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MPJE > AZ > Flashcards

AZ Flashcards

Prepare for AZ MPJE

1
Q

How many members serve on the state board of pharmacy, and how long is each term?

A

9 members, 5 years

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2
Q

How many public members (non pharmacists) and how many pharmacist members serve on the board?

A

2 public members, 1 pharmacy tech, 6 pharmacists

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3
Q

What is the name of the agency that issues pharmacist licenses?

A

Arizona State Board of Pharmacy

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4
Q

What exams are required for pharmacist licensure

A

NAPLEX and MPJE

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5
Q

How long does a pharmacist have to notify the board of a change of contact information, home address, employers address, or employer?

A

Within 10 days after a change

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6
Q

How many CE hours are required per renewal period?

A

30 hours of CE are required for renewal every two years

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7
Q

Which specific CE topics are required for each renewal period?

A

3 of 30 hours must be related to opioid, substance use, or addiction. Immunizing pharmacists are required to have 2 of 30 hours related to immunization. Pharmacists prescribing tobacco cessation drug therapies require 2 hours of tobacco cessation CE.

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8
Q

How often is the pharmacist license renewed?

A

Renewal is on a biennial schedule or every other year

Renewal is due on or before November 1st of : odd years if license ends in odd number, even years if license ends in even number

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9
Q

If a pharmacists license lapses, what action can be taken to reinstate the license?

A

If expired for more than 5 years, Pharmacist will need to:
PASS MPJE again
Pay all annual renewal fees missed
Pay penalty fee
Appear before board to furnish satisfactory proof of fitness to be licensed Pharmacist

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10
Q

What are the requirements to become a nuclear pharmacist?

A

Hold a current pharmacist license issued by the board and be certified as a nuclear pharmacist
Submit certification of completion of a board approved nuclear pharmacy training program with 200 hours of didactic training
Submit evidence of a minimum of 500 hours of clinical/practical nuclear pharmacy training under the supervision of an authorized nuclear pharmacy

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11
Q

Are preceptors required to register with the state board?

A

No

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12
Q

Do individuals need to submit fingerprints to register as an intern?

A

Yes

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13
Q

Are interns required to have a criminal background check?

A

Yes

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14
Q

When does an intern license expire?

A

Intern licenses are valid for up to 6 years

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15
Q

How many intern hours are required?

A

1500 hours

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16
Q

Is there a pharmacists:intern supervision ratio in a pharmacy?

A

No, used to be 1 pharmacists to 2 interns

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17
Q

Do technicians have to be licensed or registered?

A

Licensed

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18
Q

What exam or certifications are required for all technicians? (3)

A
  • A pharmacy technician or pharmacy technician trainee license is required to work in a pharmacy
  • Pharmacy technician trainee must complete a board approved examination to be eligible for licensure as a pharmacy technician.
  • Board approved examinations include the Pharmacy Technician Certification Board exam (PTCB) or the Exam for the Certification of Pharmacy Technicians (ExCPT)
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19
Q

What is the higher level designation for pharmacy technicians and what training or examination is required for this designation?

A
  • Pharmacy technicians must complete a training program and pass a Board- approved technician examination
  • Training program includes shadowing with the pharmacist in chare to go over policies, procedures, and basic pharmacy technician duties.
  • Training must be documented with the date of completion and maintained for inspection by the board
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20
Q

What activities are non-certified technicians allowed to do (filling, taking verbal prescriptions)?

A
  • Record the prescription number and date dispensed on a prescription
  • Initiate or accept verbal or electronic refill authorizations from a practitioner or practitioner’s agent and record
  • Type and affix a label for prescription medication
  • Reconstitute a prescription medication
  • Retrieve, count, or pour prescription medication
  • Prepackage drugs
  • Measure, count, pour or otherwise prepare and package a drug needed for inpatient dispensing
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21
Q

Is there a maximum pharmacist to technician supervision ratio?

A

NO

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22
Q

What are the requirements for pharmacy staff identification badge?

A
  • A pharmacist, grad intern, pharmacy intern, pharmacy tech, pharmacy tech trainee and other personnel shall wear a badge indication name and title while on duty.
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23
Q

What organization operates the impaired pharmacist recovery program?

