Indiana MPJE 2024 Edition. All Questions & Correct Answers. Graded A+, Exams of Pharmacy

Download Indiana MPJE 2024 Edition. All Questions & Correct Answers. Graded A+ and more Exams Pharmacy in PDF only on Docsity! Indiana MPJE 2024 Edition. All Questions & Correct Answers. Graded A+ ______ drugs are listed separately and counted exactly during a CS inventory - ANSCII ______ numbers replace DEA and SSNs for adjudication purposes according to HIPAA - ANSNPI ______ rated Orange Book products are not equivalent and cannot be substituted - ANSB _______ is used for the ordering of CII prescription medications - ANSDEA Form 222 ________ may be dispensed pursuant to a prescription and there is no liability for administration unless there is gross incompetence or negligence - ANSNaloxone ________ pharmacies can have no means of direct access - ANSAdjacent _______, ________, and _______ info for protocol doctor must be displayed and available for inspection - ANSName license # contact *New law*: All PSE and EP drugs dispensed must be reported to _________ - ANSINSPECT *New opioid law in IN* - ANSFirst time users or children are limited to a 7 day supply. Can write for longer if cancer, palliative care, or in professional judgement of prescriber a longer days supply is warranted 3 things that make you a pharmacy intern - ANS1. actively enrolled in a ACPE accredited pharmacy program 2. have obtained the FPGEC certificate 3. Qualified applicant awaiting the exam for pharmacist licensure 30 to 90 day switch rule in IN - ANSWe can change a 30 to 90 day supply at the patients request as long as the patient have been on it for at least 30 days. If changed, the prescriber must be notified. No changes allowed to CS. A _____ ______ is an order from a prescriber for a hospital patient - ANSdrug order A compounded RX cannot be a copy of a commercially available product unless... - ANScompounded only occasionally and not in inordinate amounts A CS may not be written for a CS _______ person for the continuance of such _______ - ANSdependent, dependence A drug is considered hazardous if it causes one of the following - ANScarcinogenicity teratogenicity reproductive tox. developmental tox. organ toxicity genotoxicity A PIC is a ________ ________ who is responsible for the operation, safety, security, etc of the pharmacy - ANSqualifying pharmacist A practitioner may administer from their own office supply, but not prescribe narcotic drugs to an addict for a max of ____ days for the purpose of receiving acute withdrawal symptoms while arrangements are being made for referral to treatment - ANS3 A practitioner may dispense CS however if the amount is more than a _______ hour supply, the practitioner is required to report the prescription to INSPECT (IN Prescription Monitoring Program) no more than _____ days after the date on which it was dispensed - ANS72 7 A valid ID is required for PSE or EP and the purchase must ______ attesting information is true - ANSsign Acts that are prohibited by pharmacists - ANS1. sell or dispense adulterated or misbranded drugs 2. sell or dispense counterfeit drugs 3. dispense from a forged Rx 4. practice in an incompetent manner 5. aid or abet an unlicensed person to practice 6. violate applicable law Acts the open the pharmacist to discipline - ANSfraud, misrepresentation, convicted of a crime, continuing to practice when impaired, sexual misconduct, knowingly violated a law that governs practice Adulterated - ANSfilthy, putrid, decomposed, contaminated, poisonous, wrong strength, labeled as compendium but fails to meet compendium standards, mixed or packed in a manner that reduces its quality or strength Building and environmental monitoring of compounded pharmacies must be done every ______ months - ANS6 Can a CV be dispensed without a prescription? - ANSYes, certain ones, and can only be dispensed by a pharmacist Can a prescriber have a blanket statement for non child resistant caps? - ANSNo. But they can request it on a prescription-to-prescription basis including refills Patients CAN make a blanket statement Can APRNS prescribe CS? - ANSYes Can PAs in IN prescribe controlled substances? - ANSYES! Can practitioners dispense CS drug samples? - ANSYes! They can never remove any drug sample from its original package Can prescribers outside IN prescribe via telemedicine? - ANSOnly if they and their employer have certified in writing to IPLA that they agree to be subject to IN courts and laws Can you stamp to put CS information on a prescription? - ANSNO! Category 1 compounding pharmacies have CSP with ______ max BUD while Category 2 have CSP with ________ max BUD - ANSshorter longer Category I pharmacy permit - ANSretail Category II pharmacy permit - ANSinstitutional (hospital, nursing home, health