All things time requirements Flashcards
How many days total may a physician supply (not prescribe) narcotic drugs for addiction, while arrangements are being made for a treatment referral?
3 days total; this window may not be repeated. Only 1 day supply can be given at a time
When does a PA or NP have to personally consult their supervising physician prior to prescribing a targeted controlled substance?
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
What is the automatic expiration date applied to a prescription when the provider writes PRN as the amount of refills?
1 year (unless the provider specifies a time period, for example “PRN x 2 years”)
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
30 days. note: this is not for a CII controlled substance.
How long does the RPH have to notify the prescriber or the prescriber’s office of an ER refill?
72 hours
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.
90 days
Once a prescription is transferred, the prescription can only be refilled for up to….
1 year (or than what was originally authorized, whichever is less):
original and transferred rx’s must be kept for BLANK years following last dispense
3 years
after the original rx is filled, CIII-CV rx’s can be transferred how many times?
only once
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?
3 years (on the premise or at a central location)
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:
72 hours
NC controlled substance reporting system (CSRS) keeps information for how many years?
6 years
RPH’s must register for access to the CSRS within how many days after obtaining an initial RPH license?
30 days (then the RPH will make an annual attestation to having access to it)
prior to dispensing a targeted controlled substance, how far back on the CSRS report must be reviewed / documented?
the preceding 12-month period (note there are only certain circumstances this review has to take place, see NC law notes for further details)
when a central pharmacy fills a prescription, BOTH pharmacies (central fill + retail / originating pharmacy) must maintain applicable records for how many years?
3 years
how long must an original prescription order be kept for?
3 years
In terms of being “readily retrievable,” how long does the pharmacy have to provide these requested documents to the BOP for review?
48 hours.
NC medicaid requires pharmacies to maintain the hardcopy of prescriptions for how many years?
5 years
Medicare part D requires pharmacies to maintain the hardcopy of prescriptions for how many years?
10 years
records of dispensing must be made and kept by pharmacies for how many years?
3 years
when buying pseudoephedrine, a maximum of 9 gm (7.5 gm if mail order) can be purchased within a BLANK day period.
30 day period
How long does a record with the NPLEx system have to be kept?
2 years (remember NPLEx stands for national precursor log exchange and is used to track pseudoephedrine)
When must a NPLEx record be made readily available?
Within 48 hours
If the candidate has their PharmD only, how many years of clinical experience do they need to be qualified to get their CPP?
3 years
If the candidate has completed a residency program, how many years of clinical experience do they need to be qualified to get their CPP?
2 years; the alternative is the candidate could simply earn their BPS certification
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?
5 years
If a CPP discontinues working, how long do they have to notify the BOP?
10 days
written CPP agreements - must have a plan / schedule for meetings to assess and discuss quality improvements - how often must these meetings take place?
monthly for 6 months, then every 6 months
Both the CPP and supervising physician must keep records of documentation (clinical issues discussed at meetings and actions taken) for how long?
5 years
how long does the RPH have to record a vaccine administered to a patient in the north caroline immunization registry?
72 hours after the immunization occurred
how long does the RPh have to notify the prescriber that they dispensed an interchangeable biologic product?
5 days
Starter doses of medications supplied from doctors’ offices must be limited to a BLANK hour supply.
24 hours
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).
False. Must notify the board of any changes within 15 days.
How long is a prescription for an epi-pen that was dispensed in the name of an authorized entity valid for?
2 years.
How often do immunization protocol have to be reviewed?
annually
When must a theft or significant loss be reported to the DEA and the BOP respectively? (time starts at discovery)
1 day; 10 days
how long does the RPH have to notify the prescriber that they administered a long acting injectable?
72 hours - unless its a psychotropic medication (then its 48 hours)
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?
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
how often must the consulting pharmacist for a nursing home and the medication management committee for that nursing home meet?
at least quarterly
how often does the pharmacist have to perform a retrospective drug regimen review when consulting as a pharmacist for a nursing home?
at least monthly
how many days notice must a pharmacy receive when being audited?
14 days
true / false: cannot perform an audit on a pharmacy during the first five days of the month.
true
how long must records be kept readily retrievable that would identify the responsible RPH / tech for medication compounding / dispensing?
30 days
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?
14 days
when a restricted medication (in terms of COVID 19 dx) is prescribed, but is the max day supply allowed?
14 days; unless a new rx is issued
