Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

LA MPJE > LA MPJE > Flashcards

LA MPJE Flashcards

1
Q

Can marijuana pharmacies advertise?

A
  • Not to the public! Can advertise directly to practitioners

- allowed to have 2 signs on outside of bldg, max 1600 sq. inches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Re-use of prescription vials

A

Ok for glass, no allowed for plastic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who needs a CDS?

A

Every person/entity who does or proposes to manufacture, distribute, prescribe, or dispense controlled substances

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

All rx records should be kept for how long?

A
  • 2 years

- up to 10 years if medicare (federal) involved

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How long is PTC registration good for?

A
  • 2 years, non renewable
  • if a PTC leaves training program, the license dies. If they return to program, license can be re-activated, but original 2 year expiration remains
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does a pharmacist qualify to be PIC?

A
  • active LA pharmacist license
  • have been a pharmacist at least two years, in any state
  • complete and notarize PIC affidavit
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How many EDK permits may one pharmacy have?

A

Unlimited, but remember the PIC of the provider pharmacy is still responsible for all EDKs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who keeps the pieces of the 222 triplicate?

A

Copy 1 - Supplier
Copy 2 - DEA
Copy 3 - purchaser

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is floor stock used for?

A

For first dose and as needed doses only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A pharmacy must be open at least ___ hrs per week

A

10 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Process of a drug becoming scheduled

A
  • Secretary of HHS recommends, AG considers and decides

- If the UN passes a rule, then the HHS Sec must consider scheduling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What products have NDCs?

A

All Rx-only products must have an NDC, although it doesn’t have to appear on the label. NDC not required for non-Rx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Generic drugs can deviate ___% from their reference product

A

-20% to +20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Partial filling C-II’s for reasons other than inventory

A
  • ok for LTCF or terminally ill pts…must be written on rx
  • each partial fill must be noted on original script, or kept electronically
  • must fill entire amt within 60 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

BUD of compounded prescriptions (in absence of stability data)

A
  • Aqueous solutions: 14 days at cold temperature
  • Nonaqueous solutions: 25% of time left or 6 mos
  • For all others: duration of therapy, with max of 30 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Anti-tampering requirements

A

An indicator that provides visible, enduring evidence that a package has been opened and potentially tampered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are automated medication systems (AMS)?

A
  • mechanical systems that store/package/deliver meds
  • require their own permit (and CDSL if appl)
  • must be in a licensed hospital or healthcare area
  • may be profile- or non-profile driven
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When do AMS permits expire?

A

Annually on June 30th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

When can prescribers fax C-IIs?

A
  • LTCF residents
  • Hospice-enrolled patients
  • Home infusion pharmacies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Pharmacy technician certificates expire every ____

A

annually, on June 30th

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

documenting C-IIs when a central fill will fill it

A

-retail pharmacist writes “Central fill” on hard copy along with name, address, DEA # of pharmacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Can patients return prescriptions?

A

Prescriptions may not legally be returned, exchanged, or redispensed once they have left the pharmacy premises. Especially for controls

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is telepharmacy?

A
  • a means of reaching patients in rural areas without easy access to prescription
  • allows for off-site dispensing by a pharmacy machine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Executive director

A
  • a pharmacist who is not a member of the board

- handles a lot of functions/operations of BOP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Requests for non-safety caps

A
  • Prescriber can make one-time exclusion to PPA
  • Pharmacist can make no exclusion
  • Patient can make a single or blanked exclusion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Expiration vs BUD dating for drugs

A
  • expiration is based on drug chemical stability, established by manufacture
  • BUD is prescription-patient specific
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

General qualifications to be pharmacy technician candidate (PTC)

A
  • at least 18 yo
  • HS graduate, or have GED
  • proof of professional eligibility (training program, experience, and/or PTCB)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

interlocutory

A
  • summary hearing
  • has quick turnaround
  • used when there is a clear danger to the public
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Allowed qty of controlled substances in an EDK

A

8 x 8 rule

-up to 8 unique controlled meds, up to 8 doses of each drug

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

For a C-II, what elements can a pharmacist never change/add?

A
  • Patient’s name
  • Drug’s name (except for generic subsitution)
  • Date of issue
  • Prescriber signature
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Can you advertise your pharmacy?

A

Yes!

  • but no advertising of controlled drugs
  • currently ok to advertise compounding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Can practitioners prescribe narcotic drugs for detox/maintenance?

A
  • Generally no, can only administer such drugs

- however they can prescribe Subutex/Suboxone for this purpose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Can techs compound high risk sterile products?

A

YES!

This is a new change, mentioned in the Jan 2018 BOP newsletter. Note that PTCs still cannot do high risk though

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

T/F: Do out-of-state manufacturers and distributors need a CDS license?

