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Gurney MPJE stuff

Terms in this set (96)

Intern license valid for how long?
6 years
Are hours earned outside of IPPE and APPE rotations reported to the board?
No, not required
Who reports IPPE/APPE hours?
Pharmacy school
What are the requirements to be a pharmacy intern preceptor? (2/3)
Hold current license

Have a minimum 1 year of experience as an actively practicing pharmacist

If found guilty of violating any federal or state law relating to the practice of pharmacy, drug or device distribution or recordkeeping, or unprofessional conduct, enter into an agreement satisfactory to the Board that places restrictions on pharmacist's license.
Do preceptors need to register with the board?
No, dont need to register as a preceptor with the board
What is AZ intern:pharmacists ratio?
None, we dont have one
With how many days from taking Naplex may you score transfer?
89 days
How many times can you take Naplex or MPJE?

How many days after must you wait to retake?
3 times then need approval to test, max 5 times

NAPLEX 45 days, MPJE 30 days
How many intern hours does AZ require?
1500
How long is a tech trainee license good for?
36 months

No renewal
Before working at a remote dispensing site, a pharm tech must meet what requirement? (2)
2 hr CE and at least 1000 hours of tech experience in outpatient setting
Pharm tech currently working at a remote dispensing pharmacy MAY NOT do what?
Perform extemporaneous sterile or non sterile compounding
The board may grant temporary licenses in state of emergency for how long?

When can they be renewed?
Valid for 30 days

No renewal
CE requirements for pharmacist
- 30 hours per 2 years
-2 hours (0.2) immunizations if vaccinate
-2 hours tobacco cessation if providing therapy
-3 hours opioid related, substance abuse disorder related, addiction related (ALL PHARMACIST)
CE requirements for technicians?
20 hours every 2 years

3 hours opioid related
Notifying board:

Change in mailing address: PIC, Pharmacist, Interns, Tech/trainees
All are 10 days
Notifying board:

Change in employer: PIC? pharmacist? Intern? Tech/trainee?
PIC: within 24 hours

All others 10 days
Notifying board:

Change in training site: PIC? pharmacist? Intern? Tech/trainee?
Only intern has to report within 10 days
Notifying board:

Change in PIC?
Within 24 hours
Permit types? (6)
Pharmacy

Remote pharmacy/kiosks (resident only)

Manufacturer

Wholesaler

Medical gas/durable medical equipment

3PL - third party logistics provider
Renewal of permits?
Every 2 years on or before November 1st

*remember difference if asked about DEA renewal
What are some additional permit requirements for hospital pharmacies? (3)
Dept of health services license

Number of beds

Manager or admin name
How often are CQA documents reviewed?

How long are they maintained?
2 years

2 years
Permit holder must notify board in how many days:

Employing or terminating a pharmacist?

Designating or terminating a PIC?
10 days

24 hours
What is considered unethical conduct in regards to permit holders?
If they overrule a pharmacist in matters of pharmacy ethics and interpreting laws pertaining to the practice of pharmacy or the distribution of drugs and devices
How many days prior must a permitted and/or PIC give written notice to DEA prior to d/c a pharmacy?
At least 14 days
When d/c a pharmacy how long must records be maintained by the receiving pharmacy?

What about rx orders?
3 years

7 years from last original or refill was dispensed
Community pharmacy requirements? (7)
300 sq ft for max 3 people; add 1 person for each additional 60 ft

Compounding and dispensing counter

Working area for compounding and dispensing

Area for patient counseling

Narcotic cabinet or safe

Building security standards

Drug storage and security
What documents must be provided within 4 working days of request?
Invoices, stocks transfer documents, product tracking records, merchandise returns, other related documents
Do pharmacy personnel have to wear badges?
Yes
Who is the PIC in a hospital?
Director or pharmacist appointed by director
How small can a hospital pharmacy be?
Minimum 500 sq ft
Prescriptive authority:

RNP aka APP or APNP
Same as MD/DO but with additional educational training and board approvals
Prescriptive authority:

Homeopath
Same as MD/DO with additional educational traning
Prescriptive authority:

Dentist, podiatrist, vets?
Limitations based on scope of practice but same as MD/DO
Prescriptive authority:

Naturopathic doctor, optometrist, PA?
Prescribing restrictions based on profession
Prescriptive authority: PA

CII opioids?

