Kansas Law Flashcards

Question

If the pharmacy operates for more than ___ days without a PIC?

Answer 1

30 days without a PIC the board may revoke, suspend or deny or place their pharmacy registration in probation status

Answer 2

* Pt must be 18 * Must have ID if unknown to pharmacist * Must document sale * Name/Address of purchaser • Name/Quantity of drug • Date of purchase • Name/initials of dispensing pharmacist * Dispensing must be done my pharmacist but non pharm can do the payment

Answer 3

Yes if @ bedside But otherwise no

Answer 4

CPE monitoring service

Answer 5

* Each pharmacists who engages in CDTM is reponsible for all aspects of the CDTM performed by the pharmacist * Pharmacists may not enter into a CPA that authorizes him o rher to perform any CDTm function that is not appropratie to the training and experience of the pharmacist or physiciain or boht * Within 48 hours of making any drug or drug therapy change to the pt treatment the pharmacist must initiate contact with the physician indentifying the change * As part of each pharmacists application to renew their individual license the pharmacist must advise the board if they have entered into a CPA

Answer 6

Both controlled and non-controlled prescriptive authority pursuant to a written protocol with a supervising physician.

Answer 7

Lost In Translation * Execute new form, execute statement noting serial number of lost form, date of lost form, list of drugs and fact drugs werent recieved * Retain copy number 3 with statement Stolen Order Forms * Report to nearest DEA office stating the serial numbers of stolen and or date of issuance * Must Notify DEA if found

Answer 8

Norco, Vicoden C2

Answer 9

Pts in LTCF Terminally ill * Requirements * On Prescription Face: terminally ill or LTCF * On back or where appropriate: Date quantitiy dispensed, remaining quanitity, to be dispensed, ID of dispensing pharmacist * Limitation: 60 days from issue date

Answer 10

VIPPS Accreditation of Online Sites * The National Boards of Pharmacy VIPPS program accredits online pharmacies that comply with federal and state laws and regulations. The VIPPS seal on an online pharmacy website provides consumers with some assurance that the pharmacy has undergone and successfully completed the NABP application and accreditation process.

Answer 11

\*\*For **_PA’s_**: Indicate if RX is pursuant to direct order, protocol or due to emergency. \*\*For **_APRN’s_**: Scripts must be from class of drugs prescribed pursuant to protocol.

Answer 12

If a pt buys 1 60mg ot 2 30 ms tabels of pseudoephedrine then they are not required to sign the logbook Patients cannot have direct access to the medication which include (ephedrine, pseudoephedrine, or phenylpropanolamine) * Logbook provsions * must contain, product sold by name * Quantity sold, * name address and signature of purchasers * Date and time of sale * Seller may not sell the product unless the purchaser: * Presents a photo ID issued by a state or federal government or another acceptable document * Signs the written logbook with his or her name, address, time and date of sale * In the case of an electronic logbook, the device must capture the signature in an electronic format * In the case of a bound paper book, a printed sticker affixed to the book at the time of sale which displays the product, quantity name of purchaser date and address * In case of a printed document it must include a clear line for the purchasers signature and include product, quanity, name of purchaser date and address * LOGBOOK must be maintained for 2 years after the date of purchase * igbook nust be secure and information only be shown to local state or federal law enforcement

Answer 13

Fed: May refill as Authorized Kansas: No more than 5 times or 6 months after the date issue which ever come first Refill record documented like above

Answer 14

no less than 5 years

Answer 15

A physician must use a DEA Form 222 in order to obtain C‐II drugs for office use from another registrant – usually pharmacy. A physician may NOT write a prescription to acquire C‐II drugs from a pharmacy for this purpose.

