Arkansas Board of Pharmacy: Licenses, Requirements, and Regulations, Exams of Pharmacy

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Arkansas Board of Pharmacy Regulations (1-5)with 100% verified solutions  Pharmacy licenses, preceptor permits, and certain pharmacy permits shall expire on ___________. - December 31st of the first *odd* numbered year following the date of issuance (renew biennally)  An intern license shall expire: - 6 months after graduation or when intern is issued a pharmacist license (whichever occurs first)  ---if issued to a *foreign* graduate: Dec 31st of *second calendar year* following date of issue or when intern gains pharmacist licensure  Non-renewable *provisional* licenses and provisional registrations expire: - 6 mo. after issuance or upon pharmacist/tech/intern licensure  A license, permit, registration, or certificate not renewed within _________ after expiration shall be null and void. - 90 days  --fee is charged if unpaid by first day of February and for every month until April  Charitable clinic permits expire on: - Dec 31st of the first *even* numbered year after issuance  A licensed pharmacist must notify the Board of *changes in employment* within _________ after the change. - *5 days*  --via letter, fax, email, or Board website  --include new place of employment, pharmacist and license number  Armed Forces Certificate - temporary permit to practice pharmacy in Arkansas that is issued to pharmacist serving in armed forces who is licensed in another state  --may practice in any store where Arkansas licensed pharmacist on duty for *min 40 hours per week*  --must renew permit at each succeeding meeting of Board  T/F: Arkansas pharmacy students must complete a criminal background check to practice pharmacy. - TRUE  --all students, interns, and externs  --conducted by Arkansas State Police and FBI  ______________ regulates the internship program in the State of Arkansas. - The Arkansas Board of Pharmacy  Every applicant for licensure by examination in AR must have __________ hours of acceptable internship training after beginning the professional college curriculum. - 2,000 hours  Licensed Intern: - 1. student licensed by AR BOP and enrolled in COP accepted by AR BOP  2. graduate of foreign COP who has not completed a COP equivalency exam program  Extern: - 1. intern *prior to graduation*  2. graduate who has taken and failed Board exam  Graduate Extern: - intern *who has graduated* or completed requirements for examination  What is the meaning of "supervision" as defined by the BOP? - licensed pharmacist or certified preceptor supervises the practical experience of licensed intern with both personal and physical supervision (gives instruction to intern during entire period of experience)  Class A Pharmacy: - pharmacy with a pharmacy permit that has a pharmacist on duty *at least 40 hours per week*  --no unsatisfactory deficiency  --automatically expires *180 days* from issuance  Professional conduct is defined as: - complying with all the laws/regulations that apply to a given professional activity  A pharmacist's duty is defined as: - attaining and maintaining an acceptable level of professional competence and using such skill and precaution in the preparation, compounding, dispensing, labeling, and distribution of drugs and medical devices whether on prescriptions or not, so as to prevent injury or death to all who are exposed to his/her professional services  Unprofessional conduct includes receiving more than _________ non-compliant deficiencies on two *consecutive* BOP inspections. - 3  _________________ approves continuing education according to committee guidelines. - Executive Director of BOP on the AR Tripartite Committee on Continuing Pharmacy Education  Requests for CE accreditation must be received at least ______________ before the offering is to occur. - at least 7 days  --*in writing!*  --all programs reviewed by Executive Director of BOP within 7 days of receipt of request  A CE program administrator must keep a record of all attendees receiving credit for: - 4 years  Pharmacist CE requirements in AR: - 1. 30 hours each biennium  2. minimum of 12 hours must be live contact hours  3. minimum of 12 hours must be accredited by the Accreditation Council for Pharmacy Education  --must certify completion of required CE on a form furnished by the BOP with license renewal form  Pharmacists must retain certificates of CE for a period of: - 4 years  Pharmacy technician registration expires: - Dec 31st biennially (even years)  If there is a *change of mailing address* for a pharmacy technician, when should they notify the BOP? - immediately in writing  When a pharmacy technician leaves the employment of a pharmacy, the PIC shall notify the BOP within: - 14 days  --*in writing*!  T/F: A pharmacy technician shall not begin working at a pharmacy until the BOP receives notification. - TRUE; from technician and PIC  --*in writing of exact date technician will begin work*  T/F: A technician must identify himself/herself as such during any telephone conversation regarding functions of a pharmacy technician while on duty in the pharmacy. - TRUE  Qualifications for pharmacy technicians: - 1. high school diploma or GED  2. good moral character and temperate habits  3. application + criminal background check  Approved tasks of pharmacy technicians: - 1. placing, packing, pouring, or putting in container for dispensing (includes adding of water for reconstitution of oral ABX)  2. affixing labels on drug containers  3. selecting and replacing drugs from pharmacy shelves  4. preparing, typing, or writing labels for drug containers  5. entering of information into pharmacy computer (data entry)  6. obtain PA for Rx *refills* (if nothing from Rx changed)  7. prepackaging/labeling