All Flashcards
how many board members are there? who are they?
11 board members (9 pharmacists and 2 technicians)
max of 13 total
additional members cannot be technicians
max amount of pseudoephedrine non prescription? what about rx? mail order?
9 grams / month
rx no max
mail order 7.5 grams / month
how long do board members serve
5 years
who chairs the board
chairman and vice-chairman are elected annually by the BOP members
how are board members elected
appointed by the regents based on the recommendation of the commissioner. within the board members a chairman and vice chairman are elected
what are the requirements to apply to be a pharmacist
of good moral character
21+ yo
meet education, examination and experience requirements
what are the CE requirements for pharmacists
45 hours every 3 years with at least 23 live and at least 3 credits (home or live) on med errors
how long should CE records be kept for
6 years
when does a graduate pharmacist need to pass the NAPLEX and MPJE by
within 5 years after graduation
how often does a pharmacy license need to be renewed? how much does this cost?
224$
who can become an intern
pharmacy student who has completed at least one year of professional study or a graduate of a non-accredited pharmacy program (including foreign) to complete 1080 hours of internship
what are the minimum hours required to become an intern
none!
who can be a preceptor in pharmacy?
graduate who has practiced for at least one year
how long does an intern permit last? can this be renewed?
5 years
can be renewed once for a max of 2 years duration
how much is the application fee to become an intern
70$
what are the requirements to become a registered pharm tech
file application with department
high school graduate or =
certification from a nationally accredited pharm tech cert program acceptable to the department
18+ yo
good moral character
$75 application fee, $75 for initial license, $100 for first registration period and $100/reg period triennially afterward
what are the sq ft requirements for a pharmacy?
300 sq ft with at least 100 dedicated to the pharmacy
max counter space for pharmacy
none
counseling area requirements
none
are all script records stored together?
no
C2 together
C3/4/5 together
non-controls together
time to notify board of changes in ownership? who does this also apply to?
within 30 days of change of ownership
also applies to changes in officers of corp or in stockholders holding 10% or more of stock in the company
time to notify board of change of PIC (pharmacist in charge)
within 7 days of change
time to notify board of change in pharmacy address
at least 30 days prior to expected change
what type of balance must be used
Class A balance (6mg)
what range of volume do measuring equipment need to cover
0.1mL to 500mL
what temperature does fridge need to be kept at
2 to 8 C
36-46 F
does someone need to be an RPh to own a pharmacy
no
the registration just needs to have a licensed pharmacist on it
how many interns can a pharmacist precept
1 full time or two part time
how many prescriptions per year per intern must a pharmacy dispense
5,000 scripts annually per intern
how many registered techs per pharmacist are allowed
two
how many people can work with a pharmacist
four unlicensed (counted towards this are max of two registered pharmacy techs)
what drugs are required to be behind the counter
sudafed, ephedrine, phenylpropanolamine
who can receive non script syringes
18+ yo
safety insert
not advertised
how long are syringe scripts valid for in NYS
2 years
how often do we renew our immunization certification
every 3 years
what vaccines can be given by a pharmacist to 18+ yo patients
pneumococcal, flu, tetanus, meningococcal, shingles
what vaccines can be given to <2 yo
none
what vaccines can be given to 2-18 yo
influenza
what medications can pharmacists administer
epinephrine in anaphylaxis if they have their immunization certificate
what emergency drugs can pharmacists cover
PrEP
EN
naloxone
how does PrEP work
dispense 7 day supply
schedule patient appointment with provider for f/u
in LTC, can a CS be administered based off of an oral order
yes as long as reduced to writing in 48 hours and notify the pharmacy if the emergency kit is unsealed
how are CS required to be packaged as UD
cannot be packaged as UD
if a patient receives drug packaging/pill packs, what is the expiration date
12 months or half of the time to the bottle expiration date, whichever is sooner
when should a safe for CS be bolted to the floor
if it weighs less than 750 lb
do CS have to be in a safe
no, can disperse amongst the non CS
who can dispense as a nuclear pharmacist
certified as a nuclear pharmacist by the board of pharmaceutical specialties
or
500+ training hrs + 200 hrs didactic instruction
what law regulates drug samples
prescription drug marketing act
can a prescriber dispense CS?
yes but only for 72 hour supply
when can a prescriber dispense more than a 72 hour supply of CS
if prescriber is >10 miles from a pharmacy, cannot charge the patient, its an emergency, drug is compounded by prescriber or its for the oncology/AIDS protocols
if a prescriber dispenses a CS, how long do they have until they need to report it to the department
24 hours
how long do electronic or paper prescriptions need to be saved
5 years
how long do pharmacies have to report the dispensing of a controlled substance to the state
24 hours
what is iPLEDGE used for
isotretinoin
what law established the FDA
federal food drug and cosmetic act
Durham Humphrey Ammendment
OTC vs Rx
what amendment regulated thalidomide
Kefauver Harris Ammendment
what is the PPPA
poison prevention packaging act
child-resistant packaging requirement
what class of recall is this?
recall not likely to cause harm
class III
what class of recall is this?
recall will cause harm
class I
what class of recall is this?