A

Yes, if transporting inside LA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Tylenol with codeine is schedule ____

A

C-III

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

T/F: Transfers of C-IIs between central fill/retail pharmacy require a 222 form

A

False, they are exempt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

inventory of drug cabinet

A
  • perpetual inventory of all controlled drugs stored

- PIC is responsible for conducting inventory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Special regulations: ipecac syrup

A
  • warning saying for emergency use only

- no more than 30 mL per bottle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

When are you allowed to substitute generic for brand?

A
  • when prescriber did not write/mark DAW
  • patient provides informed consent
  • generic is cost saving

if paid by medicare/medicaid, wording must be “Brand (medically) necessary” to apply

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Additional labeling requirements for veterinary prescriptions

A
  • Client name and patient species

- “Caution: Federal law restricts this drug to use by or on the order of a licensed veterinarian”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Inventory requirements for PSE

A

Every two years, however pharmacies are excluded

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Anabolic steroids are schedule ____

A

C-III

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

what special requirements exists to be licensed as a nuclear pharmacy?

A
  • have LA Radioactive Material License
  • have nuclear PIC
  • have dispensing, receiving, and storage areas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What “perks” do active duty military and their spouses receive?

A
  • applications are marked priority

- may receive a speak work pass, valid for 120 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

A pharmacy may be considered a distributor of CDSs when ______

A
  • 5% or more of your dosage units sold during a calendar year are CDS
  • you are then a distributor and must register as one
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

receiving verbal prescription orders

A
  • can be done by pharmacist, intern, tech
  • must be written down immediately, or pharmacist can input it directly into computer
  • sign/initial transfer, + pharmacist if necessary
  • only pharmacists can do controls
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

naloxone dispensing

A
  • ok to dispense to person who is not expected to need it

- pharmacists can enter into non-patient specific standing order with physician to prescribe it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Can a pharmacist dispense CDS in a clinic/amb care setting?

A

No. Pharmacists’ CDS dispensing authority is limited to being at a physical pharmacy. Physicians, nurses, and vets can dispense in clinic settings with their CDS license

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

display of permits in pharmacy

A

required for pharmacy, not personnel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

When should you do a CDS inventory?

A
  • annually
  • when old PIC leaves and when new PIC starts
  • theft or substantial loss of CDS
  • permanent closure of pharmacy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Z drugs are schedule ____

A

C-IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Do out-of-state pharmacists dispensing to patients in LA need to be licensed pharmacists in LA?

A

No – not unless they are PIC of an out of state pharmacy. Only the PIC needs to have a LA pharmacist license

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

How do out of state pharmacies meet counseling requirements?

A

By providing a toll-free number for call pharmacy. Must be on every bottleq

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

How many attempts can you have to pass the NAPLEX/MPJE?

A

three

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

Thalidomide REMS

A

STEPS

  • pharmacy must register
  • requires written Rx’s
  • patient must be on birth control
  • max 28 DS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

When do DME permits expire?

A

annually on August 31

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Bioequivalent

A
  • Having the same rate and extent of absorption as a reference product
  • Aka pharmaceutical equivalent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

Can hospitals have off-site pharmacies for inpatient services?

A

Yes, provided there is always a pharmacist on call for emergencies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

Under the supervision of a pharmacist, interns can do anything a pharmacist can do, except:

A
  • present himself as a pharmacist
  • sign/initial any document that must be signed/initialed by a pharmacist
  • independently supervise techs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

BOP members

A

17 total

  • 2 from each district
  • 1 consumer representative
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

T/F: a new permit is required when a pharmacy changes location

A

Depends.
If in “reasonably close proximity” to the old location, can keep same permit and just notify board of address change.
If farther, old permit must be cancelled and new one obtained

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

Who is responsible for proper prescribing of CDS?

A

The prescribing practitioner bears most of the liability, but the pharmacist has a corresponding liability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

qualifications to apply for a MJ pharmacy permit

A
  • no political contribution within last 2 yrs to any statewide elected official
  • they or family have not service on BOP in last 2 yrs
  • must have 100,000 escrow acct during building of pharmacy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

What kinds of drugs may be donated to a penal pharmacy?

A
  • Non-controlled, non-expired drugs

- PIC is responsible for ensuring drugs are good

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

expiration of pharmacy intern license

A
  • one year after EXPECTED graduation date
  • or once the intern is licensed as a pharmacist
  • foreign grads have 2 yr licenses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

What is a special event pharmacy?

A
  • meant for short term events

- permits are valid for 30 days, with single renewal of add’l 30 days allowed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

standing committees

A

permanent BOP committees

-executive, regulatory revision, reciprocity, impairments, violations, reinstatement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

physical space requirements of a pharmacy

A
  • total > 300 sq ft
  • work counter > 24 sq ft
  • aisles > 30” wide
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

how to dispose of CDS

A
  • complete DEA 41 and submit to Special Agent
  • agent will advise to either transfer to a licensed person for disposal, deliver to DEA, destroy in presence of agent, etc
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

How often must a drug cabinet be inspected?

