NY Law Flashcards
1
Q
Time frame to report change of registrant’s address to board?
A
30 days
2
Q
Board of Pharmacy Members
A
13 Members total
9 Pharmacists, 2 Technicians, 2 Members of Public
The state Board of pharmacy consists of at least nine pharmacists who have been licensed in the state of New York for at least five years.
The executive secretary of the Board must be a NYS licensed pharmacist for at least five years.
3
Q
Pharmacy Intern Requirements
A
-Enrolled in Pharmacy school, completed 1st year of professional study
-Initial permit last 5 years, can renew once for a max of 2 years
-Preceptor must be a licensed pharmacist for at least 1 year
4
Q
Pharmacy Minimum Square Footage
A
300 square feet with at least 100 square feet dedicated to manufacturing, compounding, dispensing
5
Q
Filing requirements for C2 prescriptions?
A
File hard copy C2 separate, C3/4/5 separate, non-controls separate
6
Q
How long must hard copies of prescriptions, drug records be kept on premises?
A
5 years
7
Q
LEP Sign Requirements
A
Must be posted adjacent to or displayed at each counter where prescriptions are dropped off and picked up. Arial font, size 20
8
Q
Time to Notify Board of Change in Ownership
A
30 days
9
Q
Time frame to notify board of a change in officers of a corporation or in stockholders holding more than 10% of stock of company?
A
30 days
10
Q
Time to notify board of changes to PIC?
A
7 days
11
Q
Time to Notify Board of Changes in Address?
A
At least 30 days prior to expected relocation
12
Q
Required pharmacy equipment
A
-Class A balance (6 mg), metric weights
-devices capable of measuring 0.1-500 mL
-mortar and pestle
-refrigerator
-copy of NY laws
-hot and cold running water
13
Q
A
14
Q
Non-Resident Pharmacy Requirements to keep NYS Registration
A
-Maintain records of shipments to NYS
-Supply information upon request
-Provide agent of record which has to be a NYS resident
-Provide a toll free telephone # that is located on the label affixed to each drug
-Number should allow for communication between a NYS patient and a pharmacist who has access to records during normal business hours and >40 hours/week
-Must be licensed in the state they are located and NYS
15
Q
In the situation of a complaint against a Non-resident Pharmacy that is not an emergent issue to public health, the Department of Health will not prosecute the complaint if the home state of the pharmacy acts within:
A
120 days
16
Q
Exceptions to electronic prescriptions
A
Veterinarians, out of state physicians, VA, temporary technological/electrical failure, prescriber has a waiver (due to financial or technological reasons, should not exceed 1 year, physician cannot transmit in a timely manner.
With the exception of veterinarian and out of state prescribers, the reason for the non-erx must be documented in the patient’s chart at the prescriber’s office.
17
Q
In NYS, oral prescriptions for controlled substances are limited to how many days?
A
5 days
18
Q
Requirements for NYS Prescription Form
A
-Line for prescriber signature
-Imprinted or stamped name of signing prescriber
-Imprinted plainly in size 8 font, “THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS THE DOCTOR PRINTS “DAW” IN THE BOX BELOW”
-Imprinted plainly in size 6 font “Dispense as Written”
-Only one drug per prescription form (except for pharmacists in hospital, nursing home, residential health care facilities)
19
Q
Requirements for pharmacy records of filled or refilled prescriptions
A
-Must be kept on premises for 5 years
-Indicate date of filling/refilling
-Doctor’s name
-Patient’s name/address
-Name or initials of pharmacist who dispensed
20
Q
What is a pharmacist authorized to do if the generic or biologic equivalent of a drug is not available?
A
In this situation when the generic is not available. the pharmacist can dispense the brand as long as it is the same price as the generic or is a medical emergency. The requires documentation of the date, time, and nature of the medical emergency on the back of the prescription.
