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Terms in this set (215)
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T/F: Licensed pharmacists can administer drugs and biologics ordered by a prescriber
3 years old
Pharmacist can independently initiate and administer immunizations recommended by the CDC to patients that are at least
T/F: Only an APP can order and interpret tests
Hours of pharmacy practice experience required for licensure
30 hours, 2 years
Amount of hours for CE, how often?
Last day of birth month
When does a pharmacist license expire?
False, only APP
T/F: licensed pharmacists may perform patient assessments
residency, certification in relevant area of practice, provided clinical service for 1 year
2 out of 3 of these requirements must be fulfilled to become an APP
Only the pharmacist
Who may possess the key to the pharmacy?
How many interns can a pharmacist supervise?
Hospital setting (with pharmacist in patient care area)
Where can tech-check-tech programs be implemented?
This MUST be done to medication in order to be suitable for TCT filling
How many technicians can the first pharmacist supervise? (community)
How many technicians can the first pharmacist supervise? (institutional)
How many technicians can the 2nd pharmacist supervise?
1, 120 hours
How many tech trainee can a pharmacist supervise? For how long?
How many clerks can a pharmacist supervise?
T at end of license number
This is required in an Optometrist's (OD) license number
Max amount of codeine or hydrocodone containing medication an OD may prescribe
True (must have DEA number)
T/F: A ND may prescribe testosterone independently
This is required in a Naturopathic Doctor's (ND) license number
CNM, NP, PA
3 mid-level practitioners with ONLY dependent prescribing authority
T/F: MD may self-prescribe non-controlled substances
True (must have good-faith exam)
T/F: MD may prescribe non-controlled and controlled substances for family members
T/F: MD may self-prescribe controlled substances
6 months from date written, 12 months
How long may a pt refill a prescription from a deceased MD? (controlled, non-controlled)
True (must have equivalent license)
T/F: a pharmacist can furnish drugs for a prescription written by an out-of-state prescriber
T/F: a pharmacist may furnish drugs for a prescription from Canada
kind of animal, name and address of owner
3 elements required to fill CS written by veterinarian
No limit, up to 6 months from date written
Limit of refills for schedule 5 medications
5 refills, max of 120 day supply
Limit of refills for schedule 3 to 4 medications
When is it acceptable to give "PRN" refills?
Significant adverse effect on patient's well being
Situation where it is okay to fill C3-C5 without prescriber authorization and prescriber is unavailable
Just enough to cover the emergency period
How much emergency C3 to C5 can be dispensed?
How much emergency non-controlled can be dispensed?
Yes (must notify prescriber)
If a pt completes a 30-day regimen of a non-controlled, non-psychiatric medication and has sufficient refills, can you dispense 90 days?
Manufacturer expiration or 1 year
Expiration date for a prescription label
12 point sans serif, 50% of label
The name of patient, drug, directions and purpose must be printed onto a prescription label with 2 requirements
This type of container must be new with each prescription dispensed
This type of container must have top plastic closure replaced for reuse
Evaluation of PMP prior to dispensing
Evaluation of drug therapy after drug is dispensed
This type of consumer information is not reviewed or approved by the FDA
This type of consumer information must be given each time an estrogen-containing drug is dispensed in the out-patient setting
Prior to 1st dose and every 30 days
How often to provide PPI in institutional setting?
Serious side effects and ADRs
This type of information is included in a MedGuide
MedGuides must be dispensed when in an outpatient setting?
MedGuide must be given to a provider for administration when?
antiarrhythmics, anticonvulsants, antidepressants, antipsychotics, LABA and NSAIDs
6 classes that require MedGuides
Severe birth defects
Thalidomide may cause
Severe birth defects
Isotretinoin may cause
Clozapine may cause
Severe birth defects
Qsymia may cause
Symlin may cause
Opioids may cause
Saxenda may cause
Forteo may cause
Hypotension and syncope
Addyi may cause
Pharmacist or intern pharmacist
Who can make the offer to counsel?
Written notice (how to contact pharmacist)
This must be present with mailed or delivered prescription
T/F: Pharmacists are required by law to counsel inpatients on medications
Notice to Consumers
Requirement for consumer to receive counseling from a pharmacist.