A
  • every 30 days, plus or minus 5 days

- done by “the pharmacy” (so not nec. PIC)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

T/F: Prescribers must keep records of CDSs prescribed.

A

False, only must record CDSs that were dispensed, not if they were prescribed or administered
-unless they are prescribing for detox/addiction tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

pharmacy intern licenses for foreign grads expire _____ after the date of issue

A

2 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

How long are intern hours good for?

A

Intern hours expire two years after the intern license expires

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

If a patient is prescribed ibuprofen 800 mg, can you tell the patient to just take 4 OTC tablets per dose instead?

A

No.

These preparations have not been tested for bioequivalence, and you cannot truly make that recommendation to a patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

What can you do with CIII-V drugs upon permanent closure?

A
  • can give to another pharmacy
  • can return to wholesaler
  • can destroy (form 41)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

What are remote processing services?

A
  • processing of order or Rx by one pharmacy on behalf of another
  • includes all components of the dispensing process except for final transfer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

pharmacist interns can accumulate up to ___ hrs/week

A

50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

Selling needles/syringes without a prescription

A
  • Allowable.
  • Pharmacist is the one with the authorization to sell, but tech/clerk can conduct the actual transaction
  • Must be stored securely so customers cannot grab off the shelf
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

Form for destruction of controlled substances

A
  • DEA Form 41

- Witnessed by at least two HCPs, or an LEO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

When must pharmacy permit (and CDS, if appl) applications be completed?

A

-At least 30 days prior to intended opening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

A DEA registration expires after _____

A

-36 months (3 yrs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
82
Q

how long is a special work pass valid for?

A

120 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
83
Q

security of EDK

A
  • stored within a secure enclosure at the facility

- tamper evident ability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
84
Q

What is a drug cabinet?

A
  • NOT an ADS
  • for use when a pharmacist unavailable
  • intended for emergency use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
85
Q

notification requirements for change of PIC

A
  • permit holder notifies board within 10 days of old PIC leaving, must name a new PIC during this time
  • new PIC must notify board within 10 days of old one leaving
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
86
Q

T/F: Pharmacists must register on the BOP’s imz registry

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
87
Q

Techs need ___ CE hrs to renew their licenses

A

10 hrs, must be appropriate for tech level (not pharmacist)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
88
Q

Class 100 environment

A

“think clean room”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
89
Q

employee requirements of MJ pharmacy

A
  • min age 18
  • interns, techs, and pharmacist must all have TM designation and access to PMP
  • no tech candidates allowed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
90
Q

Storage requirements for 222 forms

A
  • kept separately from other information

- maintained for at least two years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
91
Q

Diphenoxylate with atropine is schedule ____

A

C-V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
92
Q

Who owns a prescription during its lifetime?

A

Prior to filling, owned by patient. After filling, owned by pharmacy. Patients can only receive copies from that point onward

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
93
Q

T/F: Pharmacists can fill prescriptions from internet-based physicians

A

False, there is no valid patient-physician relationship

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
94
Q

T/F: impaired pharmacists may not practice pharmacy

A

False. They may practice so long as they pose no danger to the public. (not sure how often this is the case with addicted RPhs, though)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
95
Q

For a C-II, what elements can a pharmacist add/alter after consulting with prescriber?

A
  • Drug strength
  • Quantity prescribed
  • Directions for us
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
96
Q

appointment process for board members

A
  • nomination ballots go out > 60 day prior to vacancy
  • nominees can be nominated by residents of their district
  • ballots counted publicly, top 3 names go to gov. for selection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
97
Q

Can you fill prescriptions for CSs written by a foreign prescriber?

A

No, per federal rules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
98
Q

labeling requirements for drugs dispensed by hospital pharmacy for use within the facility

A
  • name and location of patient
  • name/strength of drug
  • dose to be administered
  • if compounded or sterile, BUD, who made it, who verified it
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
99
Q

Who is responsible for maintaining EDKs?

A

The PIC of the provider pharmacy, who also serves as the “PIC” of the EDK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
100
Q

You are preparing unit-dose packages using a stock bottle. What is the appropriate BUD?

A
  • 25% of remaining shelf-life, up to one year

- customized patient med packs are limited to 60 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
101
Q

Promethazine with codeine is schedule _____

A

C-V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
102
Q

When accruing intern hrs for future pharmacist licensure, what qualifications must the supervising pharmacist have?

A
  • must have been practicing as a pharmacist in his jurisdiction at least two years before the intern begins accruing hrs
  • no probation/restriction during the time hours are reported
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
103
Q

What qualifies as a quorum for the BOP?

A

simple majority (9 members)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
104
Q

Requirements for pharmacist license display

A
  • must be on display at primary practice site

- you do NOT have to have a copy/ID card on you at any time, even if practicing elsewhere

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
105
Q

Oral C-II prescriptions

A
  • limited quantity for emergency periods only

- prescriber must send written form to pharmacy within 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
106
Q

telepharmacies must have no other pharmacies within ____ miles of them

A

20 miles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
107
Q

How much time does a supplier have to complete an order from a 222 form?