care facilities, clinic where drugs are administered to patients) Category III pharmacy permit - ANSClosed door facility (mail order, central fill, not open to public but do traditional pharmacy functions) Non traditional but also closed to public include sterile compounding, nuclear pharmacy, and home infusion CE must be approved by ________ or the Board - ANSACPE CE requirements - ANS30 hours every two years. No carryover into next biennium CI - ANSHigh potential for abuse with no accepted medical use CII - ANSHigh potential for abuse with accepted medical use. Abuse may lead to severe dependence CII RX label requirements - ANSPatient name Prescriber name Pharmacy name, address, telephone # RX number Date of filling Directions of use "Federal law prohibits..." Anything else required by law CIII - ANSPotential of abuse less than CII with accepted medical use. Abuse may lead to mod-low physical or high psychological dependence CIII and CIV may have no more than _____ refills in 180 days - ANS5 CIII-CIV RX label requirements - ANSSame as CII but with refill information CIII-CV counts may be estimated unless the container has ________ until. Then it must be counted exactly during a CS inventory - ANS1000+ CIV - ANSLow patient for abuse relative to CIII with accepted medical use. Abuse may lead to limited physical or psychological abuse relative to CIII Class 1 medical devices - ANSToothbrushes, stethoscopes, scissors Class 2 medical devices - ANSsyringes, tampons, condoms, HG A1C immunoassays Class 3 medial devices - ANSNew devices, pacemakers, heart valves, contact lenses Class I recall - ANSthere is reasonable probability that exposure will cause serious problems or death Class II recall - ANSExposure may cause temporary or medically reversible adverse health consequences. Serious complications are remote Class III recall - ANSuse is unlikely to cause adverse health consequences Classified drugs as "prescription only" and OTC - ANSHumphrey-Durham Amendment of 1951 Compounded drugs are exempt from ______, ________, and ________ - ANScGMP misbranding new drug requirements Confidentiality and PRNIndiana - ANSThe only time confidentiality can be broken is when the pharmacist is non-compliant with rehab Counseling is not required if the patient _______ declines - ANSknowingly Counseling must be given to the ________, _________, or _________ - ANSpatient caregiver representative Counseling requirements for compounded prescriptions - ANSCounseling is required on all NEW prescriptions CS inventory is required at least every _____ years - ANS2 CS inventory must be done before _______ or after ______ and must be signed by the person conducting the inventory - ANSopening closing CS inventory must be done every ______ years - ANS2 CS label requirements are required for institutional patents if over _______ dosage units or _______ day supply - ANS100 34 CS records can be kept at a ______ _______ as long as the DEA is notified in writing. The pharmacy can start maintaining records there ______ days after the DEA receives notification unless denied permission - ANScentral location 14 CS RX blank requirements - ANS-latent void pattern at 5% in reflex blue across entire face of blank -watermark on back that states "IN Security Prescription". 5 lines in 12 point Helvetica font -opaque RX symbol in upper right had corner at least 3/4 in high -6 quantity check off boxes from 1 to "151 and over" -no advertisements but logos may appear in the upper left hand corner -refill options must be on the left above signature line and below logos. Must say "Refill NR 1 2 3 4 5 Void After..." -Name of CS may not be pre-printed until RX is being prepared for presentation to the patient CS RX blanks should be obtained from an approved _________ - ANSvendor CS RX records must be maintained for ______ years - ANStwo CS transmission - ANSCII: written, electronic How can the BOP assist in the rehab of pharmacists - ANSMay enter into agreements, provide grants or make suitable arrangements with entities specializing in the rehab of health care professionals. All info provided to these entities is privileged and confidential. If told the pharmacist is non-compliant, the BOP may use this info in proceedings against the pharmacists license How long can an OTC and non CS be refilled in IN? - ANS1 year (no refill limits) How long is an intern license good for? - ANSOne year How long is pharmacist license good for in IN? - ANS2 years How long is term of office for members of the BOP? - ANSfour years How long must CE record be kept? - ANS4 years How long must PSE record be kept? - ANS2 years How long must RX records be kept? - ANS2 years How many times can CS be transferred? - ANSCIIs: none CIII-CV: one (unless the pharmacies share a real online database. Then