiving the transferred prescription drug order information shall reduce it to writing and record the following information:1. The word "TRANSFER" shall be written on the face of the transferred prescription drug order hard-copy;2. All information required to be recorded on a prescription drug order pursuant to this chapter, which shall include:(i). Date the prescription drug order was originally issued by the prescribing practitioner;(ii). The number of refills authorized on the original prescription drug order.(c). Date the prescription drug order was originally dispensed by the transferring pharmacy;(d). Number of valid refills remaining, and date(s) and pharmacy location(s) where any previous refills were dispensed;(e). The pharmacy's name, address, telephone number, DEA number, and prescription serial number from which the prescription information was transferred; and(f). The name of the pharmacist who transferred the prescription drug order.(3). The original and transferred prescription(s) must be maintained for a period of 30 months from the date of the last refill.(4). Pharmacies electronically transferring a prescription drug order for the purpose of refills must maintain the same information and record keeping requirements as do pharmacies with manual, non-electronic record keeping systems.

True/False All pharmacy personnel who engage in the sale or distribution of exempt Schedule V controlled substance containing drug products must complete the DEA's self-certification training.

Answer: (a) True, [Rules of Georgia State Board of Pharmacy 480-19-.03(a)]. 1). All exempt Schedule V controlled substance pseudoephedrine containing drug products must be stored in a pharmacy's prescription department. 2). All pharmacy personnel who engage in the sale or distribution of exempt Schedule V controlled substance containing drug products must complete the DEA's self-certification training as required by the Combat Methamphetamine Epidemic Act of 2005, 21 U.S.C. 830. (b). A registered pharmacist or pharmacy intern or pharmacy extern acting under the direct supervision of a registered pharmacist may sell, dispense or otherwise dispose of without prescription not more than 3.6 grams every 24 hours, or a maximum of 9 grams every 30 days, to each customer of a pseudoephedrine containing drug product, but only: 1). After applying reasonable means or effort to determine that such is to be used for legitimate medical purposes, following the proper record keeping procedures, and ensuring the required information has been properly recorded in a logbook which contains either a written or electronic list of sales.

True/False Upon dispensing a schedule II (C-II) drug, a pharmacist shall physically sign his or her name on either the face or rear of the schedule II (C-II) prescription drug order.

Answer: (a) True, [Rules of Georgia State Board of Pharmacy 480-22-.04 (2)]. Upon dispensing a schedule II (C-II) drug, the pharmacist shall physically sign his or her name on either the face or rear of the schedule II (C-II) prescription drug order in such a manner that the signature does not cover any information required by this chapter. In addition, the pharmacist will ensure that the dispensing date and the serial number for the prescription drug order are indicated on either the face or the back of the C-II prescription drug order.

True/False Under a Georgia State Pharmacy Law, a physician's assistant cannot issue a prescription for any C-III, IV, or V controlled substance without having such prescription co-signed by his or her supervising physician, unless such physician's assistant has his/her own DEA number.

Answer: (a) True, [Rules of Georgia State Board of Pharmacy 480-22-.12(1)(a)]. A physician's assistant (PA) licensed by the Georgia Composite Medical Board is permitted to issue a prescription drug order or orders for any dangerous drugs or for any Schedule III, IV, or V controlled substance without the co-signature of a supervising physician under the following conditions: (a). The supervising physician has delegated the authority to prescribe dangerous drugs and/or controlled substances in the PA's job description on file with the Georgia Composite Medical Board. (b). If the prescription is for controlled substances, the PA has a DEA number. (c). The prescription drug order must be on security paper and include the following: (i). The name, address, and telephone number of the supervising physician and the PA; (ii). The patient's name and address; (iii). The drug name, strength and quantity prescribed (iv). The directions to the patient with regard to taking the drug (v). The number of authorized refills, if any (vi). A NPI number (vii). If applicable, the DEA permit number of the PA (d). If the prescription is transmitted by facsimile or computer, the prescription shall include (i). The complete name and address of the supervising physician and the PA (ii). In the case of a prescription drug order for a controlled substance, the DEA registration number of the PA (iii). The telephone number of the PA for verbal confirmation (iv). The name and address of the patient (v). The time and date of the transmission (vi). The full name of the person transmitting the order (vii). The drug name, strength and quantity prescribed (viii). The directions to the patient with regard to taking the drug (ix). The number of authorized refills, if any (x). A NPI number (xi). The signature of the PA or, in the case of a controlled substances prescription, in accordance with 21 C.F.R. 1301.22. (e). No prescription drug order issued by a PA can be used to authorized refills more than twelve (12) months past the date of the original drug order

True/False Ophthalmic topical products may be refilled without authorization from a practitioner.

Answer: (a) True, [Rules of Georgia State Board of Pharmacy 480-22-.15]. Ophthalmic topical products may be refilled without authorization from a practitioner to prevent unintended interruptions in drug therapy provided that: (1). The original prescription order contains valid refills;(2). Refills occur at 70 percent or greater of the predicted days of use; and (3). Refills are purchased through retail and/or mail order pharmacies.

True/False Each pharmacist license will expire and must be renewed by December 31st of the even numbered years.

Answer: (a) True, [Rules of Georgia State Board of Pharmacy 480-3-.01]. Each pharmacist license will expire and must be renewed by December 31st of the even numbered years. Licenses not renewed by December 31st of the even number years may be late renewed by January 31st of the following year by payment of the current renewal fee, plus an additional late renewal fee of 50% of the renewal fee Any license not renewed by January 31st of the year following the renewal date deadline, shall automatically become classified as "Administratively Revoked".

True/False Pharmacies which perform remote prescription drug order processing must be physically located within the State of Georgia.

Answer: (a) True, [Rules of Georgia State Board of Pharmacy 480-36-.02].Pharmacies which perform remote prescription drug order processing shall be independently licensed as a retail pharmacy by the Board and physically located within the State of Georgia.Remote prescription drug processing from any location other than a retail pharmacy licensed in this State is prohibited.Pharmacies which perform remote prescription drug order processing shall either have the same owner or have a written contract describing the scope of services to be provided and the responsibilities and accountabilities of each pharmacy.The primary dispensing pharmacy shall have a licensed pharmacist on site during business hours and his/her duties shall include the verification of the validity of all prescriptions. Such pharmacist shall be responsible for obtaining and recording all information needed. Pharmacy technicians and pharmacy interns/externs may assist a pharmacist located at the primary dispensing pharmacy with remote prescription drug order processing.The secondary remote entry pharmacy shall have a pharmacist on duty, licensed in this State, who is physically present and personally supervising all pharmacy activities. Remote prescription drug order processing in a retail pharmacy without the direct supervision of a pharmacist is prohibited.It shall be the responsibility of the pharmacist on duty at the primary dispensing pharmacy to perform patient counseling of all prescriptions, as required, including those assisted by remote processing.The secondary remote entry pharmacy shall not perform patient counseling on behalf of the primary dispensing pharmacy.Prior to utilizing remote prescription drug order processing, the primary dispensing pharmacy shall:(a). Notify patients their prescription drug order may be processed by another pharmacy. Such notification may be provided through a one-time written consent from the patient or the patient's authorized representative and through use of a sign in the pharmacy which states: "Remote Order Processing Utilized Here." Such sign must be clear and legible with letters at least three (3) inches in size, and the sign shall be free from obstruction and visible to patients at the time the prescription is presented to the pharmacy.

True/False A hard copy prescription prepared by a practitioner or a practitioner's agent and printed on security paper, which bears an electronic visual image of the practitioner's signature is considered a valid prescription.

Answer: (a) True, [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, Article 5, 26-4-80 (c)]. A prescription drug order may be accepted by a pharmacist or pharmacy intern or extern in written form, orally, via an electronic visual image prescription drug order, or via an electronic data prescription drug order as set forth in this chapter or as set forth in regulations promulgated by the board Electronic prescription drug orders shall either be an electronic visual image of a prescription drug order or an electronic data prescription drug order and shall meet the requirements set forth in regulations promulgated by the board. A hard copy prescription prepared by a practitioner or a practitioner's agent, which bears an electronic visual image of the practitioner's signature and is NOT sent by facsimile, must be printed on security paper.