Answer 16

* Prescriber name and address * Pts full name and address * date issued * Drug name, strength, dosage form, quantity and directions for use * Refill info * Prescriber name manually signed * DEA number

Answer 17

Duragesic C2

Answer 18

* Must be signed and dated y all pharmacists and physicians involved * Must include the following * general methods, procedures and decision criteria that the pharmacist is to follow in performing CDTM * Procedure that the pharmacist is to follow to document the CDTm decisions that are made * Procdure that the pharmacist is to follow to communicate with the phyician either of the followng: * Each change in a pt condition is identified by the pharmacist OR * Each CDTM decision made by the pharmacist * Situation in which the pharmacists is required tp initiate contact with the physician * Precedure to be followed by the pharmacist if an urgent situation invlvoing a [ts health occurs. Including identification of an alternative health care provider that the pharmacist should contact if the pharmacst cannot reach a physician * A CPA may not authorize a pharmacist to admisiter flu vaccines except persuant to KSA 65-1635a * CPA ust be reviewed and updated at least every 2 years * Signing pharmacist must deliver a copy (digital or paper) of eah CPA and update to the oard within 5 business days after the CPA or update has been signed by all parties

Answer 19

* Proactively prepare. Maintain, review, and regularly update CS policies and procedures for compliance with DEA requirements * Share an audit plan with employees and conduct a practice drill * Examine agent(s)’ credentials, obtain their business cards, and ascertain the purpose. * Take detailed notes of what was said, done, and suggested by agents during the inspection. * Answer questions asked, but do not speculate. Silence is preferable to incriminating statements. * Everything said during an audit may be introduced in an administrative, civil, or criminal proceeding * Request a final discussion or exit interview with inspectors

Answer 20

* May do partial refill but quantity dispensed must be written on the face of the written prescription * The remaining amount needs to be filled with in 72 hours from the date of the first partial fill Expections when partial fills can be dispensed for up to 60 days from the date of issue * patients in adult care facility * pts with medical diagnosis documenting a terminal illness * pharmacist must record on the precription that the patient is either terminally ill or in a LTCF For each partial fill the pharmacist shall record on the BACK of the prescription or on another readily retreivable record: * The date of the partial filling * Quantity dispensed * Remaining quantity authorized to be dispensed * ID of the dispensing pharmacist

Answer 21

If CII the retail pharmacy transmitting the prescription must * Write on teh face of the orginal prescription * The word Central Fill * Name address, and DEA registration number of the central fill pharmacy to which the prescription has been transmitted * Name of the retail pharmacy pharmacist transmitting the presciption * And the date it was transmitted * Ensure that all required CS prescription information is transmitted to the central fill pharmacy * Maintain the original prescription for at least 2 years from the dat ethe prescription was filled * Keep a record of the receipt of the filled prescription including the date of receipt the method of delivery and the name od the retail pharmacy employee accepting delivery

Answer 22

* Initial: Right when they start dispensing * Biennial at least every 2 years, kansas is annual * Separate inventories for each registered site * Inventory CS on hand * Opening or closing of business * Newly controlled substances on effective date of scheduling published in the FR

Answer 23

Unit dose forms, including individually wrapped effervescent tablets, unit dose vials of liquid potassium and powder in unit dose packets containing not more than 50 meq per unit dose

Answer 24

First Name & Title (Board recommends including last name or last initial - not required)

Answer 25

Yes 20 hours A certificate of completion shall be in a format approved by the board and include the following: * Registrant’s name * Title and date of approved CE program * The name of the provider * The # of CE clock-hours approved by the board * The # of CE clock-hours completed by the registrant * The approved program number issued by the board The provider’s dated signature, certifying program completion

Answer 26

CPE monitoring service 5 years

Answer 27

2 years fed 5 years kanasasfrom date of last entry

Answer 28

* Patient Name * Date, if one is written * Prescribers name * Drug * \*\*All information added/changed must be initialed dated and timed.

Answer 29

* 6 months

Answer 30

Can be used as an alternative to hard copy but need to have thee requirements * Pharmacists verification of accuracy on hard copy or print out or bounf book or file * Date signed must be within 72 hours * Can print out any refill data to user pharmacy within 48 hours if kept central * Back up system

Answer 31

* Drug strength * Quantity * Directions for use

Answer 32

A drug that is not generally recognized as safe and effective * May become a new drug if: * It contains a new substance * It is a new combination of approved drugs * The proportion of ingredieants has changed * a new use * The dosage form, method of administration/duration or application has changed

Answer 33

Bottom can be used once more

Answer 34

A prescription CAN be filled from a non-Kansas prescriber if the prescriber is legally authorized to issue the prescription in the state/territory where the prescriber is licensed.

