NYS Practice Flashcards
The advertised price of a prescription drug shall be in effect for
The period of time stated in the adverisement
A pharmacist can make changes on a prescription to the
Drug strength
Directions
When may a limited intern permit first be issued to a student who is enrolled in a registered program in pharmacy?
After completing the first professional year of study.
Who is permitted to counsel patients?
Pharmacists
Pharmacy Interns
Orders for PRN controlled substances in an institutional setting are not valid beyond:
72 hours
Orders for PRN controlled substances in an institutional setting are valid for how many administrations?
One
An institutional dispenser may dispense how much of a controlled substance to a medical attendant accompanying a patient in a transfer if it is expected to exceed 3 hours?
A single dose
The Board of Pharmacy must be notified within how many days of a change in supervisor of a registered pharmacy establishment?
7 days
By what methods can unwanted controlled substances be disposed?
Returned to supplier
Surrendered to NYDOH or DEA
Destroyed in the presence of a witness
The New York State Board of Pharmacy must be notified when the percentage of stockholders at a pharmacy corporation changes by
10%
Which medications are not required to be electronically prescribed in the state of NY?
Behind the counter medications
Prescriptions may be written using:
Computer
Typewriter
Ink
Non-erasable ballpoint pen
Indelible pencil
Institutional dispensers with limited licenses must keep a record of controlled substance administration that includes:
Patient name
Name of prescriber
Signature of person administering
Drug name + quantity administered
Balance on hand after administration
Date and hour of administration
What is a Schedule A poison?
Poisonous vegetable alkaloids
Arsenic
Atropine
Potassium cyanide
Strychnine
Corrosive sublimate
Chloral hydrate
Which of the following is TRUE regarding the prescribing of a controlled substance:
- Controlled substances may be prescribed using preprinted prescriptions with the drug name, strength, dosage, and quantity already listed
- An authorized practitioner may issue a prescription in the absence of an initial prescriber if medical records indicate continual prescribing and they have direct consultation with the original prescriber assuring need
- A controlled substance prescription may be issued to a new patient by the practitioner before examination of the patient, as long as there is an examination scheduled and follow-up plan in place
2 only
Written prescriptions can be signed using a
Handwritten signature
What is the minimum amount of continuing education hours required for a pharmacist for each 3-year registration period?
45 hours
Prescription counseling must be performed when:
- There is a new prescription for a new patient
- There is a new medication for an existing patient
- The patient wants the printed prescription-related information
1 and 2
Methadone short term detoxification treatment may not exceed a period of
30 days
Which of the following is TRUE regarding pharmacy interns in the state of NY?
- May administer influenza vaccinations to persons 18 and older
- May sell self-defense sprays at a retail-location, as technicians cannot do so
- Intern hours can be credited if a student is enrolled with more than 3 college credits
- Intern applicants who are enrolled in pharmacy education programs must have completed their first year of professional study in order to be eligible
- PharmD program graduates in NY do not need intern hours outside of the program
1, 4, 5.
Pharmacies must keep records of all controlled substance transactions for a period of at least
5 years
Who may review and electronically sign a prescription prior to transmission from a doctor’s office?
Prescribers/practitioners
A pharmacy must contain the following utensils:
- Suppository molds
- Mortar and pestle
- Balance device
- Graduate devices
- Sieves
2, 3, and 4
All electronic prescriptions must have a:
- Provider DEA number
- Written signature
- NPI number
- only
Cabinets or safes to store Schedule II controlled substances must be bolted or cemented to the floor or wall if it weighs less than
750 pounds
Who will be held responsible for misconduct in a pharmacy?
The supervising pharmacist and the owner
Exact copies of advertisements must be kept by the licensee releasing such advertisements for at least how long after their last appearance?
1 year
For how long after the most recent entry must patient medication profiles be kept in a retrievable form at a pharmacy?
5 years
Which poison schedule includes “… any drug, chemical or preparation which is liable to be destructive to adult human life in quantities of sixty grains or less.”?
Schedule B poisons
Chains that have more than how many pharmacy locations must provide written prescription related-information in foreign languages for non-English speaking patients?
8
Pharmacies must keep controlled substance inventory records for a period of at least
5 years
Which of the following can be sold at auction granted there is proper registration/certificates
- Non-controlled substances
- Controlled substances
- Drugs in bulk
1, 2, and 3
What is the allowed ratio of full-time pharmacy interns to preceptors?
1:1
A sign and/or notice of the Drug Retail Price List for the top ____ most frequently prescribed medications should be posted in each pharmacy.
150
A hospital physician may supervise up to how many physician assistants?