A

Must be completed within 60 days. May be partially filled in the meantime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
108
Q

qualifications to be pharmacy technician

A
  • 18 years old, HS diploma or GED
  • completion of training program, OR obtain 600 hrs of practical experience
  • pass exam (PTCB)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
109
Q

Can you fill out-of-state controls?

A

For CII-III opioids:

  • If you can access PMP for that state, yes, with no add’l restrictions
  • If not, then you can only fill 10 DS…unless rx is marked cancer pain or terminally ill

For other controls:
Yes, no restrictions

110
Q

Can an pharmacist/intern with a lapsed license work as a tech/PTC?

A

No. They are not qualified to apply for tech/PTC

111
Q

Pregnancy categories

A 
A - Good studies in humans
B - Animal studies show no risk
C - No or bad animal studies
D - documented risk to fetus
X - fetal risk outweighs any maternal benefit
112
Q

What individuals are exempt from DEA registration?

A
  • military physicians (use service ID)
  • physicians in training (use institution’s DEA with unique suffix)
  • LEOs
  • End users (patient)
  • During official crisis/emergency
113
Q

Requirements to permanently close a pharmacy

A
  • public notice at least 10 days out

- board notice at least 10 days out – when, who’s getting the rx transfers, who’s getting the drugs?

114
Q

purpose of Collaborative Drug Therapy Management

A

-allows a pharmacist to coordinate with a physician to care for the physician’s patients

115
Q

Can a pharmacy be open without a pharmacist?

A
  • Yes, if the pharmacist remains on site and is available for emergencies
  • Tech or intern must remain present
  • RPh can have max 2 30-min breaks per 12 hrs
  • breaks < 5 min don’t count
116
Q

storage of controlled substances

A

may be stored in a locked, substantial cabinet, or dispersed along with non-controls

117
Q

What info is not req’d on prescription labeling per federal rules?

A
  • name/strength of drug

- Mfr and lot number

118
Q

requirements for technicians working at a telepharmacy site

A
  • must have at least two yrs as a certified technician

- are included in the remote pharmacist’s tech ratio

119
Q

Buprenorphine is schedule ____

A

C-III

120
Q

When do pharmacists licenses expire?

A

December 31 of each year

121
Q

How long is a pharmacy permit valid?

A

All permits expire Dec 31

122
Q

Storage of drugs within the EDK

A
  • must meet the storage requirements of each individual drug

- specific drugs may be stored outside of actual EDK if necessary (ie refrigerator), must document this

123
Q

Technical aspects of a fax machine receiving prescriptions

A
  • Must be located in the pharmacy

- must use non-fading paper with non-fading ink

124
Q

Isotretinoin REMS

A

iPledge

  • 2 forms of contraceptive with monthly pregnancy tests
  • Rx must be dispensed within 28 days of visit to MDO
125
Q

Patents last ___ years

A

17 years (but 12 for biologics)

  • can extend another 6 mos for peds, or 1 yr to lifetime for orphan drugs
  • First generic drug gest 6 mos exclusivity
126
Q

Dronabinol is schedule ___

A

C-III

127
Q

procedure for public comments at BOP meetings

A
  • at beginning of meeting

- max 3 min/person, max 30 min per meeting

128
Q

Is there a maximum day supply for C-IIs?

A
  • No limit per federal law
  • But max is generally accepted as 90 days
  • LA practitioner can write 3 rx’s for total 90DS, with them spaced out with DNF until dates
129
Q

PSE/ephedrine limits

A

3.6 g base per day
9 g base per 30 days
7.5 g per 30 days for mail orders

130
Q

pharmacist:intern ratio

A

1: 1

- However if interns are part of COP-associated rotation, 3:1

131
Q

Partial filling C-IIs due to being out of stock

A
  • okay for any patient

- pt must return and p/u remainder within 72 hrs of initial fill, or lose the remaining

132
Q

To approve a generic drug, its mfr must file a _____ which proves the drug is ________

A
  • must file an ANDA

- proving the drug is bioequivalent to its reference (not safe or effective)

133
Q

profile-driven vs non-provile driven

A

Profile-driven essentially means it is attached to specific patients/orders, and a pharmacist reviews meds before access is allowed by floor staff

134
Q

What conditions need to be met to give “loaners”

A
  • medication necessary for pt health, but out of refills/expired
  • physician is unavailable
  • max 72 hr supply, although you can exceed that for unbreakable products like an inhaler
135
Q

Form 224 must be signed by ________

A

The registrant (owner of the pharmacy). NOT the PIC

136
Q

When is a pharmacist considered absent?

A
  • When the pharmacist is off-site (short on-site breaks are not considered absences)
  • the prescription dept must close if pharmacist is absent
137
Q

How often must PIC be present at pharmacy?

