Term
| Do "other dispensers/authorized prescribers" need a permit to give a starter dose? |
|
Definition
|
|
Term
| Who are authorized prescribers? |
|
Definition
Physician
PA
Dentist
Podiatrist
NP
Vet
Optometrists |
|
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Term
| T/F Oral Rx can be received by a tech |
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Definition
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|
Term
| T/F Oral transcriptions must be reduced to writing |
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Definition
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|
Term
| Maintain prescriptions for |
|
Definition
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|
Term
| T/F CDS can be on pre-printed Rx pad? |
|
Definition
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|
Term
| E scripts must be transmitted via |
|
Definition
|
|
Term
|
Definition
| Fax computer, other electronic device |
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Term
| Annotations to eRx must be |
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Definition
| linked electronically to erx |
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Term
| Non-CDS/ Labeling requirements |
|
Definition
1. Pt Name
2. Prescriber name
3. dispenser name & address
4. Drug name, dose, and qty
5. Date of Rx
6. Exp date
7. Rx number
8. Directions
9. Cautions
10. Refills
11. Prescribers signature |
|
|
Term
| 1rst fill must be completed within |
|
Definition
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|
Term
| CDS regimen must be complete within |
|
Definition
|
|
Term
| Non-CDS regimen must be complete within |
|
Definition
|
|
Term
| Vax are considered ________ records |
|
Definition
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|
Term
| Rx record keeping must include |
|
Definition
1. Date of fill/refills
2. Pharm initials
3. Data entry initials |
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Term
| Unauthorized refill requirements Non-CDS |
|
Definition
Essential to life and/or chronic therapy
Notify prescriber w/in 72hr
Refill not to exceed 14 day supply |
|
|
Term
| Unathorized refills - state of emergency reqs for non-CDS |
|
Definition
Cannot contact prescriber
Notify prescriber w/in 7 days
Refill not to exceed 30 day supply |
|
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Term
| T/F Opportunity for counseling is mandatory for Medicaid? |
|
Definition
|
|
Term
|
Definition
| Primary pharmacy permanently give authority to fill to secondary pharmacy |
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Term
|
Definition
| secondary fills prescription for primary pharmacy; primary retains ownership |
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Term
| T/F CDS Rx can be transferred again? |
|
Definition
|
|
Term
| Pharmacies with unified transfer records are subject to transfer requirements? |
|
Definition
|
|
Term
| T/F Schedule II can be transferred? |
|
Definition
|
|
Term
| Schedule III-V/ can be transferred ___ times |
|
Definition
|
|
Term
| CDS transfers must be completed via |
|
Definition
|
|
Term
| T/F Non CDS can be transferred tech to pharmacist |
|
Definition
|
|
Term
| If you xfer a hard copy CDS III-V then you must |
|
Definition
|
|
Term
| T/F Primary pharmacy retains transferred Rx records for 5 years |
|
Definition
|
|
Term
| Secondary pharmacy transfer documentation reqs |
|
Definition
1. Date of xfer
2. Date of Rx
3. Date of first & last fills
4. Refills remaining
5. Original RX number
6. Primary Pharmacy name location
7. Name of both pharmacists |
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|
Term
| T/F a secondary pharmacy can dispense directly to patient? |
|
Definition
TTTTTTTT
Think:
- Central pharmacy models
- Specialty drugs |
|
|
Term
| Outsourcing pharmacy requirements? |
|
Definition
1. Both licensed in Md
2. Label contains primary pharmacy contact info
3. Patient is informed of outsourcing |
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Term
| Outsourcing documentation requirements for primary pharmacy |
|
Definition
1. Date of outsourcing
2. Name of secondary pharmacy
3. Name of both pharmacists
4. Date of return to primary |
|
|
Term
| Outsourcing documentation reqs for secondary pharmacy |
|
Definition
|
|
Term
| T/F cannot knowingly deliver scripts to a depot |
|
Definition
|
|
Term
|
Definition
| location where scripts are stored before delivery to patient |
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|
Term
| Rx delivery packaging reqs |
|
Definition
1. Cannot indicate contents
2. Notify if medication appearance has changed (brand/generic...)
3. Notify if temperature sensitive
4. tamper-evident container
5. phone number (local or toll free)
6. Pt name |
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|
Term
| T/F there are no set in stone requirements for selling syringes |
|
Definition
|
|
Term
| T/F Can dispense Naloxone to a certificate holder |
|
Definition
|
|
Term
| T/F we are required to provide current drug price if asked |
|
Definition
|
|
Term
| When refusing to dispense must notify the prescriber within |
|
Definition
|
|
Term
| T/F Starter dose and sample are the same thing? |
|
Definition
|
|
Term
| Starter dose is for __hrs |
|
Definition
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|
Term
| Waiver permit is required when dispensing at a non pharmacy setting unless at the following locations: |
|
Definition
1. public health fac
2. non profit fac.