T/F: A pharmacist is liable for any HIPAA information overheard by another patient during counseling
Patients must be able to inspect their medical records within
Patients must receive copies of their medical records within
Book for therapeutic equivalence
T/F: A pharmacist may switch the formulation of a medication if it can help patient compliance
T/F: A pharmacist may switch IR and ER formulations
T/F: A pharmacist may not break up a combination product into multiple single agents for dispensing
Book for interchangeability of biosimilars
This may be interchanged with Neupogen
This may be interchanged with Remicade
T/F: The interchanged medication may cost more than the prescribed biologic
Tier 1 drugs are
Tier 4 drugs are
When can a nurse override to retrieve medication from an automated drug delivery system?
Who may stock the ADDS if there are no removable pockets?
contract, same owner
2 conditions for refill pharmacy
Counseling, PMP, DUR
3 responsibilities of originating pharmacy
How much compounded product may a pharmacy furnish for a prescriber's office?
reconstitution, tablet splitting, adding flavor
3 conditions that are not considered compounding
T/F: traditionally compounded drugs are exempt from CGMPs, Labeling and NDA
Licensed in CA
Out of state outsourcing facilities (503B) may distribute products into CA if they are...
T/F: Outsourcing facilities must follow CGMPs and are subject to FDA inspection
Prescribers must sign orders within what time
common ownership within 75 miles
2 conditions for centralized hospital packaging
T/F: the expiration date must be present on unit dosed medications
T/F: an EpiPen may be dispensed to a first responder, but they must have a prescription that designates "First Aid Purposes Only" or "Section 1797.197a responder"
False (they have immunity)
T/F: someone who in good faith injects epinephrine may be prosecuted for civil damages
Blood clotting products and ancillary infusion equipment must be shipped to a patient within
How long can a mobile pharmacy stay open after an emergency has ended?
A company has the right to refuse to hire a pharmacist if they refuse to dispense certain medications
Previously notified employer via writing
A pharmacist may refuse to fill medication based on religious or moral grounds if
What hurts more, SubQ or IM?
Max volume for SubQ injection
Max volume for IM injection
This injectable requires massaging the area for 10 seconds after use
epinephrine or diphenhydramine
Pharmacist may initiate and administer the following (2) in response to severe allergic reaction to immunization
More effective emergency contraception at 72 to 120 hours after unprotected intercourse
17 or older
Age requirement for 2-step emergency contraception
T/F: A pharmacist may provide EC under protocol if pt does not have prescription and wants to use insurance coverage
This must be done after administering naloxone
Naloxone is injected
Avoid this NRT if allergic rhinitis
Avoid this NRT if TMJ
Birth Control Guide, PPI, administration fact sheet
3 items to provide when furnishing hormonal contraceptive
Blood glucose, A1C, cholesterol
3 CLIA-waived tests
Visual observation during patient assessment
Using hands during patient assessment
Tapping fingers to hear sound produced during patient assessment
Listening to internal sounds during patient assessment
Ultrasound (DXA is gold standard)
Pharmacist may perform a bone density screening with
Pharmacist may perform depression screening with
DEA form for retail pharmacies, hospitals, practitioners, mid-levels
DEA form for ordering SCH 1 or 2 drugs
DEA form for theft or significant loss
DEA form for destroying controlled substances
Secobarbital, Amobarbital, Pentobarbital
3 C2 barbiturates
Schedule of Fioricet or Fiorinal
Schedule of codeine (alone)
Schedule of codeine with APAP
Schedule of codeine cough syrup
Schedule of Xyrem
Schedule of Marinol
Schedule of Nuvigil, Provigil
Schedule of BZDs
Schedule of non-BZDs for insomnia
Schedule of testosterone
Schedule of tramadol
Schedule of weight loss medication
Schedule of phenobarbital
Schedule of Lomotil
Schedule of Lyrica
Schedule of Potiga
electronic ordering of controlled substances
Copy 1, brown
This copy of DEA 222 goes to distributor
Copy 2, green
This copy of DEA 222 goes to DEA
Copy 3, blue
This copy of DEA 222 goes to receiver
How long does distributor have to complete a partial filled request?
Who can check in controlled substances?
False (they can)
T/F: a supplier cannot void a line on the 222 to cancel the ordered medication.
Supplier must write this on the DEA 222 if they cancel a medication
Receiver must write this on the DEA 222 if they cancel a medication
False (no limit)
T/F: CSOS maximum order is 20 different medications
T/F: CSOS can order any typer of medication
Which is faster, DEA 222 or CSOS?