A
  • at least 20 hrs per week

- if site open < 20 hrs per week, then at least 50% of normal business hrs

138
Q

Can a pharmacist administer medications?

A

-Yes, if the physician writes and authority to administer (AA) rx

139
Q

requirements for CDS license

A

-have appropriate Louisiana professional license/permit (MD, DDS, pharmacy permit, etc)

140
Q

How often must an EDK be inspected?

A
  • every 30 days, plus or minus 5 days

- done by provider pharmacy, not nec. PIC

141
Q

how many hrs of pharmacist CE are required each year?

A
  • 15 hrs/yr, if 3 of those hours are live

- 20 hrs/yr otherwise

142
Q

What can medical psychologists prescribe?

A

non-opioid CII to CVs. Note they cannot dispense, only prescribe

143
Q

THC variance allowed in marijuana

A

15% allowed variance

-If labeled 10 mg THC, must be be between 8.5 and 11.5 mg

144
Q

How many telepharmacies may a central pharmacy have?

A

maximum of 2

145
Q

How to get professional eligibility to become PTC

A
  • enrollment in approved technician training program
  • pass exam + completion of high school/GED
  • be licensed as tech in another state at least 1 year + have passed exam
146
Q

Are you allowed to compound drugs withdrawn/removed from market?

A

Yes, but not if the drugs were withdrawn due to safety concerns (most)

147
Q

What requirements are there if you want to keep your rx record electronic?

A
  • records must be searchable
  • must be kept for at least two years after LAST refill
  • backup must be done daily
148
Q

T/F: a patient may issue a blanket waiver to deny counseling forever

A

False

149
Q

How many intern hrs must an intern have to become licenses as pharmacist?

A
  • 1740 hrs, of which 1500 must be practical experience (under qualified pharmacist providing pharmacy primary care)
  • graduates of approved COPs automatically receive 1740 hrs
150
Q

Can you dispense a CDS written for “office use”

A

No

151
Q

What can you do with C-II drugs upon permanent closure?

A

either

  • return to wholesaler via 222
  • destroy or turn into DEA via form 41
152
Q

Can you compound a product and sell it to a physician’s office?

A

No. Previously was ok per LA law, but federal law considers this “outsourcing” and must be registered as an outsourcing facility

153
Q

What must be included on an inventory?

A
  • drug name, strength, formulation
  • number of unopened containers x qty of each container
  • number of units of each open bottle
154
Q

Who is eligible to get meds from a penal pharmacy?

A
  • offenders residing in the penal institution

- offenders in another penal institution

155
Q

If you discover a significant loss of CDS then later recover it, should you still report the loss?

A

Yes — check LABOP rules 2737

156
Q

T/F: hospitals can dispense to both inpatients and outpatient under the same permit

A

False

  • hospital outpatient dispensing requires separate permit
  • outpatient cannot acquire drugs through the hospital permit
  • maintain completely separate drug inventories
157
Q

Benzodiazepenes are schedule ____

A

C-IV

158
Q

Examples of what the board consider an ‘institution’?

A

NOT a hospital

  • nursing home
  • rehab center
  • drug abuse treatment center
  • family planning clinic
  • penal institution
  • athletic facility
159
Q

How to report theft or significant loss of CDS

A
  • Notify NOLA office of DEA and Board of pharmacy within ONE business day
  • Submit Form 106 to DEA (does not have to be done within 1 day if you need to investigate, but notification MUST still be sent)
160
Q

Dextromethorphan restrictions

A
  • Must be at least 18 to purchase OTC

- provide positive ID

161
Q

A patient is interested in taking St. John’s Wort but requires a liquid formulation. Could you compound this for her?

A

Probably not. FDA frowns on compounding using ingredients from non-FDA approved mfrs. Since this SJW is likely an OTC herbal company, they would not qualify

162
Q

what can pharmacists in a CDTM do?

A
  • monitor/modify specific drug therapy
  • collect/review patient history
  • obtain/review vital signs
  • order/evaluate lab work
  • counsel on specific diseases/conditions
163
Q

Allowed inactive ingredients

A
  • “anything goes” for PO

- sterile products cannot have any added colors. Inert gasses are allowed

164
Q

T/F: anytime the spare/emergency key to the pharmacy is used, the person using it must document it in the log book

A

False. Only non-pharmacists have to document in the log book

165
Q

what non-controls are considered “drugs of concern” on the PMP

A
  • butalbital + 325 mg or more APAP

- naloxone

166
Q

off-site satellite pharmacy

A
  • a separate, smaller pharmacy at the same address as the primary “provider” pharmacy
  • requires separate application
167
Q

A lot where tablets were improperly pressed and falling apart would likely result in a Class (I/II/III) recall.

A

Class III

168
Q

special requirements to be a nuclear pharmacist?