3. Educational institution health center
4. DTM at doc office, clinic, or hospital |
|
|
Term
| T/F can dispense from a temp site with boards approval |
|
Definition
|
|
Term
| T/F Dispensing from a temp site during a health emergency is not automatically approved |
|
Definition
|
|
Term
| Internet pharmacies are more legit if they have |
|
Definition
1. VIPPS cert
2. .pharmacy domain |
|
|
Term
|
Definition
1. personnel in good standing
2. comply with state laws
3. in-person pt/prescriber exam occurred
4. identity of pt and prescriber verified
5. maintains patient profiles
6. opportunity to counsel provided |
|
|
Term
| Opening inspection requirements for a pharmacy |
|
Definition
1. Class A balance
2. Med fridge with thermom
3. hot/cold water
4. Library w/ law book
5. Security sys
6. Pharmacist |
|
|
Term
| Must be operational within ____ days of applying for permit |
|
Definition
|
|
Term
| T/F Pharmacy can be in a residence |
|
Definition
|
|
Term
| Pharmacy library must include |
|
Definition
1. Laws
2. MSDS
3. refs: compounding, DDI, adverse effects, therapeutic dose/use, ther equiv, counseling guidelines |
|
|
Term
| Rx drugs and devices can only be purchased from _______ and _________ |
|
Definition
| wholesaler, other pharmacy |
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|
Term
| ____ % annual limit on distributing |
|
Definition
|
|
Term
| Any records associated with supply chain must be kept for |
|
Definition
|
|
Term
| ____g daily limit and _____g monthly limit for pseudoephedrine sales |
|
Definition
|
|
Term
| Pseudoephedrine recording/dispensing requirements are from the |
|
Definition
| Combat Methamphetamine Epidemic Act of 2005 |
|
|
Term
| Pseudoephedrine logbook is kept for |
|
Definition
|
|
Term
| Pseudoepherdrine log book contains |
|
Definition
1. Product sold
2. Quantity sold
3. Name + Address of purchaser
4. Date/time of sale
5. Signature |
|
|
Term
| T/F pharmacy permits can be transferred |
|
Definition
|
|
Term
| T/F change in location requires an new permit |
|
Definition
|
|
Term
| Must notify board ___ days prior to closing pharmacy |
|
Definition
|
|
Term
| Closing inspection includes |
|
Definition
Removal of signs
Notify suppliers
Notify public
Notify pts (record xfer/access)
Return of Pharmacy & CDS permits |
|
|
Term
| Pts are able to retrieve records for |
|
Definition
| 30 days before destruction date |
|
|
Term
| Non resident pharmacy reqs |
|
Definition
1. one MD licensed pharmacist
2. Provide most recent state inspection
3. Toll free number 6day 40hr access
4. comply w/ 797 and sterile compounding regs |
|
|
Term
| T/F there I a limit on pharmacist to tech ratio? |
|
Definition
|
|
Term
| T/F Must notify the board if changing business hours |
|
Definition
|
|
Term
| Theft must be reported to what 4 agencies |
|
Definition
Board
Police
Div of Drug Control (DDC)
DEA (106 form) |
|
|
Term
| Theft is reported to DEA on |
|
Definition
|
|
Term
| Title I Controlled Substance Act (CSA) |
|
Definition
| establishes rehabilitation |
|
|
Term
|
Definition
| registration/distributiion |
|
|
Term
|
Definition
|
|
Term
| Schedule ___ have no currently accepted medical use |
|
Definition
|
|
Term
| Schedule II CS are described as |
|
Definition
| HIGH potential for abuse; may lead to SEVERE physical/psychological dependency |
|
|
Term
| Schedule III CS are described as |
|
Definition
| POTENTIAL for abuse; MODERATE or LOW physical dependence, but HIGH psychological dependence |
|
|
Term
| Schedule IV and V CS are described as |
|
Definition
| LOW potential for abuse; LIMITED physical/psychological dependence |
|
|
Term
| In ____ all CS V req a script but ____ they are available with few exceptions |
|
Definition
MD; federally
exceptions: lyrica/Soma |
|
|
Term
|
Definition
| Application for CS registration |
|
|
Term
| T/F pharmacists working in a registered pharmacy do not need their own DEA number |
|
Definition
|
|
Term
| Pharmacy can dispense methadone if it is for |
|
Definition
|
|
Term
| Addiction prescriber DEA/ numbers start with a |
|
Definition
|
|
Term
| T/F CII maybe dispersed throughout inventory |
|
Definition
|
|
Term
| CII has ___ refills while CIII-CV have ____ refills |
|
Definition
|
|
Term
| If CII Rx is taken orally then prescriber must mail RX w/in ___ days |
|
Definition
|
|
Term
| Failed computer generated scripts |
|
Definition
1. Prescriber can write a copy, but must indicate it was originally transmitted
2. Pharmacy must make sure it was not previously filled |
|
|
Term
| T/F long-term care/hospice can xmit original CII RXs via fax |
|
Definition
|
|
Term