A patient brings a new prescription for Alprazolam with 5 eligible refills. The prescription is written on April 1, 2020. The prescription reads:Alprazolam 1 mg: 1 tablet by mouth at bed time x 30 days. Refills: 5 times A patient has requested medication to be partially filled. Below is the list of partially filled transactions 1. 04/04/2020: 20 tablets 2. 05/05/2020: 40 tablets 3. 05/25/2020: 18 tablets 4. 06/09/2020: 23 tablets 5. 06/21/2020: 5 tablets 6. 08/11/2020: 35 tablets 7. 09/05/2020: 11 tablets 8. 10/11/2020: 36 tablets 9. 10/28/2020: 21 tablets 10. 11/05/2020: 6 tablets Based on above information what shall be the dispensed quantities (legally)? A. 180 tablets B. 152 tablets C. 150 tablets D. Cannot be partially filled

Answer: (b) 152 tablets, [Rules of Georgia State Board of Pharmacy 480-22-.09]. Partial refills of schedules III and IV controlled substance prescriptions are permissible under Georgia regulations provided that each partial filling is dispensed and recorded in the same manner as a refilling (i.e., date refilled, amount dispensed, initials of dispensing pharmacist, etc.), the total quantity dispensed in all partial fillings does not exceed the total quantity prescribed, and no dispensing occurs after six months past the date of issue. In above example, the prescription expires on 10/01/2020 (six months from an issue date of 04/01/2020). Therefore, all partial filling before this date should be considered legal.The second thing the pharmacist has to observe that the total quantity dispensed in all partial fillings shall not exceed the total quantity prescribed.The prescription is written for 180 tablets, 1 tablet by mouth qd x 30 days with additional 5 refills. When adding all the partial filling starting from 04/04/2020 to 09/05/2020, the total quantities that the pharmacist can dispense legally come about 152 tablets.

What is the acceptable pharmacist to pharmacy technician ratio for a retail pharmacy in Georgia? A. 1:2 B. 1:3 C. 1:4 D. No restriction

Answer: (b) 1:3, [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, 26-4-82(d)]. The board of pharmacy shall promulgate rules and regulations regarding the activities and utilization of pharmacy technicians in pharmacies.The pharmacist to pharmacy technician ratio shall not exceed one pharmacist providing direct supervision of three pharmacy technicians.The board may consider and approve an application to increase the ratio in a pharmacy located in a licensed hospital.Such application must be made in writing and must be submitted to the board by the pharmacist in charge of a specific hospital pharmacy in this state.One of the three technicians must:(1). Have successfully passed a certification program approved by the board of pharmacy; OR(2). Have successfully passed an employer's training and assessment program which has been approved by the board of pharmacy; OR(3). Have been certified by either the Pharmacy Technician Certification Board or any other nationally recognized certifying body approved by the board of pharmacy.

The pharmacy shall maintain a record of required information for each sale of a nonprescription product which contains ephedrine or pseudoephedrine for a period of _______ from the date of each transaction. A. 1 year B. 2 years C. 4 years D. 5 years

Answer: (b) 2 years, [Rules of Georgia State Board of Pharmacy Title 16, 16-13-30.3(C),(3)].The pharmacy shall maintain a record of required information for each sale of a nonprescription product which contains ephedrine or pseudoephedrine for a period of two years from the date of each transaction.Except as to law enforcement agencies in this state which shall be provided immediate access by a pharmacy to all written and electronic logs or records upon request, the records maintained by a pharmacy pursuant to this Code section shall not be disclosed.Pharmacies may destroy the required information collected pursuant to this subsection after two years from the date of the transaction.

What is the maximum amount of Robitussin A/C that can be dispensed to a given purchaser within a 48-hour period? A. 240 cc B. 120 cc C. 60 cc D. 480 cc

Answer: (b) According to Georgia Pharmacy Law, not more than a 4 ounce or 32 dosage units of an exempted Schedule V controlled substance over-the-counter preparation containing Schedule V controlled substances can be dispensed to a given purchaser within a 48-hour period, [Rules of Georgia State Board of Pharmacy 480-19-.01(b)].

How often shall clean rooms and laminar flow hoods be certified? A. Every 3 months B. Every 6 months C. Every 12 months D. Monthly

Answer: (b) Every 6 months, [Rules of Georgia State Board of Pharmacy 480-11-.09(1)(a)].

True/False Wholesale distributors licensed under Georgia State Pharmacy Law shall notify within 14 days to the Georgia Drugs and Narcotics Agency of any purchases of products containing pseudoephedrine from the wholesale distributor which the wholesaler judges to be excessive.

Answer: (b) False, [Georgia Controlled Substance Act 16-13-30.4(3)(B)]. Wholesale distributors licensed under Georgia State Pharmacy Law shall notify within 7 days to the Georgia Drugs and Narcotics Agency of any purchases of products containing pseudoephedrine from the wholesale distributor which the wholesaler judges to be excessive.

True/False Pharmacy X receives a prescription for Methyldopa, which is forwarded to a pharmacy Y because of back order of the drug. The act done by the pharmacy X is in accordance with the law.

Answer: (b) False, [Rules of Georgia State Board of Pharmacy 480-16-.02(1)(a)]. Once a pharmacy receives a patient's prescription drug order, that pharmacy cannot forward such prescription drug order to a second pharmacy in order for the second pharmacy to fill the prescription drug order and return the filled drug container to the original pharmacy for dispensing or delivery to the patient. Since a pharmacy or a pharmacist is NOT a physician or an agent of physician. The solution to this is Pharmacy X shall enter a prescription in a computer data system and then transfer it to the pharmacy y for filling it.

True/False Stolen, lost, or unaccounted for controlled substances must, within ten (10) days of discovery, be reported to the Drug Enforcement Administration and the GDNA.

Answer: (b) False, [Rules of Georgia State Board of Pharmacy 480-16-.06(1),(2),(3)]. Stolen, lost, or unaccounted for controlled substances must, within THREE (3) days of discovery, be reported to the Drug Enforcement Administration and the GDNA. (2). A written report must be made regarding any theft, loss or unaccounted for controlled substances by completing a DEA Form 106. Within ten (10) days of receiving such DEA Form 106, the original and one copy of the report must be sent to the Drug Enforcement Administration; and one copy must be sent to the GDNA. (3). The report shall include the following information: (a). Full name and address of the pharmacy (b). Pharmacy DEA registration number (c). Date of theft, loss, or discovery of missing controlled substance (d). Type of incident, i.e. theft, loss, etc (e). List of cost codes or identification symbols on package stolen (f). List of the controlled substances missing

True/False Under a Georgia State Pharmacy Law, an advanced practice registered nurse (APRN) can issue a prescription for any C-II, III, IV, or V controlled substance without having such prescription co-signed by his or her supervising physician, unless such an advanced practice registered nurse (APRN) has his/her own DEA number.

Answer: (b) False, [Rules of Georgia State Board of Pharmacy 480-22-.12(2)]. An advanced practice registered nurse (APRN) who is recognized by the Georgia Board of Nursing as having met the requirements to engage in advanced nursing practice, and whose registered nurse license and advanced practice registered nurse license are in good standing with the Georgia Board of Nursing, is permitted to issue a prescription drug order or orders for any dangerous drugs, except for drugs intended to cause an abortion to occur pharmacologically, or for any Schedule III, IV, or V (Schedule II Not Allowed) controlled substance without the co-signature of a delegating physician under the following conditions: (a). The APRN has been delegated the authority to issue prescription for the dangerous drugs and controlled substances by a physician licensed by the Georgia Composite Medical Board in a nurse protocol agreement and that agreement has been filed with the Georgia Composite Medical Board. (b). If the prescription is for controlled substances, the APRN has a DEA number. (c). The prescription drug order must be on security paper and include the following: (i). The name, address, and telephone number of the delegating physician and the APRN; (ii). The patient's name and address; (iii). The drug name, strength and quantity prescribed (iv). The directions to the patient with regard to taking the drug (v). The number of authorized refills, if any (vi). A NPI number (vii). If applicable, the DEA permit number of the APRN. (d). If the prescription is transmitted by facsimile or computer, the prescription shall include (i). The complete name and address of the delegating physician and the APRN (ii). In the case of a prescription drug order for a controlled substance, the DEA registration number of the APRN (iii). The telephone number of the APRN for verbal confirmation (iv). The name and address of the patient (v). The time and date of the transmission;(vi). The full name of the person transmitting the order; and(vii). The drug name, strength and quantity prescribed;(viii). The directions to the patient with regard to taking the drug;(ix). The number of authorized refills, if any;(x). A NPI number; and(xi). The signature of the APRN as provided in Rule 480-27-.02(2) or, in the case of a controlled substances prescription, in accordance with 21 C.F.R. 1301.22.(e). No prescription drug order issued by a APRN can be used to authorize refills more than twelve (12) months past the date of the original drug order unless the prescription drug order is for oral contraceptives, hormone replacement, or prenatal vitamins.