A
  • must be listen on a LA radioactive material license

- must obtain 5 CE yearly specific to nuclear pharmacy

169
Q

T/F: remote processor pharmacies can store medications

A

No, their function is in data processing only? No physical transfer of prescription products

170
Q

Who signs an application/renewal for pharmacy permit?

A

PIC and the owner of the pharmacy

171
Q

how often must a PIC visit/inspect a telepharmacy site?

A

every 30 days

172
Q

Kefauver-Harris

A

1962 amendment to FDCA.

Required extensive pre-clinical trials before allowing human trials.

173
Q

Who reports a CDS loss/theft when a central pharmacy loses it?

A

Whoever is contracted with the courier

174
Q

Can institutional pharmacies dispense to patients that are outpatients/not directly treating?

A

No, institutional pharmacies are focused wholly on the patients of that institution. (No employees)

175
Q

what controls can NPs prescribe?

A
  • CIIs for attention deficit only

- CIII-Vs

176
Q

What is considered “positive ID”?

A
  • Essentially two-step authentication.
  • a private password, PLUS
  • either manual signature on rx, magnetic card reader, bar code reader, biometrics, or a register for RPh to sign
177
Q

qualifications for BOP pharmacist members

A
  • LA resident at least 6 mos
  • currently licensed in LA and active in pharmacy
  • 5 yrs LA pharmacy experience
  • no felons or hx board probation
178
Q

Carisoprodol is schedule ___

A

C-II (federally C-IV)

179
Q

Mailing prescriptions

A

Okay per USPS. Meds cannot be considered “poison” or an “alcoholic beverage”.
(UPS/FedEx also ok)

180
Q

Who needs a community pharmacy permit?

A

Individuals/entities who operate a pharmacy and dispense prescription drugs to patients in Louisiana

181
Q

tampering

A

intentionally tainting a consumer product, including its labeling, container, or contents

182
Q

A CDS license expires after ____

A

1 year

183
Q

A manufacturer labeling a bottle of simvastatin 40 mg as simvastatin 20 mg instead would likely cause a Class (I/II/III) recall.

A

Class II

184
Q

Can pharmacists treat minors under a CDTM?

A

Generally not allowed to treat patietns < 18 yo. Allowed for smoking and imz

185
Q

Substituting biosimilar for brand

A
  • must notify prescriber within 5 days of dispensing the name and mfr of dispensed product
  • only required on initial fill, unless you switch products
186
Q

Who is exempt from CDS licensure?

A
  • employees of a licensed company – except sales reps
  • researchers
  • people who possess CDS pursuant to a valid rx
187
Q

How are controlled prescription records stored in the pharmacy?

A 
3 options:
-CII, CIII-V, legend
-CII-V, legend
-CII, CIII-V with legend
(if CIII-V are combined with any group, they must be stamped with red C stamp)
188
Q

restrictions when dispensing to institutionalized patients

A
  • max 34 DS or 100 dosage units (whichever less)

- end user cannot possess medication

189
Q

Emergency scheduling

A
  • AG can put a substance n schedule I only

- valid for 1 yr, can extend add’l 6 mos

190
Q

Special regulations: mineral oil

A

Label must have warning saying it cannot be used in infants, and not to lay down after taking

191
Q

Durham-Humphrey

A

1951 amendment to the FDCA.

Created Rx vs OTC classes

192
Q

Can hospitals with on-site pharmacies use remote processing so they don’t have to employ pharmacists?

A

Not really, this is not the intent of the law.

  • Hosps with 100+ occupied beds must have at least one on duty RPh at all times.
  • ok to have no on-site RPh is < 100 occupied beds and using remote processing
193
Q

Who applies for an EDK?

A

The provider pharmacy, NOT the facility where the EDK will be (LTCF, etc)

194
Q

Records requested by the board for inspection must be provided within _____

A

72 hrs

-potentially sooner if board inspector requires it

195
Q

When are exact inventory counts required?

A
  • for all C-I and C-IIs

- for CIII-V when bottle size > 1,000

196
Q

Butalbital with APAP or ASA is schedule ____

A

C-III

197
Q

T/F: Institutions do not need permits for any EDKs

A

Depends!

  • If institution has an institutional pharmacy permit, no.
  • Otherwise, yes it must have a permit
198
Q

Inventory requirements for controls for hospital pharmacies

A
  • CI-II must have perpetual inventory

- annual inventory of all controls

199
Q

requirements for pharmacist providing CDTM

A
  • active pharmacist license
  • must register with board
  • no hx of license suspension, restriction, etc.
200
Q

EDK permits

A
  • required if if EDK is not at a hospital or at a facility with an institutional pharmacy permit
  • separate permit required for each EDK
  • applied for by the provider pharmacy
  • permit expires annually on July 1
201
Q

When is codeine C-V?

A
  • max 200 mg per 100 mL

- combined with other non-controlled ingredients

202
Q

T/F: pharmacists are allowed to let nurses counsel patients on their behalf

A

True, in hospital/institutional settings

203
Q

Can scanned prescriptions be considered originals?

