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Pharmacy Law > Final > Flashcards

Final Flashcards

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1
Q

in order for a health system to get compensated by CMS they must be accredited by

A

Joint Commission

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2
Q

Which DEA form should be completed for theft of controlled substances

A

DEA 106

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3
Q

Which DEA form should be completed for damaged/destroyed controlled substances

A

DEA 41

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4
Q

Which DEA form should be completed for ordering of controlled substances

A

DEA 222 or CSOS

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5
Q

Which DEA form should be completed for new registration of a pharmacy to dispense

A

DEA 224

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6
Q

How many hours of CE is required every renewal period? how many live? how long is a renewal period?

A

45 hours of CE (23 Live)
Every 3 years

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7
Q

Pharmacist must obtain 3 hours of CE in which areas every renewal period? must be be live or home study

A

Prescription errors and compounding
- can be live or home study

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8
Q

What are the ratios for pharmacist to personnel

A
  • Max of 2 reg techs to 1 pharm
  • max of 4 unlicensed to 1 pharm
  • max of 4 reg + unlicensed to 1 pharm
  • max of 1 full time intern
  • max of 2 part time interns
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9
Q

What are some activities unlicensed techs can perform

A
  • Receive written or electronically transmitted prescriptions
  • Type prescription labels
  • Keying prescription data
  • Getting drugs from stock and returning them to stock
  • Getting prescription files
  • Counting dosage units of drugs
  • Placing dosage units of drugs in appropriate containers
  • Affixing the prescription label to the containers
  • Preparing manual records of dispensing for the signature or initials of the pharmacist
  • Handing or delivering completed prescriptions to the patient or the person authorized to act on behalf of the patient after the pharmacist
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10
Q

T or F : In NYS, prescribers licensed in new NYS only need to follow the laws and rules enforced by the DEA to prescribe controlled substances in NY

A

False- The DEA is federal law, NY state law may have stricter rules that need to be followed

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11
Q

What is corresponding responsibility

A

Pharmacist are just as responsible for the proper prescribing and use of prescription drug products as prescribers

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12
Q

What are some rules about prescriptions (legend drugs) in NY

A
  • Prescriptions written by practitioners IN NY must be written on a NYS blank
  • Pharmacist must document when overriding identified red flags
  • Prescribers can only prescribe legend drugs according to their scope of practice
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13
Q

Which prescribers are midlevels and which requires supervising MD(*)

A

Midwives *
Nurse practitioners *
Optometrist
Physician Assistant *

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14
Q

What are the maximum amount of days a prescriber can write for CII drugs if there is no condition code vs if there is

A

30 days no code
90 with code

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15
Q

Which medications have the sam prescribing rules as federal CIIs in NYS

A

Testosterone and Benzos

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16
Q

who are exempt from using NYS blanks

A
  • out of state prescribers
  • veterinarians
  • VA hospital
17
Q

who keeps original copy of DEA form when doing transfer? requestor or giver

A

giver

18
Q

pseudoephedrine daily and monthly requirements

A

3.6 grams max per day
9 grams max per month

19
Q

misbranded vs adulterated

A

misbranded - label is altered
adulterated - drug is altered

20
Q

master formulation record

A
  • a recipe to follow
  • created before the compounding record
21
Q

compounding record

A
  • record after the compounding
  • list of ingredients, lot numbers
  • expiration dates
  • BUD
  • copy of rx label
22
Q

category 1 BUDs CRT vs refrigerated

A

At CRT- 12 hrs
Refrigerator- 24 hrs

23
Q

Aseptic category 2 (no sterility testing, only sterile ingredients) BUDs CRT vs refrigerated vs freezer

A

CRT- 4 days
Refrigerator - 10 days
Freezer - 45 days

24
Q

Aseptic category 2 (no sterility testing, one or more sterile ingredients) BUDs CRT vs refrigerated vs freezer

A

CRT- 1 day
Refrigerator - 4 days
Freezer - 45 days

25
Q

Aseptic Category 2 (sterility testing) BUD CRT vs Refrigerator vs freezer

A

CRT- 30 days
Refrigerator- 45 days
Freezer - 60 days

26
Q

Aseptic Category 3 BUD CRT vs Refrigerator vs freezer

A

CRT- 60 days
Refrigerator - 90 days
Freezer - 120 days

27
Q

Terminally sterile category 3 BUD CRT vs Refrigerator vs Freezer

A

CRT - 90 days
Refrigerator - 120 days
Freezer - 180 days

28
Q

Definition of misuse

A

any deviation from prescribed use

29
Q

Definition of abuse

A

Maladaptive pattern of use resulting in significant social/interpersonal/legal problems or hazardous use

30
Q

definition of dependence

A

uncontrolled use resulting in
significant physician/psychological problems and
impairment

31
Q

Risk factors leading to abuse of rx drugs

A
  • Access to drugs
  • stressful work environment
  • culture of the pharmacy
  • education
32
Q

What is drug addiction treatment act (DATA) waiver

A
  • All DEA registered prescribe buprenorphine for OUD
33
Q

rules for 7-day prescribing for acute conditions

A

no longer than a 7 day supply
- initial consultation
- acute pain
- doesn’t apply in chronic pain, cancer pain, hospice or end of life, palliative care

34
Q

PMP rules

A
  • Prescribers must check (not pharmacist)
  • It should be checked up to 24 hours in advance
  • All pharmacies MUST report dispensing within 24 hours to I-STOP
  • Zero dispensing must be reported to I-STOP in 14 days

Pharmacy Law (1 decks)

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