Which of the following information about RAMS is/are NOT TRUE? I. All drugs in a RAMS must inventory no less than once every 90 days II. Only a Georgia registered nurses or a Georgia licensed practical nurse may be assigned access to and remove controlled drugs from a RAMS III. No more than a 30 day supply of each individual medication may be stocked in a RAMS at one time. A. I only B. I and II only C. II and III only D. All

Answer: (b) I and II are not true, [Rules of Georgia State Board of Pharmacy 480-37-.03]. "Remote automated medication system" or "RAMS" means an automated mechanical system in which medication is stored and retrieved for a specific patient pursuant to a practitioner's prescription medication order. No more than a 30 day supply of each individual medication may be stocked in a RAMS at one time. All drugs in a RAMS must inventory no less than once every 30 days and documentation must be maintained of the inventories including the removal of any discontinued/out of date medications. All the registered pharmacists, licensed pharmacy interns or registered pharmacy technicians involved in the process of stocking, entering information into RAMS, or inventorying the RAMS must be identified.Only a Georgia registered nurses or a Georgia licensed practical nurse may be assigned access to and remove dangerous drugs from a RAMS. Only a Georgia registered nurse (licensed practical nurse is not allowed) may access and remove a controlled substances from a RAMS.A pharmacy shall keep the type or name of each RAMS including a serial number or other identifying nomenclature on the file.A RAMS must use at least two separate verifications, such as bar code verification, electronic verification, weight verification, radio frequency identification (RFID) or similar process to ensure that the proper medication is being dispensed from a RAMS.The stocking or restocking of a dangerous drug or controlled substances shall only be completed by a Georgia pharmacist or a pharmacy intern/extern under the direct on-site supervision of a Georgia licensed pharmacist.

Which of the following is/are TRUE in regard to pharmacists compounding sterile drugs to be provided to practitioners to use in patient care? I. Such sterile compounding shall only be conducted as allowed by board rule for pharmaceutical compounding using USP-NF standards for sterile compounding II. Such sterile drugs may be compounded only in quantities determined by board rule following consultation with the Georgia Composite Medical Board III. Only Schedule II controlled drug cannot be compounded to be provided to practitioners to use in patient care. A. I only B. I and II only C. II and III only D. All

Answer: (b) I and II are true, [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, Article 5, 26-4-86(c)] In regard to pharmacists compounding sterile drugs to be provided to practitioners to use in patient care or altering or repackaging such drugs for practitioners to use in patient care in the practitioner's office:1. Such sterile compounding shall only be conducted as allowed by applicable federal law and board rule for pharmaceutical compounding using USP-NF standards for sterile compounding.2. Such sterile drugs may be compounded only in quantities determined by board rule following consultation with the Georgia Composite Medical Board.3. No Schedule II, III, IV, or V controlled substance shall be eligible for such designation.Nothing in this subsection shall be construed to apply to pharmacies owned or operated by institutions or to pharmacists or practitioners within or employed by an institution or affiliated entity; provided, however, that pharmacies owned or operated by institutions and pharmacists and practitioners within or employed by institutions or affiliated entities shall remain subject to other rules and regulations established by the board governing the compounding of medication.

Which of the following statements are TRUE regarding a specialty pharmacy practice under a Georgia State Pharmacy Law? I. In order to qualify for specialty pharmacy practice certification, the applicant must be a pharmacist currently licensed and in good standing with the State of Georgia, and pass an examination approved by the Board in the specific area of specialty practice. II. A person who has already passed the examination and meets all requirements may make application to the Board on a form approved by the Board and pay the fee in the amount provided in the Board's fee schedule. III. Licensed pharmacists who have a specialty pharmacy practice certification must complete a minimum of twenty (20) hours of continuing education in each specific area of specialty during each biennium renewal period. A. I only B. I and II only C. II and III only D. All

Answer: (b) I and II only, [Rules of Georgia State Board of Pharmacy 480-12-.01, 480-12-.02 and 480-12-.03]. (1). The Georgia State Board of Pharmacy ("Board") has the authority to approve accreditation or certification programs for specialty pharmacy practice, included, but not limited to: (a). Diabetes; (b). Dyslipidemia; (c). Asthma; (d). Anticoagulation In order to qualify for specialty pharmacy practice certification, the applicant must be a pharmacist currently licensed and in good standing with the State of Georgia, and pass an examination approved by the Board in the specific area of specialty practice. A person who has already passed the examination and meets all requirements may make application to the Board on a form approved by the Board and pay the fee in the amount provided in the Board's fee schedule. (2). The board has approved the Disease State Management Examinations of the National Association of Boards of Pharmacy, or its successor organization. (3). Licensed pharmacists who have a specialty pharmacy practice certification must complete a minimum of TEN (10) hours (not 20 hours) of continuing education in each specific area of specialty during each biennium renewal period. The hours obtained herein may be used to fulfill the continuing education requirements.

Which of the following qualifications must be met in order to be a registered pharmacist in the state of Georgia? I. An applicant must have graduated and received a professional undergraduate degree from an accredited college or school of pharmacy. II. An applicant may not take the examination more than 3 times without permission from the board III. An applicant who takes the board examination and successfully completes the exam must become licensed within 2 years of the exam date or the results of the exam shall become invalid A. I only B. I and II only C. II and III only D. ALL

D. ALL Pharmacy Practice Act of GA 26-4-4abc

Which of the following statements are TRUE regarding drugs included in (opioid treatment program) emergency kits/crash carts? I. A listing of the drugs contained including name, strength, quantity, and expiration date of the contents shall be attached to the exterior of emergency carts. II. Drugs shall be removed from emergency kits/crash carts only pursuant to a valid practitioner's order, by authorized personnel, or by a pharmacist of the institutional facility. III. Each emergency kit/crash cart shall be opened and its contents inspected by a pharmacist at least once every thirty (30) days. A. I only B. I and II only C. II and III only D. All

Answer: (b) I and II only, [Rules of Georgia State Board of Pharmacy 480-18-.04(3)]. The exterior of emergency kits/crash carts shall be labeled so as to clearly and unmistakably indicate that it is an emergency drug kit/crash cart and is for use in emergencies only. In addition, a listing of the drugs contained therein, including name, strength, quantity, and expiration date of the contents shall be attached. All drugs contained in emergency kits/crash carts shall be labeled in accordance with such State and Federal Laws and Regulations which pertain thereto; and shall also be labeled with such other and further information as may be required by the medical staff of the hospital to prevent misunderstanding or risk of harm to the patients; (f). Removal of drugs. Drugs shall be removed from emergency kits/crash carts only pursuant to a valid practitioner's order, by authorized personnel, or by a pharmacist of the institutional facility; (g). Notification. Whenever an emergency kit/crash cart is opened, the pharmacy shall be notified; and pharmacy personnel shall restock and re-seal the kit/cart within a reasonable time so as to prevent risk of harm to patients. In the event the kit/cart is opened in an unauthorized manner, the pharmacy and other appropriate personnel of the facility shall be notified; (h). Inspections. Each emergency kit/crash cart shall be opened and its contents inspected by a pharmacist at least once every NINETY (90) days. Upon completion of inspection, the emergency kit/crash cart shall be re-sealed.

