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AL MPJE > MPJE > Flashcards

MPJE Flashcards

1
Q

Who makes up the board of pharmacy in AL?

A

5 pharmacists

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2
Q

How long of a term does one serve on the ALBOP?

A

5 years

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3
Q

Are you allowed to serve more than one term on the board?

A

No, you cannot serve two full consecutive terms. The only time you can serve more than 5 years is if you were appointed half way through the previous term to serve for another member.

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4
Q

Is the board ran by an alternative organization?

A

No, the board is its own separate entity.

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5
Q

Who chairs the board meetings?

A

The president of the board. He is required to be at all board meetings and if he cannot be there, the vice president must.

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6
Q

How are members of the board appointed?

A

Thee of the members are appointed by the governor. One from independent pharmacy, chain, and hospital. The other two members are voted for by the pharmacists of Alabama.

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7
Q

When does the term start and how long?

A

A term starts on January 1st and lasts 5 years.

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8
Q

How often must the board meet?

A

The board must meet at least 3 times annually.

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9
Q

Who can attend board meetings?

A

Anyone. They are open to the general public.

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10
Q

How old do you have to be to apply for a pharmacy license?

A

19 years old

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11
Q

What other requirements are there to apply for a pharmacy license in Alabama?

A

You must be a US citizen (or legally working here from another country) and be of good moral character.

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12
Q

How much is the application fee for a license?

A

$100 + $300 exam fee

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13
Q

How many CE hours do you have to have per renewal of license?

A

15 hours per year (2 years) in which at least 3 hours per year (6 per renewal) of those are live. If you specialize in a separate type of pharmacy there may be other requirements.

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14
Q

What are the CE requirements for a sterile compounding pharmacist in Alabama?

A

Complete the 8 hour didactic course and hands on training (extra 4 hours if participating in high-risk compounding) and complete at least 2 of your CE hours per renewal must be board approved and you must complete didactic and hands on training each renewal cycle.

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15
Q

What are the CE requirements for a preceptor?

A

All preceptors must express willingness to the board of pharmacy to serve as a preceptor, be licensed for at least 2 years, attend the board approved training seminar, and complete at least 2 hours of CE for precepting each renewal period

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16
Q

What are the CE requirements for consulting pharmacists in alabama?

A

They must take the 8 hours live class, live class, score a 75 on the test, and complete at least 8 hours of live CE each renewal cycle.

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17
Q

What are the requirements to become a nuclear pharmacist in Alabama?

A

Complete the didactic and in lab training (200 hours total), complete 500 hours of supervised nuclear pharmacy apprenticeship, and complete 2 hours of nuclear related CE every renewal cycle.

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18
Q

How many internship hours must you have to sit for the NAPLEX and MPJE?

A

1500 under the supervision of a registered preceptor

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19
Q

What degree is required to be licensed in the state of Alabama?

A

Must graduate from an AL approved school of pharmacy, foreign or domestic.

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20
Q

What examinations are you required to complete to be licensed in the state of Alabama?

A

You must be interviewed by 2 members of ALBOP, pass the MPJE, and NAPLEX. If you are already licensed in another state, you must take the MPJE and be interviewed by the Board.

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21
Q

How do you renew your license if you let it lapse and do not renew before the deadline?

A

You must pay $10 for every late month up to 5 years then you have to take it to the board and they have to examen you to reinstate your license.

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22
Q

What is the renewal schedule for a pharmacist’s license?

A

Every 2 years on even numbered years

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23
Q

How much does it cost to renew a pharmacist license?

A

$100 for the license itself but another $100 for the controlled substances license. After 50 years of licensure in the state of Alabama, the cost of license renewal reduces to $25.

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24
Q

Are you required to have in intern license before practicing as an intern?

A

Yes, you have to have the permit before you can work as an intern.

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25
Q

Who can apply for an intern/extern license?

A

Anyone who is actively trying to achieve the requirements required for a degree in pharmacy.

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26
Q

Is there an application fee?

A

Not specified in AL law.

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27
Q

What training is required to obtain a pharmacy intern/extern license?

A

You must have completed 2 years of Pre-Pharmacy coursework and be actively attending classes in the first semester of pharmacy school.

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28
Q

What is considered “enrollment” in a school of pharmacy?

A

You must not be absent from the school of pharmacy for more than 2 consecutive semesters or 3 consecutive quarters to keep your intern license.

