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1
Q

how many board members are there? who are they?

A

11 board members (9 pharmacists and 2 technicians)
max of 13 total
additional members cannot be technicians

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2
Q

max amount of pseudoephedrine non prescription? what about rx? mail order?

A

9 grams / month
rx no max
mail order 7.5 grams / month

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3
Q

how long do board members serve

A

5 years

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4
Q

who chairs the board

A

chairman and vice-chairman are elected annually by the BOP members

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5
Q

how are board members elected

A

appointed by the regents based on the recommendation of the commissioner. within the board members a chairman and vice chairman are elected

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6
Q

what are the requirements to apply to be a pharmacist

A

of good moral character
21+ yo
meet education, examination and experience requirements

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7
Q

what are the CE requirements for pharmacists

A

45 hours every 3 years with at least 23 live and at least 3 credits (home or live) on med errors

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8
Q

how long should CE records be kept for

A

6 years

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9
Q

when does a graduate pharmacist need to pass the NAPLEX and MPJE by

A

within 5 years after graduation

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10
Q

how often does a pharmacy license need to be renewed? how much does this cost?

A

224$

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11
Q

who can become an intern

A

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

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12
Q

what are the minimum hours required to become an intern

A

none!

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13
Q

who can be a preceptor in pharmacy?

A

graduate who has practiced for at least one year

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14
Q

how long does an intern permit last? can this be renewed?

A

5 years
can be renewed once for a max of 2 years duration

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15
Q

how much is the application fee to become an intern

A

70$

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16
Q

what are the requirements to become a registered pharm tech

A

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

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17
Q

what are the sq ft requirements for a pharmacy?

A

300 sq ft with at least 100 dedicated to the pharmacy

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18
Q

max counter space for pharmacy

A

none

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19
Q

counseling area requirements

A

none

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20
Q

are all script records stored together?

A

no
C2 together
C3/4/5 together
non-controls together

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21
Q

time to notify board of changes in ownership? who does this also apply to?

A

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

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22
Q

time to notify board of change of PIC (pharmacist in charge)

A

within 7 days of change

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23
Q

time to notify board of change in pharmacy address

A

at least 30 days prior to expected change

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23
Q

what type of balance must be used

A

Class A balance (6mg)

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24
Q

what range of volume do measuring equipment need to cover

A

0.1mL to 500mL

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25
Q

what temperature does fridge need to be kept at

A

2 to 8 C
36-46 F

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26
Q

does someone need to be an RPh to own a pharmacy

A

no
the registration just needs to have a licensed pharmacist on it

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27
Q

how many interns can a pharmacist precept

A

1 full time or two part time

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28
Q

how many prescriptions per year per intern must a pharmacy dispense

A

5,000 scripts annually per intern

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29
Q

how many registered techs per pharmacist are allowed

A

two

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30
Q

how many people can work with a pharmacist

A

four unlicensed (counted towards this are max of two registered pharmacy techs)

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31
Q

what drugs are required to be behind the counter

A

sudafed, ephedrine, phenylpropanolamine

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32
Q

who can receive non script syringes

A

18+ yo
safety insert
not advertised

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33
Q

how long are syringe scripts valid for in NYS

A

2 years

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34
Q

how often do we renew our immunization certification

A

every 3 years

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35
Q

what vaccines can be given by a pharmacist to 18+ yo patients

A

pneumococcal, flu, tetanus, meningococcal, shingles

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36
Q

what vaccines can be given to <2 yo

A

none

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37
Q

what vaccines can be given to 2-18 yo

A

influenza

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38
Q

what medications can pharmacists administer

A

epinephrine in anaphylaxis if they have their immunization certificate

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39
Q

what emergency drugs can pharmacists cover

A

PrEP
EN
naloxone

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40
Q

how does PrEP work

A

dispense 7 day supply
schedule patient appointment with provider for f/u

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41
Q

in LTC, can a CS be administered based off of an oral order

A

yes as long as reduced to writing in 48 hours and notify the pharmacy if the emergency kit is unsealed

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42
Q

how are CS required to be packaged as UD

A

cannot be packaged as UD

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43
Q

if a patient receives drug packaging/pill packs, what is the expiration date

A

12 months or half of the time to the bottle expiration date, whichever is sooner

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44
Q

when should a safe for CS be bolted to the floor

A

if it weighs less than 750 lb

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45
Q

do CS have to be in a safe

A

no, can disperse amongst the non CS

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46
Q

who can dispense as a nuclear pharmacist

A

certified as a nuclear pharmacist by the board of pharmaceutical specialties
or
500+ training hrs + 200 hrs didactic instruction

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47
Q

what law regulates drug samples

A

prescription drug marketing act

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48
Q

can a prescriber dispense CS?

A

yes but only for 72 hour supply

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49
Q

when can a prescriber dispense more than a 72 hour supply of CS

A

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

50
Q

if a prescriber dispenses a CS, how long do they have until they need to report it to the department

A

24 hours

51
Q

how long do electronic or paper prescriptions need to be saved

A

5 years

52
Q

how long do pharmacies have to report the dispensing of a controlled substance to the state