Answer 35

* Notify nearest DEA office * Return DEA certification of registration and Unused voided 222 forms and explanation of disposal or transfer of all CSs

Answer 36

C2 Syndros

Answer 37

1. One year from the date the drug is packaged into a single-unit or unit dose container 2. The expiration date on the manufacturers container whichever is earlier 3. Sterile multi use containers: one year or the manufactureres expiration date. Length of time established by the stability data may be used but cannot exceed manufacturers expiration date.

Answer 38

Topical testosterone

Answer 39

CSA authorized inspection of controlled premises Inspections are usually drug accountability / compliance audits- so every ones knows the records are being kept correctly * DEA may inspect, copy, and verify records, reports, required forms, equipment, and CS * Cannot inspect financial, sales, pricing data, or personal records unless registrant provides written consent * • Cannot review patient charts * No right to interview witnesses, including registrant or employees * • May collect samples (usually will leave receipt)

Answer 40

only medications tat are in unit-dose systems that contain only one medication which have not reached the patient and are still intact

Answer 41

1 year at least 8 months apart

Answer 42

Objective to treat an opioid dependent individual with stable opioid agonist therapy for a period in excess of 21 days these are inforced by substance abuse and mental health services

Answer 43

• Peyote (CI, psychoactive alkaloid, hallucinogen) is exempt from control when used in bona fide religious activities by the Native American Church. (Persons that manufacture and distribute must register, however.)

Answer 44

within 5 days of ceasing to be the PIC

Answer 45

The patient is the only one

Answer 46

* Refers to the process whereby a pharmacy that receives an order sends it to another pharmacy to prepare, package, compound or label and returned the filled order to the requesting pharmacy for delivery to the patient or at the request of the requesting pharmacy directly to the pt

Answer 47

Pharmacists MAY NOT fill prescriptions from a practitioner licensed in a foreign country or jurisdiction (Ex: Canada, Mexico) unless the practitioner is also licensed in a state or territory of the U.S. and is legally authorized to prescribe in that state/territory

Answer 48

* Shall be issued for a legitamte medcal purpose by the prescriber acting within the course of legit professional practice * Be transmitteed to a pharamcists in a licensed pharamcy of the patients choice * Identity the trasmitters phone number for verbal confimration, time and date of transmission and the identity of the pharmacy intended to receive the transmission, as well as any other information required by law * be transmitted by an aithorized prescriber or prescriber agent if the idnetity of the transmitting agent is included in the order * If communicated by electronic transmission, the prescription drug order shall be maintained in hard copy or as an electronic document for the time required by federal or state regulations whichever is longer

Answer 49

* Need to take Immediately * No alt available * Not reasonably possible for prescriber to give written script

Answer 50

2:1 or 3:1 if two of the techs are certified

Answer 51

**Misbranding = Labeling Problem** * Labeling false or misleading * Fails to meet label requirements (Active ingredients; quantity; inactive ingredients) * Fails to have “adequate directions for use” or “adequate information for use” * Packaging or labeling violates PPPA (Poison Prevention Packaging Act) **Adulteration = Product Problem** * Contains filthy, putrid, decomposed substance or is prepared/packaged, held under unsanitary conditions * Preparation, packaging, and holding fails to meet GMP standards * Purports to meet USP/NF standards, but fails to meet them * Contains unsafe additive(s) _A_ While counting, a couple tablets fall on the floor and you pick them up and put them in the amber vial to be dispensed to the patient. _M_ Dispensing a prescription medication without authorization. _A_ A drug’s manufacturing procedures do NOT conform to GMP standards. _M_ Medication is dispensed with non-child proof cap without patient consent. _M_ A drug’s label or labeling is false or misleading.

Answer 52

* Pitavastatin 2 * Rosuvastatin (crestor) 5 * Atorvastatin (lipitor) 10 * Simvastatin (Zocor) 20 * Lovastatin (Altoprev) 40 * Pravastatin (pravachol) 40 * Fluvastatin (lescol) 80

