Flashcards
1
Q
NY Board member req
A
9 licensed pharmacist (5yrs in NY)
2 registered technicians
2 public representatives (selected board of regents)
2
Q
Who does BOP fall under
A
under the Board of Regents (oversees all professional licensing)
3
Q
Who chairs the board
A
chairman and vice-chairmen elected annually by BOP members
4
Q
How are board members selected?
A
appointed by Regents on recommendation of commissioner
5
Q
How long do board members serve
A
5 years
6
Q
How often does board meet?
A
no law req
7
Q
Who can attend meetings?
A
open to public except “executive” sessions
8
Q
Who can apply for pharmacist
A
- good moral character
- atleast 21 yrs old
- meet education, examination and experience req
9
Q
Pharmacist application fee
A
$339
for foreign grads have to be intern (+ $70)
10
Q
How many CE hours req for renewal
A
minimum of 45hrs every 3 years
11
Q
CE hour requirements
A
45 hours, 23 have to be live
3 credits on reducing med/rx errors
3 credits on compounding
CDTM - 5 hours in area of practice
12
Q
Pharmacist intern hour requirements
A
PharmD = no additional
BS in Pharm = 6 months full time or 1040hrs
Foreign = 12 months (2080hrs) as intern after passing NAPLEX
13
Q
Degree req Pharmacist
A
ACPE-Accredited PharmD or BPharm
Foreign = degree In pharm
14
Q
Pharmacist exam Req
A
NAPLEX/MPJE within 5yrs, no longer need Part III (compounding) after 1/1/2022
Foreign: Pass TOEFL iBT and FPGEE and obtain FPGEC cert, then NAPLEX, then MPJE
15
Q
Documents for Pharmacist application
A
New: Form 2 or official transcript w/ conferral date
Transfer: App for license (form 1), school must complete section 2 and return along with transcripts
Foreign: Apply (Form 1), do Form 2 and have school fill it out, apply for intern permit (Form 5) and work as intern and certify (Form 4)
16
Q
Pharmacist renewal period and fee
A
3 yrs and $224
17
Q
Pharmacy intern req/info
A
can perform anything pharmacist can under supervision except immunizations unless have certificate
can only be intern once P1 year or grad of foreign program
18
Q
Who can apply to be intern
A
enrolled and completed 1st professional year or grad of foreign program
19
Q
intern application fee
A
$70
20
Q
intern good standing req
A
being enrolled in a pharmacy program
21
Q
Intern preceptor requirement
A
intern has to be supervised by a pharmacist have to have been practicing for at least 1 yr
22
Q
how long does intern permit last?
A
5 years, can renew once for 2yrs
23
Q
pharmacy technician requirement
A
at least high school grad
18yrs old
good moral character
certification from a nationally accepted pharm tech program
24
Q
who can access the pharmacy?
A
has to be under supervision and management of licensed pharmacist at all hours while open
State BOP, Dept of ED & employees can enter at anytime
25
minimum space req
300sq ft with 100sq dedicated to compounding, manufacturing, dispensing
26
pharmacy security system requirements
A pharmacy operated as a department of a general merchandising establishment shall be enclosed
permanently by a partition
at least nine feet six inches in height, except where the ceiling is less than nine feet six inches in height in which case the partition shall be from floor to ceiling.
27
How to file control and non-control prescriptions
C2 separate
C3-C5 together
non-control separate
28
Drug storage
adequate heating and ventilation to safeguard purity and potency of drugs (§63.6(b)(2))
Access to controlled substances stocks shall be limited to the minimum number of employees actually required to efficiently handle the substances
29
Storage of prescription hard copies on site
must be kept on premise for 5yrs and available
30
storage of prescription copies has to be locked?
system shall provide adequate safeguards against improper manipulation or alteration of stored records
31
signage required for counseling?
not required
32
signage required for hours of operation?
exterior sign showing the hours clearly if not open during all hours that the establishment in which it is located is open
33
Sign requirement for PIC?
not required
34
Sign requirement for closures?