A
  • yes, except for C-IIs

- if scanning, hard copy can be kept for only one year

204
Q

what controls can PAs prescribe?

A

CII-V to the extent delegated by supervising physician

205
Q

How many members serve on each committee?

A

At least 3 members. In the case of the executive committee, it is the officers

206
Q

what is a drug abuse treatment center? (DATC)

A

-an inpatient or outpatient clinic where patients are treated for abuse issues

207
Q

Form required for pharmacy to register for DEA license

A

Form 224

208
Q

How many marijuana pharmacies does LA allow?

A
  • maximum of 10 pharmacies

- 1 per each of nine “health” regions, with an add’l 10 that can be issued if need is present

209
Q

What happens after an EDK is opened?

A
  • facility notifies pharmacist within 24 hrs

- staff will do shift counts on controlled substances until the pharmacist comes to reseal EDK

210
Q

minimum age to be licensed as pharmacist

A

21

211
Q

Requirements for a pharmacist to administer meds (vaccines)?

A
  • complete an approved course (usually APhA course)
  • BLS certification
  • provide docs of completion to BOP
  • display certificate
  • 1 hr CE in field per year
212
Q

Prior to filling for a pt, the pharmacist must make a reasonable attempt to obtain what info from pt?

A
  • name, address, telephone number
  • DOB/age, gender
  • allergies, disease states
  • list of all current meds
213
Q

What can you dispense for outpatient detox treatment?

A
  • FDA-approved CIII-V drugs (only Suboxone/subutex meets this req)
  • methadone for detox cannot be filled by pharmacy
214
Q

Board decisions on hearings

A
  • due within 30 days of hearing

- goes into effect 11 days after respondent receives notice of decision, unless respondent appeals

215
Q

What qualifies as childsafe packaging

A

No more than 20% of children can open package, while no fewer than 10% of adults are unable to open package

216
Q

How long should CDS records be stored?

A

At least 2 years

217
Q

tech:pharmacist ratios

A

-3:1, including up to 1 one PTC

218
Q

Per FDCA, prescriptions may be audited for up to ___ years

A

Up to 5 years. Note that it is unusual to be audited under FDCA

219
Q

Who can prescribe controlled substances?

A
  • Independent practitioners: physicians, dentists, vets
  • Midlevels if done per protocol
  • Therapeutic optometrists
  • Medical psychologists, but NOT narcotics
220
Q

when must interns submit their applications?

A

prior to the end of their first semester of pharmacy school

221
Q

how much THC is allowed is marijuana packaging?

A
  • max 10 mg per dosage form
  • if multidose, max 100 mg
  • no single container can container > 30 day supply
222
Q

violations committee

A
  • one of BOP committees

- decides type of hearing appropriate for violations

223
Q

If a bottle of warfarin 5 mg was labeled 3 mg by the mfr, this would likely cause a Class (I/II/III) recall.

A

Class I

224
Q

Marijuana grown from somewhere besides the source approved by LDAF is considered _______

A

Adulterated and misbranded

225
Q

Inventories of controlled substances are required every _____

A

Every year

  • Federal law says every 2 yrs, but state is more strict
  • LA allows non-pharmacies to do inventory every other yr
226
Q

How long should your copies of 222 forms be retained?

A

At least two years

227
Q

Can community pharmacies enlist the services of remote processor pharmacies?

A

No – restricted to hospital only

228
Q

May an intern administer vaccines?

A

Yes, as long as both the intern and pharmacist are certfied for imz/BLS

229
Q

What references must be kept in a pharmacy?

A
  • printed copies of LaBOP laws and regs

- access to current references on pharmacology, drugs interxns, dosing/toxicity, counseling

230
Q

Up to ___ prescriptions can be written on a single paper

A

four

231
Q

Classes of recalls

A

Class I - potential for serious illness/death
Class II - potential for reversible AE, death highly unlikely
Class III - not likely to cause AEs

232
Q

Partial filling of C-II

A
  • can be done if OOS, must be fulfilled within 72 hrs
  • can be done for terminally ill or LTCF pts, must be fulfilled within 60 days of first fill
  • remember – still no refills
233
Q

What can PTCs not do that techs can?

A
  • receive verbal intial rx orders
  • give/receive verbal transfers
  • compound high risk sterile products
234
Q

an application to become a pharmacist is valid for _____

A

1 yr after submission

235
Q

Do partial fills count toward the 5 allowed refills for a CIII-V?

A

No, the DEA has clarified that they do not count.

236
Q

informal hearing

A
  • info used here cannot be used at later hearings
  • attending members must recuse themselves from future hearings
  • the charge may ‘die’ here
237
Q

Who is a remote dispenser?

