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tl:dr NY MPJE sheet > Flashcards > Flashcards

Flashcards

1
Q

NY Board member req

A

9 licensed pharmacist (5yrs in NY)
2 registered technicians
2 public representatives (selected board of regents)

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2
Q

Who does BOP fall under

A

under the Board of Regents (oversees all professional licensing)

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3
Q

Who chairs the board

A

chairman and vice-chairmen elected annually by BOP members

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4
Q

How are board members selected?

A

appointed by Regents on recommendation of commissioner

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5
Q

How long do board members serve

A

5 years

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6
Q

How often does board meet?

A

no law req

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7
Q

Who can attend meetings?

A

open to public except “executive” sessions

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8
Q

Who can apply for pharmacist

A
  • good moral character
  • atleast 21 yrs old
  • meet education, examination and experience req
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9
Q

Pharmacist application fee

A

$339

for foreign grads have to be intern (+ $70)

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10
Q

How many CE hours req for renewal

A

minimum of 45hrs every 3 years

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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

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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

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13
Q

Degree req Pharmacist

A

ACPE-Accredited PharmD or BPharm

Foreign = degree In pharm

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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

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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)

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16
Q

Pharmacist renewal period and fee

A

3 yrs and $224

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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

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18
Q

Who can apply to be intern

A

enrolled and completed 1st professional year or grad of foreign program

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19
Q

intern application fee

A

$70

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20
Q

intern good standing req

A

being enrolled in a pharmacy program

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21
Q

Intern preceptor requirement

A

intern has to be supervised by a pharmacist have to have been practicing for at least 1 yr

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22
Q

how long does intern permit last?

A

5 years, can renew once for 2yrs

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23
Q

pharmacy technician requirement

A

at least high school grad
18yrs old
good moral character
certification from a nationally accepted pharm tech program

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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

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25
Q

minimum space req

A

300sq ft with 100sq dedicated to compounding, manufacturing, dispensing

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26
Q

pharmacy security system requirements

A

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.

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27
Q

How to file control and non-control prescriptions

A

C2 separate
C3-C5 together
non-control separate

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28
Q

Drug storage

A

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

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29
Q

Storage of prescription hard copies on site

A

must be kept on premise for 5yrs and available

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30
Q

storage of prescription copies has to be locked?

A

system shall provide adequate safeguards against improper manipulation or alteration of stored records

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31
Q

signage required for counseling?

A

not required

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32
Q

signage required for hours of operation?

A

exterior sign showing the hours clearly if not open during all hours that the establishment in which it is located is open

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33
Q

Sign requirement for PIC?

A

not required

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34
Q

Sign requirement for closures?

A

N/a

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35
Q

Other signage requirements

A

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

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36
Q

Time to notify board of changes in ownership?

A

within 30 days of change in ownership

Applies to change in officers of corp or in stockholder holding 10%+ in the corp

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37
Q

Time to notify board of PIC changes?

A

owner must notify within 7 days

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38
Q

Time to notify board of changes in address?

A

at least 30 days prior to relocation

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39
Q

Type of prescription balance required

A

Class A balance (6mg) and metric weights if needed for balance operation

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40
Q

equipment required in pharmacy

A

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

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41
Q

Must Rph be on site for access to pharmacy

A

every pharmacy must be under the immediate and supervision and management of a licensed pharmacist at all hours when open.

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42
Q

Mail order info in NY state

A

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

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43
Q

Fee for pharmacy licensure

A

Application: $345
Renewal: $260 every 3 yrs
Relocation: $50

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44
Q

Who can apply for pharmacy ownership

A

anyone of good moral character

for corporation, all stock holders/members that apply have to be good moral character

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45
Q

do you have to be a registered pharmacist to own a pharmacy?