| Original prescriber can authorize up to ___ days of CII scripts to be separately xmited |
|
Definition
|
|
Term
| If partially filling a CII the remainder must be filled w/in |
|
Definition
| 72h or the rest will be cancelled |
|
|
Term
| CIIs at LTC fac can be partially filled for up to |
|
Definition
60 days
For each filling must record:
1. date
2. Qty filled
3. Remaining qty
4. Id of disp pharmacists |
|
|
Term
| Up to ___ day supply of CII is dispensed at a time to institutional pts |
|
Definition
|
|
Term
| CII must have a disclaimer that |
|
Definition
| it is illegal to xfer to someone else |
|
|
Term
| Up to ___ day or ____ unit supply of CIII-CV is dispensed at a time to institutional pts |
|
Definition
|
|
Term
| Order controlled substance with |
|
Definition
|
|
Term
| Pharmacy retains copy ___ of DEA 222 |
|
Definition
|
|
Term
| Must record ___ and _____ on copy 3 of DEA 222 |
|
Definition
|
|
Term
| IRT inventory counting CII require an |
|
Definition
|
|
Term
| IRT inventory counting CIII-CV require |
|
Definition
| estimated count; exact if container holds 1000 or greater |
|
|
Term
| Oops I lost a CS I should fill out: |
|
Definition
DEA form 106
Notify police
Notify MD Off of CS Admin |
|
|
Term
| Distributing C-II pharmacy to pharmacy |
|
Definition
Pharm A (wants drug) fill out DEA 222 keeps copy 3
Pharm B (has drug) fills out copy 1 and 2; keeps copy 1
Pharm B sends DEA copy 2 |
|
|
Term
| Can physician rite an Rx to get drugs in office? |
|
Definition
|
|
Term
|
Definition
3 files
- CII
-CIII-CV
-Everything else
Two files
- CII
- Everything else (CIII-V get "C" stamp)
Two files
- CS (III-V get "C" stamp)
-Everything else |
|
|
Term
|
Definition
|
|
Term
| Class ___ - ___ CS are reported to PDMP |
|
Definition
|
|
Term
| PDMP must be updated w/in __ days |
|
Definition
|
|
Term
|
Definition
1. inpatient
2. Vets
3. Hospice
4. LTC
5. DDC patients
6. Opioid maintenance |
|
|
Term
| When closing or transferring business CS can be |
|
Definition
Returned (Mfg/distributer)
Transferred (notify OCSA)
Disposed of in presence of OCSA or DEA |
|
|
Term
|
Definition
| mfg, distributer or dispenser |
|
|
Term
| Can prescribers use an agent |
|
Definition
|
|
Term
|
Definition
| Prepare, fax, relay the script |
|
|
Term
| Ryan Haight statement 2008 |
|
Definition
| This online pharmacy will only dispense a CS to a person who has a valid rx issued for a legitimate medical purpose based upon a medical relationship with a prescribing practitioner ... ... section 309 |
|
|
Term
|
Definition
| waived from the req to provide complete pharm srvcs and provide srvcs to the public |
|
|
Term
| Places with waiver permits |
|
Definition
assisted living
comprehensive care
home infusion
inpatient hospital
vet care
research
continuing care fac... |
|
|
Term
| Can a waiver pharmacy have more than one specialty? |
|
Definition
|
|
Term
| Can a full service pharmacy also be a waiver pharmacy |
|
Definition
Yes;
2 permits
2 separate pharmacists
differ records/inventory |
|
|
Term
|
Definition
4 CEs
CPR
Cert course
Registration |
|
|
Term
|
Definition
< 9yo NO VAX
9-10 Flu ONLY
11-17 All w/ Rx
18 nd older ALL per CDC |
|
|
Term
|
Definition
|
|
Term
|
Definition
get CSC VS
Sign consent
Wait 15min |
|
|
Term
|
Definition
|
|
Term
|
Definition
| 5yrs, or until 21yo (which ever is longer) |
|
|
Term
| Protocols for ea vax must be _____ annually |
|
Definition
|
|
Term
| Can pharmacists administer a prescribed self-administered drug? |
|
Definition
yes;
Must document drug, dose, site of admin, date/time, and instructions provided to the pt - keep for 5 yrs |
|
|
Term
| Can a donation program accept drugs for disposal |
|
Definition
|
|
Term
| T/F pharmacists and techs can accept donated drugs |
|
Definition
|
|
Term
| Max dispensing fee for donation program |
|
Definition
|
|
Term
| Drugs are accepted for disposal and then |
|
Definition
| returned via appropriate returns processor |
|
|
Term
|
Definition
1. DEA drug collector reg
2. one way collection bin
3. pharm personnel cannot handle returned CDS |
|
|
Term
| Comprehensive care Fac is a |
|
Definition
|
|
Term
|
Definition
Full time
In charge of only one site
Resp for operations, storing, labeling... |
|
|
Term
|
Definition
|
|
Term
| T/F CCF can accept returns |
|
Definition
|
|
Term
| T/F CCF can accept CDS returns |
|
Definition
| T if inv mgmt. system counts the drug as part of inventory until given to the pt |
|
|
Term
| In a CCF _____ are for emergency needs, while ________ are for expedited dosing needs |
|
Definition
| emergency box; interim box |
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|