it can be transferred as many times as there are refills) How many times can legend drugs (non CS) be transferred? - ANSAs many times as there are refills How many times per year must pharmacy required IN exam be given? - ANSTwo How much can you dispense as an emergency supply? - ANSQuantity sufficient to get the patient to the next business day (amount can be greater if drug is packaged in a form that the pharmacist cannot reasonably reduce like inhaler or insulin) How often are the list of drugs in an emergency kit reviewed by a committee (RPh, MD, nurse, administrator)? - ANSAt least yearly If a legend drug is deemed a ________ drug by an optometrist, they must inform the patients PCP as to the prescription - ANSdependent If a new drug is added to any schedule, it must be inventoried within _______ days - ANS30 If a patient forgets their own medicine after discharge, it must be documented and kept for a max of _____ days before it is destroyed - ANS7 If a patient has an adverse event after an immunization, we must notify the protocol physician within ______ hours and report it to VAERS - ANS72 If a pharmacy intern is not at an accredited school or has no practical experience has part of their curriculum, the intern must get _________ hours - ANS1500 If a pharmacy is closed for ______ consecutive days, the BOP must be notified and the drugs must be secured - ANS5 If a pharmacy is permanently closing, BOP must be notified at least ______ days before transferring CS - ANS20 If a prescriber gives a verbal OK to refill an RX, you must document the date, quantity authorized and _______ initials - ANSpharmacists If a prescriber writes for a CIII-CV with 2 refills, can they add refills to the original RX? - ANSYes! As long as the number of refills never exceeds 5. If it does, a new RX is needed. Quantity must be equal to or less than the original if refills are added. If CS are e-scribed, there must be a secure _________ authentication process - ANStwo-factor If multiple CII Rxs are given to a patient with "do not fill until instructions", what is the max days supply they can recieve? - ANS90 days If your license is revocated, you must wait _______ years before apply for another license (and you have to take all the tests again) - ANS7 In 2016, IN limited prescribing by specialists to prescribing within their ______ ______ _____ - ANSarea of specialty In an institutional setting, drug orders must be check within ______ hours - ANS24 In an institutional setting, the PIC must review quality related events at least every ______ months - ANS3 IN bottle label requirements - ANS1. date of filling 2. pharmacy name, address, and phone # 3. serial/rx number 4. patient name and animal speices/owner name 5. name of the prescriber 6. directions for use and any cautionary statements contained in the prescription In IN law, it states we must honor RXs from the big four prescribers from other states. Who are they? - ANSMD OD DVM DPM In order to do an emergency supply, the original RX must have had _______ that have been dispensed or expired - ANSrefills- no refills originally, no emergency supply In order to receive a pharmacy permit, the BOP must be satisfied that the ___________ is sufficient to adequately serve the public - ANSinventory In order to receive a pharmacy permit, the BOP must be satisfied that the location will engage in the _____ ______ practice of pharmacy, including hours open to public - ANSbona fide In order to sell a scheduled OTC substance without a RX, the patient must present an ID unless.. - ANSthey are known to the pharmacist In what situation can a patients own supply of medication be used in an institutional facility? - ANSIf the medication is kept at the patents bedside. If it requires refrigeration then the medication must be kept in an area under the control of nursing personnel. A nurse must also witness the administration and keep record of its use In what situations can a pharmacist refuse a prescription? - ANS-contrary to law -against the best interest of the patient -aid or abet an addiction or habit -contrary to the health and safety of the patient In what situations is a WDD permit NOT required? - ANSmedical gas drugs that are "For animals Only" common carrier (UPS or FedEx) OTC only distributors Indiana Legend Drug Act - ANSAllows specific IN practitioners to dispense legend drugs in good faith directly to their patients in the course of their professional practice Info that must be collected and reported to INSPECT? - ANS- recipients name, address, DOB -recipients or recipients representatives ID number or ID number/phrase designated by INSPECT -NDC of CS -Date dispensed -Days supply dispensed -Dispensers DEA -Prescribers DEA -Indication as to whether the prescription was transmitted