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29
Q

Is a preceptor required to use your intern license?

A

Yes

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30
Q

How many interns can a preceptor watch at one time?

A

No more than 3.

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31
Q

Is there a renewal period for preceptors in Alabama?

A

Not specified, just make sure you do your 2 hours of CE per renewal period.

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32
Q

Do technicians have to be licensed in the state of Alabama?

A

No. They just have to register with the board.

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33
Q

What are the requirements to become a pharmacy technician?

A

You must be at least 17 years of age and be of good moral character.

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34
Q

What are the CE requirements for technicians?

A

3 hours per year (6 hours per renewal cycle) with 1 hour per year (2 hours per renewal cycle) live presentation.

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35
Q

What is the fees associated with becoming a technician?

A

Total $104 = $60 application, $40 background check, and $4 transaction fee

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36
Q

Do you have to submit to the board for a background check if you are a technician?

A

Yes. You also have to pay for it, it is $40.

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37
Q

Do you have to take any special classes to become a technician in AL?

A

If you are applying after January 1, 2020, you must complete the training program within 6 months of registering with the board and submit evidence of completion of the training program to the board within 10 days of completing it.

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38
Q

What is the renewal period for a technician license?

A

Biennially on odd numbered years (Expired Dec 31st of odd numbered years)

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39
Q

Can a pharmacist in Alabama look over more than 1 pharmacy at a time?

A

No

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40
Q

How much time per day can a pharmacist be absent from a pharmacy and it still be open?

A

No more than 3 hours per day total with no more than 1.5 hours at a time. The RX department cannot fill prescriptions during this time.

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41
Q

How long can a pharmacy be closed because the pharmacist is sick?

A

A maximum of one week for temporary illnesses.

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42
Q

What are the physical requirements of the prescription department of a pharmacy?

A

The portion of the pharmacy prescription department must be no less than 240 square feet with at least 36 inches of unobstructed space for the pharmacist to stand at the counter. The counter must be 24 inches deep and at least 16 feet long for one pharmacist. If there are two or more pharmacists then the counter must be 24 feet in length.

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43
Q

Can your counseling are be in a storage room?

A

No.

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44
Q

What are the location requirements of a counseling area?

A

It must be large enough to hold both people, not in a storage area, away from the flow of traffic but not requiring the patient to come into to prescription department, away from the checkout areas, and in a place that allows the conversation not to be heard.

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45
Q

Do you have to lock up the pharmacy when the pharmacist goes on break?

A

No. You only have to make sure the pharmacy is locked when the pharmacist isn’t there which doesn’t include temporary absences like breaks.

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46
Q

How can you store prescription records? Do they have to be on-site?

A

You have to keep schedule 1 and 2 separate from all other drug records. You can keep the 3, 4, and 5 controls with the legend drugs, but they have to be denoted by a red letter C once inch in height at the bottom right have corner of the script or with a coding system imbedded into the computer that denotes them as a controlled substance.

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47
Q

Are Rx Only drugs required to be in the prescription department?

A

Yes, or in a locked pharmacy only storage room.

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48
Q

Do you have to keep hard copies of prescriptions on site?

A

Yes

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49
Q

Do you have to have a sign for the counseling area?

A

Not specified in AL law, so no.

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50
Q

Do you have to have a sign for the hours that the pharmacy is open?

A

Yes, they have to be at least 1 inch in height and state what hours the prescription department is open each day. They must be at the front of the building or right in front of the prescription department in unobstructed view for everyone to see.

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51
Q

Is there a sign requirement for the PIC?

A

Yes, the PICs name must be on display in plain sight for everyone to see.

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52
Q

Is there a sign requirement for when a pharmacist goes on break?

A

Yes, it must read “Prescription department closed, no pharmacist on duty” and must be in plain sight for the public to see.

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53
Q

Are their license requirements for display in the pharmacy?

A

Yes. Each license of the pharmacists that work there including the pharmacist on duty must be hung on the wall for public display.

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54
Q

In what time frame must you notify the board of change in ownership?

A

10 days

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55
Q

How much time do you have to notify the board of change in PIC?

A

10 days

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56
Q

How long do you have to take a controlled inventory once you become PIC?

A

15 days

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57
Q

How long do you have to notify the Board of change in address?

A

Not stated by law, if you get asked this on the exam say 10 days.