Which of the following is/are correct filing method(s) for controlled substances? I. One file for CII, second file for III, IV and V and a third file for non-controlled substances II. One file for CII and a second file for III, IV, V and non-controlled substances III. One file for controlled and a second file for non-controlled substances. A. I only B. I and II only C. II and III only D. All

Answer: (b) I and II only, [Rules of Georgia State Board of Pharmacy 480-22-.04(7)(a),(b) and 480-22-.07(5)].The filing for controlled substances can be done by the following:Three Separate Files_________________One file for CII, second file for III, IV and V, and a third file for non-controlled substances.Two Separate Files________________One file for CII and a second file for III, IV, V and non-controlled substances.Rule 480-22-.04(7)(a),(b): (7) Record keeping for Schedule II Controlled Substances shall be as follows:(a) Original and all other hard copy schedule II (C-II) prescription drug orders shall be maintained in a separate file from all other prescription drug orders.Whenever a pharmacy utilizes a computerized record keeping system in addition to hard copies to record the dispensing of prescription drug orders for C-II drugs, such records shall be immediately retrievable without delay in a printout form by the prescribing practitioner's name, patient's name, drug name or date of dispensing upon a verbal request from a representative of the Georgia Drugs and Narcotics Agency (GDNA), and/or one of its agents.Prescription drug orders for schedule C-III, IV, or V controlled substances shall be maintained either in a separate prescription drug order file for such C-III, IV, or V drug orders only or in such a form that they are readily retrievable from the other prescription drug orders of the pharmacy.(a). A prescription drug order will be deemed readily retrievable if, at the time it is initially filled, the face of the prescription drug order is stamped in red ink in the lower right corner with the letter "C" no less than 1 inch high and filed in the usual consecutively numbered prescription drug order file for dangerous drugs;or(b). A pharmacy which utilizes a computerized record keeping system for prescription drug orders which permits identification of prescription drug orders by serial number and retrieval of documents by prescriber's name, patient's name, drug dispensed, and date filled, then there is no requirement to mark hard copy prescriptions with a red "C".

Which of the following statements are TRUE when using an Automated Data Processing System for record-keeping? I. All original prescriptions, those written by a practitioner, telephoned to the pharmacist by a practitioner and reduced to writing, or sent via facsimile machine must be retained as a permanent record for two years in the usual consecutively serial numbered prescription file. II. An auxiliary record-keeping system shall be established for the documentation of refills if the automated data processing system is inoperative for any reason. III. The system shall at a minimum produce sight-readable printouts for all controlled substance prescriptions for each 48-hour period. A. I only B. I and II only C. II and III only D. All

Answer: (b) I and II only, [Rules of Georgia State Board of Pharmacy 480-27-.05(a)-to-(d)]. An automated data processing system may be utilized for the record-keeping system if the following conditions have been met:(a). All original prescriptions, those written by a practitioner, telephoned to the pharmacist by a practitioner and reduced to writing, or sent via facsimile machine must be retained as a permanent record for two years in the usual consecutively serial numbered prescription file.(b). The system shall at a minimum produce sight-readable printouts for all controlled substance prescriptions for each 24-hour (NOT 48-hour) period.The term sight-readable means that a regulatory agent shall be able to examine the record and read the information.1. Be generated as hard-copy print-outs at least once weekly, separated into each 24 hour period, by the pharmacy and maintained for at least two years after the last date on which the prescription was filled or refilled.If a hard-copy printout of each day's filled and refilled prescription is generated, that printout shall be verified, dated, and signed by the individual pharmacist who refilled such a prescription order.The individual pharmacist must verify that the data indicated are correct and then sign this document in the same manner as he would sign a check or legal document ( e.g., J.H. Smith, or John H. Smith).This document shall be maintained in a separate file at that pharmacy for a period of two years from the dispensing date;or2. Be maintained electronically. The computers on which the records are maintained may be located at another location, but the records must be immediately retrievable as hard-copy print-outs or viewing on a computer monitor set aside for such viewing at each individually registered pharmacy upon a verbal request by a representative from the Board or GDNA.The computer software must be capable of printing out or transferring the prescription records in a format that is readily understandable to the representative for the Board or GDNA at the registered location.Prescription records must also be sortable and retrievable by prescriber name, patient name, drug dispensed, and date filled.When utilizing electronic daily prescription fill and refill records, each pharmacy shall maintain a bound log book, or separate file, in which each individual pharmacist involved in such dispensing shall sign a statement each day, attesting to the fact that the prescription information entered by him or her into the computer that day has been reviewed by him or her and is correct as shown.Such a book or file must be maintained at the pharmacy employing such software for a period of two years after the date of dispensing the appropriately authorized refill.(c). The information maintained by the automated data processing system shall include, but not be limited to the following:1. Date of dispensing;2. Prescription number;3. Patient's name;4. Patient's address;5. Drug name, strength and dosage form;6. Quantity dispensed;7. Prescriber's name;8. Identification of dispensing pharmacist;9. Indication whether drugs are being dispensed pursuant to a new prescription or for a refill order;10. In case of a controlled substance as allowed by federal law, the name, address and DEA registration of the practitioner and the schedule of the drug;11. Directions for administration of the prescription to the patient;12. Total number of refills authorized; and13. NPI of the prescriber as assigned under federal law.(d) An auxiliary record-keeping system shall be established for the documentation of refills if the automated data processing system is inoperative for any reason.The auxiliary system shall insure that all refills are authorized by the original prescription and that the maximum number of refills is not exceeded.When this automated data processing system is restored to operation, the information regarding prescriptions filled and refilled during the inoperative period shall be entered into the automated data processing system as soon as possible.

Which of the following is/are TRUE regarding destruction of controlled substances by using authorized reverse distributors? I. A pharmacy may at any time forward controlled substances to DEA registered reverse distributors who handle the disposal of drugs. II. When a pharmacy transfers Schedule II substances to a reverse distributor for destruction, the distributor must issue an Official Order Form (DEA Form-222) to the pharmacy. III. A DEA Form-41 along with DEA Form-222 should be used to record the transfer of controlled substances between the pharmacy and the registered reverse distributor.

Answer: (b) I and II only, [Rules of Georgia State Board of Pharmacy 480-7-.05]. A pharmacy may at any time forward controlled substances to DEA registered reverse distributors who handle the disposal of drugs. The pharmacist may contact their local DEA Diversion Field Office for an updated list of those reverse distributors in their area.When a pharmacy transfers Schedule II substances to a reverse distributor for destruction, the distributor must issue an Official Order Form (DEA Form-222) to the pharmacy.When Schedule III-V controlled substances are transferred to a reverse distributor for destruction, the pharmacy should document in writing the drug name, dosage form, strength, quantity and date transferred.The DEA registered reverse distributor who will destroy the controlled substances is responsible for submitting a DEA Form-41 to the DEA when the drugs have been destroyed.A DEA Form-41 should not be used to record the transfer of controlled substances between the pharmacy and the registered reverse distributor, [21CFR1300, 1301, 1304, 1305, and 1307].

True/False A pharmacist steps outside of pharmacy area to help a patient to select proper OTC drug for his heartburn. A pharmacy-intern during that time dispenses the drug that is already verified by the pharmacist to another patient. The act done by pharmacy-intern is in accordance with Georgia State Pharmacy Law.

Answer: (b) No, [Rules of Georgia State Board of Pharmacy 480-10-.02(4)(b)(4)].If a pharmacist is absent less than five minutes from the prescription department, this absence is not considered an "absence" within the meaning of this rule and will not require a posted notice, provided that the prescription department's security is not compromised.No prescription shall be dispensed in the absence of a licensed pharmacist. The pharmacist on duty shall be responsible and accountable for the direct supervision of all personnel working in the pharmacy or prescription department.Pharmacy technicians and pharmacy interns/externs can continue preparation of a prescription when the pharmacist is in the immunization or consultation room or is providing pharmacy care services.

Who is responsible for maintaining all records pertaining to the access, usage, audits and maintenance of APS or RPS? A. Director of Health Institution B. Pharmacist-in-charge C. Staff pharmacist D. Deputy Director of Health Institution

Answer: (b) Pharmacist In Charge, [Rules of Georgia State Board of Pharmacy 480-10-.19(f)].The pharmacist in charge ("PIC") of the retail pharmacy is responsible for maintaining all records pertaining to the access, usage, audits and maintenance of the systems. These records must be readily accessible and available for inspection upon request by an agent of the Board.In addition, the PIC is responsible for developing and maintaining policies and procedures to assign, discontinue, or change access to the system, insure that access to the medications comply with state and federal regulations, and insure that the system is filled/stocked.The pharmacist in charge is responsible to assure that the APS or RPS is in good working order.Any pharmacist utilizing the APS or RPS must assure that the system is accurately producing the correct strength, dosage form, and quantity of the drug prescribed while maintaining appropriate record keeping and security safeguards.