N/a
35
Other signage requirements
sign bearing full name of registrant on exterior/entrance
sign notifying people of drug retail space, and drug prescription space
sign saying free oral translation services available
statements in each of pharmacy primary languages posted where rx picked up, dropped off, at cash registers, counseling
36
Time to notify board of changes in ownership?
within 30 days of change in ownership
Applies to change in officers of corp or in stockholder holding 10%+ in the corp
37
Time to notify board of PIC changes?
owner must notify within 7 days
38
Time to notify board of changes in address?
at least 30 days prior to relocation
39
Type of prescription balance required
Class A balance (6mg) and metric weights if needed for balance operation
40
equipment required in pharmacy
devices capable of leasing volumes 0.1ml to 500ml
mortar and pestle
refrigerator equipped with a thermometer and providing at times a storage temp of 2-8c limited to the storage of drugs
a copy of laws, rules, and regulations, governing the practice of Pharmacy in New York
Hot and Cold running water in compounding and dispensing area
41
Must Rph be on site for access to pharmacy
every pharmacy must be under the immediate and supervision and management of a licensed pharmacist at all hours when open.
42
Mail order info in NY state
Yes - considered "off premises" delivery
out of state must register as nonresident establishment
must be licensed/registered with home state to seek registration in NY
must provide toll-free number during business hours and atleast 40hrs/wk for communication btwn pt/pharmacist
must designate resident agent in NY state
exemption if < 600 scripts/yr or < $10,000
43
Fee for pharmacy licensure
Application: $345
Renewal: $260 every 3 yrs
Relocation: $50
44
Who can apply for pharmacy ownership
anyone of good moral character
for corporation, all stock holders/members that apply have to be good moral character
45
do you have to be a registered pharmacist to own a pharmacy?
no
46
additional pharmacy ownership requirements
if RpH isnt owner then.....
- must have licensed supervising pharmacist
- can only be PIC of one pharmacy
- PIC must be full time (30hrs) or majority hours of operation
47
Rules of sales/transfer of pharmacy
notify board within 30 days of change in ownership
can sell drugs at auction, notify board atleast 7 days prior
48
pharmacy ownership application fees
$50 for location change
no fee for name change/renovation/owner change
49
Pharmacist to Tech ratio
2 registered techs or 4 unlicensed techs
50
How long to notify board after damage/flood/fire?
within 48hrs
51
Pharmacist to Intern ratio
Interns dont count towards Rph:Tech ratio
Pharmacist can supervise 1 full time intern or 2 part time
must dispense 5,000 scripts annually per intern
52
Rph to Staff ratio
2 registered persons or 4 unregistered, no more than 4 people per pharmacist
53
What is considered an outsourcing facility?
any facility that compounds sterile drugs
54
outsourcing facility info
anyone facility engaged in compounding has to register with the FDA
cant dispense to anyone with a RX unless its also a pharmacy
every 6 months have to submit report of what they've done over 6 months
55
Compounding without a prescription
has to be for patient specific order
exception is compounding for a patient before receiving order based on hx of pt orders
if has history of patient rx, can do small amount before receiving rx
56
Who is required to register with FDA as outsourcing facility?
only if doing sterile compounding
57
which drugs are required to be behind the counter
products containing ephedrine, pseudoephedrine, or phenylpropanolamine
58
Pseudophed documenting requirements
maintain records for at least 2 yrs
3.6g per day or 9g/30 days
7.5g/30 day if mail order
not required for purchase < 60mg
59
What documentation required for pseudophed
products by name, quantity sold, names & address of purchasers, date/time of sales, signature of purchaser
ID or government ID
60
Dispensing syringes without prescription
18yrs+ w/ safety insert
pharmacy cant advertise availability of syringe without rx
have to kept behind counter
RX syringes allowed, valid 2yrs, transferred once
61
Which vaccines can pharmacists do?
need certificate, $100 every 3yrs
can give to pts 18yrs or older, 2-18yrs old for flu
62
Which medications can pharmacists administer
epinephrine for anaphylaxis for pts 18yrs or older
63
Facility requirements for administration of immunizations
have to provide an area for the patients
have to have visible important adult vaccines
have education materials
64
What drugs can pharmacist dispense in emergency?
Naloxone, epinephrine, PrEp, 7 day supply of HIV PEP
65
Can pharmacist refuse to fill valid prescription
have to tell owner/supervisor if their beliefs will limit drug products that they dispense, company can find ways to accommodate this
if med is outside prescribers scope of practice then they shouldn't dispense.
if believe can cause harm to patient, pharmacist doesnt have to dispense
66
Actions that can be taken against a pharmacist refusal to fill?
abandoning or neglecting a patient considered professional misconduct and will be investigated upon complaint and determine penalty as appropriate
67
appeals process for actions of Rph
Rph can appear at initial hearing and represented by counsel as well as produce witness, evidence and cross-examine.