Notice of Revocation
When a pharmacist with POA leaves the pharmacy for a different job, this must be sent to the DEA
T/F: Individuals from the US Public Health Service, Federal Bureau of Prisons, Army, Navy, Marine Corps and Coast Guard are NOT required to have DEA
First letter of DEA number for a mid-level practitioner
First letter of last name
Second letter of DEA number
Paul Tomi's DEA number is MT6125341, is it valid? He is a PA.
sign and date
An agent may prepare a script for a controlled substance but the practitioner must...
T/F: prescribers can write for control and non-controls on the same security forms
A prescriber in charge of security forms for a facility of 25+ physicians
Terminally ill (death within 1 year)
"11159.2" may be written on a normal prescription for a controlled substance and is considered valid if the patient is...
Emergency situation, resident of a SNF
2 situations to take oral C2 prescriptions
True (prescriber must manually sign it)
T/F: faxed prescriptions for C3 to C5 are acceptable
False (cannot serve as original, do not dispense until patient hands in original)
T/F: faxed prescriptions for C2 are acceptable
A prescriber may write for multiple C2 prescriptions at one time, what is the maximum days supply?
delivered to the patient
A controlled substance issued by out-of-state prescriber can be _____ (C2 to C5) if it meets the states requirements.
handed to the patient
A controlled substance issued by out-of-state prescriber can be _____ (C3 to C5) if it meets the states requirements.
T/F: C2 prescriptions may be dispensed directly to the patient from an out-of-state prescriber
How often to send CURES data?
How long does a pharmacy have to complete a partial fill for a C2?
terminally ill, SNF, OOS
3 situations where partial fill is permitted for C2
For SNF or terminally ill, pharmacist may partially fill in increments up to this many days from date written
Amount of C2 permitted for emergency fill
How much time does the prescriber have to send you a prescription for an emergency C2 fill?
California Bureau of Narcotic Enforcement, 144 hrs
Who do you report to if the prescriber does not send a prescription for the emergency fill? Within what time frame?
This dose of methadone is only indicated for opioid addiction
If a pharmacist is impaired at work due to theft, diversion, self-use of drugs, they must be reported within
The board of pharmacy will do this to a pharmacist that is chemically dependent or mentally impaired.
A pharmacy may sell control substances to prescribers or other pharmacies as long as the amount does not exceed ____ of the total control substance dosage units dispensed per year.
Which pharmacy is responsible for sending Form 2 to the DEA when selling to each other?
Immediately (1 day)
How soon to notify DEA of theft or loss?
How soon to notify board of theft or loss?
To dispense drugs to assist death, terminally ill patient is expected to die within
This must be completed by patient 48 hours before taking aid-in-dying medication
2 drugs used for aid-in-dying
False (must be 18)
T/F: a 16-year old may be sold needles and syringes without a prescription to prevent transmission of HIV
False (must be 18)
T/F: a 14-year old girl may purchase dextromethorphan
T/F: You cannot dispense pseudo products to a 15-year old that complains of nasal congestion
A drug has become filthy, putrid or decomposed.
A drug label states 50mg when the medication is actually 20mg.
Who must be notified during a class 1 recall
Class 2 recall
Situation which exposure may cause temporary or reversible adverse health effects
Class 3 recall
Situation which exposure is not likely to cause adverse health effects
Recall notice regarding sterile compounded product must contact recipient within
Sterile recall, dispensed to pt
Sterile recall, dispensed to prescriber
sterile recall, dispensed to pharmacy
How long to keep hospital pharmacy chart for CS
How long to keep HIPAA acknowledgement
How long to keep CE completion
How long to keep Pseudo log book
How long to keep patient medication profile
How long to keep QA and Med error reports
Report bankruptcy to the board
< 1,000 unit container
This type of bottle for C3 to C5 may be estimated
How quick to retrieve records from off-site storage?
Off-site storage of non-control records must be kept for
Off-site storage of control records must be kept for
History of each transaction going back to the manufacturer
Drug name, strenght, NDC, container size, date of transaction, date of shipment, are all apart of
Transaction is authorized, not knowingly shipped illegitimate product, all apart of
2 working days or 36 hours
If a pharmacist suspects abuse, they must report it within
6 months jail, $1000 fine
Penalty for not reporting suspicion of abuse
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