EXAM 3 Rules of the Board 1140-13

Question 1

1140-13 is about Federal-qualified health centers (FQHC) having satellite clinics in them that don’t have pharmacists but still dispense

Question 2

How many licenses are required for an FQHC to have a central pharmacy and 2 satellite clinics?

Answer 2

only 1 for the central pharmacy

Question 3

A technician is allowed to issue prescription drugs in an FQHC without a pharmacist being present. T/F

Answer 3

Yes.
the filling must be done by a pharmacist (then sent to the FQHC to be issued by the tech)

-issue here means dispense (delivery of the med to the patient

Question 4

How does counseling occur in FQHCs, where pharmacists are not present?

Answer 4

through telepharmacy

Question 5

How does a central pharmacy (providing FQHC with meds) have to be connected with the clinic in an FQHC?

Answer 5

through: all 3
-computer link: computers are connected and share the same files, the satellite clinic has to have their own computer system within the FQHC
-video link
-audio link

the central pharmacy has to have a licensed pharmacy

Question 6

Who is responsible for keeping all of the 3 links between the central pharmacy and the clinic in the FQHC?

Answer 6

the pharmacist

all 3 links have to exist at all times -> otherwise, the satellite ceases to operate

Question 7

Which scheduled drugs are allowed to be issued by techs in satellite clinics of FQHCs?

Answer 7

C-V

all other scheduled drugs are not allowed

Question 8

The central pharmacy must segregate the telepharmacy Rx (for the satellite clinic) from the regular Rx. T/F

Answer 8

true

Question 9

The board may wave only being PIC of one location if shown good cause when operating for an FQHC satellite clinic.

Answer 9

True

Question 10

Verification of the central pharmacist

Answer 10

the pharmacist must perform all in-process and end-process verification of the techs activity:
-checking content
-checking the bottle label
-checking the prescription

-performing a drug utilization review
-performing patient counseling (telepharmacy)

Question 11

How often must the PIC or designee provide supervision or on-site inspection of the satellite clinic?

Answer 11

twice per month

Question 12

What is the responsibility of the satellite clinic tech?

Answer 12

-keep all 3 links at all times

-post a sign that they can’t operate if one of the links is not functioning

-before issuing any meds, notify the pharmacist

-can only issue meds that are dispensed by the central pharmacy