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58
Q

Do you have to tell the board if you change the hours that your business is open?

A

No

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59
Q

What is the minimum number of hours that a pharmacy is required to be open per week without special permission from the board?

A

20 hours per week

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60
Q

Is there a certain type of prescription balance required to have in the pharmacy?

A

Yes, torsion balance per federal law

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61
Q

What equipment is required to open a pharmacy?

A

You must have hot and cold running water, the lates version of Facts and Comparisons or equivalent, and for community pharmacies: they must have an exempt narcotic register.

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62
Q

Who can stock a pharmacy dispensing machine?

A

A pharmacist

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63
Q

How often must a pharmacist take inventory of an automated dispensing machine?

A

Quarterly at the least

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64
Q

Can personel dispense a STAT medication without the approval of a pharmacist?

A

No, unless there are policies and procedures within that institution that allow that staff member to do so

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65
Q

Is dispensing in a nursing home allowed when a pharmacist is not on duty? How often does a pharmacist have to audit cabinet use and all of the drugs in it?

A

Yes, this must be allowed by the supervising pharmacist before hand. There must be written orders for whatever the staff got out of the cabinet and proof that it was done. Drugs must be inventoried at least every 30 days, and the activity of the cabinet use must be audited at least once a month.

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66
Q

If a nurse must get into the pharmacy for emergency use of a medication after hours, what is the procedure?

A

The nurse must document the order that she was given, the patient name, room number, drug name, drug strength, amount, time, date, and signature of nurse that removed it. That paper must be left in the container from which the drug was removed.

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67
Q

Can out-of-state pharmacies mail prescriptions to people in AL?

A

Yes, but that pharmacy and one of their pharmacists must be licensed int he state of Alabama.

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68
Q

What are the fees to obtain a license for a physical pharmacy?

A

$100 for in-state people, $400 for out of state people

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69
Q

What are the requirements for renewing a pharmacy permit? What happens if you forget and the deadline passes?

A

Pharmacy licenses are renews biennially on even numbered years. You are required to do it by Dec 31st. You can complete it late online up until Jan 31st then you will need to do a reinstatement application after that.

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70
Q

Do you have to be an RPh to own a pharmacy?

A

No

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71
Q

How soon do you have to notify the board of change in ownership of a pharmacy?

A

10 days

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72
Q

If a pharmacist gets fired, who is responsible for notifying the board of their change in employment?

A

The person that fired the pharmacist.

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73
Q

Can you operate a pharmacy without a pharmacist?

A

No, it is forbidden.

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74
Q

What is the permit fee for an in-state resident to own a pharmacy vs an out-of-state resident?

A

$200 for in-state + $300 controlled substance license. $750 for out-of-state permit + $300 controlled substance fee.

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75
Q

How far before the opening of a pharmacy do you have to apply for the permit from the board?

A

At least 30 days before the first day of opening.

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76
Q

What is the pharmacist to technician ratio?

A

3:1 as long as one tech is certified, otherwise there is a max of 2:1 if no-one is certified.

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77
Q

What is the ratio of interns to pharmacists?

A

3:1 maximum, no exceptions.

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78
Q

Are their any other staff ratios besides the technician and intern one?

A

No.

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79
Q

What are the requirements for a compounding area?

A

Must be separated from the prescription department with all supplies stored off of the floor. There must be running potable water with good lighting, cleanable ceilings, floors, and walls, and a plumbing system free of defects that might result in contamination of any compounded product. Areas for compounding must be kept clean and sanitary.

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80
Q

What are the instances in which a pharmacist would be allowed to compound without a prescription?

A

It is allowed in the anticipation of a prescription in reasonable amounts.

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81
Q

What information must be documented either on the label or the compounding record?

A

5 total things: A complete list of ingredients or name of the preparation, preparation date, BUD, storage requirements, batch or lot number.

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82
Q

What rules must a pharmacy follow for compounding?

A

USP-NF

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83
Q

What special registration must an outsourcing facility have to sell compounded sterile products?

A

Must register under 503B of the DQSA and renew a permit yearly with the ALBOP

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84
Q

Do pharmacies that specialize with sterile compounding have to be registered with the board as such?

A

Yes, that registration has to be renewed every 2 years on even numbered years

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85
Q

Can you compound a prescription for office use?

A

Yes, you have to have a copy of the order written by the physician. The medicine cannot be dispensed to the patient and has to be given to the provider for administration in their office.