to the pharmacist orally or in writing -The CS recipients method of payment for the CS dispensed Old pregnancy categories - ANSA: adequate number of studies show no risk to fetus B: No adequate studies in pregnant women have been conducted but none show risk to fetus C: No adequate human or animal studies, only use if benefits outweigh risks D: Evidence that there is risk to fetus based on human experiences X: Do not use One member of the BOP must be a practicing ________ pharmacist. Others must be from varied practice settings - ANShospital One member of the BOP must be..... - ANSIN resident with no affiliation with pharmacy Only ______ hours of CE can be of management based - ANS6 (1/5th of total hours) Optometrists may administer _______ eye drops - ANSdiagnostic Optometrists prescribing authority - ANSlegend drugs that treat diseases of the eyes and Tramadol Orange Bok code: AB - ANSMeets necessary bioequivalence requirements Orange Book code: AA - ANSNo bioequivalence problems in conventional dosage forms Orange book code: B* - ANSRequires further FDA investigation and review Orange Book code: EE - ANSEntry has been evaluated by the FDA, but a rating is not available for this labeler's product Orange Book code: ZZ - ANSFDA standard with no orange book code Out of state pharmacies must give a ______ day notice of any change in location, name, principle corporate officers, and pharmacists working at that location - ANS30 Owner must file application for transfer of ownership of a pharmacy within ______ days of change in ownership - ANS10 Original permit remains in effect until the Board grants or denys new permit/ownership Partial filling CII - ANSIf pharmacy does not have entire quantity, may partially fill the RX. Quantity dispensed must be marked on the RX blank and the remainder has to be picked up within 72 hours. If not picked up, the pharmacy must notify the prescriber of quantity issued Partial filling CIII-CV - ANSMay do partial fills up to the total quantity authorized, up to 180 days from day of issuance Partial filling for LTCF or terminally ill patient - ANSMay partially fill a CII for up to 60 days from date of issuance. If terminally ill, write "terminally ill" on the face of the RX PAs and CS in IN - ANSPAs can prescribe controlled substances but not until they have at least 1800 practice hours PAs must have a supervising physician and fill out a _________ ______ application - ANSprescriptive authority (prescribing is limited only to this authority) PAs must wear a ____ _____ identifying them as a PA - ANSname tag Patient records must be readily retrieval and show.... - ANSthe pharmacist previously dispensed drugs, known disease states, shall also require the pharmacist to perform prospective DUR with the newly dispensed drug Pharmacies cannot compound and distribute more than _______ of the total prescriptions dispensed unless there is an understanding between the state and the FDA - ANS5% Pharmacies must have a means to secure the pharmacy, either ________ or _________ when the pharmacy area is closed - ANSelectronically physically (barrier) Pharmacies must have a sink with ______ and ______ water as well as a refrigerator - ANShot cold Pharmacist must be presented with a ________ drug in order for the generic sub rule to go into effect. Sub must be a generically __________ drug - ANSbrand name equivalent Pharmacist shall write down RX info ________ like other verbal CS RXs for an emergency CII - ANSimmediately Pharmacist to tech ratio - ANS1 to 6 techs Pharmacist who qualifies pharmacy _____ must keep readily retrievable of tech training - ANSpermit Pharmacists license expired for LESS than 3 years, BOP may reinstate if pharmacist... - ANS1. completes required CE 2. applies in writing for reinstatement 3. pays renewals and reinstatement fees Pharmacists license expired for MORE than 3 years, BOP may reinstate if pharmacist... - ANS1. completes required CE 2. applies in writing for reinstatement 3. pays renewal and reinstatement fees 4. completes additional training deemed appropriated by the Board 5. completes other requirements that may exist Pharmacy interns must be under the personal supervision of a pharmacist and is ________ ________ toward meeting licensure requirements - ANSsatisfactorily progressing Pharmacy Interns? - ANSPage 4 Pharmacy must be _______ - ANSstationary Pharmacy must be notified in a ______ _____ to restock emergency drug kits - ANStimely manner Pharmacy must be well _____ and _______, clean, and sanitary - ANSlighted ventilated Pharmacy must inform prescriber within _____ days of immunizing a patient - ANS14 (Prescriber must be in active practice and not employed by a pharmacy) Pharmacy permit expires every ______ years - ANS2 Pharmacy tech duties are those