6
Standing orders or specific controlled substances orders, for individual patients, to be administered at specific times while in an institution, are valid for
7 days
Standing orders or specific controlled substances orders, for stabilized patients with convulsive disorders or chronic spasticity or minimal brain dysfunction, to be administered at specified times while in an institution, are valid for
30 days
Methadone long term detoxification may not exceed a period of
180 days
Patient information required to be on a prescription issued on an official NYS prescription form includes:
Patient name
Patient gender
Patient age or date of birth
Patient address, city, zip code
Record of poison sales must be kept on file for inspection for at least how many years from the last entry?
5 years
Who is able to prescribe therapeutic drugs in NY within their scope of practice?
Doctor of Medicine, Osteopathy, Dental Surgery, Dental Medicine, Podiatric Medicine, Veterinary Medicine
Certified optometrists, midwives
Registered physician assistants
Nurse Practitioners
Drugs may not be sold at auction if they are expired or within how long before the expiration date?
30 days
Patients have the following options for sharing their prescriptions through shared databases among pharmacies:
- The patient can select which pharmacies can share information to have prescriptions dispensed
- The patient can allow prescription information to be shared through a database to be dispensed at any pharmacy
- The patient can request prescriptions not be shared in a database and a firewall will need to be placed to protect the information
1, 2, and 3
A person must be how many years of age to be eligible for licensure as a pharmacist?
21 years +
When mail order pharmacies send a prescription where an alternative drug was dispensed after consultation with the prescriber, the pharmacy must
Make 2 documented call attempts to the patient within 48 hours of mailing/delivery
Prescriber information required to be on a prescription issued on an official NYS prescription form includes all of the following
Prescriber name
Prescriber profession
Office address and zip code
Office telephone number
NYS License number
(DEA number for controlled substances)
What type of pharmacy may accept returns of medications for redispensing?
Health care facility pharmacy
Medication carts, with the proper safeguards, may be used to stock
Schedule III, IV, V controlled substances and non-controlled substances
All of the following are needed for a medication cart to be used to stock controlled substances
Locked drawer
Double-keyed locks
Independent locking device
Medication cart stored in secure location
A pharmacist may have personal supervision of how many pharmacies at the same time?
1
Medicaid prescriptions for controlled substances are valid for fill for how many days after the issue date?
30 days
A midwife can do all of the following:
- Prescribed medications, including controlled substances
- Call in oral prescriptions
- Own their own prescription forms
1, 2, and 3
Samples of which of the following are prohibited?:
Schedule II
Schedule II-III
Schedule II-IV
Samples of controlled substances are not prohibited
All controlled substances
All controlled substances
Select the appropriate prescription filing method at a retail pharmacy:
- Schedule II prescriptions, Schedule III-V prescriptions, and non-controlled prescriptions filed separately
- Schedule II-V prescriptions filed together, separately from non-controlled prescriptions, and distinguished in some way
- All prescriptions whether controlled or non-controlled are filed together, but controlled prescriptions are readily retrievable
- Schedule II prescriptions filed separately, and Schedules III-V prescriptions and non-controlled prescriptions filed together with scheduled prescriptions readily retrievable
- Schedule II-III filed together, Schedule IV-V prescriptions filed together, and non-controlled prescriptions are filed together
1 only
What schedule is pentobarbital rectal suppository?
Schedule III
Prescriptions for which of the following are required to have a max daily dose indicated?
Lisinopril
Ativan
Lyrica
Glucophage
Humalog
Ativan
Lyrica
(Controlled substances)
A pharmacy intern permit is valid for how many years before needing to be renewed?
5 years
Oral prescriptions for hypodermic needles/syringes must contain all of the following:
Name of user
Address of user
Age of user
Prescriber name
Prescriber address
Prescribed telephone number
Number of authorized refills
Date of prescription received
Signature/initial of pharmacist accepting oral prescription
Drug name, strength, quantity, directions
The New York State Board of Pharmacy must be notified within how many days of a change in officers of a pharmacy corporation?
30 days
All medications dispensed at a hospital must be in single unit dose form EXCEPT
Nitroglycerin sublingual tablets
Topical ointments
How many times may a pharmacy intern license be renewed?
1 time
A pharmacy intern license that is renewed is valid for a period of
2 years
Which of the following is true about the prescribing of Subutex and/or Suboxone?
- Prescriptions must include the prescriber DEA registration number
- Prescriptions must include the prescriber X-DEA registration number
- Prescriptions for analgesia alone must include the prescriber X-DEA number
1 and 2
Mr. Campbell just came into the pharmacy to pick up his prescription for a controlled substance. The pharmacy must electronically notify the Bureau of Narcotic Enforcement (BNE) within how long after the controlled substance is picked up?
24 hours
For how long must transaction records be kept of medications covered by EPIC?