decision of board of regents can be reviewed by court if Rph doesnt agree with decision
68
Who can dispense/ administer medicine in longterm setting
controlled substances in emergency kit have to be given by authorized personnel
if oral order for control, has to be written within 48hrs
have to notify pharmacy anytime emergency kit is used
69
who can access dispensing units in long term care
all drugs and biologics should be in locked cabinets under temp control and only appropriate personal access
ie nurse, etc
70
who can access meds without pharmacy staff?
bulk stocks can be moved around without pharmacy staff present
71
requirements of IV labeling and dispensing unit
labeling in accordance with article 137, 8 NYCRR Part 29
drug dispensed inpatient can be labeled with policy adapted by board of the facility
72
requirements on multi dose/repackaging
labeling and recording req have to keep records for 5yrs
all info req by law
name, strength, quantity, physical description
address/ phone # of dispenser
exp date 12 months or 50% of manufactures date, whichever is shorter
73
Req for storage of controls in longterm care facility
separately locked, permanently affixed compartments for storage
C1-2: GSA Class 5 rated steel cabinet, bolted to floor if less than 750lbs, vault with locks
C3-5: stored in separate lock cabinet, can be stored dispersed within non-control drugs
pt specific controlled meds can be stored for 72hrs with patients other meds
74
Nuclear Rph requirements
certified as nuclear pharmacist by board or have 200 contact hours of didactic instructions, and minimum of 500 hours of clinical nuclear pharmacy training under supervision of nuclear pharmacist
75
Nuclear pharmacy facility requirements
Laminar flow hood, dose calibrator, exhaust hood and filter system, chromatography apparatus, apparatus or
materials for the determination of pH, single-channel and/or multichannel scintillation detection system,
microscope
A pharmacy which dispenses both radioactive drugs and nonradioactive drugs shall maintain a separate
area for the storage and dispensing of radioactive drugs, which area shall be secured from unauthorized
personnel.
(§63.6(b)(6)(ii-iii))
76
Which types of providers can receive/store medications? administer?
anyone who can write is allowed to dispense
nurse, np, doc can admin
77
Restrictions on drug samples
under PDMA
can only be distributed to licensed practitioners, not retail pharmacies.
cant give controls as samples
78
Prescribers dispensing/preparing prescriptions
Prescriber can dispense up to 72hrs unless (inc control)...
1. prescribers lives 10mi+ from Pharmacy, dispense at no charge, med emergency, AIDs/cancer protocol, compounded by prescriber
79
How many months supply of control can practitioner prescribe?
up to 3 months of control, inc chronic gonadotropin or 6 months of testosterone
80
Who can have possession of drugs?
no one who isnt registered as a pharmacy, wholesaler, manufacturer or outsourcing facility
81
How long do patient records have to be kept
records have to be kept and maintained for 5 years
82
How long do control prescriptions need to be held?
5 years
83
How long do regular prescriptions need to be held?
5 years
84
Reporting requirement for drug monitoring programs?
have to report within 24hrs of filling control substance
85
Is pharmacy mandated to check PMP before filling a controlled substance?
Nah
86
Reporting Adverse drug reactions
FDA MedWatch: pharmacy voluntary reporting
VAERS: for immunizations
87
FDA Class I recall
reasonable probability that use of, or exposure to, a violative product will cause serious adverse health consequences or death
88
FDA Class II recall
use of, or exposure to, a violative product may cause temporary or medically reversible health consequences or where the probability of serious adverse health consequences is remote
89
FDA Class III recall
use of, or exposure to, a product unlikely to cause adverse health consequences
90
USP 795 is...
non sterile compounding
91
USP 800 is...
hazardous compounding
92
USP 797 is...
sterile compounding
93
What can pharmacist never add for controlled prescription
Patient name
date written
medication name
signature of prescriber
94
What type of drug substitutions are allowed
Has to be generic unless prescriber specifies for it to be brand
95
Refill rules for controls, and C2s?
C2s = no refills (including benzo)
C3-5 = up to 6 months, 5 refills
96
written prescriptions in New York must be on a....
NYS prescription pad
97
Out of state prescribers rx filling in NY
allowed to be written on out of state blank and filled in state
98
How does a faxed prescription have to be signed?
Has to be signed manually
99
Can controlled medication be faxed in NY?