Answer 53

* For the most part, same as the those found in federal law * New drug may not be marketed until approved for SAFETY by the FDA for use under labeling conditions * Label: must contain adequate directions for use, also expanded definitions of adulterations and misbranding. pre-38 drugs were grand father * Food: article used for food or drink for man or other animals, chewing gum and articles used fro components of products * Drug: Recognized in the official compendiem * intended to diagnose, cure, mitigate, treat, or prevent disease in man or animals * Other than food intended to affect structure and function of the body * Intended for use as a compoennet of the above 3 items * Cosmetic means: Intended to be rubbed, poured or sprinkles or otherwise applied to the human body, ie soap * Device: instrument appartatus, implement, machine, recognized in official compendium. effective without chemical action * Supplement: Intended for ingestions, may not be intended for diagnosis cure, mitigation or treatmnet or prevent disease * Note the definition of drug does not include amygadalin (laetrile) * Although not included in the full version of statutes and regs on the boards website, statute 65-6b09 prohibits any person, including a pharmacy from selling amygadalin without first obtaining a permit from the secretary of health and environment * Label vs labeling * New Drug * Imitation * Adulteration and misbranding (65-660-65-559)

Answer 54

Both controlled and non-controlled prescriptive authority pursuant to a written protocol with a supervising physician.

Answer 55

1. Records must be maintained that identify each pharmacist, tech, student and intern who took part in any of the processing, filling, dispensing and counseling functions 2. Report tot he board any disciplinary action taken by another states board of pharmacy against any of the participating pharmacies 3. Maintain a mechanism to track the order during each step of the process and filling 4. Maintain a mechanism to identify on the prescription all pharmacies involved in the filling order 5. Provide adequate confidentiiality of patient infomration 6. Be able to obtain any record within 72 hours by request of the board

Answer 56

* Agents or Employees of a registrant acting within their scope of practice * Individual practicioners employed in a hospital, use internal code and DEA # * Pharmacists

Answer 57

Exact count of CIIs CIIIs and CIV CV in containers more than 1000 doses Estimate of CIII, CIV, CV in containers of 1000 or less

Answer 58

**Drug** **Schedule** Clonazepma (Klonopin) 4 Hydrocodone/APAP (Norco, Vicoden) 2 Buprenorphine/naloxone (Suboxone, Zubsolve) 3 Ketamine (Ketalar) inject 3 Dronabinol (Merinol) caps 3 Dronabinol (Syndros) liquid 2 Zolpidem (Ambien) 4 Fentanyl (Duragesic) 2 Butalbital, Aspirin, Caffeine (Fiorinol) 3 Armodafinil (Nuvigil) 4 Lorcaserin (Belviq) 4 Peyote 1 Ibuprofen/hydrocodone (Vicoprofen) 2 Phentermine (Adipex-P) 4 Carisprodol (Soma) 4 Diphenoxylate and Atropine (Lomotil) 5 Butalbital, APAP, Caffeine (Fioricet) Not Controlled Pregabalin (Lyrica) 5 Cocaine 2 Sibutramine (Meridia) 4 Morphine (MS Contin) 2

Answer 59

2 years October 31st

Answer 60

DEA 222 Forms • Executed & unexecuted • Power of Attorney forms • DEA Registration certificate • Self‐certification certificate and PSE sales logbook • Logbook for sales of C‐V OTC products

Answer 61

1. The generic name with the manufacturer and distributrs name or the brand names 2. strength and quanitity 3. Lot number and date repackaged and the person responsible for packaging 4. Expiration date if applicable 5. Auxillary labels if neccesary

Answer 62

* 72 hours

Answer 63

**Objective:** To prevent illicit sales of CS over the Internet by “rogue” Web sites, while allowing the use of electronic communications for prescribing and dispensing CS for legitimate medical purposes. * Valid prescription: issued for legitimate purpose by practitioner who has conducted at least one in‐person patient evaluation. * Pharmacies that meet the definition of “online pharmacy” must obtain modification of their DEA registration for all Internet business

Answer 64

Fiorinol C3

Answer 65

* Adult care homes * mail service pharmacies * and medical care facilities that elect to participate in the program * entity must submit a written notification to the board stating their intent and must be approved to the board

Answer 66

Must conform with the following 1. Amphetamines shall not be dispensed or prescribed to treat obesity 2. The phyician shall personally take a complete history and document it. 3. The physician shall prescibed nutritional counseling, including behavior modification and exercise for wt loss and record these on the pt record 4. **The physician shall NOT dispense or prescribe more than a 30 day supply of controlled substance at one time** 5. Except as provided below the physician ma continuously dispense controlled substances to treat effects from the treatment. The significant benefit occurs when wt is reduced or wt loss maintained and any comorbidties are reduced. The physician must monitor the pt and record the findings in the pt record at each visit 1. The EXCEPTION: the physician shall NOT dispense or prescribe additional controlled substances to treat obesity for a pt who has not acheived a wt loss of at least 5% of the patients initial wt during the initial 90 days of treatment using a CS

Answer 67

The invoice or packing slip you do not need a DEA form but you have to file it separately and it must be readily retrievable

Answer 68

within 30 days

Answer 69

KS law does not definitively address the filling/refilling of prescriptions that were validly written before a prescriber passes away or stops practicing. Pharmacists should use their professional judgment in continuing to dispense refills. Patients should be advised to consult with another practitioner as soon as possible.