that do NOT require a ________ _______ _______ - ANSpharmacists professional judgement Pharmacy techs work under the ________ supervision of a pharmacist - ANSdirect (immediate and personal supervision or reasonable visual and vocal distance) Podiatrist prescribing authority - ANSLimited to the treatment of foot and ankle, including CS Prescribers acknowledge by IN - ANS-Physician MD, DO -Optometrist OD -Vet DVM -APRN -Dentist DDS, DMD -PA -Podiatrist DPM Prescriptions must be for a ______ medical purpose and for a _______ quantity - ANSlegitimate reasonable 6. NAPLEX may be required if the pharmacist has not been in practice the preceding 12 months Requirements to become a pharmacist - ANS1. at least 18 years old 2. not been convicted of a crime that would bear on the ability to competently practice 3. graduated from a Board approved COP, also accredited by Accreditation Council for Pharmacy Education, or graduated from a foreign COP and met the requirements for one educated outside the US/Canada (obtained Foreign Pharmacy Graduate Examination Committee Certificate) 4. met requirements of intern/externship 5. NAPLEX and MPJE score of 75% 6. License must be prominently displayed Rss must be written in ____, ______, or electronic - ANSink typewritten Rules on faxing prescriptions in IN - ANS-Non CS: faxes can serve as the original -CIII-CV: faxes can serve as the original -CII: to be compounded for direct administration by injectable route. Fax is NOT original -CII: LTCF patient or hospice patient. Fax is original RX records in the pharmacy must be kept in ________ and _______ order - ANSnumerical, chronological RXs in IN have two signature lines (only paper, not electronic): Left ____________, right ________ - ANSL: dispense as written R: May substitute Same DEA 222 error rules as KY - ANSSame DEA 222 error rules as KY Sanctions that can be handed down by the BOP include ______ or suspension of license, probation, letter of ______, or fines - ANSrevocation (permanently) reprimand (censure is a verbal expression of disapproval and not a letter, the BOP tells you what you did wrong in a hearing) Schedule II Drugs - ANSHydrocodone Cocaine Methamphetamine Methadone Hydromorphone (Dilaudid) Meperidine (Demerol) Oxycodone Fentanyl Adderall Ritalin Schedule III Drugs - ANSCodeine Ketamine Anabolic steroid Testosterone Buprinorphine Schedule IV drugs - ANSFenfluramine Lorcaserin Xanax Soma (Carisprodol) Valium (Diazepam) Ativan (Lorazepam) Ambien Tramadol Clonazepam Schedule V drugs - ANSCodeine cough preparations Lomotil Motofen Lyrica Parepectolin Sells of codeine and other CVs without an RX documentation requirements - ANSBound record name and address of patient name and quantity purchased date of purchase pharmacist name or initials Institutional patients are exempt from this So after consult with the prescriber, what can a pharmacist change on a CS RX? - ANSadd or change the dosage form, drug strength, drug quantity, directions for use, and issue date Space requirements for pharmacies - ANSsufficient space for the amount of work the pharmacy does Stated that manufacturers must prove a drug is both safe and effective - ANSKefauver- Harris Amendment of 1962 Sterile product label requirements - ANSPatient name and bed number (if applicable) Prescriber name Compounder name Date of preparation Name of each drug, strength, and amount Expiration date RX number Name, address, telephone # of pharmacy Directions for use Stock bottles/commercial containers of CS must have a symbol on the label indicating the ________ _______ - ANScontrol level T/F: A CS RX may be written for the purpose of supplying a physicians office - ANSFALSE T/F: A prescriber can give oral instructions for brand medically necessary - ANSTrue but they have to forward a written or electronic RX with instructions on it T/F: All master formulations and compounding records must be kept on file - ANSTrue T/F: APRNs can practice even when their supervising MD is not on premises - ANSTrue T/F: BOP may revoke permit from an out of state pharmacy if an IN resident is injured or harmed by an action of the pharmacy - ANSTrue T/F: BOP MUST assist in the rehab of an impaired pharmacy - ANSTrue T/F: BOP must inspect premises before a pharmacy permanently closes - ANSTrue T/F: CIIs may be refilled - ANSFALSE! T/F: Counseling is required for patients in institutional setting - ANSFALSE- not required T/F: Counseling on prescriptions is required - ANSFalse- offer to counsel is required on all new and REFILLS T/F: CS stored in an emergency kit must be part of the pharmacies biennial inventory - ANSTrue T/F: Electronic CS have to be prepared by the MD and not an agent - ANSTrue T/F: electronic data processing of prescriptions can be used in place of maintaining hardcopies