A

no

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46
Q

additional pharmacy ownership requirements

A

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

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47
Q

Rules of sales/transfer of pharmacy

A

notify board within 30 days of change in ownership

can sell drugs at auction, notify board atleast 7 days prior

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48
Q

pharmacy ownership application fees

A

$50 for location change
no fee for name change/renovation/owner change

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49
Q

Pharmacist to Tech ratio

A

2 registered techs or 4 unlicensed techs

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50
Q

How long to notify board after damage/flood/fire?

A

within 48hrs

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51
Q

Pharmacist to Intern ratio

A

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

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52
Q

Rph to Staff ratio

A

2 registered persons or 4 unregistered, no more than 4 people per pharmacist

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53
Q

What is considered an outsourcing facility?

A

any facility that compounds sterile drugs

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54
Q

outsourcing facility info

A

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

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55
Q

Compounding without a prescription

A

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

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56
Q

Who is required to register with FDA as outsourcing facility?

A

only if doing sterile compounding

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57
Q

which drugs are required to be behind the counter

A

products containing ephedrine, pseudoephedrine, or phenylpropanolamine

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58
Q

Pseudophed documenting requirements

A

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

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59
Q

What documentation required for pseudophed

A

products by name, quantity sold, names & address of purchasers, date/time of sales, signature of purchaser

ID or government ID

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60
Q

Dispensing syringes without prescription

A

18yrs+ w/ safety insert

pharmacy cant advertise availability of syringe without rx

have to kept behind counter

RX syringes allowed, valid 2yrs, transferred once

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61
Q

Which vaccines can pharmacists do?

A

need certificate, $100 every 3yrs

can give to pts 18yrs or older, 2-18yrs old for flu

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62
Q

Which medications can pharmacists administer

A

epinephrine for anaphylaxis for pts 18yrs or older

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63
Q

Facility requirements for administration of immunizations

A

have to provide an area for the patients

have to have visible important adult vaccines
have education materials

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64
Q

What drugs can pharmacist dispense in emergency?

A

Naloxone, epinephrine, PrEp, 7 day supply of HIV PEP

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65
Q

Can pharmacist refuse to fill valid prescription

A

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

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66
Q

Actions that can be taken against a pharmacist refusal to fill?

A

abandoning or neglecting a patient considered professional misconduct and will be investigated upon complaint and determine penalty as appropriate

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67
Q

appeals process for actions of Rph

A

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

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68
Q

Who can dispense/ administer medicine in longterm setting

A

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

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69
Q

who can access dispensing units in long term care

A

all drugs and biologics should be in locked cabinets under temp control and only appropriate personal access
ie nurse, etc

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70
Q

who can access meds without pharmacy staff?

A

bulk stocks can be moved around without pharmacy staff present

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71
Q

requirements of IV labeling and dispensing unit

A

labeling in accordance with article 137, 8 NYCRR Part 29

drug dispensed inpatient can be labeled with policy adapted by board of the facility

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72
Q

requirements on multi dose/repackaging

A

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

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73
Q

Req for storage of controls in longterm care facility

A

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

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74
Q

Nuclear Rph requirements

A

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

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75
Q

Nuclear pharmacy facility requirements

A

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))

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76
Q

Which types of providers can receive/store medications? administer?

A

anyone who can write is allowed to dispense
nurse, np, doc can admin

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77
Q

Restrictions on drug samples

A

under PDMA

can only be distributed to licensed practitioners, not retail pharmacies.

cant give controls as samples

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78
Q

Prescribers dispensing/preparing prescriptions

A

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

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79
Q

How many months supply of control can practitioner prescribe?

A

up to 3 months of control, inc chronic gonadotropin or 6 months of testosterone

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80
Q

Who can have possession of drugs?

A

no one who isnt registered as a pharmacy, wholesaler, manufacturer or outsourcing facility

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81
Q

How long do patient records have to be kept

A

records have to be kept and maintained for 5 years

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82
Q

How long do control prescriptions need to be held?

A

5 years

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83
Q

How long do regular prescriptions need to be held?