21
Q
Dextromethorphan Requirements
A
Must be 18 to purchase, don’t need to ID if patient looks over 25 years old
22
Q
Timeframe for board to impound drugs for analysis/condemnation after a pharmacy fire
A
48 hours
23
Q
Drug Retail Price Lists
A
-150 most frequently prescribed drugs in frequently prescribed quantities
-Every NYS pharmacy that sells drugs at retail must have this list
-A consumer can request a computer-generated list to be provided to them at pharmacy
-If the selling prices changes during the week, the pharmacy is allowed to charge the new price
-List of drugs updated annually
-Prices updated weekly with specific date/time of update
24
Q
CE Requirements
A
-45 hours every 3 years
-23 hours must be live
-3 credits on how to reduce medication errors
25
Pharmacies with 8 or more locations & translation services
-Pharmacies with 8 or more locations and the same owner are "covered pharmacies"
-Covered pharmacies must provide free oral interpretation and translation services for prescription drugs and standardized medication labeling
-Interpretations in the pharmacy’s primary languages should be on the written material, which is not required to exceed seven languages. Primary languages are languages spoken by greater than 1% of the population as determined by the US Census.
-There must be a conspicuous sign in the pharmacy to notify a patient’s right to free competent oral interpretation and translation services in the pharmacy’s primary languages. To qualify for a waiver, the covered pharmacy must show that providing these services will be unnecessarily burdensome.
26
Midwives Prescribing
-Midwives can prescribe after completing a 3 credit course in pharmacology related to the practice of midwifery
-Can prescribe controlled substances after obtaining a DEA number
-Do not need a counter signature from a physician
-Midwives can prescribe for men ONLY for partner treatment for the sexual transmitted illness Chlamydia Trachomatis, gonorrhea, and trichomoniasis.
27
Who must midwives be in a collaborative agreement with?
-OBGYN, physician who practices obstetrics and has obstetric privileges at a hospital, or hospital that provides obstetrics through a licensed physician
28
Midwife abbreviations
-LM (licensed midwife)
-CNM (certified nurse midwife)
-CM (certified midwife)
-F (is the letter preceding a midwive's license number)
29
Optometrists Prescribing
-NYS optometrists must be licensed in the use of phase 1 therapeutic agents before being licensed in the use of phase 2 therapeutic agents.
-Phase 1 therapeutic agents are limited to topical application of the surface of the eye
optometrists who receive an oral therapeutic pharmaceutical agent certification can prescribe oral Augmentin, Keflex, Bactrim, azithromycin, and doxycycline.
-In addition, they can prescribe acetazolamide and methazolamide, for a max of 24-hour prescription and refer to an ophthalmologist.
-They can also prescribe valacyclovir and acyclovir for a max of 7-day prescription and refer to an ophthalmologist.
-License has an U or V before
30
Physician Assistants Prescriptions (LPA)
-Can be written on their own blank, but must include:
-Supervising Physician's imprinted name
-Patient's name, address, age
-LPA's information
-Supervising Physician's address/phone (only if non-triplicate)
-The prescriptions must be signed with their name, the letters “P.A.”, and license number.
31
How many LPAs can a physician supervise in an outpatient setting?
4 LPAs, or 2 LPA & 2 RPA in private outpatient practice
32
How many LPAs can a physician supervise in an inpatient (hospital) setting?
6 LPAs- (2 RSA & 4 LPAs, 1 RSA & 5 LPAs)
33
What can pharmacists add or clarify on a prescription?
-Patient's Age
-Patient's Address
-Drug Strength
-Drug Quantity
-Directions
-Prescriber's address, telephone number, profession
34
A supervising pharmacist is required to work how many hours?
>30 hours, full time employee, (must work most of the hours the pharmacy is open if the pharmacy is open <30 hours/week
35
Within how many days must BOP be notified if there is a change in supervising pharmacist?
7 days
36
Regulations for Repackaging Drugs
-must be done by pharmacist or someone under pharmacist's immediate supervision
-Expire in 1 year or 50% the time remaining to the manufacturer's expiration date, whichever is less
37
Regulations for Patient Med-Pak
-package is moisture proof & non-reclosable
-Expiration date for package will be 60 days or shortest expiration date of drug
-Patient must consent to med-pak, be educated on how to identify medication, and on what to do if therapy is changed
-Cannot contain controlled substances of medications incompatible with packaging
38
What activities CAN unlicensed personnel perform?