The maximum number of allowable refills for Xyrem should be: A. 0 B. 5 C. As needed D. 2

Answer: (b) Xyrem (Sodium oxybate) is classified as a Schedule III controlled substance, [Rules of Georgia State Board of Pharmacy 16-13-27.(9) and 16-13-25 (5)(B)]. The maximum number of allowable refills for Xyrem (Sodium oxybate) should be five within a period of six-month. **Please note: (1) Sodium oxybate is classified as a Schedule III controlled drug when the FDA approved form of this drug is in a container labeled in compliance with subsection (a) or (b) of Code Section 26-3-8, in the possession of a registrant permitted to dispense the drug, or in the possession of a person to whom it has been lawfully prescribed. (2). Sodium oxybate is classified as a Schedule I controlled drug when the FDA approved form of this drug is not: (i). In a container labeled in compliance with subsection (a) or (b) of Code Section 26-3-8; and (ii). NOT In the possession of (I). A registrant permitted to dispense the drug (II). Any person other than to whom the drug was prescribed (III). Any person who attempts to or does unlawfully possess, sell, distribute, or give this drug to any other person.

Notice of any change of employment by a pharmacist shall be filed with the division director within how many days? A. 3 days B. 5 days C. 10 days D. 21 days

Answer: (c) 10 days, [Rules of Georgia State Board of Pharmacy 26-4-44].(a). Each pharmacist shall apply for renewal of his or her license biennially pursuant to the rules and regulations promulgated by the board. A pharmacist who desires to continue in the practice of pharmacy in this state shall file with the board an application in such form and containing such data as the board may require for renewal of the license.Notice of any change of employment or change of business address shall be filed with the division director within ten days after such change.If the board finds that the applicant has been licensed and that such license has not been revoked or placed under suspension and that the applicant has paid the renewal fee, has continued his or her pharmacy education in accordance with Code Section 26-4-45 and the rules and regulations of the board, and is entitled to continue in the practice of pharmacy, then the board shall issue a license to the applicant.

In which of the following instances shall a dispensing of a drug be classified as misbranded? A. A tablet falls on a floor dispensed by a pharmacist. B. A spider is found in an original manufacturer container. C. A returned drug is mixed with the drug containing a different lot number. D. A drug is compounded without properly sanitizing the compounding area.

Answer: (c) A returned drug is mixed with the drug containing a different lot number, [Food, Drugs And Cosmetics 53-1-109]. The choices a, b and d are considered to be adulterated. A drug shall be classified as misbranded if: (a). Its labeling is false or misleading in any particular way. (b). It is in a package form, unless it bears a label containing: (1). the name and place of business of the manufacturer, packer, or distributor; and (2). an accurate statement of the quantity of the contents in terms of weight, measure, or numerical count. (c). Any word, statement, or other information required by or under authority of this Act to appear on the label or labeling is not prominently placed thereon with such conspicuousness (as compared with other words, statements, designs, or devices, in the labeling) and in such terms as to render it likely to be read and understood by the ordinary individual under customary conditions of purchase and use. (d). It is a drug and its container is so made, formed, or filled as to be misleading; or (e). It is an imitation of another drug (f). It is offered for sale under the name of another drug (g). It is dangerous to health when used in the dosage or manner; or with the frequency or duration prescribed, recommended, or suggested in the labeling thereof (h). It is a color additive the intended use of which is for the purpose of coloring only, unless its packaging and labeling are in conformity with such packaging and labeling requirements applicable to such color additive.

A pharmacist has substituted generic Alprazolam (Mfg: Ranbaxy) for brand prescribed Xanax (Mfg: Pfizer). Which of the following shall be appeared on dispensing label? A. Alprazolam, (Ranbaxy) B. Alprazolam, Xanax (Ranbaxy) C. Alprazolam (a generic for Xanax) D. Xanax (Pfizer), Alprazolam

Answer: (c) Alprazolam (a generic for Xanax), [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, Article 5, 26-4-81 (d)(1),(2)].Whenever a substitution is made, the pharmacist shall record on the original prescription the fact that there has been a substitution and the identity of the dispensed drug product and its manufacturer.Such prescription shall be made available for inspection by the board or its representative in accordance with the rules of the board.If a pharmacist substitutes a generic drug product for a brand name prescribed drug product when dispensing a prescribed medication, the brand name and the generic name of the drug product, with an explanation of "generic for (insert name of brand name prescribed drug product)" or similar language to indicate substitution has occurred, must appear on the prescription label and be affixed to the container or an auxiliary label, unless the prescribing practitioner indicated that the name of the drug may not appear upon the prescription label; provided, however, that this paragraph shall not apply to medication dispensed for in-patient hospital services or to medications in specialty packaging for dosing purposes as defined by the board.

Which of the following requires a tamper-evident packaging? A. Cold EZ lozenges B. Tolnaftate cream C. Prilosec capsules D. Sensodyne fluoride tooth paste

Answer: (c) Each manufacturer and packer who packages an OTC drug product (except a dermatological, dentifrice, insulin, or lozenge product) for retail sale shall package the product in a tamper-evident package, if this product is accessible to the public while held for sale. A tamper-evident package is one having one or more indicators or barriers to entry which, if breached or missing, can reasonably be expected to provide visible evidence to consumers that tampering has occurred. To reduce the likelihood of successful tampering and to increase the likelihood that consumers will discover if a product has been tampered with, the package is required to be distinctive by design or by the use of one or more indicators or barriers to entry that employ an identifying characteristic (e.g., a pattern, name, registered trademark, logo, or picture).A tamper-evident package may involve an immediate-container and closure system or secondary-container or carton system or any combination of systems intended to provide a visual indication of package integrity. The tamper-evident feature shall be designed to and shall remain intact when handled in a reasonable manner during manufacture, distribution, and retail display.

Along with application and required fees, the letter of the approval from which of the following agencies requires to issue a pharmacy license to an applicant? A. NABP B. DEA C. GDNA D. Georgia State Pharmacy Board

Answer: (c) GDNA, [Rules of Georgia State Board of Pharmacy 480-6-.01]. (1). Application for license: (a). Applications must be filed with the Georgia State Board of Pharmacy located at the Department of Community Health, 2 Peachtree Street, 6th Floor, Atlanta, GA 30303, along with the required fee. (b). Application for the licensing of a pharmacy will be considered on the basis of the application filed and an approval letter received from the director of the Georgia Drugs and Narcotics Agency certifying the pharmacy possesses the necessary facilities and equipment for a license. (c). The application fee shall NOT be refundable (2). Every pharmacy shall be under the direct charge of a registered pharmacist whose name shall appear on the license. In the event such pharmacist whose name shall appear on said license shall no longer be in charge of a pharmacy, the Board shall be notified immediately and shall be notified, at the same time, of the successor registered pharmacist.(3). Licenses shall not be transferable. Licenses become null and void upon the sale, or change of mode of operation of the business.(4). Licenses shall be renewed every two years and expire on June 30th of each odd year and may be renewed upon the payment of the required fee and the filing of an application for renewal.If the application for renewal is not made and the fee paid before September 1st of the odd year, the license shall lapse and shall not be renewable except by application for a new license.

It is unlawful for any person, other than a retail distributor, to knowingly possess any product that contains ephedrine, pseudoephedrine, or phenylpropanolamine in an amount which exceeds: I. 100 tablets II. 300 gelcaps III. 9 grams

Answer: (c) II and III, [Rules of Georgia State Board of Pharmacy Title 16, 16-13-30.3(b)(1)]. It is unlawful for any person, other than a retail distributor, to knowingly possess any product that contains ephedrine, pseudoephedrine, or phenylpropanolamine in an amountwhich exceeds 300 pills, tablets, gelcaps, capsules, or other individual units More than 9 grams of ephedrine, pseudoephedrine, or phenylpropanolamine, their salts, isomers, or salts of isomers, or a combination of any of these substances, whichever is smaller.

Which of the following information about temporary absences of a licensed pharmacist in a pharmacy? I. Law prohibits such temporary absences. II. Such temporary absences shall NOT exceed 3 hours per day. III. Such temporary absences shall NOT exceed one and one-half hours at any given time. A. I only B. None of the above C. II and III only D. All

Answer: (c) II and III, [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, Article 5, 26-4-110(i)]. During hours of operation, every pharmacy licensed pursuant to this chapter shall have a prescription department under the personal supervision of a duly licensed pharmacist who shall have personal supervision of not more than one pharmacy at the same time, provided that nothing in this chapter shall be construed to prohibit any pharmacist from having personal supervision of a pharmacy located in a hospital, nursing home, college of pharmacy, or a pharmacy owned and operated directly by a health maintenance organization. Every pharmacy licensed, except those located within and owned and operated by a duly licensed and accredited hospital, nursing home, or college of pharmacy, shall have a prescription department open for business at all times that the business establishment is open to the public, except that during temporary absences of any licensed pharmacist not to exceed three hours daily or more than one and one-half hours at any one time the prescription department shall be closed and no prescription shall be filled or dispensed.