3 years
A prescription for a Schedule III-V medication written for a quantity exceeding 30 day supply at the time of dispensing may be refilled how many times
1 time
Protocols from vendor pharmaceutical services under contract arrangements between pharmacies and hospitals, nursing homes, or other institutions must be approved by the Board of Pharmacy within ______ of the start of the contact?
30 days
Pharmacies must take inventory of controlled substances at least once every
2 years
Records of a controlled substance inventory must include all of the following
Date of inventory
Time of inventory
Drug name, dosage form, number of units, total quantity
How many medications can be prescribed on the same prescription form?
1
What agencies must be notified when there is a theft or loss of any controlled substances?
Local police
Local regional office of the DEA
NYSDOH
In an emergency situation, a prescriber may orally prescribe a Schedule II controlled substance for not more than:
5 day supply
A prescriber who calls in an emergency oral Schedule II controlled substance prescription must deliver the original written prescription to the pharmacy within how many hours after authorizing the oral prescription?
72 hours
A pharmacy must contain a balance device sensitive to:
6 mg
Pharmacists may only accept prescription forms with more than one drug product contained on it when it originates from a:
Long term care facility
The Board of Pharmacy must be notified of a pharmacy fire within:
48 hours
In order for the pharmacy to get reimbursed for a Medicaid prescription where the brand name drug product is necessary in the judgement of the prescriber, the prescriber must write the following on the prescription in handwriting:
“daw” and “brand medically necessary”
During an emergency situation in the emergency department without a full-time pharmacy, a prescriber may dispense no more than a ______ supply of a controlled substance.
24 hour
Who can prescribe therapeutic drugs within their scope of practice in the state of New York?
Doctor of Medicine, Osteopathy, Dental Surgery, Dental Medicine, Podiatric Medicine, Veterinary Medicine
Certified optometrists
Midwives
Registered physician assistants
Nurse practitioners
Which of the following is false regarding EPIC:
- Elderly can qualify if they are enrolled in Medicare D and receive full Medicaid
- EPIC is a free program and there are no fees or payments necessary for enrolling for this benefit
- Elderly eligible for EPIC may have an annual income up to $35,000 (single) or $50,000 (married)
- EPIC does not pay for all prescription costs, as it is a cost-sharing plan for the elderly
- Generic drugs must be dispensed to be covered by EPIC unless the prescriber specifies the brand is medically necessary
1
(Persons are NOT eligible for EPIC if they are covered by Medicaid, health maintenance organization, or health insurance with equal or better coverage)
Which of the following cannot be dispensed to be covered by EPIC?
- Oxygen
- Vitamins
- IV administrations
1, 2, and 3
Who is responsible for creating and distributing the Drug Retail Price List?
The New York Board of Pharmacy
Verbal medication administration orders for residents of a nursing home must be signed by the prescriber within:
48 hours
How should a prescription for benzodiazepine be filed?
Filed with Schedule III-V controlled substance prescriptions
Dates on which pharmacies did not dispense any controlled substances must be reported to the NYSDOH within how many days?
14 days
Opioid prescriptions for acute pain are limited to how many days supply?
7 days
Manufacturers must keep record of practitioners requesting medication samples for at least:
3 years
Anabolic steroids may only be issued for more than a 30-day supply, but no more than a 6 month supply, in all of the following cases EXCEPT:
- Angioedema
- Hormone deficiency in males
- Metastatic breast cancer in women
- Anemia
- Growth stunting
Growth stunting
Residents of a nursing home must have a drug regimen review performed by a pharmacist at least once every
1 month
Which type of formulary requires that substitution be limited to medications contained on a specific list?
Positive formulary
Dr. Newman is a pharmacist that comes across a refill for a non-controlled prescription where he knows the prescriber has recently passed away. What should Dr. Newman do?
Dr. Newman can use judgment on whether or not to fill the prescription, but it may be filled if appropriate to carry the patient over until they can find another provider
The owner of a pharmacy is not a licensed pharmacist. The pharmacy registration must have whose name(s) on it?
The owner and supervising pharmacist
A pharmacy registration is valid for how many years before needing to be renewed?
3 years
An educational facility using hypodermic needles/syringes must report a change in custodial personnel to the Department within:
30 days
The limit of self-defense spray devices that can be sold to one person by the pharmacist is:
2 devices
Dr. Rowlins is a newly licensed pharmacist that wants to be a preceptor for pharmacy interns. Dr. Rowlins must practice pharmacy for how many years before he can be a preceptor for a pharmacy intern?
1 year
Pharmacists authorized to provide immunizations may administer which of the following vaccines? Select ALL that apply.