A
  • Professionals Assisting Professionals of Arizona (PAPA), provided by Arizona Pharmacy Foundation
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24
Q
  1. Who can enroll in the state’s impaired pharmacist recovery program?
A
  • Pharmacists
  • Pharmacy students and technicians
  • Any other healthcare professional needing assistance
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25
Q

Can a healthcare professional self – enroll in the impaired pharmacist recovery program?

A

Yes

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26
Q

Are a mail – order pharmacy’s hours and / or toll – free number required to be listed on the prescription container labeling?

A

YES

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27
Q
  1. Are mail – order pharmacies required to be open for a defined number of days and hour per week?
A
  • Hours of operation not defined
  • Toll – free telephone service must be available with a pharmacist who has access to patient records for at least 5 days a week and a minimum of 40 hours per week.
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28
Q
  1. What if the name of the inspection or assessment form/s used by a pharmacist?
A
  • Opening Pre – Inspection Checklist
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29
Q
  1. Which pharmacy setting is the “Opening Pre – Inspection Checklist’ beneficial for?
A
  • Community Pharmacy
  • Hospital Pharmacy
  • Limited service Pharmacy
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30
Q

Do the licenses displayed for public view need to be the originals or is a photocopy or printed copy acceptable?

A
  • Original is preferred, however, if practicing at more than one location, must order a duplicate license to be displayed at practice setting
  • Licenses are $25 per duplicate
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31
Q
  1. What are the space and / or equipment requirements for a pharmacy (e.g., pharmacy size, hot/cold water, compounding equipment, references) ?
A
  • Community pharmacy: at least 300 sqft
  • Hospital pharmacy: at least 500 sqft
  • At least 35 inches between aisle and work areas
  • Hot and cold running water
  • Restroom facilities within 100 ft of pharmacy
  • Sufficient lighting
  • Temperature controlled / adequate ventilation
  • Separate and distinct counseling area
  • Any non – sterile compounding area allows 3 sqft of counter area per person
  • Filled prescription medications stored in an area secured from patient access
  • Pharmacy library complete (therapeutics reference, toxicology, AZ statutes/rules, poison control number displayed)
  • Required pharmacy equipment (fridge, freezer, computers, printers)
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32
Q
  1. What are the advertising limitations for pharmacies?
A
  • A pharmacist or pharmacy cannot advertise on prescription order – blanks
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33
Q
  1. Within how many days must a change of pharmacy address, phone number or name be reported to the board?
A
  • Within 10 days of change
34
Q
  1. Within how many days must pharmacy closures be reported to the board?
A
  • 14 days before discontinuing pharmacy operations
35
Q
  1. Within how many days must a pharmacy notify the board that there has been a change in the pharmacist – in – charge?
A
  • Must provide immediate notice
  • Immediate notice as defined by AZ law means required notice sent by mail, fax, or electronic mail to the board office within 24 hours
36
Q
  1. What requirements are there for emergency kits in long – term care facilities or other institutional facilities (e.g., who refills the kit, what time frame must the kit be filled)?
A
  • Emergency kits are referred to as emergency drug supply units that remain the property of the provider pharmacy
  • Contents of the kit will be the minimum necessary to meet the emergency needs of the resident as determined by the pharmacist – in – charge, medical director, and nursing director.
  • Drugs provided must have a prepackaged label with drug name/strength /dose/ manufacture information otherwise be provided in the manufacturer’s unit of use packaging.
  • Emergency drug supply unit must be in an area that is temperature – controlled and prevents unauthorized access
  • Exterior labeling of the kit contains a label to indicate that the contents are for emergency use only, the earliest date of drug expiration, the pharmacist responsible for the last inspection, and securely tamper tape.
  • Pharmacist – in – charge must ensure that policies and procedures are developed to include instruction on drug removal procedures (only for valid prescription order) and personnel notification when drug is removed
  • Outdated drug replacement procedures
37
Q
  1. What are the regulations for pharmacist breaks or the maximum break duration?
A
  • Pharmacy personnel are allowed to close and secure a pharmacy for a maximum of thirty minutes at mid-shift
  • Shut – downs should be consistent to minimize confusion within the public and professional community
38
Q
  1. During a pharmacist break, does a sign need to be posted that the pharmacist is not on duty?
A
  • Yes, signs must be posted and phone must be programmed to advise that the pharmacy is closed and the time pharmacy will reopen
39
Q
  1. What intern/technician functions can be done without the presence of a pharmacist?
A
  • Technicians, trainees, interns and support personnel are not permitted in the pharmacy unless a pharmacist is on duty
40
Q
  1. What are the limitations on medication delivery ( by couriers, pharmacy employees or by kiosk) ?
A
  • A prescription cannot be picked up when a pharmacist is not present unless delivered directly to patient or when using an automated storage and distribution system that complies with Arizona State Board of Pharmacy requirements.
41
Q
  1. Are there and limitations on drive – up windows?
A