A 32-year-old patient comes to the pharmacy with a prescription for MS Contin. Upon examining the prescription, the pharmacist notices that the prescriber forget to include the quantity to be dispensed. A pharmacist may I. contact and speak with an agent for the practitioner if the prescriber is absent II. send back the prescription to the prescriber's office to correct it III. write the missing quantity of the prescribed drug on the face of the prescription along with the initials of the pharmacist after the missing information provided by the prescriber A. I only B. I and II only C. III only D. II and III only

Answer: (c) III only, [Rules of Georgia State Board of Pharmacy 480-22-.04(8)(a)-to-(d)] Whenever a pharmacist receives a prescription for a C-II controlled substance, and either the quantity of the drug to be dispensed or the strength of the drug to be dispensed has not been included by the prescribing practitioner, or when the strength of the prescribed drug is not immediately available, in order to dispense this drug, the pharmacist must perform the following (a). Contact and speak directly with the practitioner, not with an agent for the practitioner, and inform the practitioner of the missing information on the face of the prescription, or the problem with the prescription in question by 1. Determining the quantity of the drug the practitioner intended to be dispensed; or 2. Determining the strength of the drug the practitioner intended to be dispensed; or 3. Informing the practitioner the drug in the strength prescribed is not immediately available, but another strength of the prescribed drug is available. (b). Regarding the information provided by the practitioner, the pharmacist must write the missing quantity, the missing strength, or the changed quantity and strength of the prescribed drug on the face of the prescription along with the initials of the pharmacist (c). On the back of the prescription, the pharmacist must write the date and time the pharmacist spoke with the practitioner, along with a brief explanation of the situation and how it was resolved

A patient comes to a pharmacy with a prescription for Oxycontin. After processing the claim, the pharmacist finds out that he does not have enough quantity to dispense the full supply. Under this circumstance, the pharmacist may: A. Tell the patient to pick up partial quantities within a week. B. Call another pharmacy and borrow a bottle of Oxycontin. C. Reverse the claim and return the prescription back to the patient. D. Call the physician and change the quantity.

Answer: (c) Oxycontin is a schedule II controlled substance, [Controlled Substance Act of Georgia 16-13-26]. When dealing with schedule II controlled substances, it is better to reverse the claim and return the prescription to the patient. The other option would be to dispense the partial quantity within 72 hours of initial dispensing of the drug, [Rules of Georgia State Board of Pharmacy 480-22-.06(1)(a),(b)].

Which of the following is/are required when certificate of registration issued to a corporation? I. the name and title of each corporate officer. II. the corporation state of incorporation III. the name and title of each corporate director A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy 480-10-.06].Certificates of registration shall be issued only to those retail pharmacies who meet the following requirements:1. Submission of an application with the following information:i. The name, full business address, and telephone number of the licensee;ii. All trade or business names used by the licensee;iii. Address, telephone number, and the name of the Pharmacist in Charge;iv. The type of ownership or operations (i.e., partnership, corporation, or sole proprietorship); andv. The name(s) of the owner and/or operator of the licensee, including:(I). If a person, the name of the person;(II). If a partnership, the name of the partnership and the name of each partner;(III). If a sole proprietorship, the full name of the sole proprietorship and the name of the business entity; or(IV). If a corporation, the corporate name, the name and title of each corporate officer and director, the state of incorporation; and the name of the parent company, if any.vi. Where operations are conducted at more than one location by a single retail pharmacy, each such location shall be licensed by the Board.

A Georgia licensed retail pharmacy may use automated pharmacy systems or robotic pharmacy systems in the preparation of medication for dispensing provided such systems meet the which of following requirements? I. The system should be located within the licensed pharmacy II. Medication loaded into the system can be visually identified as well as identified by bar code III. The system provides a visual image or a description of the medication at final verification A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy 480-10-.19(a),(b)]. Automated pharmacy systems (APS) means a mechanical system that perform operations or activities, other than compounding or administration, relative to storage, packaging, and labeling of medication for the purpose of dispensing of medication to a patient or patient's agent. Robotic pharmacy systems (RPS) means a mechanical system controlled by a computer that performs operations or activities relative to the storage, packaging, and labeling of medication for the purpose of distribution (dispensing) of medication to a patient or a patient's agent. A Georgia licensed retail pharmacy may use automated pharmacy systems or robotic pharmacy systems in the preparation of medication for dispensing provided such systems meet the following requirements: (1). The system collects, controls, and maintains all transaction information (2). The system is located within the licensed pharmacy, or if in a general merchandising store, within the pharmacy department (3). Medication loaded into the system can be visually identified as well as identified by bar code or other such secondary identification system to ensure the proper medication is being placed into and recognized as the correct medication by the system; (4). The system has adequate security systems and procedures to prevent unauthorized access to the system (5). The system complies with federal laws and state regulations (6). The system maintains patient confidentiality (7). The system provides a visual image or a description of the medication at final verification (8). The system can only be accessed by personal code

Each retail pharmacy utilizing an APS or RPS must maintain which of the following documentations on a premise? I. Type of equipment II. Serial number of equipment III. Policies and procedures regarding equipment. A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy 480-10-.19(c)] Each retail pharmacy utilizing an Automated pharmacy systems (APS) or Robotic pharmacy systems (RPS) must maintain documentation, as to type of equipment, serial numbers, content, policies and procedures, on-site in the pharmacy for review by an agent of the Board.

Who may fill/stock medications in Automated pharmacy systems (APS) or Robotic pharmacy systems (RPS)? I. Licensed pharmacist II. Licensed pharmacy intern III. Registered pharmacy technician

Answer: (d) All, [Rules of Georgia State Board of Pharmacy 480-10-.19(d)]. The filling/stocking of all medications in the Automated Pharmacy Systems (APS) or Robotic Pharmacy Systems (RPS) shall be performed by licensed pharmacist, licensed pharmacy intern or a registered pharmacy technician under the direct, onsite supervision of a licensed pharmacist.An electronic or hard copy record of medications produced by the system shall be maintained for 2 years, and shall include identification of the person stocking/filling the system, and if a pharmacy intern or registered pharmacy technician, the name of the pharmacist providing the supervision.

Which of the following statements are TRUE regarding the preparation of cytotoxic substances by pharmacies? I. All cytotoxic drugs should be compounded in a vertical flow, Class II, biological safety cabinet II. Personnel compounding cytotoxic drugs shall wear disposable masks, gloves, and gowns with tight cuffs. III. Prepared doses of cytotoxic drugs must be dispensed, labeled with proper precautions inside and outside, and delivered in a manner to minimize the risk of accidental rupture of the primary container. A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy 480-11-.02(11)(a)-to-(g)] In addition to the minimum requirements for a pharmacy established by rules of the Board, the following requirements are necessary for those pharmacies that prepare cytotoxic drugs to insure the protection of the personnel involved. (a). All cytotoxic drugs should be compounded in a vertical flow, Class II, biological safety cabinet. Other products should not be compounded in this cabinet.(b). Personnel compounding cytotoxic drugs shall wear protective apparel. This shall include disposable masks, gloves, and gowns with tight cuffs.(c). Appropriate safety and containment techniques for compounding cytotoxic drugs shall be used in conjunction with the aseptic techniques required for preparing sterile products.(d). Disposal of cytotoxic waste shall comply with all applicable local, state, and federal requirements.(e). Written procedures for handling both major and minor spills of cytotoxic agents must be developed and must be included in the policy and procedure manual.(f). Prepared doses of cytotoxic drugs must be dispensed, labeled with proper precautions inside and outside, and delivered in a manner to minimize the risk of accidental rupture of the primary container.(g). Disposal of cytotoxic and/or hazardous wastes. The pharmacist-in-charge is responsible for assuring that there is a system for the disposal of cytotoxic and/or infectious waste in a manner so as not to endanger the public health.