No
100
Exceptions for electronic prescribing NY
Vets
temporary technological failure
temporary electronic failure
practitioner determines eRX would take too long/impractical
101
Electronic prescribing NY
all prescribers excluding vets req to send eRX
102
Required field for electronic prescription
has to have electronic signature of prescriber
103
Electronic prescriptions over state line
has to be filled within 30 days
104
Which prescriptions can be phoned in
any non control can be called in by someone working for the prescriber
for Control, have to meet exceptions to be called in and has to be done by the actual prescriber
105
Who can take in phone prescriptions
Pharmacy intern can take them in
no one else aside from pharmacist
106
Can pharmacy interns transfer prescription
Yes
107
What info does transferring pharmacist need?
name of patient
that authorized refill was transferred
name/address/phone of where transferring to
name of Rph receiving
name of Rph doing the transfer
date of transfer
108
What info does the receiving pharmacist need for transfer?
name of patient
that authorized refill was transferred
name/address/phone of from who transfer
name of pharmacist receiving
name of pharmacist doing transfer
date of original rx written and transfer
original rx number
109
How many refills can be transferred in NY?
1 at a time
remaining refills stay at original pharmacy and can be refilled. remaining refills can be transferred one at a time
110
critical prescription elements
have to be in color or bold type, min 12 pt font
pt name
directions
drug name and strength
111
Child safety cap requirements
all meds have to be with child proof cap unless requested by patient and documented in records
112
Counseling req when....
Counseling required for....
- 1st fill rx
- new rx existing patient
- change in dose/strenght/route/directions from previous rx
pts can decline offer
113
Who can counsel and offer to counsel
Rph/intern can counsel
tech can offer pharmacist to counsel
if med is being delivered, must have written offer to counsel
114
What should be covered in counseling
- name/description of med + known indications
- Dosage, dosage form, route of admin n duration of therapy
- special directions and precautions for prep
- common severe side effects/ interactions
- techniques for monitoring
- proper storage
- refill info
- what to do if missed dose
115
Which DEA form required for pharmacy to dispense control?
DEA 224
DEA 224a = renewal every 3 years
116
PDMP requirements NY
have to submit within 24hrs of dispensing control
72hrs for mail order pharmacies after med is sent out
117
Rules of phone C2 prescription
- 5 day supply max
- hardcopy or eRx within 72hrs, with "Authorization for emergency dispensing" written on it
- if not received, have to notify dept of health within 7 days
118
Rules of phone C3-C5 prescription
- 5 days max for C3/C5
- C4 = 30 days max or 100 units, w/e less
- hardcopy or eRX within 72hrs with "followup prescription to oral order"
- if fail to receive, have to document on oral order "follow up prescription not received"
119
In NY, Benzos are treated like....
C2s
but still filed with C3s/C5s
120
Other state specific control info in NY
Benzo = C2
Testosterone = C2
Chronic gonadotropin = C3 in NYS
Cannabidiol = C5
121
How long are control prescriptions valid
C2 = 30 days
C3-5 = up to 6 months
122
Day supply max on control
C2-C5 = 30 days
C3-C5 = if more than 30 days issued, can only refill once
123
Prescriber can issue up to how long day supply of control with proper code?
3 months, including chronic gonadotropin
6 months of anabolic steroids
124
Code for Panic disorder
A
125
Code of ADHD
B
126
Code for chronic debilitating neurologic conditions characterized as movement disorder or exhibiting seizure, convulsion or spasm activity
C
127
Code for Narcolepsy
E
128
Code for Hormone deficiency
F
129
Refills allowed for C2
none
130
Refills allowed for C3-C5
- up to 5
- if coded for more than 1 month script, only 1 refill
- cant be refilled more than 7 days prior unless approved by prescriber
- cant be refilled more than 5 times in 6 months, even if written with more
- "PRN" not allowed for C3-5
131
If you partially fill a C3-5 refill it counts as...
1 of the 5 refills
132
Can you post-date prescriptions in NY?
Ie: send 3 months at a time, and write date written 1-2 months out etc
no
133
Partial fills for C2 medications
- can partial fill if don't have enough, remainder has to be done in 72hrs. if cant do it, then rest is null and void
134
Partial fills for C2 for Hospice/RHCF patients
can refill remainder within 30 days
135
If C2 coded for more than 30 day supply, how long to refill partial?