recall may cause harm
class II
what is the red book
drug pricing
what is the purple book
biologic products
what is the orange book
therapeutc equivalents
what is the yellow book
international travel vaccines
what is the pink book
vaccine preventable diseases
what is the green book
animal drug products
what is USP 795
nonsterile compounding
what is USP 797
sterile compounding
what is USP 800
hazardous compounding
what are the requirements for a valid rx
name
address
DOB
date written
drug
strength
quantity
prescriber name, address, telephone number, profession and signature
what can a pharmacist change on a
patient address, phone number, prescriber profession can be changed
what can a pharmacist NOT change on a script
patient name, date written, med name, prescriber signature
when are generic substitutions not allowed
DAW
how many refills are allowed on a non CS
any
refills allowed on CII
none
refills allowed on benzos
none
refills allowed on C 3-5
up to 6 months or 5 x1mo refills
how many drugs are allowed on one rx
one
if a prescription pad from out of state has the requirements for a written rx in NYS, can it be dispensed
yes
do px have to sign a faxed script
yes
can a CS rx be faxed
no (there are exceptions)
who are the exceptions to the electronic prescribing requirement
veterinarians
temporary technological failure
temporary electronic failure
electronic will adversely impact pt medical condition
can an rx be transferred out of state
yes, if within 30 days of when it was written
who can call in an oral rx
for non CS - prescriber or employee of the prescribing practitioner
CS - not allowed to be verbal or fax unless part of the exceptions (tech issues, vet etc.)
what must the transferring pharamcist relay about an rx
patient name
that the refill has been transferred
name, addy, phone # of pharmacy sent to
receiving pharmacist name
transferring pharmacist name
date of transfer
under what conditions can an NP prescribe
with a collaborative relationship
collaborative practitioner does not have to co sign
what can midwives prescribe
controls and non CS within their SCOPE
if a drug is packaged for unit dose, can it be returned to the original container if it has not left the shelf?
yes, only is less than 90 days after repackaged
if a patient brings an rx for a CS from france can we dispense it
yes, with the same constraints as NYS (refills, one drug per rx, etc)
what must be done for an oral CII or benzo script called in for an emergency?
max 5 day supply
need electronic or written rx within 72 hours WITH “authorization for emergency dispensing” on it
if pharmacist does not receive follow up rx, notify DOH in writing or electronically within 7 days of dispensing the substance
what is the max day supply on an oral C3 or 5 called in
5 days
what is the mac day supply on a C4 called in
30 days or 100 dosage units, whichever is less
for all controls, what are the requirements for an oral rx
day supply varies depending on schedule
need electronic or written rx within 72 hours WITH “authorization for emergency dispensing” on it
if pharmacist does not receive follow up rx, notify DOH in writing or electronically within 7 days of dispensing the substance
can prescribers fax an rx to pharmacy?
yes, only if hospice or residential healthcare facility (RHCF)
same limits as verbal scripts, but follow up rx must have “hospice patient” or “RHCF patient” instead
are benzos filed with the C 2s
no, file with C3-5
anabolic steroids schedule
II
chorionic gonadotropin schedule
3
cannabidiol schedule
5
how long is a CII/benzo rx valid for
30 days
how long is C3-4 valid for
6 months
prescribing codes for controls allow how many days supply
3 month on CS
6 months on anabolic steroid
what are the prescribing codes that allow more than 30 day supply on CS
A panic
B ADHD
C seizure
D pain/dolor
E narcolepsy
F hormone, breast cancer, anemia etc.
lyrica rx for 60 day supply with 3 refills code code D
how many refills can you dispense? is 60 day supply ok?
60 is ok bc of dx code over a 30 day supply per fill so can only do one additional refill
what are the max refills allowed on C3-5 non benzo if the rx is written for 30 day supply
5 refills over 6 months
what are the max number of refills allowed on a C3-5 non benzo if the rx is for >30 day supply
1 refill!!!
are prn refills allowed? (pt requesting refill and wanting to leave the rest on the rx)
no, not allowed for any control
is post dating allowed (writing a date on something for a time after the time dispensed)
no
when can you partial fill a CII? when does the rest need to be fulfilled?
if its a stocking issue; have 72 hours to dispense the remaining quantity
if not dispensed in that time frame, notify the provider and rest of rx is void
can you partial fill a C3-5?
yes, each partial fill counts as a refill. number of refills remaining does not change or increase just because the day supply changes
how do we validate a DEA number
first letter A, B, F = full practitioner, X = full practitioner with buprenorphine privileges
second letter = first letter of prescriber last name
math: add 1st, 3rd, 5th
add 2nd, 4th, 6th numbers (x2)
add all of the above together and the seventh number should equal the last digit of the addition from above
what regulates naloxone in pharamcies
SAMHSA
who can prescribe schedule I
physician
what two medical professionals cannot prescribe C2-5?
optometrist
pharmacist
who can prescribe methadone for opioid use disorder
physician and psychiatrist
who can prescribe methadone for pain only
dentist, podiatrist, PA, midwife, NP
when can pharmacists prescribe
when they have a CDTM agreement with a physician where pharmacists can make adjustments to drug strength, frequency, ROA
schedule I max refills? how long is rx valid
not allowed
C2 how many refills? how long is rx good for
no refills
30 days
benzo max refills? max day supply?
none, 30 days
max refills on a C3-5 non benzo
5 refills over 6 months
max refills on methadone? max day supply at one time
no refills, 30 days max