A

5 years

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84
Q

Reporting requirement for drug monitoring programs?

A

have to report within 24hrs of filling control substance

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85
Q

Is pharmacy mandated to check PMP before filling a controlled substance?

A

Nah

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86
Q

Reporting Adverse drug reactions

A

FDA MedWatch: pharmacy voluntary reporting
VAERS: for immunizations

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87
Q

FDA Class I recall

A

reasonable probability that use of, or exposure to, a violative product will cause serious adverse health consequences or death

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88
Q

FDA Class II recall

A

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

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89
Q

FDA Class III recall

A

use of, or exposure to, a product unlikely to cause adverse health consequences

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90
Q

USP 795 is…

A

non sterile compounding

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91
Q

USP 800 is…

A

hazardous compounding

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92
Q

USP 797 is…

A

sterile compounding

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93
Q

What can pharmacist never add for controlled prescription

A

Patient name
date written
medication name
signature of prescriber

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94
Q

What type of drug substitutions are allowed

A

Has to be generic unless prescriber specifies for it to be brand

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95
Q

Refill rules for controls, and C2s?

A

C2s = no refills (including benzo)
C3-5 = up to 6 months, 5 refills

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96
Q

written prescriptions in New York must be on a….

A

NYS prescription pad

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97
Q

Out of state prescribers rx filling in NY

A

allowed to be written on out of state blank and filled in state

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98
Q

How does a faxed prescription have to be signed?

A

Has to be signed manually

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99
Q

Can controlled medication be faxed in NY?

A

No

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100
Q

Exceptions for electronic prescribing NY

A

Vets

temporary technological failure

temporary electronic failure

practitioner determines eRX would take too long/impractical

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101
Q

Electronic prescribing NY

A

all prescribers excluding vets req to send eRX

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102
Q

Required field for electronic prescription

A

has to have electronic signature of prescriber

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103
Q

Electronic prescriptions over state line

A

has to be filled within 30 days

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104
Q

Which prescriptions can be phoned in

A

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

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105
Q

Who can take in phone prescriptions

A

Pharmacy intern can take them in

no one else aside from pharmacist

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106
Q

Can pharmacy interns transfer prescription

A

Yes

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107
Q

What info does transferring pharmacist need?

A

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

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108
Q

What info does the receiving pharmacist need for transfer?

A

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

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109
Q

How many refills can be transferred in NY?

A

1 at a time

remaining refills stay at original pharmacy and can be refilled. remaining refills can be transferred one at a time

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110
Q

critical prescription elements

A

have to be in color or bold type, min 12 pt font

pt name
directions
drug name and strength

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111
Q

Child safety cap requirements

A

all meds have to be with child proof cap unless requested by patient and documented in records

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112
Q

Counseling req when….

A

Counseling required for….
- 1st fill rx
- new rx existing patient
- change in dose/strenght/route/directions from previous rx

pts can decline offer

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113
Q

Who can counsel and offer to counsel

A

Rph/intern can counsel

tech can offer pharmacist to counsel

if med is being delivered, must have written offer to counsel

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114
Q

What should be covered in counseling

A
  • 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
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115
Q

Which DEA form required for pharmacy to dispense control?

A

DEA 224
DEA 224a = renewal every 3 years

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116
Q

PDMP requirements NY

A

have to submit within 24hrs of dispensing control

72hrs for mail order pharmacies after med is sent out

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117
Q

Rules of phone C2 prescription

A
  • 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
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118
Q

Rules of phone C3-C5 prescription

A
  • 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”
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119
Q

In NY, Benzos are treated like….

A

C2s

but still filed with C3s/C5s

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120
Q

Other state specific control info in NY

A

Benzo = C2
Testosterone = C2
Chronic gonadotropin = C3 in NYS
Cannabidiol = C5

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121
Q

How long are control prescriptions valid

A

C2 = 30 days
C3-5 = up to 6 months

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122
Q

Day supply max on control

A

C2-C5 = 30 days
C3-C5 = if more than 30 days issued, can only refill once

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123
Q

Prescriber can issue up to how long day supply of control with proper code?