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86
Q

How long do you have to keep orders for office use on file?

A

1 year at least (this is technically not a prescription)

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87
Q

Can you compound a commercially available product?

A

No

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88
Q

Can you compound OTC products for sale without a prescription?

A

Yes, these products must be kept behind the counter, can only be sold to the patient after consultation with the pharmacist. They can be made in advance to account for anticipated demand, and cannot be sold to other institutions for sale. You have to label them with all of the appropriate information.

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89
Q

What labeling is required for compounded OTC products?

A

The name, ingredients, directions for use, and any necessary warnings.

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90
Q

Can certain controlled substances be sold without a prescription in the state of AL?

A

Yes, as long as they are not labeled as Rx ONLY by the FDA. Certain brands of codeine are in this category.

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91
Q

What conditions are required for a pharmacist to dispense codeine or opium products without a prescription?

A

The patient must be 18, the pharmacist has spoken with the patient (even though anyone else can process the payment), there has been proof of identification presented, and a log book is kept with the same and address of the purchaser, name and quantity of the drug, and initials of the pharmacist with the date of purchase

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92
Q

What is the max amount of opium products that can be dispensed OTC?

A

No more than 240 mL (8 oz.) or 48 dosage units within a 48 hour period

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93
Q

What is the max codeine product that can be dispensed OTC within a certain period?

A

No more than 120 mL (4 oz.) or 24 dosage units within a 48 hour period.

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94
Q

What OTC meds are required to be behind the counter?

A

ephedrine and pseudoephedrine

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95
Q

What is required in the dispensing of Pseudo-fed and ephedrine?

A

You must specify the type of card used to gather the information my magnetic or manual recording. Name, DOB, valid address, valid ID #, date and time of sale, product name and quantity being sold. The patient must be at least 18 years of age.

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96
Q

Can you sell syringes without a prescription in Alabama?

A

Yes

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97
Q

Is there a limit to the amount of syringes that you can sell without a prescription in the state of Alabama?

A

No

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98
Q

Are there logging requirements for the sale of syringes without a prescription?

A

No

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99
Q

What is the max amount of pseudoephedrine that you can purchase at one time or within 30 days in the state of Alabama?

A

no more than 3.6 grams per calendar day or 7.5 grams per 30 days

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100
Q

Can pharmacists administer vaccinations?

A

Yes

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101
Q

Can pharmacists administer medications?

A

Not addressed in AL law

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102
Q

Is a collaborative practice agreement required for drug administration?

A

Yes

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103
Q

Can a pharmacist refuse to fill a valid prescription?

A

Yes

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104
Q

Who is in charge of the prescription department in a nursing home that does not have a pharmacy?

A

Either the consulting pharmacist on staff or a licensed medical practitioner.

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105
Q

Are you allowed to have undispensed medications on the premises of a nursing home that does not have a pharmacist or license medical practitioner on staff?

A

No. No medications that are not already dispensed to patients are allowed to be on the premises unless they are included in an emergency kit that is authorized by the state board of health.

106
Q

Who can access medications without pharmacy staff present?

A

Only authorized personnel in response to e prescription that cannot be fulfilled by any other medication already dispensed to the patient and delay would cause harm to the patient.

107
Q

How often does a pharmacist have to inspect a stat cabinet?

A

At least monthly

108
Q

How many nurses or physicians in a nursing home can access the pharmacy during a shift if there are no pharmacists present?

A

1

109
Q

What are the labeling requirements for unit dose packaging?

A

Product name, strength, control number, and expiration date

110
Q

What are the labeling requirements for multi-dose repackaging cartrages?

A

Name and strength of drug, resident’s name, ordering physician, fill date, directions for administration, prescription number, expiration date, quantity, and any necessary auxiliary labels

111
Q

Can nursing homes have a dispensary for medications if they are not contracted with a pharmacy?

A

No, because that dispensary is considered to be pharmacy inventory. So technically those medications do not belong to them.

112
Q

Who can access automated dispensing systems?

A

Pharmacists, nurses, technicians, and any equipment maintenance workers only if they are supervised by a nurse, pharmacist, or technician while they do their work.

113
Q

Who is in control of access to the dispensing system ultimately?

A

The dispensing pharmacy because that is technically their property.

114
Q

Where should emergency kits be stored?

