Term
| Prescriptions for CII in Tx may only be obtained from where? |
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Definition
| the Texas Prescription Program; DPS provides forms to practitioners at cost |
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Term
| What security are present on the prescription form for Class II drugs? |
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Definition
| Control number, pantograph, thermochromatic ink, and the DPS seal |
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Term
| When filling a triplicate rx, the pharmacist should destroy which copy? |
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Definition
| 2nd copy-- with electronic reporting, it is no longer necessary to send the original copy to the department so it is available for the pharmacy's records. |
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Term
| when does a CII prescription expire-- how long after the date the prescription is issued? |
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Definition
| 21 days-- If an official prescription is presented later than 21 days after issuance, a new prescription is required from the physician.The amendments became effective March 12, 2008. |
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Term
| How long does the pharmacy have to send in copy 1 to DPS? |
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Definition
| within 15 days of date filled |
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Term
| Can a pharmacy fill a Schedule 2 issued by a practitioner in another state? If so, how? |
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Definition
| Yes; if the pharmacy dispenses/delivers controlled subs; the practitioner's prescription is within ordinary course of practice; it is filled in compliance with a written plan (submitted by pharmacy to DPS and is approved by DPS in consultation with TSBP) |
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Term
| When a practitioner administers Schedule II drugs, what should he do with the triplicate form? |
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Definition
| The practitioner should sign the "dispense as written" line in his office and send both copies 1 and 2 to DPS and retain copy 3 for records |
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Term
| What is considered small amounts for administering CII drugs? |
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Definition
| not exceeding 100mg by injection, 150mg orally, or used topically in minor office procedures; phy must maintain list of all pts (pt's name, address and age) and a copy of complete list along with trip copies 1 and 2 must be submitted to DPS on MONTHLY basis |
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Term
| What informaiton cannot be filled in by a pharmacist on the triplicate form? |
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Definition
| Physician's sig, Name of drug, Pt's name (if date is missing, may call to verify date; ONE THE BACK OF COPY 1 WHICH IS SENT TO DPS, INDICATE THE INFO THAT YOU HAVE COMPLETED) |
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Term
| How long does a LTCF/terminally ill have to fill partial fill for CII? How long does a pharmacist have to complete a partial fill for a "normal pt"? |
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Definition
| LTCF/terminally ill pt may get partial fills for up to 60 days from date of issuance provided that total dispensed does not exceed the qty prescribed. Otherwise, the pharmacist has 72 hrs to supply remaining portion of a drug that the pharmacist was not able to supply the full qty. |
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Term
| How long does a prescriber have to produce an hard copy to an emergency dispensing of a CII? |
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Definition
| 7 days; upon receipt, the pharmacist attaches copy 2 to his hand written emergency prescription in his files |
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Term
| Name some exceptions to use of triplicate prescriptions. |
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Definition
| When dispensed to a pt that is: admitted to the hospital and not discharge, admitted to a hospital's outpt clinic or ER; delivered to a hospitalized pt pursuant to a medication order; NOT required for hospital inpt medication orders; NOT required when CII is administered to a LTCF in-pt from the facility's medical emergency kit |
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Term
| If a CII drug is dispensed to a pt to take home, the supply is limited as follows: |
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Definition
| When dispensed from hospital pharmacy: a 7-day supply; When dispensed from an emergency room: a 72-hour supply; |
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Term
| Who grants the emergency authority relating to dangerous drugs? |
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Definition
| Commissioner of Health; emergency authority may be used to limit rx's to practitioners in Tx or other states. |
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Term
| Who holds public hearings to determine if a dangerous drug is being abused? |
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Definition
| The Texas Board of Health of the Texas Department of Health |
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Term
| Pharmacists may dispense Canadian and Mexican Rx for dangerous drugs only if prescription is: |
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Definition
| 1. Authentic (original written Rx; can refill according to Tx law; no auth of refills by phone); 2. valid pt-physician relationship; 3. Necessary for tx of illness; NO CONTROLLED SUBSTANCES ALLOWED! |
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Term
| The Optometry Act prohibits the prescribing of: |
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Definition
| antiviral drugs, Chloramphenicol, Controlled substances |
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Term
| What are the restrictions for the prescribing of topical ocular steroids by Therapeutic Optometrists? |
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Definition
| 1% concentrations may be used for 7 days only, unless substantial improvement has occurred; less than 1% concentrations may be used for 14 days only, unless substantial improvement has occurred |
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Term
| What is the day supply for oral antibiotics prescribed by a Therapeutic Optometrist? oral antihistamine? oral non-steroidal anti-inflammatory? analgesic in schedules III, IV, and V? |
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Definition
| antibiotic= one 10 day supply; antihistamine= one 72-hr supply; anti-inflamm= 7 day supply; analgesic= 3 day supply |
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Term
| When must a therapeutic optometrist immediately refer a pt to an ophthalmologist or physician? |
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Definition
| Therapeutic optometrist may independently administer oral carbonic anhydrase inhibitors for emergency purposes only and shall immediately refer the patient to an ophthalmologist. A therapeutic optometrist may inject appropriate medication for a patient who has an anaphylactic reaction to counteract the anaphylaxis. The therapeutic optometrist shall immediately refer the patient to a physician. |
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Term
| Records of acquisition and disposal must be kept for ________ after the date of the acquisition or disposal |
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Definition
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Term
| Who designates the president of the TSBP? |
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Definition
| the Governor (officers serve terms of one yr and may not serve more than 2 consecutive terms in each office to which they are elected) |
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Term
| What is the Executive Director/Secretary responsible for? |
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Definition
| advising the Board on policy matters, implementing Board policy, managing the agency on day-to-day basis (the board is required to employee a licensed pharmacist to serve as this); to help the Executive Director/Secretary- this person has an Executive Assistant and Receptionist |
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Term
| What are the qualifications for licensing by examination? |
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Definition
| at least 18 years of age, good moral character, completed internship hours (1,500 hrs), graduated from an accredited school, passed the NABPLEX, has not had license revoked, etc. |
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Term
| No more than _____ hrs of the required 1500 hrs of internship may be obtained under a preceptor that is a healthcare professional. |
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Definition
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Term
| True or False: The board may adopt any rules limiting the # of supportive personnel or establish ratios in Class C pharmacies. |
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Definition
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Term
| What amendments were added in 2003 to all applications for a new pharmacy license? |
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Definition
| Federal tax ID #, Description of business services offered, malpractice insurance carrier or self-insured statement, certificate of authority if corp from out-of-state, articles of incorp if a corp, current Tx Franchise Tax Certificate of Good standing |
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Term
| What are the exceptions to the additional requirements for Class A or C pharmacies (new pharmacy license)? |
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Definition
| entity that already owns a pharmacy license in Tx, birth certificate and driver's license do not apply if the ind possesses an active pharmacist license in Tx; for class C pharmacies-- the additional requirements are needed only if they are owned by a MANAGEMENT company |
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Term
| Within _______ days, a pharmacist shall report in writing, a change of address or change of employment. |
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Definition
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Term
| Generic substitution allows pharmacists to use their professional judgment in substituting products NOT listed in the Orange Book-- but the products must: |
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Definition
| be in the same dosage form and contain the same active ingredients in the same amounts |
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Term
| The rules for the dispensing directive must: |
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Definition
| Require the use of the phrase "brand necessary" or "brand medically necessary" to prohibit the substitution of a generically equivalent drug; Be in a format that protects confidentiality as required by HIPAA; Be developed to coordinate with the federal Medicaid requirements; and Include an exemption for electronic prescriptions |
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