EXAM 2 TN Pharmacy Practice Pt2

Question 1

Definitions

Answer 1

https://law.justia.com/codes/tennessee/title-63/chapter-10/part-2/section-63-10-204/

Question 2

Who has the authority to prescribe in Tennessee?

Answer 2

-Physician
-Certified physician assistant
-Authorized nurse under the supervision of a physician
-Pharmacist under CPA
-Dentist
-Veterinarian
-Optometrist
-Other allied medical practitioners

Question 3

When can OTC products be sold in any retail setting (grocery store) and what are the exceptions?

Answer 3

when they are in the original package

exceptions: has to be sold in a pharmacy
-BTC items: pseudoehperidine
-insulin

Question 4

What is the purpose of executing OTC products as a prescription order?

Answer 4

to have access to DUR and maintain a complete medication profile

-patients still need to pay tax
-still need a prescriber authorization

Question 5

What would be the appropriate practice for a patient who ran out of prescription meds?

Answer 5

can give 72h supply of a prescription drug without authorization if
-> can repeat 72h supply (total 144h supply)
-> Extend to a 20 day supply in case of a disaster

-it is a maintenance medication
-potential endangerment (they don’t have it, and that may cause harm)
-no controlled substance

Question 6

Can a pharmacy in a hospital receive and keep samples of controlled substances at the request of a prescriber?

Answer 6

Yes
need the written request of the prescriber!

Question 7

Can a pharmacy out of the state of Tennessee mail a prescription to a pharmacy in Tennessee?

Answer 7

Yes
but need a license to do so

Question 8

What is a consortium in regard to Pharmacy practice?

Answer 8

Pharmacies that gather together to buying groups, to have more purchasing power
-> it is allowed!

Question 9

When are pharmacists immune from liability when discussing prescription orders or patient information with authorized prescribers?

Answer 9

1. if they talk to providers and complete the DUR
2. assist prescribers in obtaining a drug history of a patient (fe patient in the ER)
3. prevent abuse or misuse of any drug or device and the diversion of substances
4. provide a medication therapy management (MTM) or quality assurance program

Question 10

What should a pharmacist do if he can’t read a prescription?

Answer 10

make a reasonable attempt to clarify with
prescriber
->it is not lawful dispense

law for prescribers: they have to write in a way that is readable for a pharmacist

Question 11

Pharmacy Practice Act 215

2 Rxs on one Rx blanket

Answer 11

If 2 Rxs on one Rx blank and 1 is a C-II -> you are allowed to transfer a non-scheduled drug to a new Rx blank by scanning, photocopying, transcribing

-shouldn’t be an issue with e-prescribing

Question 12

If a pharmacy in Virginia serves patients in Tennessee, the Board of which state is responsible for meeting all the criteria?

Answer 12

The Board of Pharmacy in Virginia

-the pharmacy in Virginia must follow USP guidelines

Question 13

If the pharmacy (with a TN license) in Virginia is serving patients in Tennessee has to face disciplinary action by the FDA for example, how many days does the pharmacy have to notify the Board of Pharmacy in Tennessee?

Answer 13

Within 14 days

Question 14

What should be on a Collaborative Practice Agreement?

Answer 14

-Nature and scope defined
-Can include mid-levels, but the physician must authorize CPA
-biennially (every 2 years) renewal and review, at a minimum
-Pharmacy can’t hire a prescriber to establish CPA

Question 15

When can a pharmacist use judgment to adjust the amount of dispensing?

Answer 15

-Does not apply to controlled substances
-Specific to maintenance meds
-Can dispense more than the quantity indicated if less than 90-day supply, up to 90 days

-prescriber has the option of saying the amount prescribed is medically necessary - then you cant adjust

Question 16

Can a pharmacist get women self-administered contraceptives?

Answer 16

Yes
with a non-specific patient collabrative practice agreement with a physician or mid-level under the supervision of a physician

Question 17

What needs to be done by the pharmacist to prescribe a patient a contraceptive?

Answer 17

-patients need to be 18 or older or emancipated minor
-Training, patient risk assessment, ”fact sheet” provision, coordinate care with prescriber

• Liability protection included

Question 18

What does a pharmacist need for the provision of Ivermectin?

Answer 18

non-specific CPA
similar rules with contraceptives

Question 19

How many members of the Board of Pharmacy are pharmacists?

Answer 19

7 pharmacists

1x is a consumer
1x is a pharmacy technician

the Board also employs an executive Director, but they are not a member of the board

Question 20

What are the requirements for pharmacists to be part of the Board of Pharmacy?

Answer 20

-Resident of the state for no less than 5 years
-a graduate of a recognized school of pharmacy
-licensed in good standing in this state
-be actively engaged in pharmacy practice in this state
-have at least 5 consecutive years of experience in the practice of pharmacy

Question 21

Who selects the Board of Pharmacy?

Answer 21

the Governor

->TPA and interested pharmacy groups can recommend (usually the Governor picks form here)

-should have one or more who are 60 or older
-1+ racial minority
-represent a variety of practice settings (community, compounding, nuclear, hospital pharmacist)
-7-year term, can only serve 1 term
-can be removed from the board for misconduct

Question 22

Who elects the President and Vice president of the Board of Pharmacy?

Answer 22

the 7 pharmacy members

Question 23

Responsibilities of the Board of Pharmacy

Select all that apply question

Answer 23

-Promulgate rules
-Issue licenses
-Keep track of all PICs
-Notify licensed pharmacists of changes
-Set minimum criteria for licensure -> 21 years of age, for example
-Define the scope of practice of pharmacy technicians and the qualifications necessary
-And other things

Question 24

What is the Kevin Clauson Drug Donation Act?

Answer 24

Prescription drug re-dispensing program
Skip for now -> will be covered in Rules

Question 25

What is the Federally Qualified Health Center Prescription Drug Dispensing Pilot Program

Answer 25

allows telepharmacy
-so allowing drugs to be given to patients without a pharmacist being present to do counseling

Question 26

Do pharmacies have to function as a disposal site?

Answer 26

It is voluntary

-if they do they must follow federal regulations
-Pharmacist in charge is the decision-maker (based on the statute)

Question 27

What shall the Board do in regard to Drug Disposal?

Answer 27

The board shall maintain a list of participating pharmacies

The board shall make applicable rules regarding this Part