Which of the following statements are TRUE regarding accessing night cabinets in the absence of a registered pharmacist in a hospital? I. Such night cabinets can only be accessed by specifically authorized personnel. II. Pre-packaged drugs available in night cabinets shall be in amounts sufficient for immediate therapeutic requirements. III. Whenever access to such cabinet(s) has been gained, written practitioner's orders and proof of use for controlled substances must be provided. A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy 480-13-.04(7)]. When a licensed pharmacist is not physically present in the hospital, written policies and procedures shall be prepared in advance by the Director of Pharmacy for the provision of drugs to the medical staff and other authorized personnel of the hospital by use of night cabinets and/or by access to the pharmacy. Access to drugs, in the absence of a licensed pharmacist, shall be by locked cabinets or night cabinets constructed and located outside of the pharmacy area, to which only specifically authorized personnel as indicated by written policies and procedures may obtain access by key or combination, and which is sufficiently secure to deny access to unauthorized persons. The Director of Pharmacy shall, in conjunction with the appropriate committee of the hospital, develop inventory listings of those drugs to be included in such cabinet(s) and shall insure that: (a). Such drugs are available therein, properly labeled, with drug name, strength, lot number and expiration date; (b). Only pre-packaged drugs are available therein, in amounts sufficient for immediate therapeutic requirements; (c). Whenever access to such cabinet(s) has been gained, written practitioner's orders and proof of use for controlled substances must be provided; (d). All drugs therein are inventoried no less than once per week. A system of accountability must exist for all drugs contained therein; and (e). Written policies and procedures are established to implement the requirements of this subsection.

Which of the following statements are TRUE regarding when a drug is not available from floor supplies or night cabinets during a pharmacy's after hours? I. A drug that is required to treat the immediate needs of a patient whose health would otherwise be jeopardized may be obtained from the pharmacy pursuant to the physician's order. II. One registered professional nurse or licensed practical nurse in any given shift may have access to the pharmacy and may remove drugs therefrom. III. The container from which the drug is removed shall be placed conspicuously to be promptly reviewed and inspected by the next pharmacist coming on duty.

Answer: (d) All, [Rules of Georgia State Board of Pharmacy 480-13-.04(8)]. Whenever a drug is not available from floor supplies or night cabinets, and such drug is required to treat the immediate needs of a patient whose health would otherwise be jeopardized, such drug may be obtained from the pharmacy pursuant to the practitioner's order and the requirements of this subsection. One nursing supervisor (registered professional nurse or licensed practical nurse) in any given shift may have access to the pharmacy and may remove drugs there from. At any time that a nurse is accessing a closed pharmacy, the Director of Pharmacy must designate a licensed pharmacist, not a remote order entry pharmacist, who is available to the nurse by telephone, and who, in the event of an emergency, is available to come to the hospital. When a nurse accesses drugs directly from the closed pharmacy, the nurse must: (a). provide a copy of the order, (b). document on a suitable form the name of the drug, the strength and amount of the drug removed, the date and time it was removed, and sign the form. (c). The container from which the drug is removed shall then be placed conspicuously to be promptly reviewed and inspected by the next pharmacist coming on duty.

Which of the following may be TRUE about destroying a leftover morphine sulfate solution in an infusion bag? I. The solution must be destroyed by a licensed pharmacist or a licensed nurse and one witness. II. The two persons witnessing the destruction must sign the destruction record at the time of destruction. III. The destruction record shall be returned to the pharmacy and must be signed by the pharmacist who is ultimately responsible for the accuracy of the information contained therein. A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy 480-13-.06(4)(a)]. Full doses of controlled substances prepared for administration and not given must be destroyed by a licensed pharmacist or a licensed nurse and one witness. Any portions of controlled substances discontinued and taken from a medication delivery device shall be destroyed by a licensed pharmacist or a licensed nurse and one witness. The two persons witnessing the destruction must sign the destruction record at the time of destruction. The destruction record shall be returned to the pharmacy and must be signed by the pharmacist who is ultimately responsible for the accuracy of the information contained therein.

Which of the following is/are requirements to be a GDNA special agent? I. A GDNA Special Agent shall be a graduate of a recognized school or college of pharmacy and hold a current pharmacist license issued by the Georgia State Board of Pharmacy (Board) II. A GDNA Special Agent must have actively practiced pharmacy for at least two (2) years. III. A GDNA Special Agent must have completed and passed the Georgia Peace Officers Standards and Training (P.O.S.T.). A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy 480-14-.01(1)]. A GDNA Special Agent shall be a graduate of a recognized school or college of pharmacy and hold a current pharmacist license issued by the Georgia State Board of Pharmacy (Board). Additionally, to qualify as a GDNA Special Agent, the applicant shall have: (a). Actively practiced pharmacy for at least two (2) years; (b). No private or public sanctions on his or her pharmacist license or similar licenses issued by the Board, or any other Board of Pharmacy or their equivalent; 1. No prior convictions for any crime other than minor traffic offenses; 2. Successfully passed a personal background investigation; 3. Completed and passed the Georgia Peace Officers Standards and Training (P.O.S.T.) Basic Mandate Training Course to become a Georgia P.O.S.T. Certified Peace Officer within one (1) year of being hired. GDNA Deputy Director. A GDNA Deputy Director shall be a graduate of a recognized school or college of pharmacy and hold a current pharmacist license issued by the Board. Additionally, a GDNA Deputy Director shall have at least five (5) years of full-time paid employment as a GDNA Special Agent; or as approved by the Board. A person who has been ten (10) years of full-time, paid employment in an agency similar to the GDNA as long as he or she meets the requirements for a GDNA Special Agent.

Which of the following information related to controlled substances shall be submitted to Georgia prescription drug monitoring program (PDMP)? I. The NDC number of the monitored prescription drug II. The number of days supply of the drug. III. Method of payment. A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy Title 16, 16-13-59(a)]. For purposes of the PDMP, each dispenser shall submit to the department by electronic means information regarding each prescription dispensed for a Schedule II, III, IV, or V controlled substance. The information submitted for each prescription shall include at a minimum, but shall not be limited to: (1) DEA permit number or approved dispenser facility controlled substance identification number (2) Date the prescription was dispensed (3) Prescription serial number (4) If the prescription is new or a refill (5) National Drug Code (NDC) for drug dispensed (6) Quantity and strength dispensed (7) Number of days supply of the drug (8) Patient's name

Which of the following is/are TRUE about Georgia Drugs and Narcotics Agency? I. The Georgia Pharmacy Board shall appoint a director who shall be charged with supervision and control of Georgia Drugs and Narcotics Agency II. The director, deputy director, and special agents of the Georgia Drugs and Narcotics Agency shall have the authority and power that sheriffs possess to make arrests of any persons violating or charged with violating any regulation under Georgia Pharmacy Act .III. The director, deputy director, and special agents of the Georgia Drugs and Narcotics Agency must be registered pharmacists in Georgia. A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, 26-4-29 (a),(b) and (c)].The agency created in 1908 as the Office of the Chief Drug Inspector and known as the Georgia Drugs and Narcotics Agency since 1976 is continued in existence as the Georgia Drugs and Narcotics Agency.The board shall appoint a director who shall be charged with supervision and control of such agency. The director shall be a pharmacist registered in this state.The agency shall employ the number of personnel deemed necessary to properly protect the health, safety, and welfare of the citizens of this state. Such personnel shall be pharmacists registered in this state when employed as either special agents or the deputy director.The director, or agency personnel acting on behalf of the director, shall have the duty and the power to:(1). Visit and inspect factories, warehouses, wholesaling establishments, retailing establishments, chemical laboratories, and such other establishments in which any drugs, devices, cosmetics, and such articles known as family remedies, grocer's drugs, and toilet articles are manufactured, processed, packaged, sold at wholesale, sold at retail, or otherwise held for introduction into commerce;(2). Enter and inspect any vehicle used to transport or hold any drugs, devices, cosmetics, or any of the articles listed in paragraph (1) of this subsection;(3). Investigate alleged violations of laws and regulations regarding drugs, devices, cosmetics, or any of the articles listed in paragraph (1) of this subsection;(4). Take up samples of the articles listed in paragraph (1) of this subsection from any of the said establishments for examination and analysis by the state chemist, or under such person's direction and supervision;(5). Seize and take possession of all articles which are declared to be contraband;(6). Perform such other duties as may be directed by the board.(7). The director, deputy director, and special agents of the Georgia Drugs and Narcotics Agency shall have the authority and power that sheriffs possess to make arrests of any persons violating or charged with violating Chapter 13 of Title 16 and Chapter 3 of this title and this chapter. The deputy director and special agents shall be required to be P.O.S.T. certified peace officers under Chapter 8 of Title 35, the "Georgia Peace Officer Standards and Training Act."(8). In case of such arrest, the director, deputy director, or any of the special agents shall immediately deliver the person so arrested to the custody of the sheriff of the county wherein the offense is alleged to have been committed. The duty of the sheriff in regard to the person delivered to the sheriff by any such person arrested under power of this Code section shall be the same as if the sheriff had made the original arrest.