- Pneumococcal
- Tetanus
- Hepatitis A
- Human Papillomavirus
- Diphtheria
1, 2, 3, 4, and 5
Others include: shingles, hepatitis B, MMRV, Covid-19, meningococcal, pertussis
Pharmacies must contain a refrigerator that must be kept between:
2 and 8 degrees Centigrade
Dr. Hapburn returns to practicing pharmacy after spending three years as the caregiver of a sick family member, and previously worked for 10 years as a pharmacist. Dr. Hapburn returns to practicing pharmacy on December 31st, 2018. On which date can Dr. Hapburn become a preceptor?
December 31st, 2019
Dr. Andrea Eshleman is a newly licensed physician and recently received her DEA number. Which of the following is a valid DEA for Dr. Eshleman?
AE1038582
BE4048334
FE1048570
ME4882710
EC1095834
FE1048570
Non-controlled substances, controlled substances, medical devices, and syringes must be electronically prescribed EXCEPT:
- When the prescriber has a waiver from the New York State Commissioner of Health
- When the prescription will be dispensed at an out-of-state pharmacy
- When the prescriber determines the electronic prescription will not be ready in a timely manner, with the delay adversely impacting the patient’s medical condition
1, 2, and 3
Electronic prescriptions must include a(n) (select ALL of that apply):
- NPI number
- Days supply of medication
- Electronic signature
- “Do not fill until” date
- Patient phone number
1 and 3
How many continuing education hours must be over techniques or strategies to reduce medication and prescription errors during each 3-year pharmacist registration period?
3 hours
What is true regarding Retail Price List?
Every pharmacy that sells drugs at retail must make it available
Consumers may request a computer-generated list to take with them
All New York pharmacies must display a sign in bold, block letters at least one inch tall that states “Drug Retail Price List Available Upon Request”
It includes the 150 most commonly prescribed medications
A pharmacist receiving prescription information as a transfer must record the:
Patient name
Name, address, and phone # of requesting pharmacy
Name of transferring pharmacist
Original prescription #, date of original prescription
Date of transfer
Name of pharmacist accepting transfer
The term “refill transfer” on the front of the hardcopy
Medications repacked for in-house use only shall have an expiration date of 12 months or _____ percent of the time remaining to the manufacturer’s expiration date, whichever is less, from the date of repacking.
50
When dispensing a partial fill of a Schedule II controlled substance for a hospice patient, the pharmacist must write on the reverse side of the prescription:
The dates of partial fillings
Quantities dispensed
Signature of dispensing pharmacist recorded on the reverse side
The registered area of a pharmacy must be at least:
300 sq ft
Hospitals have an adverse event reporting system called the:
New York Patient Occurrence Reporting and Tracking System (NYPORTS)
What medications are certified optometrists permitted to prescribe?
Agents for glaucoma and ocular hypertension: beta blockers, alpha agonists, direct-acting cholinergics
Topical agents: antimicrobials, antivirals, NSAIDs, decongestants, antihistamines, cycloplegics, hyperosmotics/hypertonics, artificial tears, and lubricants.
How many continuing education hours can pharmacists carry over from one 3-year registration period to another?
None
What agency must be notified of medication errors in hospital that cause adverse events that lead to permanent harm, near death, or death of a patient?
NYS Health Department
Which of the following must be documented in regard to counseling?
- Patient refusal of wanting to be counseled
- Patient refusal to provide full or important information
- Patient refusal to accept recommendation of use of child resistant containers
- Patient refusal of wanting to be counseled &
- Patient refusal to provide full or important information
- All of the above
- All of the above
What is the maximum number of unlicensed persons that may assist a pharmacist at any one time?
4
Polley is a pharmacist that substitutes a prescribed medication with an FDA listed interchangeable product since there was no DAW on the prescription. What information must be communicated to the prescriber regarding this substitution?
Notify the prescriber within 5 business days of the drug name and manufacturer.
What minimum amount of continuing education hours must a pharmacist complete each year?
0
Upon the closing of a pharmacy, records from the sale of self-defense sprays must be forwarded to the State Police Records Unit within how many days of closing?
30 days
Initial Cardio-Pulmonary Resuscitation (CPR) and Basic Life Support (BLS) certifications are worth up to how many hours of continuing education?
5 hours
Medications dispensed by a practitioner must not exceed more than a _______ supply unless under an exception.
72 hour
What is the allowed ratio of part-time pharmacy interns to preceptors?
2:1
A patient develops a new condition that would warrant the issuance of a prescription for a controlled substance. A practitioner may issue this prescription prior to performing an examination if:
- There is an emergency situation
- There is an established practitioner-patient relationship
- The prescription does not exceed a 7-day supply
1 and 2
Prescription does not exceed a 5 DAY supply
Which of the following is not a Schedule B
poison?
Aconite
Digitalis
Coumarin
Cotton root
Wood alcohol
Coumarin
Addiction treatment programs must submit a methadone usage report once every:
Month
Institutional dispensers of controlled substances without limitations must have what type of license?