30 days
136
License requirements for filling controls
every pharmacy has to be registered with the DEA and have state license
137
DEA 224 form
retail pharmacy
Hospital/Clinic
Practitioner
Teaching institution
Mid-lvl practitioner
138
DEA 225 form
Manufacturer
Distributer
Researcher
Canine handler
Analytic lab
Importer/Exporter
139
DEA 363 form
Narcotic treatment program
140
DEA 510 form
Domestic chemicals
141
What was DEA "X" for
prescribers for drug addiction treatment programs
no longer applies, DATA waiver stopped January 2023
142
DEA renewal cost and frequency
$888 and every 3 years
143
How to validate DEA number
A or B = Doctor
2nd letter = 1st initial last name
Add 1,3,5
Add 2,4,6 and multiply by 2
Add sums tougher, last digit will be 7th digit
144
DEA 222 Form
used for ordering
145
DEA 106 Form
theft or loss of control substances
146
DEA 41 Form
destruction of controlled substances
147
Who can prescribe Schedule I meds
only physician
148
Who cant prescribe any control meds?
Optometrist
149
When can a pharmacist prescribe medications?
only if in CDTM agreement with physician
150
Refills allowed on methadone
0, script only valid for 30 days
151
Medical marijuana requirement
- Have to have licensed pharmacist on site supervising
- no more than 60 day supply, cant refill until 7 days left
- PDMP review before dispensing
- Patient specific log and safety insert provided to patient
- appropriate labeling attached to packaging
152
Medical marijuana returns and storage
secure storage required
returns logged and disposed of
153
OTC ingredients that require special labeling
FD&C Yellow No. 5
Aspartame
Wintergreen oil
mineral oil
salicylates
sulfites
Ipecac syrup
Alcohol
154
When can Schedule II prescription be faxed
patient residing in LTC facility
patients enrolled in hospice
drug is to be compounded for direct admin
155
FAERS stands for what
FDA adverse Event Reporting System
database where adverse events from meds can be voluntarily reported
156
How long after oral C2 does hard copy have to be called in?
7 days
157
When does exact count have to be done for controlled substances?
When bottles have more than 1000 tablets/capsules
if container is sealed or unopened
158
Who schedules controlled substances at the federal level?
US attorney General
159
What has to be submitted to FDA when manufacturer wants to request reclassification of current RX only drug to be OTC
NDA
ANDA = approval for generics
160
What records can be kept at central location other than location registered with DEA?
Controlled substance shipping and financial records
161
What controlled substance records must be kept at pharmacy
Executed DEA Form 222 orders
controlled substance prescriptions
controlled substance inventories
162
What schedule is Tylenol with codeine
C3
Codeine solo = C2
163
On what prescriptions is federal transfer warning req? ( Caution; federal law prohibits the transfer of this....)
C2 - C4 meds
most pharmacies but this on all labels but only req for those
164
In event of breach of PHI info, who should be notified
all nearby pharmacies
Affected patients
US secretary of Human and Health Services
165
What form is used to document destruction of controlled substances?
DEA Form 41
166
Which act requires tamper evident packaging
Federal Anti-Tampering Act
due to Tylenol poisoning with cyanide in Chicago
167
When does Patient Package Insert (PPI) need to be included?
pt in acute care hospitals or LTC facilities prior to 1st admin and every 30 days after
required for oral contraceptives and estrogen containing products
168
Does offering refill reminders violate HIPPA?
Nah
pharmacy can charge along as its reasonable associated to the cost
169
Is compliance with prescription labeling part of DUR process?
Nah
170
Which act requires child-resistant containers for all prescriptions and certain non-prescription drugs?
Poison Prevention Packaging Act (PPPA) administered by the Consumer Product Safety Commission
171
How long does pharmacy have to provide PHI for patient if they request?
Has to be provided within 30 days.
If delay pharmacy has to notify and can be extended by 30 days
172
Which amendment created 2 separate categories for drugs
Durham-Humphrey Amendment
Legend (RX) and OTC)
173
What do codes in FDA Orange book mean
A = FDA considers product to be pharmaceutically and therapeutically equivalent
B = indicate FDA does not consider equivalent
2nd later indicates dosage form (ie T= topical)
AB = products have known or potential equivalency issues, but adequate scientific evidence exists to be given bioequivalence
174
Who is DEA registration not required for
agent or employee of any registered manufacturer/distributer/or dispenser
inc pharmacist working at pharmacy or nurse in hospital/physician office
pts who have controlled rx also not required
175
When is product considered adultered?