CII non opioids?

CIII opioids?

CIII non opioids?

CIV?

CV?
Yes; up to 30DS

Yes; up to 90 DS

Yes; up to 30 DS

Yes; up to 90 DS

Yes; CIV opioids and bzds up to 30 DS, all other CIVs up to 90 DS

Yes; CV opioids up to 30 DS, all other CV up to 90 DS
Prescriptive authority: optometrists

CII opioids?

CII non opioids?

CIII opioids?

CIII non opioids?

CIV?

CV?
Hydrocodone combos for analgesia only

No

Yes; oral analgesic only

Yes; oral analgesic only

No

No
Can NMDs prescribe CII opioids?
Only oral morphine and hydrocodone combos
Can MDs in AZ write for CS rx for themselves or family members?
No, unprofessional conduct
Written and non-electronic prescriptions (EMR generated) must contain ALL three of the following characteristics for AHCCCS prescriptions:
Prevent unauthorized copying of a completes or blank prescription form (thermo chromic ink/void when photocopied)

Prevent erasure or modifications

Prevent use of counterfeit rx forms (sequentially numbered rx blanks)
How long are transferred rx maintained?
Still 7 years just like all rx orders
How many times can a CS be transferred?
Once, unless it is within same system

CII cant be transferred
All rx orders must be maintained for minimum _____ years

Medicare requirements?
7 years (AZ law)

10 years from date of last fill (federal)
All prescription records shall be made available to board within?
72 hours
What is prescription retention requirements for an electronic imaging record keeping system?
Image must be retained for 7 years

Original hard copy for non CS is NOT required

Original hard copy for CS MUST BE maintained for 7 years
Computerized documentation of refills:

Done in one of two forms
Hard copy printout of each days original and refill data

A log book or separate file of daily statements
Computerized documentation of refills:

The printout or log book must contain what? (3)
States that the data was reviewed for accuracy

Printed name of each dispensing pharmacist

Signed and initiated by each dispensing pharmacist
Therapeutic Equivalence?
Bioequiv and pharmaceutical equiv
Therapeutic vs generic equiv?
Same thing: feds say therapeutic

AZ says generic equivalent
Non CS prescription adaptations:

What can we change using our judgement?
Order prescribed

Dosage form or directions for use

Complete missing info

Extend quantity of a maintenance drug for the limited quantity necessary
What 4 things must be met for a pharmacist to substitute a biological product?
FDA determined the sub product to be interchangeable biological product

Sub not prohibited by prescriber

Pharmacy informs patients of the sub price difference

Let prescriber know within 5 days
3 components of prospective DUR?
Screen of prescriptions before dispensing
Patient counseling by pharmacist
Pharmacist documentation of relevant info
What is required on outpatient pharmacy labels? (7)
-Pharmacy name and address
-rx number
-date of dispensing
-prescriber name
-patient name
-directions, cautions
-initials of dispensing pharmacist
What additional requirements are needed on a compounded label?
BUD

Statement or symbol designating compounded product

list of all active ingredients
Inpatient/LTCF unit dose label requirements? (3)
Drug name, strength, dosage form

lot number and BUD

Appropriate aux labels
Can physicians dispense in AZ?
No
When are you required to give an oral consult? (4)
New drug for patient

Change in drug

Requested by patient

Professional judgement warrants a consult
What is required when giving a consult? (6)
Name and strength of drug

Directions

Route

Indication

Any special instructions and explanation of aux labels

Written info regarding ADEs, procedure for missed doses, storage requirements
Failure to comply with REMS requirements constitutes what?
Misbranding
PPIs must be dispensed when for community?