A

3 months, including chronic gonadotropin
6 months of anabolic steroids

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124
Q

Code for Panic disorder

A

A

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125
Q

Code of ADHD

A

B

126
Q

Code for chronic debilitating neurologic conditions characterized as movement disorder or exhibiting seizure, convulsion or spasm activity

A

C

127
Q

Code for Narcolepsy

A

E

128
Q

Code for Hormone deficiency

A

F

129
Q

Refills allowed for C2

A

none

130
Q

Refills allowed for C3-C5

A
  • 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
Q

If you partially fill a C3-5 refill it counts as…

A

1 of the 5 refills

132
Q

Can you post-date prescriptions in NY?
Ie: send 3 months at a time, and write date written 1-2 months out etc

A

no

133
Q

Partial fills for C2 medications

A
  • 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
Q

Partial fills for C2 for Hospice/RHCF patients

A

can refill remainder within 30 days

135
Q

If C2 coded for more than 30 day supply, how long to refill partial?

A

30 days

136
Q

License requirements for filling controls

A

every pharmacy has to be registered with the DEA and have state license

137
Q

DEA 224 form

A

retail pharmacy
Hospital/Clinic
Practitioner
Teaching institution
Mid-lvl practitioner

138
Q

DEA 225 form

A

Manufacturer
Distributer
Researcher
Canine handler
Analytic lab
Importer/Exporter

139
Q

DEA 363 form

A

Narcotic treatment program

140
Q

DEA 510 form

A

Domestic chemicals

141
Q

What was DEA “X” for

A

prescribers for drug addiction treatment programs

no longer applies, DATA waiver stopped January 2023

142
Q

DEA renewal cost and frequency

A

$888 and every 3 years

143
Q

How to validate DEA number

A

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
Q

DEA 222 Form

A

used for ordering

145
Q

DEA 106 Form

A

theft or loss of control substances

146
Q

DEA 41 Form

A

destruction of controlled substances

147
Q

Who can prescribe Schedule I meds

A

only physician

148
Q

Who cant prescribe any control meds?

A

Optometrist

149
Q

When can a pharmacist prescribe medications?

A

only if in CDTM agreement with physician

150
Q

Refills allowed on methadone

A

0, script only valid for 30 days

151
Q

Medical marijuana requirement

A
  • 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
Q

Medical marijuana returns and storage

A

secure storage required
returns logged and disposed of

153
Q

OTC ingredients that require special labeling

A

FD&C Yellow No. 5
Aspartame
Wintergreen oil
mineral oil
salicylates
sulfites
Ipecac syrup
Alcohol

154
Q

When can Schedule II prescription be faxed

A

patient residing in LTC facility

patients enrolled in hospice

drug is to be compounded for direct admin

155
Q

FAERS stands for what

A

FDA adverse Event Reporting System

database where adverse events from meds can be voluntarily reported

156
Q

How long after oral C2 does hard copy have to be called in?

A

7 days

157
Q

When does exact count have to be done for controlled substances?

A

When bottles have more than 1000 tablets/capsules

if container is sealed or unopened

158
Q

Who schedules controlled substances at the federal level?

A

US attorney General

159
Q

What has to be submitted to FDA when manufacturer wants to request reclassification of current RX only drug to be OTC

A

NDA

ANDA = approval for generics

160
Q

What records can be kept at central location other than location registered with DEA?

A

Controlled substance shipping and financial records

161
Q

What controlled substance records must be kept at pharmacy

A

Executed DEA Form 222 orders

controlled substance prescriptions

controlled substance inventories

162
Q

What schedule is Tylenol with codeine

A

C3

Codeine solo = C2

163
Q

On what prescriptions is federal transfer warning req? ( Caution; federal law prohibits the transfer of this….)