If strength or quality differs from what it represents
176
When is a product considered misbranded?
if labeling is false or misleading
177
If drug product strength is less than label, its considered
both misbranded and adultered
178
Who can request easy open containers
Patient for all meds
Provider for the specific med they are prescribing
179
When does FDA require medication guides to be issued
serious risks relative to benefits
when patient adherent is crucial to effectiveness of drugs
when known serious side effect
when providing info can prevent serious adverse effects
180
Drugs exempt from child resistant container packaging
sublingual nitroglycerin tablets
Methylpred tabs with no more than 84mg per package
preparations in aerosol containers intended for inhalation
effervescent aspirin and acetaminophen exempt, but non-effervescent not
prednisone exempt only if package is less than 105mg
181
How long are prescription records required to be kept based on federal law
2 yrs
state laws can be more strict
182
How long are PRN controlled substance orders valid for?
valid for one administration, but can be given anytime over the 72hrs that they are valid
183
If med transfer is longer than 3hrs, how many doses of control substances can medical attendant doing transfer get?
1 dose
184
what method can be used to dispose of unwanted controlled substances?
- returned to supplier
- surrendered to NY Dept of Health or Drug enforcement
- destroyed in presence of witness
185
How can prescriptions be written
Typewritter
Computer
Ink
non-erasable ballpoint pen
186
Schedule A poisons
- poison vegetable alkaloids
- arsenic
- atropine
-potassium cyanide
- strychnine
-corrosive sublimate
- chloral hydrate
187
Written prescriptions can be only signed with....
handwritten signature
188
Methadone short term detox cannot last more than
30 days
189
Who can review and electronically sign a prescription?
only the prescriber
190
what must all electronic prescriptions have
same stuff as written + NPI number
191
if misconduct in the pharmacy, who is held responsible?
Owner and supervising pharmacist
192
How long after appearance must advertisements be kept?
1 year after their appearance
193
Chains with more than how many locations have to provide written prescription info in foreign language?
more than 8 locations
194
Ratio of full-time intern to pharmacist?
1:1
195
sign or notice for the Drug retail list for the top _____ drugs is required?
Top 150
196
A hospital physician can supervise how many PAs?
no more than 6
197
Long term methadone detox cannot be longer than...
180 days
198
Who can't prescribe therapeutic drugs in the state of NY?
Doctor of Chiropractic
199
Drugs may not be sold at auction if they expire within....
30 days
200
When mail order pharmacies send script where alternative was filled after consulting prescriber they must....
make 2 documented call attempts within 48hrs of mailing/delivery
201
which type of pharmacy can accept returns for redispensing
healthcare facility pharmacy
202
Medcarts with proper safeguards can be used to stock which meds?
C3, C4, C5
203
Pharmacist name badge requirement
must be legible and worn while working
204
How long before destroying Control substances must request be placed
2 weeks
205
who can receive copies of control
only prescriber
206
how many sets of forms in DEA book
7
207
Max number of DEA Official Order books can a pharmacy have at one time
6
208
What license is required for those using C2-C5 for instructional activities?
Class 5
209
Does transferring pharmacy have to be part of same company for transferring drugs
no
210
which formulary req substitution of med be allowed for all meds except those specifically prohibited
Negative Formulary
211
Which law governs the use of narcotics for addiction treatment in the US
Narcotic addict treatment act of 1974
212
Emergency medication kits at nursing home can contain up to how many different controlled substances
10
213
Who can conduct and witness the destruction of controlled substances
Practitioners
Pharmacists
Nurses
214
Active ingredient in self-defense sprays must be....
Oleoresin of Capsicum
215
Required references to be possessed by pharmacy in order to operate
- Pharmacy Guide to Practice
- Controlled substances Statute
216
If change in medical director of methadone clinic, FDA and NY Dept of Health must be notified in.....
within 21 days
217
How many non-controlled, noninjectable, prepackaged meds can be in emergency med kits at nursing home
Five
218
What must have a patient package insert
Oral contraceptives
Estrogen containing products
inhaled isoproterenol
219
Which agency/s enforce standards of professional conduct
Office of professional discipline
state education department
220
Psychotropic drug regimens have to be reviewed by independent consultant at least....
once every year
221
How long after changing mailing address does board of pharmacy have to be notified
30 days
222
Medications dispensed by practitioner need to include the following....
- address of dispenser
- date of delivery
- Directions for use
223
specialist assistances can be registered in which categories
radiology
urology
orthopedics
acupuncture
224
Waiver for electronic prescribing can be granted for up to....