Inpatient?
Each fill

Initial fill and every 30 days
Med guides a required for specific drugs posing what?
Serious and significant concern
When do med guides have to be given?
Each time a med is filled/refilled
In a LTCF, a drug may be returned and re-dispensed if the pharmacist determines that:
The drug has been stored in compliance with the official compendium


The drug is not obviously contaminated or deteriorated
Vaccines: 3-5 yo

W/o rx?

Rx required?
Flu w/o rx

Flu only; no other approved for the age group
Vaccines: 6-12 yo

W/o rx?

Rx required?
W/o rx: flu, booster dose of primary adolescent series (age 11-12), COVID

Rx: any not listed above, per CDC immunization schedule, including 1st primary adolescent series (11- 12 yo)
How long are vaccine records kept?
7 years
CPA protocols will stipulate what pharmacist can do, which is?
Assess patients status

Order and interpret lab tests

Modify, implement, and monitor a patients drug therapy
LTCF:

How often are patient charts reviewed by consultant pharmacist?
Monthly
What is tort law?
Wrongful act results in injury to one person by another
Pharmacist must look at PDMP when?
Before dispensing CII or benzo CS in CII, III, IV

Previous 12 months
OTC products: Threshold for electrolytes

Ca?

Mg?

K?

Na?
>20 mg

8mg

5 mg

5 mg

If product has more than these amounts then label must state how much per dosage
OTC products: max daily dose before warning needs to be added

Ca?

Mg?

K?

Na?
>3.2 g

>600 mg

>975 mg

>140 mg
OTC products:

Sodium free threshold?
<5 mg
OTC products:

Very low sodium threshold?
<35 mg
OTC products:

Low sodium threshold?
<140 mg
Emergency contraceptive approved for within 120 hrs?
Ella (ulipristal)

Rx only
OTC emergency contraception? What is time frame?
Levonorgestrel

Within 72 hrs (FDA approval) but can recommend up to 120 hrs
Max single dose package of PSE?
Max 60 mg (two 30 mg tabs)
PSE HCl 30 mg tabs contain how much PSE base?
24.6 mg

Therefore, max 146 tabs in one day
Is the PDMP state or federal?
State ran
CII partial fill: Deadline to fill remaining balance

Out of stock?

Requested by patient or prescriber?

Terminally ill or LTCF resident?
Within 72 hrs after partial fill

Within 30 days

Within 60 days
Methadone take home restrictions:

First 90 days?
Can receive up to one take home dose per week
Methadone take home restrictions:

Second 90 days?
Up to 2 take home doses per week
Methadone take home restrictions:

Third 90 days?
Up to 3 take home doses per week
Methadone take home restrictions:

Treatment beyond 270 days and <1yr?
Max 6 day supply of take home med
Methadone take home restrictions:

After one year?
Max 2 week supply
Methadone take home restrictions:

After 2 years?
Max one month supply of take home med but must have monthly visits
CARA of 2016 did what?
Expanded DATA practitioners to include NPs and PAs

Can prescribe bup for 5 year period
CIII: not more than limit

Codeine?
1.8 g per 100 ml or

90 mg per dosage unit
CIII: not more than limit

Dihydrocodeine?
1.8 g per 100 ml Or

90 mg per dosage unit
CIII: not more than limit

Morphine?
50 mg per 100 ml

Or per 100 g
CIV: not more than limit?
1 mg difenoxin and not less than 25 mcg of atropine sulfate per dosage unit
CV: not more than limit

Codeine?
200 mg per 100 ml or per 100 g
CV: not more than limit

Dihydrocodeine?
100 mg per 100 ml

Or per 100 g
CV: not more than limit

Diphenoxylate/atropine?
2.5 mg diphen and not less than 25 mcg atropine per dosage unit
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