of multi-dose and unit-dose packages  8. dose-picking for unit dose cart fill in hospital/NH  9. unit checks for proper med storage in hospital/NH (issues must be documented/signed by RPH)  10. recording patient information for later verification by RPH  A pharmacy technician may assist with reconstitution of pre- fabricated non-injectable medications, bulk compounding, and preparation of parenteral products when the PIC: - established *specific written policy/procedure* for training, testing, and competency assessment of technicians (incorporate ASHP guidelines)  --order of addition of ingredients  --point at which ingredients will be checked by RPH  --point at which final product checked for integrity, correctness, and elegance  A PIC who utilizes a pharmacy technician to enter information into the pharmacy computer must: - develop written policies/procedures that describe process by which RPH verifies accuracy, validity, and appropriateness of filled Rx or order  Proper labeling of *bulk products*: - -product name  -name/strength of each drug  -name/volume of each vehicle  -preparation date  -expiration date  -lot or equivalence #  The PIC must retain each drug product resulting from preparation by a technician for a period of: - 2 years  --training, testing, competency  --record of verification of ingredients and final drug product  --policies/procedures  A pharmacist may utilize ______ technicians at a time. - 3  --may also supervise no more than 1 pharmacy student intern (unless on APPE)  --graduate intern does not affect this ratio  When there is a change of ownership within a pharmacy, what type of inventory must be performed? - CII-V by the PIC on the *day the new owner takes possession of pharmacy*  --submit this with application for change in ownership  When there is a change in PIC, what type of inventory must be performed? - CII-V by existing PIC and *submitted within 7 days* of last day of work  --new PIC must also complete an inventory and submit to BOP (can be done jointly and signed by both pharmacists)  Who is responsible for the security and accountability for all controlled drugs stored in or ordered by a pharmacy? - 1. permit holder  2. PIC  Appropriate drug diversion and protection tools include: - - perpetual inventory  -automatic/limited access online ordering  -drug reports for ordered VS dispensed  -individual passwords for employess  *permit holder shall provide these tools, and PIC will implement*  For retail pharmacies requesting a pharmacy permit, the inspection request form must be returned to the BOP: - at least 1 week before the facility will be ready for inspection  T/F: All electronic data processing systems for pharmacies must first be approved by the BOP. - TRUE  --original prescription must be readily retrievable and filed accordingly (*within 48 hours of a BOP request*)  Electronic data processing systems used by pharmacies must be capable of furnishing the following information: - 1. original Rx order information  2. refill history of each Rx order  3. daily Rx record  4. refill-by-refill audit trail  If maintaining the daily patient medication record electronically, data must be backed up at least: - daily  --preferably continuously  If a pharmacy closes, what must happen to Rx records? - PIC must store records *within 14 days* and notify BOP of location  --must keep readily retrievable for 2 years  What is an "off-site order entry pharmacy"? - retail pharmacy that remotely accesses another pharmacy's electronic data base from outside the pharmacy in order to process Rx drug orders  --does not include dispensing of a Rx drug order  --*prohibited for out of state Rx's dispensed in AR*!  Drug Regimen Review - evaluation of Rx drug orders and patient profile records for  -known allergies  -rational therapy/contraindications  -reasonable dose/route  -duplicates  -drug/drug interactions  drug/food interactions  -ADRs  -proper utilization (over or under)  The PIC or permit holder of a retail pharmacy must submit a *written* request for off-site order entry a minimum of __________ prior to the BOP meeting at which the pharmacist seeks approval. - 30 days  A pharmacy may utilize the services of an off-site order entry pharmacy if the pharmacies: - 1. share common electronic file or have appropriate technology for access to information + the *same owner*  2. enter *written contract* that outlines services to be provided and responsibilities of each pharmacy  --must notify patients via writing or sign  T/F: Specialty pharmacies require a specific type of permit. - TRUE  --they provide unique aspects of pharmaceutical care to an identified patient population  A methadone clinic pharmacy shall stock and dispense methadone or ________________ only, unless: - buprenorphine; permission obtained from BOP to utilize other medications for research purposes  A methadone clinic pharmacy shall be open a minimum of _______ hours per week. - 10  T/F: A student health clinic pharmacy may stock and dispense legend and controlled substances. - TRUE  Describe the patient income that qualifies for charitable pharmacy drugs. - income below 200% of federal poverty level  A charitable pharmacy may stock and dispsense: - - purchased legend drugs  -donated Rx drugs  -samples  -medications received from manufacturer-sponsored assistance programs  *MAY NOT DISPENSE CONTROLLED SUBSTANCES!!*  Out of state pharmacies that dispense drugs into AR must have an AR licensed PIC present: - at least 50% of the pharmacy hours per week *up to max of 20 hours/week*  --notify BOP *within 10 days* if PIC leaves (must find new PIC within 30 days)  Out of state pharmacies that dispense drugs into Arkansas must maintain an incoming toll free telephone number for use by Arkansas customers to be answered by a pharmacist