A

C2 - C4 meds

most pharmacies but this on all labels but only req for those

164
Q

In event of breach of PHI info, who should be notified

A

all nearby pharmacies
Affected patients
US secretary of Human and Health Services

165
Q

What form is used to document destruction of controlled substances?

A

DEA Form 41

166
Q

Which act requires tamper evident packaging

A

Federal Anti-Tampering Act

due to Tylenol poisoning with cyanide in Chicago

167
Q

When does Patient Package Insert (PPI) need to be included?

A

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
Q

Does offering refill reminders violate HIPPA?

A

Nah

pharmacy can charge along as its reasonable associated to the cost

169
Q

Is compliance with prescription labeling part of DUR process?

A

Nah

170
Q

Which act requires child-resistant containers for all prescriptions and certain non-prescription drugs?

A

Poison Prevention Packaging Act (PPPA) administered by the Consumer Product Safety Commission

171
Q

How long does pharmacy have to provide PHI for patient if they request?

A

Has to be provided within 30 days.

If delay pharmacy has to notify and can be extended by 30 days

172
Q

Which amendment created 2 separate categories for drugs

A

Durham-Humphrey Amendment

Legend (RX) and OTC)

173
Q

What do codes in FDA Orange book mean

A

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
Q

Who is DEA registration not required for

A

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
Q

When is product considered adultered?

A

If strength or quality differs from what it represents

176
Q

When is a product considered misbranded?

A

if labeling is false or misleading

177
Q

If drug product strength is less than label, its considered

A

both misbranded and adultered

178
Q

Who can request easy open containers

A

Patient for all meds

Provider for the specific med they are prescribing

179
Q

When does FDA require medication guides to be issued

A

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
Q

Drugs exempt from child resistant container packaging

A

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
Q

How long are prescription records required to be kept based on federal law

A

2 yrs

state laws can be more strict

182
Q

How long are PRN controlled substance orders valid for?

A

valid for one administration, but can be given anytime over the 72hrs that they are valid

183
Q

If med transfer is longer than 3hrs, how many doses of control substances can medical attendant doing transfer get?

A

1 dose

184
Q

what method can be used to dispose of unwanted controlled substances?

A
  • returned to supplier
  • surrendered to NY Dept of Health or Drug enforcement
  • destroyed in presence of witness
185
Q

How can prescriptions be written

A

Typewritter
Computer
Ink
non-erasable ballpoint pen

186
Q

Schedule A poisons

A
  • poison vegetable alkaloids
  • arsenic
  • atropine
    -potassium cyanide
  • strychnine
    -corrosive sublimate
  • chloral hydrate
187
Q

Written prescriptions can be only signed with….

A

handwritten signature

188
Q

Methadone short term detox cannot last more than

A

30 days

189
Q

Who can review and electronically sign a prescription?

A

only the prescriber

190
Q

what must all electronic prescriptions have

A

same stuff as written + NPI number

191
Q

if misconduct in the pharmacy, who is held responsible?

A

Owner and supervising pharmacist

192
Q

How long after appearance must advertisements be kept?

A

1 year after their appearance

193
Q

Chains with more than how many locations have to provide written prescription info in foreign language?

A

more than 8 locations

194
Q

Ratio of full-time intern to pharmacist?

A

1:1

195
Q

sign or notice for the Drug retail list for the top _____ drugs is required?

A

Top 150

196
Q

A hospital physician can supervise how many PAs?

A

no more than 6

197
Q

Long term methadone detox cannot be longer than…

A

180 days

198
Q

Who can’t prescribe therapeutic drugs in the state of NY?

A

Doctor of Chiropractic

199
Q

Drugs may not be sold at auction if they expire within….

A

30 days

200
Q

When mail order pharmacies send script where alternative was filled after consulting prescriber they must….

A

make 2 documented call attempts within 48hrs of mailing/delivery

201
Q

which type of pharmacy can accept returns for redispensing

A

healthcare facility pharmacy

202
Q

Medcarts with proper safeguards can be used to stock which meds?

A

C3, C4, C5

203
Q

Pharmacist name badge requirement

A

must be legible and worn while working

204
Q

How long before destroying Control substances must request be placed

A

2 weeks

205
Q

who can receive copies of control

A

only prescriber

206
Q

how many sets of forms in DEA book

A

7

207
Q

Max number of DEA Official Order books can a pharmacy have at one time

A

6

208
Q

What license is required for those using C2-C5 for instructional activities?

A

Class 5

209
Q

Does transferring pharmacy have to be part of same company for transferring drugs

A

no

210
Q

which formulary req substitution of med be allowed for all meds except those specifically prohibited

A

Negative Formulary

211
Q

Which law governs the use of narcotics for addiction treatment in the US

A

Narcotic addict treatment act of 1974

212
Q

Emergency medication kits at nursing home can contain up to how many different controlled substances

A

10

213
Q

Who can conduct and witness the destruction of controlled substances

A

Practitioners
Pharmacists
Nurses

214
Q

Active ingredient in self-defense sprays must be….

A

Oleoresin of Capsicum

215
Q

Required references to be possessed by pharmacy in order to operate

A
  • Pharmacy Guide to Practice
  • Controlled substances Statute
216
Q

If change in medical director of methadone clinic, FDA and NY Dept of Health must be notified in…..

A

within 21 days

217
Q

How many non-controlled, noninjectable, prepackaged meds can be in emergency med kits at nursing home

A

Five

218
Q

What must have a patient package insert

A

Oral contraceptives
Estrogen containing products
inhaled isoproterenol

219
Q

Which agency/s enforce standards of professional conduct

A

Office of professional discipline
state education department

220
Q

Psychotropic drug regimens have to be reviewed by independent consultant at least….

A

once every year

221
Q

How long after changing mailing address does board of pharmacy have to be notified

A

30 days

222
Q

Medications dispensed by practitioner need to include the following….

A
  • address of dispenser
  • date of delivery
  • Directions for use
223
Q

specialist assistances can be registered in which categories

A

radiology
urology
orthopedics
acupuncture

224
Q

Waiver for electronic prescribing can be granted for up to….

A

1 year

225
Q

Formulary that allows any medication to be prescribed without it being approved by institution before ordering….

A

open formulary

226
Q

How long after immunization must it be reported to the registry

A

14 days

227
Q

How often should pharmacies update retail drug list

A

once a week

228
Q

How often do physicians have to register with Dept to prescribe controls for opioid addiction txm?

A

every 2 years

229
Q

Filling rx from foreign country

A
  • 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
Q

What info is required on oral prescription

A
  • date received
  • time received
  • signature or initials of receiver
231
Q

who has to approve protocols for pharmaceutic service vendors

A

New York State Board of Pharmacy

232
Q

Max supply of control meds that emergency kits in nursing homes can contain?

A

24hrs

233
Q

What info for sale of Schedule A substance is required to be kept

A

name of purchaser
address of purchaser
sale date
name of poison
quantity of poison
name of dispenser
reason for purchase

234
Q

registered tech to pharmacist ratio

A

2 to 1

235
Q

How long to surrender controlled substances to Dept of Health

A

5 days of designated date

236
Q

Who can grant electronic prescription waiver to practitioner?

A

New York State Health Department

237
Q

How often do prescribers have to renew ability to dispense controls?

A

Every 2 years

238
Q

Records for repacking medication need to include….

A
  • 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
Q

Hospitals must report med errors that result in….

A

permanent harm
near death of patient
death of pt

240
Q

What program allows hypodermic needles to be sold without RX

A

ESAP = Expanded Syringe Access Program

241
Q

Rules of ESAP

A
  • must be 18yrs or older
  • no limit on number of needles/syringes
  • all products have to come with ESAP safety insert
242
Q

By what day of each month do narcotic txm programs have to file paperwork for preceding month?

A

10th of the month

243
Q

How many days does pharmacist have to notify prescriber of interchange med?

A

5 days, can be done when no DAW on script

244
Q

What can pharmacist add to RX without consult prescriber

A

pt address
pt sex
pt age

245
Q

When brand is dispensed for generic in emergency, what must be recorded on back of script?

A
  • Date
  • Hour
  • Nature of Emergency
246
Q

Who enforces Poison Prevention Packaging Act?

A

US Consumer Product Safety Commission

247
Q

Record forms for self defense spray has to be sent where when pharmacy closes?

A

State Police Records Unit

248
Q

How often does pharmacy have to register to be authorized to dispense control for opioid addiction txm

A

every 2 years

249
Q

What can Pharmacist professional misconduct include?

A
  • dispensing wrong drug, strength, dosage form
  • wrong directions
250
Q

When dispensing C5 refill, what must be recorded on reverse side of RX?

A
  • date of dispensing
  • amount of drug dispensed
  • dispensing pharmacist signature
251
Q

How long prior to cancelling NY forms must commissioner let prescriber know?

A

6 months

252
Q

Who cant get hypodermic needles/syringes without RX to use within scope of practice?

A

Dentist

253
Q

What info is required to be on Pharmacist ID badge

A

Name & Title

254
Q

What must electronic prescriptions include

A
  • NPI number
  • Electronic signature
255
Q

Rules for Retail Price list

A
  • 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
Q

Pharmacist receiving transfer must record

A
  • phone # of req pharmacy
  • date of original rx
  • “refill transfer” on front of hardcopy
257
Q

When dispensing partial of C2 for hospice, have to write on back what?

A
  • Date of partial fill
  • Quantities dispensed
  • Signature of dispensing pharmacist
258
Q

Hospital Adverse event reporting system in NY called….

A

NYPORTS = New York Patient Occurrence Reporting and Tracking System

259
Q

Which meds can optometrist prescribe?

A
  • Timoptic (beta blocker)
  • Alpha agonists
  • topical antimicrobial
260
Q

Max number of unlicensed persons that can assist pharmacist?

A

4

261
Q

What has to be communicated to prescriber when doing drug interchange?

A
  • Drug name
  • Drug lot number
262
Q

How many CE hours have to be done each year at minimum?

A

15

263
Q

When closing pharmacy, how long do they have to forward records for self defense spray?

A

30 days

264
Q

CPR and BLS certifications worth how many CE?

A

5 hours

265
Q

Ratio of part time pharmacy interns to pharmacist

A

2 to 1

266
Q

How often do addiction txm programs have to submit methadone usage?

A

once a month

267
Q

License required for institutional dispenser without limitations

A

Class 3

Class 3A = limited
Class 3B = restricted to prescriptions

268
Q

Meds dispensed by practitioner cant exceed 72hr supply unless….

A
  • 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
Q

BLS and CPS recertifications is how many CE hours?

A

3 hrs

270
Q

Built in security features of NY RX?

A
  • 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
Q

What C5 can be sold OTC with restricted quantity limit

A

None

272
Q

How long after program completion must pharmacist keep record of CE credits

A

6 yrs

273
Q

Control written by registered PA have to have….

A
  • Handprinted, stamped or imprinted name of supervising physician
  • RPA NY State Ed Dept registration number
  • Address/phone number of RPA
274
Q

Immunization course within the past how many years to be immunization certified in NY state?

A

3 years

275
Q

Drug take back date set by Drug Take-Back Act is…..

A

July 10th

276
Q

What has to be on non-triplicate controlled substance written by registered PA but no req on triplicate rx (for benzo) written by RPA?

A

address and phone number of supervising physician

277
Q

Max day supply of dispensed med covered by EPIC

A

30 day supply

278
Q

What schedule is Tylenol with codeine

A

C5 = cough syrup
C3 = pills

279
Q

Under proper supervision, specialist can assist in….

A
  • write rx for C3-C5
  • dispense product within scope of practice
  • write rx for hypodermic needle/syringe
280
Q

Practitioners prescribing rx for controlled substances must include…

A
  • Personal DEA
  • Institutional DEA
281
Q

Prescription can be signed using….

A

Ink
Indelible pencil
non-erasable ballpoint pen

282
Q

A midwife can do the following….

A
  • prescribe meds, inc control
  • call in oral rx
  • own their own rx pad
283
Q

which control is pentobarbital

A

C3

284
Q

What do oral prescriptions for hypodermic needles need to contain

A
  • 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
Q

How long after control substance pick up does BNE have to be notified

A

24hrs

286
Q

How long transaction records of drugs covered by EPIC must be kept

A

3 yrs

287
Q

How often do pharmacies have to take inventory of controls

A

2 yrs

288
Q

How long from start of contract do protocols for vender have to be approved

A

30 days

289
Q

What doesn’t have to be recorded when doing control inventory

A

name of person taking inventory

290
Q

Who has to be notified when loss/theft of control

A
  • local police
  • local or regional office of DEA
  • regional company corporate office
291
Q

in order to accept prescription with more than 1 drug product on it, it has to be from where?

A

Long term care facility

292
Q

To get reimbursed by Medicaid, if brand is dispensed, script has to say….

A

DAW & Brand medically necessary

293
Q

Prescriber can dispense how long of supply in emergency?

A

24hrs

294
Q

Can certified optometrist prescribe therapeutic product?

A

yes

295
Q

T/F?

Elderly qualify for EPIC if enrolled in Med D plan and receive full medicaid benefits?

A

False

296
Q

Date on which pharmacies dont dispense any controls have to be reported within how many days?

A

14 days

297
Q

When can anabolic steroids be issued for more than a 1 month supply?

A

angioedema
hormone deficiency in males
metastatic breast cancer in women
anemia

298
Q

How often do nursing home residents need drug regimen reviewed?

A

1 month

299
Q

which formulary req that substitution be limited to meds contained on specific list?

A

Positive formulary

300
Q

pharmacist took 3 yr break, worked for 10yrs prior, how soon can he be preceptor if starting again Dec 31st, 2022

A

Jan 1st, 2024.

have to practice for 1yr immediately prior to becoming preceptor

301
Q

what cant be done when pharmacist is on break

A

counseling
prescription dispensing
acceptance of oral prescriptions

302
Q

Who has to notify dept of change in supervising pharmacist

A

Owner of pharmacy

303
Q

Who has jurisdiction over prescription and sale of hypodermic needles + syringes

A

New York Dept of Health

304
Q

How long after oral script must prescriber follow up with written for Medicaid pt

A

5 days for script that use “DAW” and “Brand medically necessary”

305
Q

What do protocols between vendor pharmacies & institutions receiving services from such pharmacy req?

A
  • 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
Q

Balance in pharmacy should not have less then what weighed to avoid errors of > 5%

A

2 grain

307
Q

Purchase records of controlled substances by practitioners must contain….

A
  • name and address of supplier
  • delivery date
  • type of drugs
  • quantity of drugs
308
Q

Who is responsible for updating Drug Retail Price List weekly?

A

supervising pharmacist

309
Q

What can pharmacist change with prescribers authorization

A
  • practitioner or instiution DEA
  • drug strength
  • drug quantity
  • drug directions
  • dosage form
  • ICD-10 code
  • MDD
310
Q

Oral C5 can be for how many days supply?

A

5 days max

311
Q

If electronic script doesnt go through, and comes via fax, is it still valid?

A

no invalid prescription, have to reach out to prescriber

312
Q

Can hypodermic needles/syringes be on same script as drug product?

A

yes, they are considered medical devices

tl:dr NY MPJE sheet (1 decks)

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