A

24 hours

53
Q

what is iPLEDGE used for

A

isotretinoin

54
Q

what law established the FDA

A

federal food drug and cosmetic act

55
Q

Durham Humphrey Ammendment

A

OTC vs Rx

56
Q

what amendment regulated thalidomide

A

Kefauver Harris Ammendment

57
Q

what is the PPPA

A

poison prevention packaging act
child-resistant packaging requirement

58
Q

what class of recall is this?
recall not likely to cause harm

A

class III

59
Q

what class of recall is this?
recall will cause harm

A

class I

60
Q

what class of recall is this?
recall may cause harm

A

class II

61
Q

what is the red book

A

drug pricing

62
Q

what is the purple book

A

biologic products

63
Q

what is the orange book

A

therapeutc equivalents

64
Q

what is the yellow book

A

international travel vaccines

65
Q

what is the pink book

A

vaccine preventable diseases

66
Q

what is the green book

A

animal drug products

67
Q

what is USP 795

A

nonsterile compounding

68
Q

what is USP 797

A

sterile compounding

69
Q

what is USP 800

A

hazardous compounding

70
Q

what are the requirements for a valid rx

A

name
address
DOB
date written
drug
strength
quantity
prescriber name, address, telephone number, profession and signature

71
Q

what can a pharmacist change on a

A

patient address, phone number, prescriber profession can be changed

72
Q

what can a pharmacist NOT change on a script

A

patient name, date written, med name, prescriber signature

73
Q

when are generic substitutions not allowed

A

DAW

74
Q

how many refills are allowed on a non CS

A

any

75
Q

refills allowed on CII

A

none

76
Q

refills allowed on benzos

A

none

77
Q

refills allowed on C 3-5

A

up to 6 months or 5 x1mo refills

78
Q

how many drugs are allowed on one rx

A

one

79
Q

if a prescription pad from out of state has the requirements for a written rx in NYS, can it be dispensed

A

yes

80
Q

do px have to sign a faxed script

A

yes

81
Q

can a CS rx be faxed

A

no (there are exceptions)

82
Q

who are the exceptions to the electronic prescribing requirement

A

veterinarians
temporary technological failure
temporary electronic failure
electronic will adversely impact pt medical condition

83
Q

can an rx be transferred out of state

A

yes, if within 30 days of when it was written

84
Q

who can call in an oral rx

A

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.)

85
Q

what must the transferring pharamcist relay about an rx

A

patient name
that the refill has been transferred
name, addy, phone # of pharmacy sent to
receiving pharmacist name
transferring pharmacist name
date of transfer

86
Q

under what conditions can an NP prescribe

A

with a collaborative relationship
collaborative practitioner does not have to co sign

87
Q

what can midwives prescribe

A

controls and non CS within their SCOPE

88
Q

if a drug is packaged for unit dose, can it be returned to the original container if it has not left the shelf?

A

yes, only is less than 90 days after repackaged

89
Q

if a patient brings an rx for a CS from france can we dispense it

A

yes, with the same constraints as NYS (refills, one drug per rx, etc)

90
Q

what must be done for an oral CII or benzo script called in for an emergency?

A

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

91
Q

what is the max day supply on an oral C3 or 5 called in

A

5 days

92
Q

what is the mac day supply on a C4 called in

A

30 days or 100 dosage units, whichever is less

93
Q

for all controls, what are the requirements for an oral rx

A

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

94
Q

can prescribers fax an rx to pharmacy?

A

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

95
Q

are benzos filed with the C 2s

A

no, file with C3-5

96
Q

anabolic steroids schedule

A

II

97
Q

chorionic gonadotropin schedule

A

3

98
Q

cannabidiol schedule

A

5

99
Q

how long is a CII/benzo rx valid for

A

30 days

100
Q

how long is C3-4 valid for

A

6 months

101
Q

prescribing codes for controls allow how many days supply

A

3 month on CS
6 months on anabolic steroid

102
Q

what are the prescribing codes that allow more than 30 day supply on CS

A

A panic
B ADHD
C seizure
D pain/dolor
E narcolepsy
F hormone, breast cancer, anemia etc.

103
Q

lyrica rx for 60 day supply with 3 refills code code D
how many refills can you dispense? is 60 day supply ok?

A

60 is ok bc of dx code over a 30 day supply per fill so can only do one additional refill

104
Q

what are the max refills allowed on C3-5 non benzo if the rx is written for 30 day supply

A

5 refills over 6 months

105
Q

what are the max number of refills allowed on a C3-5 non benzo if the rx is for >30 day supply

A

1 refill!!!

106
Q

are prn refills allowed? (pt requesting refill and wanting to leave the rest on the rx)

A

no, not allowed for any control

107
Q

is post dating allowed (writing a date on something for a time after the time dispensed)

A

no

108
Q

when can you partial fill a CII? when does the rest need to be fulfilled?

A

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

109
Q

can you partial fill a C3-5?

A

yes, each partial fill counts as a refill. number of refills remaining does not change or increase just because the day supply changes

110
Q

how do we validate a DEA number

A

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

111
Q

what regulates naloxone in pharamcies

A

SAMHSA

112
Q

who can prescribe schedule I

A

physician

113
Q

what two medical professionals cannot prescribe C2-5?

A

optometrist
pharmacist

114
Q

who can prescribe methadone for opioid use disorder

A

physician and psychiatrist

115
Q

who can prescribe methadone for pain only

A

dentist, podiatrist, PA, midwife, NP

116
Q

when can pharmacists prescribe

A

when they have a CDTM agreement with a physician where pharmacists can make adjustments to drug strength, frequency, ROA

117
Q

schedule I max refills? how long is rx valid

A

not allowed

118
Q

C2 how many refills? how long is rx good for

A

no refills
30 days

119
Q

benzo max refills? max day supply?

A

none, 30 days

120
Q

max refills on a C3-5 non benzo

A

5 refills over 6 months

121
Q

max refills on methadone? max day supply at one time

A

no refills, 30 days max

122
Q
A

MPJE Prep (6 decks)

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