1 year
225
Formulary that allows any medication to be prescribed without it being approved by institution before ordering....
open formulary
226
How long after immunization must it be reported to the registry
14 days
227
How often should pharmacies update retail drug list
once a week
228
How often do physicians have to register with Dept to prescribe controls for opioid addiction txm?
every 2 years
229
Filling rx from foreign country
- written prescriptions issued in foreign country for non-controlled med and hypodermic needs may be filled
- physican/patient relationship must exist for rx to be valid
** cant ship **
230
What info is required on oral prescription
- date received
- time received
- signature or initials of receiver
231
who has to approve protocols for pharmaceutic service vendors
New York State Board of Pharmacy
232
Max supply of control meds that emergency kits in nursing homes can contain?
24hrs
233
What info for sale of Schedule A substance is required to be kept
name of purchaser
address of purchaser
sale date
name of poison
quantity of poison
name of dispenser
reason for purchase
234
registered tech to pharmacist ratio
2 to 1
235
How long to surrender controlled substances to Dept of Health
5 days of designated date
236
Who can grant electronic prescription waiver to practitioner?
New York State Health Department
237
How often do prescribers have to renew ability to dispense controls?
Every 2 years
238
Records for repacking medication need to include....
- Drug name
- drug strength
- drug quantity
- Lot number
- date of repacking
- number of packages prepped
- number of dosage units in each package
- name of manufacturer/distributor
- signature of person repacking and supervising pharmacist
239
Hospitals must report med errors that result in....
permanent harm
near death of patient
death of pt
240
What program allows hypodermic needles to be sold without RX
ESAP = Expanded Syringe Access Program
241
Rules of ESAP
- must be 18yrs or older
- no limit on number of needles/syringes
- all products have to come with ESAP safety insert
242
By what day of each month do narcotic txm programs have to file paperwork for preceding month?
10th of the month
243
How many days does pharmacist have to notify prescriber of interchange med?
5 days, can be done when no DAW on script
244
What can pharmacist add to RX without consult prescriber
pt address
pt sex
pt age
245
When brand is dispensed for generic in emergency, what must be recorded on back of script?
- Date
- Hour
- Nature of Emergency
246
Who enforces Poison Prevention Packaging Act?
US Consumer Product Safety Commission
247
Record forms for self defense spray has to be sent where when pharmacy closes?
State Police Records Unit
248
How often does pharmacy have to register to be authorized to dispense control for opioid addiction txm
every 2 years
249
What can Pharmacist professional misconduct include?
- dispensing wrong drug, strength, dosage form
- wrong directions
250
When dispensing C5 refill, what must be recorded on reverse side of RX?
- date of dispensing
- amount of drug dispensed
- dispensing pharmacist signature
251
How long prior to cancelling NY forms must commissioner let prescriber know?
6 months
252
Who cant get hypodermic needles/syringes without RX to use within scope of practice?
Dentist
253
What info is required to be on Pharmacist ID badge
Name & Title
254
What must electronic prescriptions include
- NPI number
- Electronic signature
255
Rules for Retail Price list
- every pharmacy selling drugs has to make it available
- consumer can req list to take with them
- All NY pharmacies have to have sign saying its available
256
Pharmacist receiving transfer must record
- phone # of req pharmacy
- date of original rx
- "refill transfer" on front of hardcopy
257
When dispensing partial of C2 for hospice, have to write on back what?
- Date of partial fill
- Quantities dispensed
- Signature of dispensing pharmacist
258
Hospital Adverse event reporting system in NY called....
NYPORTS = New York Patient Occurrence Reporting and Tracking System
259
Which meds can optometrist prescribe?
- Timoptic (beta blocker)
- Alpha agonists
- topical antimicrobial
260
Max number of unlicensed persons that can assist pharmacist?
4
261
What has to be communicated to prescriber when doing drug interchange?
- Drug name
- Drug lot number
262
How many CE hours have to be done each year at minimum?
15
263
When closing pharmacy, how long do they have to forward records for self defense spray?
30 days
264
CPR and BLS certifications worth how many CE?
5 hours
265
Ratio of part time pharmacy interns to pharmacist
2 to 1
266
How often do addiction txm programs have to submit methadone usage?
once a month
267
License required for institutional dispenser without limitations
Class 3
Class 3A = limited
Class 3B = restricted to prescriptions
268
Meds dispensed by practitioner cant exceed 72hr supply unless....
- dispensed at no charge
- practice site > 10 miles from pharmacy
- practice at hospital or clinic
- Oncology or AIDS protocol
- compounded by prescriber
- Medical emergency
269
BLS and CPS recertifications is how many CE hours?
3 hrs
270
Built in security features of NY RX?