A

in places that are secure from unauthorized access

115
Q

What are the requirements of labeling on an emergency kit?

A

They must blatantly say that they are an emergency kit and that they are for emergency use only. They must bare a label that states the name of drugs in the kit, their strength, quantity, expiration, and the name/address/telephone number of the supplying pharmacist.

116
Q

What is required to remove a drug from the emergency kit?

A

A valid written order from an authorized practitioner

117
Q

In what amount of time must the emergency kit be resealed?

A

No more than 72 hours

118
Q

What are the requirements of a nuclear pharmacy to be licensed in the state of Alabama?

A

The permit will only go to a registered nuclear pharmacist and a pharmacy that is licensed in the state of Alabama.

119
Q

What are the requirements for a PIC for a nuclear pharmacy?

A

The PIC must be a valid nuclear pharmacist.

120
Q

What is the process of seeking remote order/prescription approval in the state of Alabama?

A

The supervising pharmacist or the permit holder of the pharmacy must submit a written request to ALBOP 30 days before the meeting in which they will discuss granting them this privilege.

121
Q

Can you participate in off-site order entry without a special permit from ALBOP?

A

No, this is very clearly prohibited.

122
Q

Are central fill pharmacies allowed in the state of Alabama?

A

Yes

123
Q

Can vets, dentists, and doctors compound and dispense to patients on-site?

A

Yes

124
Q

Can retail pharmacies accept drug samples?

A

No

125
Q

What are the record keeping requirements for physicians, vets, and dentists that dispense controlled substances?

A

Same as pharmacy but they have to maintain records for at least 5 years

126
Q

What kind of pharmacy is a prison pharmacy?

A

Institutional

127
Q

Can vets prescribe to humans?

A

No.

128
Q

What kind of pharmacy is an ER or Urgent Care pharmacy?

A

Institutional

129
Q

How far beforehand do PBMs have to notify the pharmacy of an on-site audit?

A

at least 2 weeks

130
Q

Does the auditor have to let the pharmacy know what articles they are using for audit?

A

Yes

131
Q

How long does the pharmacy have to present the requested information from the on-site audit?

A

30 days if they can not present it during the on-site audit.

132
Q

How far back are PBMs allowed to audit?

A

2 years

133
Q

How quickly does the preliminary audit report from the PBM audit have to be presented to the pharmacy?

A

within 90 days unless they are given an extension which may be available upon request

134
Q

How long does the pharmacy have to present information to debate discrepancies in the preliminary audit report after it is presented?

A

30 days unless an extension is granted upon request

135
Q

How long after the preliminary report is the final report required to be presented to the pharmacy?

A

180 days after the preliminary report

136
Q

How often must a print out of the daily non-controlled refills be signed at the very least? What pharmacists have to sign it?

A

At least once weekly. All pharmacists involved in dispensing the prescriptions must sign and date it.

137
Q

How often must you print out a report of controlled substance refills? Who must sign it?

A

Every day. Every pharmacist that was involved in dispensing must sign and date it.

138
Q

How long do pharmacies have to hold onto prescription records?

A

2 years regardless of control or non-controlled

139
Q

Who can you disclose patient information to?

A

The patient and anyone the patient has authorized you to disclose their information to

140
Q

How frequently do you have to report patients to PDMP?

A

daily

141
Q

Are you required to report TB?

A

Yes, if you are dispensing anti-TB medications you have to report it

142
Q

Do we have to report to VAERS? What information?

A

Yes! We are required to report any adverse events listed by the manufacturer or any contraindications listed by the manufacturer of receiving future vaccines

143
Q

Are we required to report to MedWatch?

A

No

144
Q

What must a medication profile contain at minimum?

A

Patient name, age, gender, address, phone number, patient history and medications/devices, and pharmacist comments

145
Q

What articles of a prescription are not allowed to be changed by the pharmacist?

A

Patient name, the drug, the prescribers signature, and the “do not fill before” date if there is one

146
Q

Do you have to consult with the physician before changing a prescritpion?

A

Yes! Unless it is just a spelling error

147
Q

Is Alabama a permissive or mandatory substitution state?

A

Permissive. You get the choice if the prescriber writes the Rx for the brand name product.

148
Q

Can you still substitute a generic for a brand name product if the prescriber is from out of state?

A

Yes, as long as the prescriber doesn’t state that you cannot or they did not sign on the DAW line.

149
Q

Can you substitute a biological product? How?

A

Yes, you have to tell the prescriber the name and manufacturer of what you substituted their product for within 24 hours not counting Sunday and federal holidays.

150
Q

What is the requirement for a prescription pad for a written prescription in the state of Alabama?

A

Two signature lines: product selection permitted and DAW

151
Q

Where must the fax machine be located?

A

Within the prescription department of the pharmacy

152
Q

What are the conditions that allow a pharmacist to be able to fill a faxed prescription for a CII as the original copy?

A

The fax must be signed by the physician and be from a physician’s office or long-term care facility.

153
Q

When can a faxed CII prescription serve as the original?

A

Only when it is for a long-term care or hospice patient, or it is for a compounded parenteral product. Otherwise, an in-person prescription must be presented to the pharmacist before dispensing.

154
Q

Can CIII-CV prescriptions have a faxed copy for the original copy?

A

Yes

155
Q

Explain the process of signing an e-scribed prescription.

A

The practitioner must be credentialed by the DEA and inspected by a third party in order to send e-scripts through their software. After this, in order to properly sign the prescription, the practitioner has to use 2/3 of the following methods: biometric scan (i.e. fingerprint), physical chip insertion, or a code that changes and is not known by anyone else.

156
Q

What control schedules are allowed to be e-scribed?

A

CII-CV

157
Q

Can you send e-scripts across state lines?

A

Yes

158
Q

Who is allowed to take an oral prescription?

A

Pharmacists and interns

159
Q

Who can call the pharmacy and give a prescription from the physician?

A

The physician or anyone they designate to do so.

160
Q

Who can take prescriptions from voicemail?

A

Pharmacists and interns

161
Q

How many times can legend drugs be transferred?

A

Unlimited

162
Q

How many times can CIII-CV be transferred?

A

Once, unless they share a real-time database (i.e. CVS). Then they can be transferred as many times as there are refills on the prescription.

163
Q

When do CIIs expire?

A

Never

164
Q

When do CIIIs expire?

A

6 months or 5 refills, whichever comes first

165
Q

When do CIVs expire?

A

6 months or 5 refills, whichever comes first

166
Q

When do CVs expire?

A

Never, unless they are partially filled then it will expire in 6 months

167
Q

Do you have to include the telephone number of the pharmacy with every dispensed prescription?

A

Yes

168
Q

Who is allowed to counsel?

A

Pharmacist or properly supervised intern

169
Q

When do you have to offer counseling to a patient?

A

With every new prescription and with every refill where the pharmacists deems it appropriate.

170
Q

How can a pharmacy become a drug disposal location?

A

They have to register with the DEA and notify ALBOP within 10 days of receipt of approval

171
Q

Can a patient return a prescription?

A

No. Not under any circumstances.

172
Q

Can you dispense medications that have been returned to the pharmacy by the patient?

A

No. You cant even accept their return in the first place.

173
Q

What are the requirements for a prescription pad to take oral prescriptions?

A

The pad must have two signature lines, one thats DAW and another that is product selection permitted

174
Q

Can you fill CIIs for the indication of weight loss?

A

Never

175
Q

What prescribers can delegate controlled substances for the indication of weight loss?

A

MDs and DOs

176
Q

Can you put “fill after” dates on controlled prescriptions for the indication of weight-loss?

A

No, they have to we written and signed on the same day that they are indicated to be filled

177
Q

Can you send over controlled oral prescriptions for the indication of weight loss?

A

No, they cannot be oral. They have to be e-scribed or physical.

178
Q

Does the physician have to be in the office in order to prescribe a controlled substance for weight loss?

A

Yes

179
Q

What is the required BMI for patients receiving controlled substances for the indication of weight loss?

A

BMI of 30, or 25 with one of the required risk factors

180
Q

What is the maximum days supply that can be written on a controlled substance prescription for weight loss?

A

35 days

181
Q

Are they required to monitor the patient within the 35 days of controlled prescription they have written for weight loss?

A

yes

182
Q

How often must a physician see the patient in person while treating them with a controlled substance for weight loss?

A

At least every 35 days. They have to evaluate them in person and write them a new script. Between fills, the patient is required to be monitored but that can be done by anyone qualified to do a physical assessment.

183
Q

How many refills are allowed on non-controlled substance for the indication of weight loss?

A

5, and the script is only valid for 6 months.

184
Q

After how many days of therapy should a controlled substance for weight loss be discontinued if there are no results?

A

70

185
Q

Do you have to discontinue controlled substances for the indication of weight loss if the patient is pregnant?

A

yes

186
Q

Can prescriptions from out of the country be filled in Alabama?

A

No

187
Q

Can you fill a prescription from out of state?

A

Yes

188
Q

Do prescribers have to register with ALBOP in order to prescribe controlled substances?

A

No

189
Q

Do pharmacies and pharmacists have to register with ALBOP in order to dispense controlled substances?

A

Yes

190
Q

How often do pharmacies and pharmacists have to register with ALBOP in order to dispense controlled substances?

A

Biannually

191
Q

Are pharmacists required to check PDMP in order to dispense controlled substances?

A

No

192
Q

In what three scenarios can a faxed CII serve as the prescription?

A

LTC, hospice, or parenterally compounded agents

193
Q

In what two scenarios are oral CII prescriptions ok?

A

LTC and hospice

194
Q

What two federally non-controlled medications are controlled in Alabama?

A

Fioracet and Gabapentin

195
Q

Is there a day supply limit on CII prescriptions?

A

No, even though insurance companies require it there technically is no law against it

196
Q

Is post-dating allowed?

A

No. They have to be dated for the day they were written. However, a prescriber may state to not fill until a certain date.

197
Q

If a pharmacy partial fill a CII, in how many days do you have to fill the remainder?

A

72 hours

198
Q

If a non-hospice patient requests a partial fill on a CII, how long do they have to fill the remainder?

A

30 days

199
Q

If a patient in a LTC facility for a terminal illness requests a partial fill for a CII< how long do they have to fill it?

A

60 days

200
Q

When can you give an emergency refill of a CII?

A

Only for hospice, home health, or LTC with an emergency oral prescription from the doctor.

201
Q

How many days worth of an emergency fill can you give?

A

72 hours worth

202
Q

How many days after an emergency oral CII RX does the prescriber have to mail in the hard copy?

A

7 days

203
Q

Do state agencies have to register with the state to dispense controlled substances?

A

No.

204
Q

How do you register with the DEA to dispense or prescribe controlled substances?

A

Form 224, the application form

205
Q

What is the DEA certificate that you are given once you are approved to dispense controlled substances? Where do you have to keep it?

A

DEA form 223. Must keep it on site at the pharmacy.

206
Q

How often do you have to renew a DEA registration?

A

Every 3 years

207
Q

What is the different between application 224a and 224b?

A

224a is the original version of the form, but 224b is for a chain of pharmacies that are owned by the same entity.

208
Q

What does the X mean in a DEA number?

A

That the provider is DATA waived and can prescribe buprenorphine for opioid treatment.

209
Q

What do the first letters in a DEA number mean?

A

ABFG –> practitioner, pharmacists, and pharmacies/institutions
M –> Mid-level practitioner
X –> buprenorphine privledges
PR –> manufacturer, distributer, researcher

210
Q

How can you check if a DEA number is legitimate?

A

The second letter is the first letter of the last name of the practitioner or the first letter of the institution, #1, 3, and 5 add up, #2, 4, and 6 add up. Multiply the latter by 2 and add it to the first set of numbers. The last number of that number is the last number in the DEA#.

211
Q

How much does it cost to renew a DEA license and when do you have to do it?

A

$888 and every 3 years

212
Q

Can you complete form 224a online?

A

Yes

213
Q

What DEA form is used to transport ownership of controlled substances?

A

222

214
Q

What DEA form is used to report loss or theft of controlled substances?

A

106

215
Q

What DEA form is used to report the destruction of controlled substances?

A

41

216
Q

How long do you have to keep records for controlled substances?

A

2 years

217
Q

Is there a state naloxone standing order?

A

Yes

218
Q

What practitioners cannot prescribe CIIs?

A

6 –> pharmacy, PT, chiropractor, optometrist, RN, psychologist

219
Q

Can psychiatrists prescribe CIIs?

A

Yes

220
Q

What practitioners cannot prescribe methadone?

A

6 –> pharmacist, RN, PT, psychologist, optometrist, chiropractor

221
Q

How much of a CIII can a, optometrist supply?

A

96 hours worth

222
Q

What practitioner can prescribe CIII-V but not CII?

A

Optometrist

223
Q

Is medical marijuana legal in Alabama?