A
  • a LA-permitted pharmacy who provides centralized dispensing service for another permitted pharmacy in LA
  • the “central fill site” ie not the one that patients will pick up their scripts from
238
Q

Pregabalin is schedule ___

A

C-V

239
Q

board member terms

A
  • six year terms, staggered
  • terms begin July 1
  • except for consumer member, who serves “at pleasure of the gov”
240
Q

OBRA 90 requirements

A
  • Drug use review
  • Counseling for patients reimbursed by federal policy
  • Patient medication histories
241
Q

Do physicians practicing at multiple sites need multiple CDS licenses?

A

Depends.

  • if only prescribing, one CDS will cover the prescriber’s activities
  • if dispensing, administering, etc. each site needs a CDS
242
Q

Is a DEA registration needed for a practitioner’s office?

A

No, unless controls are stored there. (Double check this…wouldn’t most offices have some controls on hand?)

243
Q

“Usable” marijuana exludes what components?

A

Does not include seeds, stalks, or roots

244
Q

What are valid MJ “prescriptions”?

A
  • written rx
  • escribed rx
  • emergency CII-like phone orders are allowable
245
Q

Under what circumstances can a hospital pharmacy dispense to outpatients?

A
  • to hospital outpatient for personal use on hospital premises
  • for take-home use to extend for limited/reasonable time tx that was begun as inpatient
  • to hospital’s employees/students for their personal use or for the their dependents
246
Q

What form do you use to order additional 222 forms?

A

DEA 222a

247
Q

A prescription must be at least ____ in size

A

4 x 5 inches

248
Q

How long must you keep privacy-related forms per HIPAA?

A

6 years

249
Q

required questions to ask potential pharmacy employees

A
  • convicted of felony within 5 yrs?
  • convicted of misdemeanor within 2 yrs?
  • knowingly used drugs illegally within 3 yrs?
250
Q

DATC pharmacies do inventory how often?

A

perpetual

251
Q

Clozaril REMS

A

Clozaril National Registry

  • “No blood, no drug”
  • Weekly CBC x 6 mos, QOW CBC x 6 mos, then monthly CBC
252
Q

Loaning CDSs to another pharmacy

A
  • allowable, but remember the 5% rules

- if CII, must fill out a 222 with you as the distributor

253
Q

when does an AMS permit expire?

A

Annually on JUne 30

254
Q

For a C-II, what elements can a pharmacist add without consulting prescriber

A
  • Patient’s address
  • Drug dosage form
  • Prescriber’s DEA
255
Q

NDCs can be recycled after ______

A

after 5 years of non-use

256
Q

Products excluded from PPA

A
  • products intended for emergency use (nitrates)
  • products commonly prepackaged (Zpak, birth control, etc)
  • these are not blanket exclusions, any excluded products have to be specifically stated in the rules
257
Q

Who is authorized to prescribe in LA?

A

Physicians, PAs, NPs, therapeutic optometrists, dentists, veterinarians

258
Q

What must pharmacy do when pharmacist is absent?

A

Must close!

-post 8.5x11” sign saying “Prescription dept closed” in 1” lettering

259
Q

How to dispose of MJ

A
  • mix with at least 50% non-marijuana waste, ground up

- must be done by PIC and one witness

260
Q

Compounding personnel require ___ annual CEs related to compounding

A

One hour

261
Q

special allowances during a State of Emergency

A
  • emergency RFs allowed in affected parishes for essential therapies
  • max 30 DS
  • write “emergency prescription” on hard copy
  • non-LA pharmacists may work in affected parishes
262
Q

counseling on naloxone

A
  • physician required to train caregiver when prescribing
  • under standing order, pharmacist must educate on recognizing opioid o/d, storage/administration, and emergency follow up
263
Q

How often is the Board required to meet?

A

At least once every 12 mos. Typically meets more often

264
Q

Quality control program for clean room

A
  • certify clean room at least every 6 mos

- test samples of finished products

265
Q

rules for late renewal of expired CDS license

A

pay registration + late fees
-if exp < 1 yr, admin assistant may review
-if exp 1-5 yrs, one board member may review
if exp > 5 yrs, full board hearing req’d

266
Q

what is an emergency drug kit?

A
  • a kit containing emergency drugs that meet an immediate need of an LTCF paitent
  • intended for one-time use. Once accessed, the pharmacy will restock it, re-lock it and return it to original area
267
Q

Do warehouses housing controls need a DEA registration?

A

No, only the seller needs it

268
Q

placehold for info about LINKS because idk what it is

A

n

269
Q

Regulation of off-label use

A
  • “discouraged” by FDA
  • mfr is allowed to distribute research on off-label usage
  • mfr is not liable for harm occurring secondary to off-label use
270
Q

T/F: for legal purposes, off-site pharmacy sites contracting with a hospital are considered themselves a hospital pharmacy

A

False!

271
Q

Storage of drugs unfit to be dispensed (misbranded, adulterated, recalled, expired, etc)

A
  • Must be stored outside of the pharmacy

- Expired drugs however are allowed to be stored within the pharmacy, as long as they are in a separate space

LA MPJE (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions