All things time requirements

Question 1

How many days total may a physician supply (not prescribe) narcotic drugs for addiction, while arrangements are being made for a treatment referral?

Answer 1

3 days total; this window may not be repeated. Only 1 day supply can be given at a time

Question 2

When does a PA or NP have to personally consult their supervising physician prior to prescribing a targeted controlled substance?

Answer 2

use of the targeted controlled substance is expected to exceed 30 days; the facility primarily engages in tx of pain; if the targeted controlled substance is continuously prescribed to the same pt, then the NP/PA has to check in with supervising physician at least once every 90 days

Question 3

What is the automatic expiration date applied to a prescription when the provider writes PRN as the amount of refills?

Answer 3

1 year (unless the provider specifies a time period, for example “PRN x 2 years”)

Question 4

if a patient is out of refills and the RPH is unable to obtain a refill auth from prescriber, the RPH can dispense a one time ER refill of up to a BLANK day supply

Answer 4

30 days. note: this is not for a CII controlled substance.

Question 5

How long does the RPH have to notify the prescriber or the prescriber’s office of an ER refill?

Answer 5

72 hours

Question 6

If a prescriber is unable to provide medical services to a pt (ie, provider is on vacation or a natural disaster), the RPH may issue a one time BLANK day supply refill.

Answer 6

90 days

Question 7

Once a prescription is transferred, the prescription can only be refilled for up to….

Answer 7

1 year (or than what was originally authorized, whichever is less):

Question 8

original and transferred rx’s must be kept for BLANK years following last dispense

Answer 8

3 years

Question 9

after the original rx is filled, CIII-CV rx’s can be transferred how many times?

Answer 9

only once

Question 10

A record must be kept of the person (and their ID info) who picks up CII and CIII rx’s. how long must this record be kept?

Answer 10

3 years (on the premise or at a central location)

Question 11

People who have access to controlled substance reporting system also have access to ID records of people who picked up CII/CIII rx’s. The pharmacy must provide this record within:

Answer 11

72 hours

Question 12

NC controlled substance reporting system (CSRS) keeps information for how many years?

Answer 12

6 years

Question 13

RPH’s must register for access to the CSRS within how many days after obtaining an initial RPH license?

Answer 13

30 days (then the RPH will make an annual attestation to having access to it)

Question 14

prior to dispensing a targeted controlled substance, how far back on the CSRS report must be reviewed / documented?

Answer 14

the preceding 12-month period (note there are only certain circumstances this review has to take place, see NC law notes for further details)

Question 15

when a central pharmacy fills a prescription, BOTH pharmacies (central fill + retail / originating pharmacy) must maintain applicable records for how many years?

Answer 15

3 years

Question 16

how long must an original prescription order be kept for?

Answer 16

3 years

Question 17

In terms of being “readily retrievable,” how long does the pharmacy have to provide these requested documents to the BOP for review?

Answer 17

48 hours.

Question 18

NC medicaid requires pharmacies to maintain the hardcopy of prescriptions for how many years?

Answer 18

5 years

Question 19

Medicare part D requires pharmacies to maintain the hardcopy of prescriptions for how many years?

Answer 19

10 years

Question 20

records of dispensing must be made and kept by pharmacies for how many years?

Answer 20

3 years

Question 21

when buying pseudoephedrine, a maximum of 9 gm (7.5 gm if mail order) can be purchased within a BLANK day period.

Answer 21

30 day period

Question 22

How long does a record with the NPLEx system have to be kept?

Answer 22

2 years (remember NPLEx stands for national precursor log exchange and is used to track pseudoephedrine)

Question 23

When must a NPLEx record be made readily available?

Answer 23

Within 48 hours

Question 24

If the candidate has their PharmD only, how many years of clinical experience do they need to be qualified to get their CPP?

Answer 24

3 years

Question 25

If the candidate has completed a residency program, how many years of clinical experience do they need to be qualified to get their CPP?

Answer 25

2 years; the alternative is the candidate could simply earn their BPS certification

Question 26

If the candidate has their bachelor of science in pharmacy only, how many years of clinical experience do they need to be qualified to get their CPP?

Answer 26

5 years

Question 27

If a CPP discontinues working, how long do they have to notify the BOP?

Answer 27

10 days

Question 28

written CPP agreements - must have a plan / schedule for meetings to assess and discuss quality improvements - how often must these meetings take place?

Answer 28

monthly for 6 months, then every 6 months

Question 29

Both the CPP and supervising physician must keep records of documentation (clinical issues discussed at meetings and actions taken) for how long?

Answer 29

5 years

Question 30

how long does the RPH have to record a vaccine administered to a patient in the north caroline immunization registry?

Answer 30

72 hours after the immunization occurred

Question 31

how long does the RPh have to notify the prescriber that they dispensed an interchangeable biologic product?

Answer 31

5 days

Question 32

Starter doses of medications supplied from doctors’ offices must be limited to a BLANK hour supply.

Answer 32

24 hours

Question 33

True / false: the PM shall notify the board within 30 days of changing his / her assistant-PM (with respect to a limited services pharmacy permit).

Answer 33

False. Must notify the board of any changes within 15 days.

Question 34

How long is a prescription for an epi-pen that was dispensed in the name of an authorized entity valid for?

Answer 34

2 years.

Question 35

How often do immunization protocol have to be reviewed?

Answer 35

annually

Question 36

When must a theft or significant loss be reported to the DEA and the BOP respectively? (time starts at discovery)

Answer 36

1 day; 10 days

Question 37

how long does the RPH have to notify the prescriber that they administered a long acting injectable?

Answer 37

72 hours - unless its a psychotropic medication (then its 48 hours)

Question 38

when given notice by the BOP, how long does the pharmacy have to provide documentation of any alleged med error or incident committed by the RPH in the past 12 months?

Answer 38

10 days (note, this only applies when the RPH in question has made error(s) that resulted in a physician / ER visit or hospitalization or death; OR when the BOP initiated a disciplinary proceeding against this RPH as a result of the investigation) - see page 59 of notes if needed

Question 39

how often must the consulting pharmacist for a nursing home and the medication management committee for that nursing home meet?

Answer 39

at least quarterly

Question 40

how often does the pharmacist have to perform a retrospective drug regimen review when consulting as a pharmacist for a nursing home?

Answer 40

at least monthly

Question 41

how many days notice must a pharmacy receive when being audited?

Answer 41

14 days

Question 42

true / false: cannot perform an audit on a pharmacy during the first five days of the month.

Answer 42

true

Question 43

how long must records be kept readily retrievable that would identify the responsible RPH / tech for medication compounding / dispensing?

Answer 43

30 days

Question 44

upon providing written notice to the pharmacy permittee’s designated agent against the pharmacist, how long does the pharmacy permittee have to compile / provide documentation after receiving the notice?

Answer 44

14 days

Question 45

when a restricted medication (in terms of COVID 19 dx) is prescribed, but is the max day supply allowed?

Answer 45

14 days; unless a new rx is issued