-Data Entry
-Return to Stock
-Typing, affixing labels
-counting inventory
-delivering prescriptions to patient
39
What activities are unlicensed personnel NOT able to perform?
-receive oral prescriptions from prescriber
-interpret prescription to confirm accuracy and check for drug interactions
-make generic substitutions
-measure/weigh/compound, mix ingredients
-sign/initial any record of dispensing
-counsel patients
-perform any function that requires professional judgment
-dispense a drug without pharmacist review
40
Pharmacy to unlicensed personnel ratio
Pharmacist can only supervise 4 unlicensed personnel at one time. This ratio does not apply to the institutional setting if the unlicensed personnel will only be receiving written or electronically transmitted prescriptions or placing medication into medication carts
41
Time frame to notify board of change in name or address
30 days
42
If the stockholders of the company that owns the pharmacy change by >10%, what is the time frame to notify the BOP?
30 days
43
Timeframe to notify BOP is pharmacy is damaged by flood or fire?
48 hours
44
Electronic Prescription Requirements
-Electronically encrypted to prevent alteration by an unauthorized person
-Records must be maintained for 5 years
-Must be able to provide hardcopy upon request
45
Non-controlled substance Prescription Transfers
-One refill authorized per transfer
-Directly from one Pharmacist to another Pharmacist
-Transfer of prescription can be done orally, written or electronic means
-The pharmacist receiving the prescription must produce a hardcopy and ensure that the term "refill transfer" appears on the face of the hardcopy
46
Divider requirements for pharmacies located inside larger establishments
-Must be enclosed by a divider at least 9 feet, 6 inches high
-If the ceiling is shorter than that, the divider must be from floor to ceiling
-
47
Nuclear Pharmacist Training Requirements
200 hours classroom and 500 hours hands on pharmacy training
48
Required Elements of Patient Profile
-Patient's Name
-Address
-Telephone Number
-Gender
-DOB/Age
-Drug Allergies
-Chronic Diseases
-Medication Device List
-Relevant information for counseling
49
Before dispensing, pharmacist must perform a prospective drug review that screens for drug issues related to:
-therapeutic duplication
-drug-drug interactions for prescription or OTC drugs
-Incorrect drug dosage
-Incorrect drug therapy duration
-drug-allergy interactions
-clinical abuse/misuse
50
For Brick & Mortar, Online, and Mail Order Pharmacies, how to obtain retail drug price list?
-Brick & Mortar-A sign stating "Retail Drug price list available upon request in bold, block letters at least 1 inch in height
-Online Pharmacies- a notice on the website and a toll free number to call to obtain the list
-Mail Order-A printed notice with each delivered medication on the availability of the list and a toll free number to call to obtain the list
51
Counseling on prescriptions in a brick & mortar pharmacy
-Counseling must be conducted for every new patient and every new medication
-Can be performed by a Pharmacist or Pharmacy Intern
-Unlicensed personnel can offer consultations on behalf of pharmacists/interns for patients picking up refills
-Patients who refuse counseling must be documented in pharmacy records
52
Counseling on Delivered Prescriptions
-Must include a written offer to counsel that includes a toll free number for long distance calls to reach a pharmacist/intern
-Before dispensing delivery prescriptions with identified drug therapy problems, the pharmacist/intern must offer counseling to the patient via phone or in person
53
Counseling Requirements on Delivered Prescriptions when the prescriber has approved an alternative drug be dispensed
-Have a special written notification that advises the patient that a prescriber approved alternative drug has been dispensed, the directions of use for each drug and the availability of counseling on the drug
-Make and document a reasonable effort (at least 2 times) to offer to counsel within 48 hours of prescription delivery
-Document patients who do not want to be counseled, do not have a phone, or did not provide a phone number
54
How long must you keep records of your completed CEs?