A

No

224
Q

What criteria must NPs and PAs have to write for controlled substances?

A

DEA#, collaborative practice with a physician, QACSC (CIII-V), and LPSP (CII)

225
Q

What schedule is methadone?

A

CII

226
Q

What are the rules on reporting a breach of HIPAA information?

A

You must report it within 60 days if it involves more than 500 people, otherwise it just has to be reported annually

227
Q

What are all of the reasons that a drug would need to be quarantined?

A

I CARE: investigational, counterfeit, adulterated, recalled, expired

228
Q

How much APAP in OTC medications required it to have child-resistant packaging?

A

> 1 gram per package

229
Q

How much aspirin is required to have child resistant packaging OTC?

A

All aspirin products no matter how much, unless they are effervescent tablets

230
Q

How much IBU is required to mandate child resistant packaging OTC?

A

> 1 gram/ package

231
Q

How much naproxen is required to mandate child resistant packaging in an OTC product?

A

> 250mg/package

232
Q

How much ketoprofen in a package mandated child resistant packaging OTC?

A

> 50mg/package

233
Q

How much iron in and OTC package mandates child resistant packaging?

A

> 250 mg elemental iron/package

234
Q

How much diphenhydramine in and OTC package requires child resistant packaging?

A

> 66mg/package

235
Q

How much loperamide required child resistant packaging OTC?

A

All loperamide products regardless of quantity

236
Q

How much minoxidil requires child resistant packaging OTC?

A

all minoxidil regardless of package size

237
Q

An OTC product that was previously ____ requires child resistant packaging regardless of quantity.

A

RX Only

238
Q

What two products do not require child resistant packaging regardless of quantity?

A

APAP or ASA powder

239
Q

Can you purchase REMS medications from other pharmacies?

A

No, you have to purchase REMS medications from distributers that are certified to distribute REMS medications.

240
Q

How long do you have to keep a patient’s privacy disclosure?

A

6 years

241
Q

How long does a patient have to request documentation of their privacy disclosures?

A

6 years.

242
Q

Generic Actiq

A

fentanyl

243
Q

generic Hysingla ER

A

hydrocodone

244
Q

generic zohydro er

A

hydrocodone

245
Q

generic vicodin

A

hydrocodone/apap

246
Q

generic vicoprophen

A

hydrocodone/ibu

247
Q

generic demerol

A

meperidine

248
Q

generic methadose

A

methadone

249
Q

generic endocet

A

oxycodone/paracetamol

250
Q

generic percodan

A

oxycodone/ASA

251
Q

generic dexedrine

A

dextroamphetamine

252
Q

generic syndros

A

dronabinol solution (CII)

253
Q

When does the supplier have to notify the DEA of their order being sent for controlled substances if it was ordered with CSOS?

A

2 business days

254
Q

When does the supplier have to notify the DEA of their order being sent for controlled substances if it was ordered with form 222?

A

By the end of the month in which they order was ordered by the pharmacy

255
Q

Can you endorse an order to another supplier if you order controlled substances by CSOS?

A

no, only if it is completed by physical form may it be delegated to another supplier

256
Q

What schedules can you order with a physical 222 form?

A

CI, CII

257
Q

What schedules of medications can you order with a CSOS form?

A

CI-CV

258
Q

How many items can you order with a physical 222 form vs. CSOS?

A

10 items on the three page 222 form, 20 items on the one-page 222 form, and unlimited number of items on the CSOS

259
Q

Is spilling tablets of Norco onto the floor considered to be a “loss”?

A

No, therefor you do not have to fill out form 106. You must fill out form 41 and dispose of the tablets.

260
Q

What do you do if you spill hydrocodone syrup all over the floor?

A

You do not fill out any DEA forms. Not 106 OR 41, you simply must document it in inventory and have two witnesses sign the record.

261
Q

Explain methadone take-home dosing.

A

For the first 90 days of treatment, you can only take home one dose per week. The rest of the doses have to be given at the treatment center. After that, day 91-180, you can take home two doses per week. After that (181-270), you can take home three doses per week. Day 271-365 you can take home 6 days worth of methadone from the treatment center so you only have to do there once per week. After 1 year of treatment (day 366), you can take home two weeks of treatment. After year 2 (day 731), you can take up to a month’s worth home from the treatment center. You have to come back once a month for check ups.

AL MPJE (1 decks)

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