Answer 70

* Can be used for detox or maintenance IF the pt is entrolled in an OTP * **But pharmacists can other dispense methadone for pain** not for detox or maintenance * Prescribers not entrolled in an OTP: MAY administer methadone for a maximum of 3 days – one day at a time – to maintain patient while enrolling in OTP (3‐day rule); • Administer to hospital inpatient while the patient is being treated for an illness or diagnosis outside of detox or maintenance

Answer 71

* Collaborative drug therapy management means a pratice of pharmacy in which a pharmacist performs certain pharmaceutical related patient care functions for a specific pt, and the functions have been delegated to the pharmacist by a physician * CPA: a signed agreement or protocol voluntarily entered into between one or more pharmacists and oe or more physicians that provides for collaborative drug therapy management

Answer 72

in tablet form packages containing not more than 84 mg of the drug

Answer 73

1. Limited to 12 different nonprescription drugs through one vending machine 2. May NOT sell poison, prescription only drugs, drugs containing ephedrine alkaloids. Drugs intended for human use by hypodermic, injection through a vending machine 3. Vending machines must be labeled with specific statements and information 1. ID of owner of the machine 2. Toll-free telephone number of the owner 3. Statement advising purchaser to check the expiration date of product before using 4. Telephone number of the State board of pharmacy

Answer 74

within 24 hours

Answer 75

Can be done in the same way as all others except before dispensing to the patient you must have receive a signed original that is the HARD COPY except under the following circumstances * If the script is for a CII narcotic compounded for the direct administration to a pt by parenteral, IV, IM, SQ or intraspinal infusion. it may NOT be for oral therapy * If the script is for a pt residing in a LTCF it may be for oral or parental therapy * If the prescription is for a CII narcotic for a pt released by a registered instituion to a home hospice care program certififed by medicate under title XVII or licensed by the state Emergency situation where a CII script may be dispensed before recieivng the original * In case of a emergency a CII script may be faxed to a pharmacy. The pharmacy must receive a signed prescription within 7 days. The faxed copy may not be used as the original

Answer 76

in tablet form when dispensed in packages containing no more than 105 mg of the drug

Answer 77

No refills Valid for 6 months from date of issue (kansas)

Answer 78

Form 222 hard copy or electronic with a CSOS Currently a triplicate form however proposed single sheet format Signed and dated by person authorized to sign a registration application Know manual procedure for completing DEA 222 form

Answer 79

* Notify area DEA Special Agent at least **14 days** prior to transfer with specifics via certified mail (receipt requested) or in person

Answer 80

No but its a good idea for liability purposes

Answer 81

* You cant refill a single CII * But you can issue multiple scripts if: * Each Script is issued for a actual medical reasons * Provider provides written insturctions on each scriptexcept for the first one indicatin when they can be filled * Issuance is permissible under state law * The quantity of all doesnt exceed a 90 day supply * You cant fill it before the earliest day

Answer 82

(Klonopin) 4

Answer 83

Can request on line or on paper Then DEA will issue a new one.

Answer 84

1. **butalbital, acetaminophen, and caffeine**; (Fioricet) 2. **ephedrine** (exempt from being reported to the statewide electronic logging system for the sale of methamphetamine precursors) 3. **pseudoephedrine** ( exempt from being reported to the statewide electronic logging system for the sale of methamphetamine precursors) 4. **promethazine with codeine** 5. **gabapentin**

Answer 85

CANNOT fill directly from patients or individual practioner or to mail or otherwise deliver a filled prescription to a individual or individual practitioner

Answer 86

5 x or 6 months

Answer 87

prescribe within their scope of practice

Answer 88

Manufacturer must issue a notice for class 1 to 11 Class 1- cause probable of serious health.death risk C2 cause temporary or medically reversible adverse health consequence C3 not likely to cause issue

Answer 89

Must include all infomration needed for CIIs plus: * Transmitting pharmacy must indicate in the information transmitted the number of refilled already dispensed and the number of refills remaining * Receiving pharmacy must record the dates of filling or refilling the prescription

Answer 90

Nuvigil C4

Answer 91

* Ephedrine, PSE, and phenylpropanolamine are considered scheduled listed chemical products * Regulated sellers must follow requirements for OTC sales * Exception of a single sale of 60 mg or less of PSE * Products must be behind the counter or in locked cabinet * Employer must self certify annually on DEA website and maintain documentation that each employee is trained *

Answer 92

Amphetamine/Dextroamphetamine

Answer 93

CIs and CIIs

Answer 94

* Consists of filthy putrid, decomposed substance or prepare/packaged, held under unsanitary conditions * Preparation, fails to follow GMP * says its meets USP but doesnt * Contains unsafe additives

Answer 95

Legal to prescribe (CS & Non-CS), however, it is discouraged by Board of Healing Arts.

Answer 96

1. Narcolepsy 2. Drug induced brain dysfunction 3. hyperkinesis 4. Differential diagnostic psychiatric evaluation of depression 5. Depression documented to be unresponsive to otehr forms of treatment 6. Clinical investigation of drug effects (which, in addition to other guidelines iwll have to have approval of the board of healing arts) 7. Treatmnet of obesity with controlled substances as may be defined by the rules and regulations 8. Other disorders for which the drug is found to be useful after permission from the board of healing arts

Answer 97

Community pharmacies, hospital pharmacies, teaching institutions * 224 * 224b * Valid for 3 years * Registration can be denie revoked * Costs 731 bucks lasts for 3 years

Answer 98

* A DEA-registered pharmacy that fills or refills prescriptions in schedules III – V in accordance with practitioner instructions as part of a valid prescription issued for a legitimate medical purpose in the usual course of practice transmitted electronically in compliance with DEA e-prescribing regulations. * A DEA-registered pharmacy whose delivery, distribution, or dispensing of controlled substances by means of the Internet consists solely of the transmission of prescription information between the pharmacy and an automated dispensing system located in a long term care facility when the registration of the automated dispensing system is held by that pharmacy. * Health care facilities owned and operated by an Indian tribe or tribal organization; * Hospital or medical care facility operated by an agency of the United States

Answer 99

Yes but a new one must be designated within 30 days

Answer 100

C2 MS Contin

Answer 101

Sublingual dosage forms sublingual and chewable forms of isosorbide dinitrate in dosages of 10 mg or less

Answer 102

* Each pharmacy must be registered by the board as either a resident or a non-resident pharmacy * The involved pharmacies must share a common electronic file or have appropraite tech to allow access to sufficient information to perform the service * Pharmaces must have either the same owner OR have a written contract outlining the services and shared responsibilities of each party * Adopt and maintain a joint P&P manual kept at each pharmacy that outlines how compliance with laws will be accomplished

Answer 103

A pharmacy registered as a dispenser may manufacture or distribute to other practitioners an aqueous or oleaginous soln. or solid dosage form containing a narcotic substance in a preparation NOT exceeding 20% of the complete product AS a dispenser

Answer 104

Pharmacists, Pharmacy Students, Interns & Pharmacy Technicians

Answer 105

QUOTAS for the amount of CIs and CIIs that can be produced giving them a ceiling and is published in the FR.

Answer 106

* 224 * lasts for 3 years

Answer 107

* Label shall contain a description of all contents of the solution, statement of purity, the percent of DMSO in the solution, the manufactures name and address * Seller or supplier muse provide addtional prointent material to the person receiving that provides adequate warning against use that may be dangerous to the health of the user

Answer 108

Merinol C3

Answer 109

Oxycodone ER

Answer 110

Lomotil C5

Answer 111

Ketalar C3

Answer 112

1. Returning CII drugs to a wholesaler (distributor) manufacturer or reverse distributor 2. Selling a pharmacy business requires the seller to 1. Inform the DEA 14 days prior to sale 2. Transfer all CII drugs by use of DEA 222 form 3. Distributing CII drugs between DEA registrants

Answer 113

Purchased • Dispensed • Distributed • Returned • Destroyed • Lost or Stolen • Inventoried (CS on hand)

Answer 114

A DEA 222 form has _3_ copies and is used for Schedule _2_ drugs. The top copy is _Brown_ (color) and is the supplier copy. The middle copy is _Green_ (color) and is the DEA copy. The last copy is _Blue_ (color) and is the purchaser copy. When a pharmacy makes a purchase from a wholesaler via a DEA 222, who sends the DEA it’s copy? _The wholesaler (supplier)_ When a pharmacy returns items via a DEA 222, who sends the DEA it’s copy? _Purchaser (pharmacy)_ Who has the authority to sign a triplicate DEA Form-222 in order to obtain C-II drugs from another registrant?

Answer 115

MS contin, Kadian, Duramorph

Answer 116

Objective to achieve and opioid drug free state through use of decreasing does

Answer 117

May be transmitted to a pharmacy by fax and retaine as the HARD COPY as long as the above requirements are fulfilled * Shall be issued for a legitimate medical purpose by a prescriber acting within the course of legitimate professional practice; * Be transmitted to a pharmacist in a licensed pharmacy of the patient’s choice; * Identify the transmitter’s phone number for verbal confirmation, time and date of transmission, and the identity of the pharmacy intended to receive the transmission, as well as any other information required by law; * Be transmitted by an authorized prescriber or prescriber’s agent, if the identity of the transmitting agent is included in the order; * If communicated by electronic transmission, the prescription drug order shall be maintained in hard copy or as an electronic document for the time required by federal or state laws and regulations, whichever is longer.

Answer 118

New Pharmacy technician registration on or after July 1, 2017: (a) before the first renewal, required to pass either: - PTCB (with a scaled scored of at least a 1400) - NHA-ExCPT (with a score of at least 390) (b) If unable to take or pass, may submit a form (provided by the board) a request for a 6-month extension. Must be submitted to the board at least _30 days before the tech’s registration expiration date_ and shall _provide the reason for the request_ (c) W/in 30 days after passing or before the first renewal period (whichever is earlier), tech shall submit to board proof of successful completion of the exam

Answer 119

No more than 5 x or 6 months after the date of issue whichever is first Refill record on back or other appropriate document date refilled quanitity pharmacist initials Total number of refills must be retrievable

Answer 120

pharmacy that receives and prescription sends it to another pharmacy to interpret the script

Answer 121

Oxycodone/Acetaminophen

Answer 122

* Administrative Inspection Warrant differs from a Notice of Inspection * • DEA may obtain a warrant if registrant consent was withheld or withdrawn from an inspection * • Allows DEA to inspect during regular business hours – which does NOT mean at the convenience of the owner • * Entry/inspection must be permitted by the registrant * Refusal can carry fine and jail sentence

Answer 123

Pharmacy Permit; License & Registrations of all pharmacists, interns and techs must be displayed

Answer 124

2 years (Even/Odd year (last # of license))

Answer 125

* Pharmacies (including hospital pharmacies) must store CII‐CVs in a securely locked, substantially constructed cabinet OR may disperse CII‐CVs among non‐CS stock * Physicians dont have this choice.

Answer 126

Must be colored in such a way to make them readily distinguishable from food products

Answer 127

Need Special education and DEA Number Buprenorphine SL Bup/Naloxone is the prescriber qualified? Additional registrations and X number, Use of drugs for off label purposes? 3 day rule

Answer 128

completed within 72 hours of being the pic ALL schedules including 2-5 including PSE

Answer 129

beyond use dating * Defined as that date after which a dispensed product should no longer be used. * BUDs should be placed on the labels of non-sterile and sterile repackaged and compounded products * Ingeneral the BUD must not exceed the manufactueres expiration date of any component that is within the compounded product

Answer 130

Within 60 days

Answer 131

CIII CIV and CVs Need prescriber auth cant change pts name drug (except generic) and prescribers signature CIIs• A pharmacist may add a date if it is not written with consultation with the prescriber. A pharmacist may also change a drug strength, quantity, and directions for use after consulting with the prescriber. The patient’s address, prescriber’s DEA number may also be added. A dosage form may be selected if one is not written. **All information added/changed must be initialed dated and timed.**

Answer 132

Buprenorphine/Naloxone

Answer 133

C3 | (Suboxone, Zubsolve)

Answer 134

* Each partial fill must be recorded in the same manner as a refil * name and dosage form of CS (federal) * Date filled or refilled * Quantity dispensed * Initial of the dispensing pharmacist (in ks or intern) for each refill * Total quanitity dispensed in all the partial fillings does not exceed the total quanitity prescribed and no dispensing occurs after 6 months or after the date of issuance * Note federal law does not restrict CV scripts refills to 5 x or 6 months from the date of issuance but kansas does

Answer 135

within 72 hours of becoming a PIC the PIC shall conduct a CS inventory

Answer 136

A pharmacy registered as a dispenser may sell to other registrants without registering as a distributor as long as the total number of dosage units distributed does not exceed **5%** of the total units of **CS** distributed and dispensed in **one calendar year**.

Answer 137

* Enacted in 1938 and then changed in 1962 that drugs must show effectiveness as well as safety * Drugs developed pre 1938 were grandfathered in

Answer 138

Logbook * Written or electonic and photo ID required for Sales Identifies: * Products purchased by name * Quantity Sold * Name, Address, signature of purchaser * Date and time of sale * Seller must determine that signature and ID match * Logbook has to give notice that false or misleading information may lead to criminal penalties..

Answer 139

* DEA investigators should present their DEA credentials and a Notice of Inspection (Form 82). * Consent must be **informed and voluntary**. * Registrant may withhold consent or withdraw it at any time. * • Anything incriminating said by registrant may be used against them

Answer 140

They are used by qualifying _centers or clinics_

Answer 141

* Means a person, entity, or Internet site, whether in the United States or abroad, that knowingly or intentionally delivers, distributes, or dispenses or offers or attempts to deliver, distribute, or dispense a controlled substance via the Internet.

Answer 142

5 x or 6 months

Answer 143

Must tell DEA in writing within one day Submit Form 106 What Tell police

Answer 144

Submit application including fee criminal history background check (with fingerprinting)

Answer 145

120 ml or 24 doses in 48 hours

Answer 146

Meridia C4

Answer 147

Fill prescriptions on behalf of a retail pharmacy with whom it has a contractual agreement to provide such services or with pharmacies who share a common owner

Answer 148

3 days one day at a time

Answer 149

1. Electronically searchable file(s) 2. Manual filing: 3 methods * 3‐file method * 2‐file methods (Note: p. 278 of text) 1. All CS together & all non‐CS together (“C” stamped on III, IV, & V) 2. All CII together & all other CS + non‐CS together (“C” stamped on III, IV, & V) Need red C but waived for electronic

Answer 150

* Label is false or misleading * Fails to meet labeling requirements * fails to provide adequate directions for use * Packaging or labeling violates PPA * Dispnesing or refilling violates "Rx" without authorization * Imitates a drug or sold under another name

Answer 151

Counseling, Final Verification, DUR, or Receiving/Providing refill transfers

Answer 152

Purpose: Disposal of CS returned from ultimate users or long term care facilities (LTCF) on behalf of their patients * retail pharmacies and hospitals or clinics pharmacies may voluntarily become authorized collectors and: * Administer mail back programs or * Maintain collection receptacles within the pharmacy * Or manage a collection receptacle at a LTCF * DEA requires modification of registration to become an authorized collector * Pharmacies May not co-mingle their inventory disposal/destruction w/these returns

Answer 153

ONce Except if they share a real time data base then they can be refilled however many times its says up to 5 has to be a real pharmacist doing the transferr

Answer 154

* Keep a copy of the faxed prescription or an electronic record of the information transmitted by the retail pharmacy including: * Name, address and DEA number of the retail pharmacy transmitting the prescription * Date of receipt of transmission * Name of the pharmacist filling the prescription and date of filling * date the filled prescription was delivered to teh retail pharmacy and the method of delivery

Answer 155

* CIII-CV * Orally, faxed, or e script * first and last name of person doing transmission if not by prescriber

Answer 156

No limit both federal and state

Answer 157

* Convicted of a felony related to a CS * had a DEA registration denied or revoked * Has surrendered a DEA registration for "cause" Regestrant can try to get a waiver: which is based on a bunhc of factors listed in the pharmacy manual, and this must be granted before hiring.

Answer 158

Ibuprofen/hydrocodone C2