6 years
55
Exceptions to registration of non-resident establishments
-A pharmacy does not have to register as a non-resident establishment in NYS if :
-The pharmacy dispensed <600 prescriptions/year to NYS
-The manufacturer/wholesaler sales to NYS is <$10,000/year
56
Who must immunizations be reported to after administration?
-Patient's PCP
-NYSIIS (NYS Immunization Information System)
-NYS DOH or NYC Dept of Health & Mental Hygiene
57
Time frame required to report immunizations to required entities?
-within 1 month and 14 days for patients 19 years and older with their consent
58
Collaborative Drug Therapy Management-requirements for PharmD or Masters of clinical pharmacy
-must have 2 years of experience with at least 1 year of experience occurring in the last 3 years
-1 year of experience is defined as at least 1680 hours with an average of 15/hours per week involving consultation with physicians with regard to drug therapy
59
Collaborative Drug Therapy Management- requirements for those with a BSPharm
-Must have 3 years of experience within the last 7 years, which includes one year of clinical experience
-There is no clarification on how recent the pharmacist's one year of clinical experience has to be
-1 year of experience is defined as at least 1680 hours with an average of 15/hours per week involving consultation with physicians with regard to drug therapy
60
Requirements for Collaborative Drug Therapy Management (CDTM) Written Agreements/Protocols
-The CDTM is authorized by a physician who is employed or affiliated with the same facility as the pharmacist
-Pharmacists can change strength, frequency, route of administration
-Can also order labs if necessary and specified in the CDTM
61
Waivers of the requirements for translation services for prescriptions
-last for 1 year
-must be specific to each covered pharmacy
-requires proof of physical or financial constraint
-renewable via application
62
Prescriptions & electronic prescriptions and LEP requirements
-Must have a section indicating if a patient has limited english proficiency and list the preferred language
63
What functions can Pharmacy Interns Perform?
-Registered pharmacy interns are authorized to administer immunization injections under the supervision of a pharmacist to those over 18.
-must complete 1st professional year of study
-Interns can perform all the same tasks as pharmacists except interns cannot sell self-defense sprays, sign the Official New York State Prescription Form or initial or sign a prescription without a pharmacist doing the same.
64
Who is held responsible for misconduct in a pharmacy?
The supervising pharmacist & the owner
65
66
Administration records for each Schedule II controlled substance sub stock on a floor, operating room or emergency room must include:
-Patient's name
-Prescriber's name
-Quantity given
-Remaining balance on hand after administration
-Administering nurse's signature
-Controlled substance type, dose, and # of doses delegated to location
-Administration date and hour
67
How long can PRN controlled substance orders remain active in an institutional setting?
72 hours
68
How long do standing orders in an institutional setting remain active before they expire?
7 days
69
What is the exception to standing order expiration dates in institutional settings?
If the standing order is for stabilized patients with convulsive disorders or minimal brain dysfunctions in residential healthcare facilities or prisons, the standing order can last 30 days before it expires.
70
What must be recorded after a controlled substance from a sealed emergency kit in an institutional setting is administered to a patient?
-Administration Date
-Patient Name
-Prescriber's name
-Quantity given
-Drug type
-Administering person's signature
-Administration hour
-Balance of controlled substance in emergency kit after use
71
Requirements for Institutional emergency kits containing controlled substances
-Within 48 hours, an oral order must be signed by the prescriber for using the medication in the kit
-Within 24 hours, the pharmacy should be notified that the kit was opened
-No CIIs in the kit, it should have limited access
-Max of 24 hour supply of 10 different controlled substances in unit dose packaging, of which <3 are injectables.
-Double locked, secure, stationary
72
Destruction of controlled substances
-request should be sent to DOH 2 or more weeks before destruction date
-Request should include:
-Inventory to be destroyed
-Destruction Method
-Destruction date/time/location
-Identities of 2 or more people to conduct & witness destruction
73
Exception to requirement for examination of patient by prescriber prior to issuing a controlled substance
Emergency situation and supply is <5 days
74
What other drugs cannot be refilled in NYS like CIIs?
Benzodiazepenes & anabolic steroids
75
Refills of CIII, IV, V regulations (excluding benzodiazepenes & anabolic steroids)
-Maximum of 5 refills
-expires 6 months from date of issue
-prescriptions with a code for more than 30 day supply can be refilled ONCE
-Can be refilled up to 7 days earlier (7 day rule)
-The prescriber can permit an even earlier refill date
76
Prescriptions for controlled substances and max daily dose
-Dose, frequency and max daily dose must be written on prescription
-Dose should be both in numerical and written word form
77
Codes on controlled substance prescriptions to allow greater than 30 day supply
Code A: Panic Disorder
Code B: ADD
Code C: Chronic debilitating neurologic conditions
Code D: Chronic or incurable pain relief
Code E: Narcolepsy
Code F: hormone deficiency in males, metastatic breast cancer in women, anemia, angioedema, conditions that require anabolic steroid treatment
All but Code F can be issued up to a 90 day supply.
Anabolic steroids can be up to 6 months
78
New prescriptions for controlled substances can only be issued when there are how many days remaining?
7 days
79
Time frames for faxed controlled substance prescriptions
-A controlled substance prescription can be manually signed and faxed to a pharmacy
-The prescriber must deliver the hardcopy prescription to the pharmacy within 72 hours
-Within 7 days of dispensing, the pharmacist will notify the department if a written prescription is not received
80
Controlled substance prescriptions for hospice and RHCF (Residential Healthcare Facilities)
-Controlled substances for hospice and residential healthcare facilities can be faxed to a pharmacy
-The RHCF or hospice programs must be licensed
-The pharmacy must be contracted with the facility
-Prescription must note RHCF or hospice patient
81
Emergency oral orders for controlled substances
-Limited to 5 day supply
-written or electronic prescription must be received within 72 hours, must state "authorization for emergency dispensing"
-Pharmacy must notify Department of Health within 7 days if follow up hardcopy not received
-Exception- a 30 day supply or 100 dosage unit supply of a Schedule IV, non-benzodiazepene may be given
82
Timeframe for notification of Department of Health for dispensing of controlled substances
If a pharmacy/pharmacist dispenses a controlled substance, they must notify department of health within 5 days
83
Expiration date on a controlled substance prescripton
30 days
84
Situations where an institutional prescriber can give a controlled substance
-One dose of a controlled substance for a critically ill patient whose transfer to another facility is expected to take 3+ hours
-A practitioner can dispense a 24 hour supply of a controlled substances if there are no pharmacy services during an emergency
85
Addiction Treatment Centers & Methadone Reporting
-Addiction treatment program coordinators must submit a monthly methadone usage report
-The report must contain:
-Inventory of the controlled substance at the beginning and end of the month
-Inventory date
-Signature of the person conducting the count
-Received controlled substance-quantity, distributor, form, and dosage unit
-Separate listing of quantity prescribed, dispensed & administered
-Sum of the methadone surrendered to the Department of Health
-Monthly patients treated
-incidents of theft/diversion
86
Pharmacist duties for oral prescriptions for syringes & needles
-Reducing the oral prescription to a written or electronic prescription
-verify the identity of the patient, prescriber
-signing the record, note date of sale, keep records for 5 years
87
How long are refills on syringe/needle prescriptions good for?
2 years from the date of issuance
88
Expanded Syringe Access Program Requirements
-Pharmacy must be registered with the Department of Health
-Buyer must be over the age of 18
-Quantity must be less than 10 syringes
-Pamphlet must be given
89
Can Pharmacies advertise about the sale of hypodermic syringes/needles?
No- but they can have in store signs
90
Pharmacy services in a nursing home
-written orders preferred, but oral orders are allowed to a RPh or nurse
-Prescriber must countersign within 48 hours
-
91
What elements of the prescription label must be bolded?
Patient Name, Drug, Directions
92
Prescriptions from physician assistants
Prescriptions written by a PA must be signed with their name, the abbreviation “P.A.”, their license number, must fulfill the general requirements for electronic prescriptions.
PAs can write inpatient medical orders for both controlled and noncontrolled substances which must adhere to state laws such as Part 80 Controlled Substance and institutional rules.
Countersignatures are only required for medical orders (inpatient) if required by the supervising physician or hospital, not for prescriptions (outpatient) within 24 hours. The orders must include the PA’s name and supervising physician’s name. Prescriptions can be filled before the physician’s countersignature.
93
What schedule is Testosterone in NYS?
Schedule 2
94
Quantity Limit on dispensing medical marijuana
60 day supply
95
Acute pain opioids
-Must dispense an initial 7 day supply for acute pain
-Prescriber can issue another prescription after the acute 7 day supply
-Pharmacists can continue to dispense 30 day supplies after the initial 7 day supply
96
How often must an outsourcing facility submit a report identifying the drugs compounded to the executive secretary of the state board?
Every 6 months
97
98
Records for purchases of behind the counter drugs must be maintained for?
2 years
99
The logbook requirement does not apply to any purchase of a single sales package containing how much pseudoephedrine?
Not more than 60 mg
100
Pursuant to a non-patient specific order and protocol, a pharmacist may dispense up to a _____day supply of HIV/PEP drugs for those who have potentially been exposed to HIV?
7 day supply
101
What is the definition of a poison under NYS law?
Can be destructive to adults in quantities of 60 grains or less
102
NYS Optometrist Phase 1 drugs
i. antibiotic/antimicrobials;
ii. decongestants/anti-allergenics;
iii. non-steroidal anti-inflammatory agents;
iv. steroidal anti-inflammatory agents;
v. antiviral agents;
vi. hyperosmotic/hypertonic agents;
vii. cycloplegics;
viii. artificial tears and lubricants.
103
NYS Optometrist Phase 2 Drugs
. beta blockers;
ii. alpha agonists;
iii. direct acting cholinergic agents.
104
The Department of Education will mail a licensure application to each registered licensee at least__________before the start of a registration period?
4 months
105
What is the duty of the State Board of Pharmacy?
Preparing licensing examinations
(Department of Education issues licenses)
106
Does the pharmacist need to notify the prescriber when substituting a cheaper product?
No, the pharmacist does not need to notify the prescriber when substituting a cheaper product UNLESS the product is a biologic, in which case the prescriber must be notified within 5 days
107
What are critical, patient-centered data elements on a prescription?
Patient name, directions for use in full sentences, and drug name/strength
108
Pharmacists transferring license; experience requirements
1 year of experience in the 5 years preceding license application
109
Nuclear pharmacies are required to have...
-pH determination device
-NABP certified nuclear pharmacist must be present during hours of opening
-NOT required to have a freezer
-only nuclear pharmacies with both radioactive & nonradioactive drugs are required to have a separate storage location.
110
How must the patient be notified by the pharmacy if a prescriber approves an alternative drug for a delivered prescription due to a drug therapy issue?
Pharmacist must include a WRITTEN notification to the patient (not oral) that must be included with the delivered medication
111
Who can authorize a standing order in NYS?
-Physician, NP, Commissioner of Health
112
How long do applicants have to wait to re-apply for NYS licensure after the panel determines the applicant does not have good moral character?
18 months
113
Within how many days of not responding to the Dept of Health or Dept of Education is it considered unprofessional conduct?
30 days
114
When notifying the State BOP of a drug auction, what needs to be included in the notice?
Date, time, and place of auction (Drugs DO NOT need to be included)
115
What are Med-Pak Records required to have that repackaging is not?
Med-Pak records are required to have identification characteristics to allow for preparation of subsequent identical packages
116
What are required on the daily pharmacy records?
-Patient
-Prescription #
-Prescriber
-Pharmacist who filled the prescription
(drug manufacturer NOT required)
117
What is true regarding interns, residents, or foreign physicians prescribing controlled substances?
-They must use the institutional DEA number and suffix assigned from them
-Must be approved by the institution and NY DOH to prescribe
118
Do pharmacies have to submit reports to the Bureau of Narcotic Enforcement if they have not dispensed any controlled substances?
Yes-they are required to submit even if they have not dispensed any controlled substances. Must be within 2 weeks from last report submitted to BNE.
119
Exceptions to checking PMP
-Vet
-Patient in hospice
-Patient in hospital
-Prescriber in an emergency dept as long as it does not exceed a 5 day supply
120
Physician Assistant prescribing controlled substance in an institutional setting
-Countersignature within 24 hours by supervising physician if required by the institution. The medical order can be filled beforet the countersignature. Not legally required, only if required by institution
-Outpatient requirement does not need 24 hour time frame and just needs supervising physician's signature
121
What should be documented on the controlled substance hardcopy prescription if a change is made by the pharmacist with prescriber permission?
-Date of authorization
-Reason for the change
-Pharmacist signature on either written or electronic rx
122
Which of the following statements needs to be on the follow up prescription for a controlled substance?
-Follow up prescription to oral order, pharmacy prescription number _____, oral order filled ______, follow up prescription received____.
123
Requirements for professional assistance program?
-temporary, voluntary Surrender of license
-Abstinence from mood altering substances
-Monitoring from PAP for at least 2 years after license re-instatement
-Participation in treatment in an agency approved by PAP
124
Pharmacists are authorized to sell emergency contraception to patients under what age?
16- only pharmacists can sell emergency contraception to patients under the age of 16
125
Are pharmacists required to document patient counseling?
No
126
How can unwanted controlled substances be disposed?
-Surrender to NY Dept of Health
-Return to Supplier
-Surrendered to DEA
-Destroyed in the presence of a witness
127
Methadone short term detoxification time period
30 days or less
128
Methadone long term detoxification time period
30-180 days, not to exceed 180 days
129
Drugs may not be sold at auction if they are expired or within how long before the expiration date?
30 days
130
Drug products in a nursing home that are repackaged by a pharmacy into unit dose or multiple dose blister packs can be re-dispensed provided that;
-It has not been more than 90 days since repackaging
-date repackaged, lot number, expiration date are clearly marked
-repackaging log is maintained by the pharmacy in the case of drug products repackaged in advance of immediate need
131
A person planning to destroy controlled substances must send a request to the Dept at least how long before intended destruction date?
-2 weeks before destruction
-Must include inventory of controlled substances to be destroyed, specific method of destruction, identities of 2 people participating in destruction, reason for destruction, and date/time/location of destruction
132
Can controlled substance refills be transferred in NYS?
NO!
133
What references are required to be possessed by a pharmacy in order to operate in NYS?
-Pharmacy Guide to Practice (Pharmacy Handbook)
-Controlled Substance Statue (Article 33 of Public Health Law), rules and regulations on controlled substances Part 80)
-can be print or electronic versions
134
When there is a change in medical director at a Methadone clinic, who must be notified and in what time frame?
-FDA & New York Dept of Health within 21 days
135
Emergency medication kits at nursing homes may contain up to how many non-controlled, non-injectable, pre-packaged medications?
5
136
Which agencies enforce standards of professional conduct for pharmacy?
-Office of Professional Discipline
-State Education Dept
137
Psychotopic drug regimens for nursing home residents must be reviewed by an independent external consultant at least____
once per year
138
Medications dispensed by a practitioner should have the following included on the label
-Name/address of dispenser
-Name/address of patient
-delivery date
-drug name/strength
-directions for use
139
How long can an emergency prescription for a benzodiazpene be issued?
5 days
140
How many days must Rph report IMZ to registry?
14 days
141
Physicians must register with the Dept how often to be able to prescribe controlled substances for the treatment of opioid addiction?
Every 2 years
142
Prescriptions issued by foreign countries
-Non-controlled substances and syringes can be filled as long as a proper patient-prescriber relationship exists
-Cannot be mailed
143
Emergency kits in nursing homes should not contain more than ______supply of controlled substances
24 hour supply
144
Controlled substances surrendered to the DOH must be surrendered within how many days of the designated surrender date?
5 days
145
Narcotic addiction treatment programs must file a report of controlled substance activity in the preceding month to the Dept by the _______day of every month
10th day of each month, and this must be done by someone other than the physicians authorized to prescribe
146
Within how many days must a pharmacist communicate with a prescriber that a medication has been substituted with an FDA listed interchangeable product when DAW is not on the prescription?
5 business days, must communicate drug name & manufacturer
147
How many intern hours must be completed by graduates of nonregistered and nonaccredited pharmacy programs?
2080 hours or working full time for 12 months
148
When a brand name medication is dispensed in place of a generic product in an emergency situation, what must be recorded on the back of the prescription?
-Date, Hour, & nature of the emergency situation
149
How much of a supply of a controlled substance for a specific patient in an institution be stored with the patient's other medications in the care unit in a locked medicine cart or storage unit?
Max 72 hour supply
150
If the Commissioner cancels official New York State prescription forms, how long must they notify the prescriber before cancellation?
6 months
151
Hospitals in NY have an adverse event reporting system called:
New York Patient Occurrence Reporting and Tracking System (NYPORTS)
152
When closing a pharmacy, records of the sale of self defense sprays must be forwarded to the State Police within:
30 days
153
CPR & BLS trainings are worth up to how many CE credits?
5 (initial)
3 (re-certification)
154
Medications dispensed by a practitioner cannot exceed____
72 hour supply
155
What are the stipulations for a prescriber issuing a controlled substance prescription to a patient prior to performing an examination?
-Emergency situation
-There is an established patient-prescriber relationship
-Does not exceed a 5 day supply
156
What are exceptions to a practitioner dispensing no more than a 72 hour supply?
-The drugs are dispensed at no charge
-the dispensing occurs at a practice site more than 10 miles away from a pharmacy
-dispensing is pursuant to oncological or AIDS protocol
-allergenic extracts are being dispensed
-drugs are diluted, reconstituted, or compounded by the prescriber
-dispensing is due to a medical emergency
157
Can you get codeine over the counter in NYS?
NO! All Schedule V drugs require a prescription in NYS
158
Who can copies of controlled substance prescriptions be given to?
Prescriber, prescriber's office, or the patient
159
Pharmacists must be able to provide evidence they have completed an approved immunization course within the past:
3 years in order to administer immunizations in NYS
160
What is the maximum days supply of a dispensed medication that can be covered by EPIC?
30 days
161
Tylenol with Codeine tablets vs. Elixir schedule
Schedule III-tablets
Schedule V-Elixir
162
Under proper supervision & authority, a specialist assistant may:
-write prescriptions for hypodermic needles/syringes
-write prescriptions for Schedule III-V controlled substances
-Can have a DEA number to write for schedule III-V, but cannot write Schedule II.
-They can call in oral prescriptions and dispense medications within their scope of practice.
163
Pharmacies must notify BNE within how many hours of controlled substance pickup?
24 hours
164
Who is responsible for creating the Retail Drug Price List
NYS Board of Pharmacy
165
Manufacturers must keep records of practitioners requesting drug samples for:
3 years
166
When can anabolic steroids be issued for more than a 30 day supply in NYS?
-hormone deficiency in males
-metastatic breast cancer in women
-gynecological conditions responsive to steroids
-angioedema
-anemia
167
Death of the prescriber and filling a controlled substance…allowed?
Pharmacists are able to use their own judgment on whether or not to fill prescriptions for patients whose prescriber has left the community, retired, or died. If deemed appropriate, the prescription could be filled until the patient is able to establish care with another provider, which should be done as soon as possible.
168
169
Quantity limit on self defense spray sales
No more than 2 to the same person, must be over 18
170
Temperature pharmacies must keep refrigerator?
2-8 Celsius, 35-46 F
171
If a pharmacist takes a gap in practicing before becoming a preceptor, can they still be a preceptor?
No, A pharmacist must practice pharmacy for at least 1 year immediately before becoming a preceptor.
172
Who approves vendor protocols for pharmaceutical services under contract arrangements pharmacies/nursing homes?
Board of Pharmacy
173