No

42
Q
  1. Does the state recognize pharmacists as providers for reimbursement purposes?
A

No

43
Q
  1. Does a collaborative practice agreement need to be submitted to the board?
A

No

44
Q
  1. How often does a collaborative practice agreement need to be renewed?
A
  • Depends on the agreement in the drug therapy management protocol
45
Q
  1. What actions are pharmacists allowed to perform under a collaborative practice agreement (e.g., initiate, modify, monitor medications)?
A
  • Initiate
  • Monitor
  • Modify
46
Q
  1. Are there any restrictions on what diseases a pharmacist can manage under a collaborative practice agreement?
A

NO

47
Q
  1. Is every pharmacy required to have a pharmacist – in – charge?
A

Yes

48
Q
  1. How many pharmacies can a pharmacist serve as the pharmacist – in – charge (PIC) for at one time?
A

One

49
Q
  1. Is there a minimum of hours the pharmacist – in – charge (PIC) must be present at the pharmacy?
A

No

50
Q
  1. What activities are interns permitted to perform (e.g., counseling, compounding, final verification, taking verbal prescriptions)?
A
  • While under the supervision of a certified pharmacist preceptor, and intern can perform the following:
    o Receive, reduce to written form oral prescriptions
    o Obtain patient information and update patient profile
    o Verify that a dosage is within proper limits
    o Compound, mix, combine, prepare, and package prescription medication
    o Prepackage or supervise the prepackaging of drugs by a pharmacy technician
    o Check prescription order date entry for correctness and make a final accuracy check (final verification)
    o Provide patient counseling.
51
Q
  1. Can technicians accept new prescriptions over the phone?
A

No

52
Q
  1. What are the requirements for tech- check – tech (e.g., practice site type, training or certification required)?
A
  • Verification technician eligibility:
    o Licensed pharmacy technician
    o Complete a technology – assisted final product verification training program with required elements
    o Have at last 1000 hours of work experience in the same type of pharmacy where technology – assisted verification will be performed
    o Complete at least 4 hours of CE on patient safety
53
Q
  1. What activities can a clerk perform ( e.g., cashier functions, receive refills, put a bottle of medication on the shelf)?
A
  • Cashiering
  • Bookkeeping
  • Pricing and stocking
  • Delivering
  • Answering non-professional telephone inquiries
  • Receiving new written prescriptions, but not allowed to process the new prescription
  • May help find otc products
54
Q
  1. Are there limits on prescribing controlled or non – controlled drugs to oneself or family members?
A

Yes

55
Q
  1. What are the limits on prescribing controlled or non – controlled drugs to oneself or family members?
A
  • Unless there is no other physician available within fifty miles to treat a member of the family and an emergency exists
56
Q
  1. Can new prescriptions or refills be filled if the prescriber is known to be deceased or retired?
A
  • No, since there is no longer a patient – provider relationship, the refills become invalid
  • A one – time refill is acceptable to allow the patient time to find a new care provider.
57
Q
  1. What other countries can pharmacists fill prescriptions from and what are the limitations, if any?
A
  • No restriction on where the prescription can be from
  • There prescription must be issued by a medical practitioner licensed by an appropriate licensing board of a foreign country
  • Cannot be for a controlled substance
58
Q
  1. How many years must prescription records be kept?
A
  • 7 years
59
Q
  1. Within what time frame from the issue date are non – controlled prescriptions permitted to be refilled?
A
  • 1 year
60
Q
  1. Is there a maximum number of refills permitted for non – controlled drugs?
A
  • No
61
Q
  1. What is the maximum days’ supply that can be dispensed for an emergency refill of non – controlled drugs without prescriber authorization?
A
  • Up to 30 – day supply
62
Q
  1. What are the additional restrictions when dispensing an emergency refill of non – controlled drugs without prescriber authorization?
A
  • Only when a state of emergency is declared that results in individuals being unable to refill existing prescriptions, a pharmacist may dispense a one – time emergency refill prescription of up to a 30 – day supply. The following requirements must also be met:
    o In the pharmacists professional opinion the medication is essential to the maintenance of life or the contribution of therapy, and
    o The pharmacists makes a good faith effort to reduce the information to a written prescription marked “Emergency prescription” and filed and maintains the prescription as required by law
  • If the state of emergency continues for at least 21 – days after the pharmacist dispenses an emergency prescription, the pharmacist may dispense one additional emergency refill prescription of up to a 30 – day supply
  • The pharmacist’s authority to dispense emergency prescriptions ends when the declared state of emergency is terminated
63
Q
  1. What information is required to be on a prescription container label?
A
  • Patient’s name
  • Directions for use
  • Prescriber’s name
  • Name and address of dispenser
  • Serial or prescription number
  • Date of filling
  • Cautionary statements (e.g., the required statement for controlled drugs prohibiting transfer to any person other than the patient)
64
Q
  1. Is it required to provide a larger type size on the container label for patients with visual impairment?
A
  • No
65
Q
  1. Are patient profiles required to be kept in the pharmacy for all patients (e.g., a traveling patient on vacation getting a one – time fill)?
A
  • Yes
66
Q
  1. How long must patient profiles be kept after the last fill?
A
  • 7 years
67
Q
  1. What is required to be in a patient profile?
A
  • Patient name
  • Patient address
  • Patient telephone number
  • Patient date of birth or age
  • Gender
  • Known diseases or medical conditions
  • Known drug allergies or reactions
  • Current list of medications taken or medical devices currently using
68
Q
  1. Is patient identification required to dispense non – controlled drugs in the community pharmacy setting?
A
  • No
69
Q
  1. Is the offer to counsel required for all prescriptions?
A
  • No
70
Q
  1. When must the offer to counsel a patient be made (e.g., all new prescriptions)?
A
  • New prescription
  • Pharmacist determines oral consultation is warranted
  • The patient or patient’s caregiver requests oral consultation
  • All Medicaid patient prescriptions
71
Q
  1. Who can provide the offer to counsel ( e.g., pharmacists, intern or technicians)?
A
  • Pharmacists, grad interns and pharmacy interns.
72
Q
  1. What are the counseling requirements for medications delivered to the patient or sent by mail?
A
  • Prescription should be accompanied by written or printed patient medication information that includes:
    o Approved use for the prescription medication
    o Possible adverse reactions
    o Drug – drug, food – drug, or disease – drug interactions
    o Missed dose information
    o Telephone number of dispensing pharmacy
73
Q
  1. Are pharmacies required to provide translation services to limited – English proficient (LEP) patients?
A
  • No
74
Q
  1. What are the requirements for generic substitution ( e.g., must notify the patient)?
A
  • A pharmacy personnel shall notify the patient or patient agent presenting the prescription of the amount of price difference between brand and generic if the following apply:
    o Practitioner does not indicate and intent to prevent substitution with generic
    o The transaction will not be reimbursed by insurance
  • The pharmacist should place on the container “generic equivalent for” followed by the brand name.
75
Q
  1. What resource/s can be used to select a suitable substitution (e.g., orange book, state formulary)?
A
  • The orange book
76
Q
  1. What actions can be taken by the prescriber or patient to prevent generic interchange?
A
  • If the prescriber writes or clearly displays “DAW”, “dispense as written”, “Do not substitute” or “medically necessary” or any statement that clearly indicates an intent to prevent substitution on the face of the prescription form.
77
Q
  1. What notification must be sent after substituting a biological product and within what time frame?
A
  • Withing 5 business days after dispensing a biological product, the dispensing pharmacist shall communicate a notice of substitution to the prescriber (electronic entry via electronic medical records system, electronic prescribing technology, pharmacy benefits management system, or pharmacy records)
  • Other acceptable methods include fax, telephone, electronics transmission, or other prevailing means.
78
Q
  1. Are there any drugs (e.g., narrow therapeutic index) that cannot be substituted?
A
  • No
79
Q
  1. Does the state have a conscience clause (if so, what are the stipulations of the clause, or what drugs does it specifically apply to)?
A
  • Yes, Arizona Statute 36 – 2154 gives pharmacists and other healthcare professionals the ability to refuse to participate in abortion, abortion medication, or emergency contraception.
80
Q
A

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