Information contained in the patient medication record or profile shall be considered confidential. Such information may be released to I. the patient or the patient's authorized representative II. the prescriber or other licensed health care practitioners currently caring for the patient III. the board or its representative A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, Article 5, 26-4-80 (d) And Rules of Georgia State Board of Pharmacy 480-16-.07(d)] Information contained in the patient medication record or profile shall be considered confidential information. Confidential information may be released to the following 1. The patient 2. The patient's authorized representative 3. The prescriber, or other licensed health care practitioners then caring for the patient 4. Another licensed pharmacist for purposes of transferring a prescription or as a part of a patient's drug utilization review, or other patient counseling requirements 5. The Board, or its representative; or 6. Any law enforcement personnel duly authorized to receive such information such as a GDNA agent, DEA Agent, or Georgia Medicaid Agent. In accordance with O.C.G.A. 24-9-40(b), 26-4-80 and these rules, a pharmacist may release confidential information to such persons not mentioned in 480-16-. 08(d) only upon the receipt of the following 1. A written authorization for release signed by the patient, or his or her parents or duly appointed guardian, such as in the case of a minor 2. An subpoena issued and signed by an authorized government official or3. A court order issued and signed by a judge of an appropriate court.

In which of the following instance(s) is a patient counseling NOT required by the law? I. A patient resides in a hospital II. A patient resides in a correction institution III. A patient refuses counseling A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, Article 5, 26-4-85(d),(e)]. (d). Patient counseling shall not be required for: (1). In-patients of a hospital or institution where other health care professionals are authorized to administer the drug or drugs; (2). Inmates of corrections institutions where pharmacy services are provided by the Department of Corrections or by a county or municipal political subdivision either directly or by a subcontractor of the above; or (3). Patients receiving drugs from the Department of Public Health; provided, however, that pharmacists who provide drugs to patients shall include in all dispensing procedures a written process whereby the patient or the caregiver of the patient is provided with the information required. (e). A pharmacist shall not be required to counsel a patient or the caregiver of the patient when the patient or the caregiver of the patient refuses such consultation or counseling.

Who may prescribe auto-injectable epinephrine in the name of a public or private school? I. a licensed physician II. an advanced practice registered nurse III. a licensed physician assistant A. I only B. I and II only C. II and III only D. All

Answer: (d) All, [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, Article 9, 26-4-116.1]. (a). A physician licensed to practice medicine in this state, an advanced practice registered nurse and a physician assistant may prescribe auto-injectable epinephrine in the name of a public or private school for use in accordance with protocol specified by such physician, advanced practice registered nurse, or physician assistant. (b). A pharmacist may dispense auto-injectable epinephrine pursuant to a prescription issued in accordance with subsection (a) of this Code section.

All drugs dispensed by a hospital pharmacy to be used inside the hospital shall be labeled so as to identify all of the following EXCEPT: A. Brand or generic name B. Lot number C. Expiration date D. Directions for use by a patient

Answer: (d) Directions for use by a patient, [Rules of Georgia State Board of Pharmacy 480-13-.06(3)(a),(b)]. All drugs dispensed by a hospital pharmacy to be used inside the hospital shall be labeled so as to identify at a minimum, brand name or generic name, strength, lot number, and expiration date. For use outside the hospital, all drugs dispensed by a hospital pharmacy to patients about to be discharged or on leave of absence shall be labeled with the following information: 1. Name, address, and telephone number of the hospital pharmacy; 2. Date and identifying serial number; 3. Patient's given and last name; 4. Name of drug (brand or generic) and strength; 5. Directions for use by patient; 6. Name of prescribing practitioner;

Which of the following is classified as a Schedule A Poison? A. Colchicum B. Belladonna C. Nux vomica D. Essential oil of bitter almonds

Answer: (d) Essential oil of bitter almonds, [Rules of Georgia State Board of Pharmacy Title 26, Chapter 4, Article 9, 26-4-160]. No person shall furnish by retail sale any poison enumerated in this Code section without distinctly labeling the bottle, box, vessel, or paper in which the poison is contained, and also the outside wrapper or cover thereof, with the name of the article, the word "Poison," and the name and place of business of the person who furnishes the same. (1). Schedule "A." Arsenic and its preparations, corrosive sublimate, white precipitate, red precipitate, biniodide of mercury, cyanide of potassium, hydrocyanic acid, strychnia, and all other poisonous vegetable alkaloids and their salts; essential oil of bitter almonds, opium and its preparations, except paregoric and other preparations of opium containing less than two grains to the ounce; and (2). Schedule "B." Aconite, belladonna, colchicum, conium, nux vomica, henbane, creosote, digitalis, and their pharmaceutical preparations; croton oil, chloroform, chloral hydrate, sulfate of zinc, mineral acids, carbolic acid, and oxalic acid.

Which of the following is the TRUE meaning of an Issuing Pharmacy in reference to a Home Health Agency? a. It is a type of pharmacy that possesses the power to issue opioid-related drugs. b. It is a type of pharmacy that deals with the selling of orphan drugs. c. It is a type of pharmacy that is authorized to issue sterile drug intravenous maintenance kits for use in a home health care setting d. It is a type of pharmacy that contracts with one or more groups of practitioners to participate in a double blind study

Answer: c only, [Rules of Georgia State Board of Pharmacy 480-17-.02(4)]. Issuing Pharmacy means a pharmacy licensed as a retail pharmacy by the Georgia State Board of Pharmacy that is authorized to issue Sterile Drug Intravenous (IV) Maintenance Kits (SDM Kits) for use in a home health setting by registered professional nurses employed or contracted by a licensed home health agency. Sterile Drug Intravenous (IV)Maintenance Kits (SDM Kits) are sealed containers whose contents are strictly limited to the drugs sterile saline, sterile water, and diluted heparin, and which can only be distributed by an Issuing Pharmacy to professional registered nurses employed or contracted by a home health care agency.

Who may stop and inspect any vehicle used to transport/hold any drug? A. Director of the Board B. Director of GDNA C. Secretary of Healthcare Admin D. Agent of the BOP

B. Director of GDNA

If the prescription is written for an animal, which of the following shall be required on the prescription? I. Name of animal II. Species of animal III. Full name and address of the owner of the animal A. I only B. I and II only C. II and III only D. ALL

C. I and II only If the prescription is for an animal, the prescription shall state the species of the animal and the full name and address of the owner (required to counsel)

Which of the following statements are TRUE regarding a pharmacist intern license under GA state pharmacy law? I. An intern license shall be valid for up to 3 years II. An intern license shall expire at the time a pharmacy intern is expelled, suspended, dismissed, or withdrawn from school III. An intern license shall expire upon notification that a person has taken and failed the board examination 3 times A. I only B. I and II only C. II and III only D. ALL

C. II and III only Pharmacy Practice Act 26-4-47 (a,b,c) Intern license is valid for up to 5 years

BOP may suspend, revoke, or restrict the licenses of an applicant on which of the following grounds? I. Misrepresentation of a material fact by a licensee in securing the issuance or renewal of a license II. Having his/her license to practice pharmacy revoked, suspended, or annulled by any lawful licensing authority of other state III. Having disciplinary action taken against him/her by any lawful licensing authority of any other state A. I only B. I and II only C. II and III only D. All

D. ALL

True/False For drug researcher permit, all records regarding the purchase, receipt, utilization, and disposal of all controlled substance and dangerous drugs utilized must be maintained for a minimum of 3 years and be readily available for inspection by agents of the board

False

True/False Pediatric liquid products (ephedrine) primarily intended for admin to children under 2 years of age for which the recommended dosage does not exceed 2mL and the total package content does not exceed 1 fluid oz are exempt from the requirement of Combat Methamphetamine Epidemic Act of 2005

True [Controlled Substance Act 16-13-30.3]