- void appear if copied/scanned, altered
- Heat sensitive ink in pharmacist Test area, goes from blue to light blue/transparent when rubbed
- Heat sensitive ink in Secure Standard Register on back, goes from orange to yellow when rubbed
271
What C5 can be sold OTC with restricted quantity limit
None
272
How long after program completion must pharmacist keep record of CE credits
6 yrs
273
Control written by registered PA have to have....
- Handprinted, stamped or imprinted name of supervising physician
- RPA NY State Ed Dept registration number
- Address/phone number of RPA
274
Immunization course within the past how many years to be immunization certified in NY state?
3 years
275
Drug take back date set by Drug Take-Back Act is.....
July 10th
276
What has to be on non-triplicate controlled substance written by registered PA but no req on triplicate rx (for benzo) written by RPA?
address and phone number of supervising physician
277
Max day supply of dispensed med covered by EPIC
30 day supply
278
What schedule is Tylenol with codeine
C5 = cough syrup
C3 = pills
279
Under proper supervision, specialist can assist in....
- write rx for C3-C5
- dispense product within scope of practice
- write rx for hypodermic needle/syringe
280
Practitioners prescribing rx for controlled substances must include...
- Personal DEA
- Institutional DEA
281
Prescription can be signed using....
Ink
Indelible pencil
non-erasable ballpoint pen
282
A midwife can do the following....
- prescribe meds, inc control
- call in oral rx
- own their own rx pad
283
which control is pentobarbital
C3
284
What do oral prescriptions for hypodermic needles need to contain
- name of ultimate user
- address of ultimate user
- age of ultimate user
- prescriber name
- prescriber address
- prescriber phone
- # of refills
- date received + signature receiving pharmacist
- drug name/strength/quantity/directions if applicable
285
How long after control substance pick up does BNE have to be notified
24hrs
286
How long transaction records of drugs covered by EPIC must be kept
3 yrs
287
How often do pharmacies have to take inventory of controls
2 yrs
288
How long from start of contract do protocols for vender have to be approved
30 days
289
What doesn't have to be recorded when doing control inventory
name of person taking inventory
290
Who has to be notified when loss/theft of control
- local police
- local or regional office of DEA
- regional company corporate office
291
in order to accept prescription with more than 1 drug product on it, it has to be from where?
Long term care facility
292
To get reimbursed by Medicaid, if brand is dispensed, script has to say....
DAW & Brand medically necessary
293
Prescriber can dispense how long of supply in emergency?
24hrs
294
Can certified optometrist prescribe therapeutic product?
yes
295
T/F?
Elderly qualify for EPIC if enrolled in Med D plan and receive full medicaid benefits?
False
296
Date on which pharmacies dont dispense any controls have to be reported within how many days?
14 days
297
When can anabolic steroids be issued for more than a 1 month supply?
angioedema
hormone deficiency in males
metastatic breast cancer in women
anemia
298
How often do nursing home residents need drug regimen reviewed?
1 month
299
which formulary req that substitution be limited to meds contained on specific list?
Positive formulary
300
pharmacist took 3 yr break, worked for 10yrs prior, how soon can he be preceptor if starting again Dec 31st, 2022
Jan 1st, 2024.
have to practice for 1yr immediately prior to becoming preceptor
301
what cant be done when pharmacist is on break
counseling
prescription dispensing
acceptance of oral prescriptions
302
Who has to notify dept of change in supervising pharmacist
Owner of pharmacy
303
Who has jurisdiction over prescription and sale of hypodermic needles + syringes
New York Dept of Health
304
How long after oral script must prescriber follow up with written for Medicaid pt
5 days for script that use "DAW" and "Brand medically necessary"
305
What do protocols between vendor pharmacies & institutions receiving services from such pharmacy req?
- Method for period reconciliation of pharmacy records of filled and delivered prescriptions to institution
- list of steps to take to prevent diversion of drugs
306
Balance in pharmacy should not have less then what weighed to avoid errors of > 5%
2 grain
307
Purchase records of controlled substances by practitioners must contain....
- name and address of supplier
- delivery date
- type of drugs
- quantity of drugs
308
Who is responsible for updating Drug Retail Price List weekly?
supervising pharmacist
309
What can pharmacist change with prescribers authorization
- practitioner or instiution DEA
- drug strength
- drug quantity
- drug directions
- dosage form
- ICD-10 code
- MDD
310
Oral C5 can be for how many days supply?
5 days max
311
If electronic script doesnt go through, and comes via fax, is it still valid?
no invalid prescription, have to reach out to prescriber
312
Can hypodermic needles/syringes be on same script as drug product?
yes, they are considered medical devices