or in place of writing information directly on the Rx - ANSFalse T/F: Electronic prescribing may not interfere with patients right to chose his/her pharmacy - ANSTrue T/F: Electronically signed faxed prescriptions for CS are acceptable - ANSFALSE! They must be manually signed by the prescriber preparation Techs shall wear __________ which identifies them as a tech. They shall also identify themselves as techs when engaged in _________ or ________ communication - ANSidentification (ID badges) telephone, electronic Temporary variance is a change or exception to a rule or regulation that can be submitted to the BOP in writing. It can be granted for _______ months and renewed up to ______ times - ANS6 5 The BOP has a max of _______ days to grant or deny an application for a pharmacy permit - ANS120 The BOP may assess a fine up to _____ for each violation, expect for incompetence due to physical or mental disability - ANS$1000 Also, BOP can't suspend your license if you can't pay a fine due to financial issues The BOP must grant of deny application for a pharmacy permit within _______ days - ANS120 The BOP must meet at least ______ times per year - ANS8 The BOP shall hire an ________ ______ to run the board office and other such employees as are deemed necessary - ANSexecutive director The IN BOP consist of ______ pharmacists and _____ non-pharmacists - ANS6 1 (no associations with pharmacy) The IN Legend Drug Act does NOT prohibit a practitioner from delivering professional _______ of legend drugs in their original containers when oral directions for use are given - ANSsamples The pharmacist has equal liability as the prescriber for dispensing a prescription that would be dangerous to the patient - ANSCorresponding responsibility Time period for CE - ANSJan 1st of even-numbered years through Dec 31st of odd- numbered years To prescribe a CS in IN, what two license must you have? - ANSDEA CSR (Controlled Substance Registration) To purchase PSE or EP, you must be ______ years old - ANS18 Transferring pharmacist must ______ the prescription and indicate it has been transferred - ANSvoid Two ways counseling may be done - ANSIn person On the phone Under what circumstances can a pharmacy redispense a medication that has been returned to the pharmacy? - ANSthe med was dispensed to an institutional facility patient, hospice program or county jail/correction facility patient. The drug must have been stored properly and secretly maintained and returned unopened in manufacturers original package, bulk must dose containing with tamper resistant seal, or unit dose packed. Under what conditions can a prescriber issue a RX through a telemedicine service? - ANS-provider has satisfied the SOC in the treatment of the patient -RX is within providers scope -No CS -No abortion inducing drug -No opthalmic devices Upon application a I, II, or III pharmacy may engage in _____ activities - ANSremote (telepharmacy, automated dispensing, delivery of cognitive services like counseling) Vets prescribing authority - ANSMay prescribe human products to animals including CS What act allows qualified physicians to treat option addiction in their office? - ANSDrug Addiction Treatment Act What are the approved identifications for dispensing CS, PSE, and EP? - ANS1. drivers license 2. military ID 3. State bureau of motor vehicles ID 4. Valid photo exempt ID from DMV What are the bottle requirements from a category III pharmacy who are going to be discharged with an institution? - ANS1. Name, address, phone# of pharmacy 2. Date 3. RX/serial number 4. patient name 5. drug name and strength 6. directions of use 7. route 8. prescriber name 9. precautionary information What are the four conditions in which a RPh can refuse to transfer an RX to another pharmacy at the patients request? - ANS1. Contrary to law 2. Against the best interest of the patient 3. Aid or abet an addiction or habit 4. Contrary to the health and safety of the patient What can be dispensed according to the IN Legend Drug Act? - ANSAs long as the labeling requirements and reporting requirements (if CS) are met, an IN practitioner may dispense any legend drug they are normally allowed to prescribe under their IN license, DEA license (if CS), or CCA What changes may a pharmacist make to a RX written for a CS? - ANS1. Add the patients address or change patients address upon verification (so RPh can add additions to the RX as provided by the patient if they are verified) 2. Change or add the dosage form, drug strength, drug quantity, directions for use, or issue date only after consultation with and agreement of the prescriber. Documentation of consult should be noted on the RX as well as the patients medical record What constitutes an inactive license? - ANSFees are current but CE