Class 3
What are the exceptions to the 72-hour medication supply limit from dispensing by a practitioner?
Drugs are dispensed at no charge
The dispensing occurs at a practice site more than 10 miles
away from a pharmacy
The person practices at a hospital or the dispensing is at a clinic, infirmary, or health service that is operated or affiliated with another institution
The dispensing is pursuant to oncological or AIDS protocol, or allergenic extracts are being dispensed
The drugs are diluted, reconstituted, or compounded by the prescriber
The dispensing is due to a medical emergency.
Recertification of Cardio-Pulmonary Resuscitation (CPR) and Basic Life Support (BLS) certifications are worth up to how many hours of continuing education?
3 hours
What are the built-in security features on an official NYS prescription form?
The word “VOID” appearing if the prescription is copied, scanned, or physically altered by erasure
A heat-sensitive ink in the Pharmacist Test Area on the prescription front that will turn blue to light blue or transparent when rubbed
A heat-sensitive ink in the Secure Standard Register on the prescription back that will turn from orange to yellow when rubbed.
Which of the following substances may be sold as Schedule V over-the-counter products when restricted to a quantity limit?
Codeine
Diphenoxylate
Dihydrocodeine
Ethylmorphine
None
None
How long after the program date of completion must a pharmacist keep record of continuing education credits?
6 years
What must be ordered using a DEA 222 Form?
Schedule II controlled substances
Copies of a non-controlled substance prescription can be given to:
- The prescriber
- The patient
- The prescriber’s office
1, 2, and 3
Controlled substance prescriptions written by registered physician assistants (RPAs) must include:
Address and phone number of both the RPA and supervising physician
DEA number of the RPA
Handprinted, stamped, or imprinted name of the supervising physician
Imprinted or stamped name of the RPA
Signature of the RPA followed by “RPA” and their New York State Education Department registration number.
In order for a pharmacist to be certified by the New York State Education Department to administer vaccinations, a pharmacist must provide evidence they have completed an immunization course within the past:
3 years
Controlled substances may be prescribed, administered, or dispensed to an addict when:
- They are suffering from an incurable and fatal disease
- Withdrawal would endanger their life or inhibit recovery
- They express they would otherwise get the substances illegally
1 and 2
What are the required elements of continuing education records that need to be kept by pharmacists?
Program title and any course identifiers
Sponsor’s name
Date and location of program
Number of hours completed
Verification of attendance.
The Board of Pharmacy must be notified within how many days of a change of name?
30 days
Hypodermic needle and syringe prescriptions are valid for a period of:
2 years
The drug take-back date set by the Drug Take-Back Act is to take place on:
July 10th
Peyote is considered a Schedule I controlled
substance EXCEPT when:
Used by the Native American Church for religious rites
How old must a person be in order to purchase self-defense spray?
18 years old
What must be included on the drug retail price list?
Brand/generic drug name
Strength (if applicable)
Dosage form
Quantity
Price charged to the consumer
Narcotic addiction treatment programs must file a report summarizing controlled substance activity of the preceding month including the:
Total # of patients treated
Total amount of controlled substances prescribed, dispensed, and administered
Total amount, form, and dosage units of controlled substances received and the distributor from whom they were received
Each situation or alleged situation involving theft, loss, or possible diversion of controlled substances
Amount of methadone surrendered to the Department for destruction
Inventory of the amount of controlled substances at the end of the month
Date of inventory
Signature of the person(s) conducting the inventory
What is the maximum day supply of a dispensed medication that can be covered by EPIC?
30 day supply
What must be on a nontriplicate controlled substance prescription written by a registered physician assistant (RPA) that is not required to be on a triplicate prescription (for benzodiazepines) written by an RPA?
The address and phone number of the supervising physician
Pharmacies operated inside a general merchandise establishment must be enclosed by a permanent partition of at least:
9 feet and 6 inches
In the state of New York, what schedule are
anabolic steroids?
Schedule II
What schedule is a Tylenol with codeine elixir?
Schedule V
Under the proper supervision and authority, a
specialist assistant may:
Write prescriptions for hypodermic needles/syringes and Schedule III-V controlled substances.
Call-in oral prescriptions and dispense medications within their scope of practice.
Practitioners prescribing controlled substances, unless exempt, must include which of the following on the prescription:
- Practitioner DEA
- Institution DEA
- X-DEA number
1 and 2
Prescriptions may be signed by the prescriber using:
Ink
Non-erasable ballpoint pen
Indelible pencil
In an emergency situation, a prescriber may orally prescribe a benzodiazepine for not more than a:
5 day supply
Who has the responsibility to inform the patient or patient’s caregiver whether the brand name or generic of a medication is prescribed?
The prescriber
Optometrists authorized to prescribe are identified by what letter(s) preceding their 6-digit license number?
U and/or V
Mrs. Sterling comes in with a prescription for Lyrica dated for today. What are the refill restrictions for this prescription?
May not be refilled more than 5 times within a 6 month period
(cannot be filled past 6 months from the date written)
Pharmacists must report vaccine administration to a patient’s primary care provider or to the statewide immunization registry or citywide immunization registry. If the pharmacist is reporting a vaccination to the registry, this must be done within how many days of the immunization taking place?
14 days
Prescriptions for Schedule II controlled substances can be faxed when they are for:
Compounding for direct administration to a patient
Patients residing in a long-term care facility
Patients residing in hospice care certified by Medicare
Pharmacies should compile a drug retail price list and update it at least once every:
1 week
The public representatives serving on the New York Board of Pharmacy are appointed by the:
Board of regents
Physicians must register with the Department every how many years in order to be able to prescribe controlled substances for the treatment of opioid addiction?
2 years
What is true regarding prescriptions and foreign countries?
Controlled substance prescriptions issued in a foreign country cannot be filled because the Official New York State Prescription is required
Prescriptions for non-controlled substances and hypodermic needles and syringes may be filled.
For prescriptions to be valid, there must be a prescriber-patient relationship, the prescribed product must be FDA-approved for sale in the U.S., and the prescription may not be shipped to a foreign country. (The U.S. Territories of Puerto Rico, Guam, and American Samoa are not considered foreign countries.)
How long are the appointed terms for members of the New York Board of Pharmacy?
5 years
Mr. Bates is a patient that comes in for a prescription written for a generic medication. The pharmacy does not have the generic medication in stock, but Mr. Bates is in severe pain. What should be done in this medical emergency?
Dispense the brand name of the medication to the patient since the patient requires alleviation of severe pain
What information that is not required on a written prescription must be included on an oral prescription?
- Date received
- Time received
- Signature or initials of receiver
1, 2, and 3
Protocols from vendor pharmaceutical services under contract arrangements between pharmacies and hospitals, nursing homes, or other institutions must be approved by the:
Board of Pharmacy
Emergency kits at nursing homes may not contain more than a ________ supply of controlled substances.
24 hour
Schedule A poisons sold at retail must have all of the following information recorded in a book at sale:
Name of the purchaser
Address of the purchaser
The sale date
Name of the poisons
Quantity of the poison
Name of the dispenser
Reason for the purchase.
What is the allowed ratio of registered pharmacy technicians to pharmacists, in the performance of licensed tasks within their scope of practice?
2:1
A returned medication accepted by a health care facility pharmacy can be redispensed if:
They are unit dose medications which are sealed and labeled properly.
If a person must surrender controlled substances to the Department of Health, they must do so within how many days of the designated surrender date?
5 days
Who can grant a waiver of electronic prescribing to a practitioner?
The New York State Health Department
A medical facility has an approved waiver from electronic prescribing and has sent a prescription by fax. Which of the following are requirements for a fax prescription?
- Must be manually signed
- Must be on an official New York State prescription form if issued in New York
- Must be an original hard copy prescription
1, 2, and 3
Prescribers must register with the New York State Department of Health’s Bureau of Narcotic Enforcement in order to prescribe controlled substances, and this registration must be renewed every:
2 years
Repacking of a medication shall include records of all of the following information:
Drug name
Drug strength
Drug quantity
Lot number
Date of repacking
Number of packages prepared
Number of dosage units in each package
Name of manufacturer and/or distributor
Signatures of the person repacking and the supervising pharmacist.
A pharmacist dispensed a 30-day supply of Lyrica for a patient. How many days before the end of the supply can the pharmacist dispense a refill of the Lyrica, assuming there are refills?
7 days
Hospitals must report medication errors that result in:
Permanent harm
Near death of a patient
Death of a patient
Under what program are hypodermic needles and syringes allowed to be sold without a prescription?
Expanded Syringe Access Demonstration Program (ESAP)
Mr. Douglas comes into the pharmacy wanting to purchase hypodermic needles and syringes without a prescription. How will it be possible for him to do this?
Pharmacy has special permission and a permit in order to do so
Patients must be at least 18 years of age
Can get up to 10 hypodermic needles/syringes without a prescription
Narcotic addiction treatment programs must file a report summary of controlled substance activity in the preceding month to the Department by the:
10th day of each month
A graduate of a nonregistered and nonaccredited pharmacy program must complete at least how many months of fulltime pharmacy intern experience after passing the first part of the licensing exam?
12 months
Unless there is an exception, which of the following is/are required to send prescriptions electronically?
- Physician
- Nurse practitioner
- Pain management physician
- Veterinarian
1, 2, and 3
Within how many business 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
What can a pharmacist add to a controlled substance prescription without practitioner authorization?
Patient address, sex, and age
Graduates of nonregistered and nonaccredited pharmacy programs working full-time for at least 12 months means there must be how many total hours completed working as a pharmacy intern?
2080 hours
When a brand name medication is dispensed in place of a generic product in cases of an emergency situation, what must be recorded on the back of the prescription?
The date, hour, and nature of the emergency situation
Pharmacy chains with how many stores in the U.S. must participate as a take-back site as part of the Drug Take-Back Act?
10 or more
Who is allowed to request drug containers that are not child resistant?
- Patient
- Prescriber
- Pharmacist
1 and 2
Who enforces the Poison Prevention Packaging Act (PPPA)?
U.S. Consumer Product Safety Commission (CPSC)
Upon the closing of a pharmacy, records from the sale of self-defense sprays must be forwarded to whom?
The State Police Records Unit
Which of the following is the DEA number of a mid-level practitioner?
AB1739551
BN1370585
MG1928374
RT1833753
AM5938177
MG1928374
“M” = mid-level
Unlicensed persons assisting in the pharmacy are allowed to:
Receive written and electronic prescriptions
Count medications and put them in containers
Label containers
Prepare records of dispensing and locate prescription records
Get drugs from stock and return to stock
In order for a pharmacy to be authorized to dispense controlled substances for treatment of opioid addiction, the pharmacy must register with the Department every:
2 years
Pharmacist misconduct can include:
- Dispensing the wrong drug
- Dispensing the incorrect drug strength
- Dispensing the wrong dosage form
1, 2, and 3
Controlled substances for a specific patient in an institution may be stored with the patient’s other medications in the care unit in a locked medicine cart or locked storage unit as long as it does not exceed a ______ supply.
72 hour
Walters is a pharmacist dispensing a refill of a Schedule IV controlled substance. What information must be recorded on the reverse side of the written prescription?
The date of dispensing
Amount of drug dispensed
The dispensing pharmacist signature
In order to obtain a license as a nuclear pharmacist, a pharmacist must complete ______ hours of didactic instruction and supervised practical experience in nuclear pharmacy.
200 hours
Controlled substances dispensed must have a label or auxiliary label for the caution statements that is what color?
Orange
Official New York State prescription forms may be cancelled by the commissioner by notifying the prescriber how long before such cancellation date?
6 months
A pharmacist must complete at least __ of supervised practical experience in nuclear pharmacy, along with didactic training requirements, to become a certified nuclear pharmacist.
500 hours
Who may obtain hypodermic needles/syringes without a prescription for use within the scope of their practice?
Manufacturers or dealers in the health industry (medical, pharmaceutical, surgical, dental)
Institutions and partners that euthanize animals
Medical institutions
Advanced life support agencies
Clinical laboratories
Sanitariums
Hospitals
Physicians, dentists, registered pharmacists, nurses, podiatrists, veterinarians, and undertakers.
What information is required to be on a pharmacist’s identification badge?
Name
Title
What are a pharmacist’s name badge requirements?
Must be legible
Must be worn while working
Drugs may be returned from a nursing home and repackaged into blister packs for redispensing as long as:
It has not been 90 days since the repackaging
The expiration and repackaging dates are clearly marked on the package
The lot number is marked on the package
When unwanted controlled substances are going to be destroyed, the person(s) wanting to destroy the substances must send a request for permission to the Department at least how long in advance of the intended destruction date?
2 weeks
What are valid exceptions to New York’s mandatory electronic prescribing?
Long and complicated directions
Compounded prescriptions containing two or more products
Veterinarian
Temporary technical failure
Copies of a controlled substance prescription can be given to:
- The prescriber
- The patient
- The patient caregiver
1 only
The sale of drugs at an auction must be filed with the Board of Pharmacy at least more than _____ days before the date of the auction.
7
How many sets of forms are included in a DEA Official Order Forms book?
7
Robert Toms wrote a prescription for a Schedule II controlled substance and the pharmacist wants to verify the DEA number is legitimate. Which of the following is a valid DEA for Dr. Toms?
MT4882712
FT8410946
BR1048570
AT3851424
TC1095834
AT3851424
Contents of each emergency medication kit at a nursing home must be approved by the:
The director of nursing
Medical director
Pharmacist
Patient profiles at the pharmacy must contain:
Patient name, address, phone number, date of birth, gender
Chronic diseases
Comprehensive list of medications and relevant devices
Known allergies and drug interactions
Any other relevant information for counseling
What does EPIC stand for in the state of New York?
Elderly Pharmaceutical Insurance Coverage
Each pharmacy can only be provided a maximum of how many DEA Official Order Forms books at one time?
6
Those engaged in instructional activities that require Scheduled II-V controlled substances must first obtain a:
Class 5 license
What is true regarding transfer of drugs between pharmacies?
There must be a prescription waiting to be filled
Controlled substances may not be transferred
Syringes and needles can be transferred
The amount transferred should only be enough to fill the prescription
The two pharmacies do not need to be part of the same company
Pharmacists may provide immunizations to patients that are:
18 years and older
Which type of formulary requires that substitution of a medication be allowed for all medications except those specifically prohibited?
Negative formulary
Emergency medication kits at nursing homes may contain how many injectable controlled substances?
3
Which law governs the use of narcotics for addiction treatment in the U.S.?
Narcotic Addict Treatment Act of 1974
Emergency medication kits at nursing homes may contain up to how many different controlled substances?
10
What person(s) are able to conduct and witness the destruction of controlled substances?
New York licensed practitioners, pharmacists, or nurses.
A prospective drug review consists of reviewing AT LEAST:
Known allergies
Reasonable dose and duration
Therapeutic duplication
Drug interactions (drug-drug, drug-disease)
Proper drug utilization (abuse or misuse)
How many continuing education hours must be from live courses during each 3-year registration period?
23 hours
The active ingredient in self-defense sprays must be:
Oleoresin of Capsicum
The New York State Board of Pharmacy must be notified within how many days of a change in 10 percent or more of stockholders of a pharmacy corporation?
30 days
Which references is/are required to be possessed by a pharmacy in order to operate?
The Pharmacy Guide to Practice (Pharmacy Handbook)
Controlled substances statute (Article 33 of Public Health Law)
Rules and Regulations on Controlled Substances (Chapter II, Subchapter K, Part 80)
When there is a change in medical director at a methadone clinic, the Food and Drug Administration and New York Department of Health must be notified within how long after this change?
21 days
What constitutes an emergency oral prescription of a Schedule II controlled substance?
Immediate administration of the drug is necessary for proper treatment
The prescriber is unable to issue a written prescription at the time
There is no alternative treatment available
Emergency medication kits at nursing homes may contain up to how many non-controlled, noninjectable, prepackaged medications?
5
Which drug products must have a patient package insert (PPI) provided upon each dispensing?
Inhalants with isoproterenol
Oral contraceptives
Estrogenic drug products
Progestational drug products
Diethylstilbestrol (DES) when used for postcoital contraception
BK is a male patient experiencing acute narcotic withdrawal symptoms and goes to see his practitioner, which is not part of a narcotic treatment program. While in the process of making arrangement for BK to go to a narcotic treatment program, the practitioner may administer narcotic substances for up to how many days?
3 days
Pharmacists may provide influenza immunizations to patients that are:
2 years and older
In an emergency situation, a prescriber may orally prescribe a Schedule IV controlled substance (except benzodiazepines) for not more than a:
30 day supply
A bottle of metformin 1000 mg tablets has an expiration date of 10/20. What is the actual expiration date of the medication?
10/31/2020
Drug product information required to be on a prescription issued on an official New York State prescription form includes:
Drug name
Drug strength
Dosage form
Quantity
Directions for use.
Maximum daily dose for controlled substances
Medicaid prescriptions for non-controlled substances are valid for fill for how many days after the issue date?
60 days
Which agency or agencies enforce standards of professional conduct of the pharmacy profession?
The Office of Professional Discipline (OPD)
State Education Department
The New York Board of Pharmacy consists of how many pharmacists?
9
Psychotropic drug regimens of nursing home residents must be reviewed by an independent external consultant at least:
Once every year
The Board of Pharmacy must be notified within how many days of a change of mailing address?
30 days
Which situations is an exception to required electronic prescribing?
The prescriber having a waiver of electronic prescribing from the proper authority
Sending a prescription to another state
Electronic or technical difficulties/failure that impair the ability to send prescriptions
When the prescriber feels it would not be practical for the patient to receive a prescribed product in a timely manner
A private practice physician may employ or supervise up to how many physician assistants?
4
Out-of-state prescriptions for controlled substances must be filled within how many days from the issue date?
30 days
Which of the following is considered an electronic prescription?
- Encrypted prescriptions transmitted by regulated computer technology
- Prescriptions transmitted by email
- Prescriptions transmitted by fax
1 only
The New York Board of Pharmacy shall have at least how many public representatives serving on the Board?
2
What should medications dispensed by a practitioner have included on the container label?
The name and address of the dispenser
The name and address of the patient
Delivery date
Drug name and strength
Directions for use
Pharmacies used for training pharmacy interns may have one intern per how many prescriptions or drug orders dispensed annually?
5000
Specialist’s assistants may be registered in:
Radiology
Urology
Orthopedics
Acupuncture
A waiver of electronic prescribing can be granted for up to:
1 year
Which type of formulary allows any medication to be prescribed without it being approved by the institution before being ordered?
Open formulary