requirements have not been met therefore they cannot practice pharmacy. What day does pharmacist license expire? - ANSJune 30th of even numbered years What documentation is required for an emergency supply? - ANSdate and time attempt to reach prescriber, all usual refill info, statement that RX was dispensed without prescriber authorization What does ISO class 5 or 100 mean? - ANSair contains less than 100 particles 0.5 microns in diameter per cubic foot of air What does it mean if a DEA # starts with the letter M - ANSAPRN or PA What does not satisfy the offer to counsel on all prescriptions? - ANS-making an offer for the patient to ask questions -any other method that serves to shift the responsibility from the pharmacists to the patient for initiating the counseling -relaying information through an intermediary (unless translation is needed) -using signs of other types of written notices given to the patient with each drug dispensed What drugs can be written for addiction according to the Drug Addiction Treatment Act? - ANSSuboxone Subutex CIII-CV Must be for Suboxone unless a pregnant female of a documentation allergy to naloxone We also have to identify manufacturer, distributor, or both What must a prescriber write on medicaid or medicare RXs to exclude generic substitution? - ANSBrand medical necessary If the RX is oral, the prescriber must provide the pharmacy with a written or electronic RX that has "brand medically necessary" on it What must accompany renewal of license? - ANSStatement affirming that required CE was obtained What must be recorded for the sale of syringes? - ANS-Bound record separate from CS -name and address of purchaser -name and quantity of syringe -date of purchase -name or initials of pharmacists What must be supplied to every customer notifying them of their HIPAA rights? - ANSNotice of Privacy Practices (must have Privacy Officer name, address, and phone number on it) What must happen when a pharmacist is absent from the pharmacy? - ANS-all items requiring a pharmacist verification must be locked and secured -sign that is 20x30 inches that says "Prescription Department Closed. No Pharmacist on Duty" must be displayed -No pharmacy business shall be conducted What must the bottle state if a brand generic substitution occurs? - ANS_________ for _________ "atenolol for Tenormin" What must the receiving pharmacist record during a transfer? - ANS-date of issue -original refills, remaining refills -date of original fill, date of last fill -RPh name name, address, DEA of other pharmacy What must the transferring pharmacist record during a transfer? - ANS-name, address, and DEA of other pharmacy -RPh name -date of transfer What things is a pharmacist NEVER allowed to change on a CS? - ANSpatients name, CS name (except for generic sub), and prescriber signature What two licenses must be displayed in the pharmacy? - ANSPermit Pharmacist who primarily work there (not floaters) What two things are required for a prescriber to prescribe CS in IN - ANSDEA and IN CS registration What type of pharmacy can take back CS? - ANSOnly Category II What type of pharmacy is the only one who can dispense to patients at discharge? - ANSCategory III (not category II) What USP discusses the handling of hazardous drugs? - ANS800 What vaccines may pharmacist administer under a prescription or protocol drug order - ANSflu pneumonia tDap HPV Meningitis Shingles When an order is received, the _____ and ________ received must be documented on copy 3 (blue) and retained at the pharmacy. Pharmacist must sign it. - ANSname number of units When do pharmacist licenses expire in IN? - ANSJune 30th of even numbered years When does a CIII-CV RX in IN expire? - ANS6 months after date of issue When dose a CII RX in IN expire? - ANS1 year after date of issue Where are hazardous drugs compounded? - ANSClass II, biological safety cabinet Which category pharmacy is allowed to operate remote locations after an application to the BOP? - ANSCategory II Which category pharmacy is NOT opened to the public? - ANSCategory III Who appoints members of the BOP? - ANSgovernor Who are considered pharmacy techs? - ANScashiers clerks secretaries delivery people BUT NOT INTERNS Who can dispense drugs according to the IN Legend Drug Act? - ANSphysician vet dentist podiatrist optometrist APRN PA Who can we provide HIPAA information to at their request? - ANS-BOP or representative -law enforcement -patient -provider involved in care of patient -insurance Who is responsible for facilities and equipment within a pharmacy? - ANSQP Who makes recommendations and does hearings to the Board in regard to CS changes and CS violations? - ANSControlled Substance Advisory Committee Who must theft of CS be reported to? - ANSBOP CHFS DEA through Form 106