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Pharmacy Law > Oklahoma State Law > Flashcards

Oklahoma State Law Flashcards

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1
Q

Record Keeping in Oklahoma for Prescription records, immunization records, nightly reports is how long compared to Federal regulation?

A

5 yrs = Oklahoma
2 yrs = Federal

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2
Q

Record Keeping Oklahoma for Patient records, invoices, and inventory is the same as Federal regulation and how long is that?

A

2 yrs

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3
Q

Prescription Record Filing Requirements are what in Oklahoma?

A
  1. Non-Scheduled legend
  2. Schedule II
  3. Schedule III-V
    MUST HAVE 3 Separate Files in Oklahoma
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4
Q

Prescription Record Filing Requirements are different how Federally?

A

Federal allows co-mingling of Legend with schedules III-V plus C stamp notation

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5
Q

Refill Record Keeping requires what?

A
  1. May be recorded on the back of the prescription
  2. May be kept using an automated data processing system
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6
Q

Inventories, records, invoices, purchase records of what must be kept separate from Schedule III-V?

A

Schedule I and II must be separated

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7
Q

In Oklahoma, CDS inventory MUST be taken between WHEN?

A

May 1- July 1 and then a copy included with pharmacy renewal license

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8
Q

If your pharmacy license expires in October can you perform CDS inventory in September in Oklahoma?

A

NO, Must complete CDS inventory and license renewal in between May 1 - July 1

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9
Q

Controlled substance inventory must be performed every 2 years OBNDD/Federal but what is it in Oklahoma?

A

ANNUAL

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10
Q

In Oklahoma ANNUAL CDC Inventory must include what?

A

EXACT COUNT of ALL SCHEDULES regardless of the size of the bottle

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11
Q

Nightly Reports are required for what?

A

ALL controlled dangerous substances

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12
Q

C-II reports separate from CIII-V reports and they shall be what by a PHARMACIST?

A

Verified, signed, and dated

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13
Q

Nightly reports represent prescription records, NOT what?

A

Inventory/Invoice records

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14
Q

How long do Nightly Reports have to be kept for?

A

5 yrs

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15
Q

What are the requirements for Patient Records?

A
  1. Full name of the patient
  2. Address and telephone number
  3. Age or DOB
  4. A list all prescription drug orders obtained by the patient at that pharmacy during the previous 6 months, showing the prescription number, the name of drug, strength, quantity, and date received, and the name of the prescriber
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16
Q

What are the parts of CDC Inventory that varies by State?

A
  1. Inventory at license renewal
  2. Change of ownership or pharmacy manager
  3. Board requested inventory
  4. Closing inventory
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17
Q

Inventory at License Renewal has to be done when in OK?

A

May 1-July 1

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18
Q

Change of Ownership/Pharmacy Manager has to be done when in OK?

A
  1. CDS Inventory taken and sent to the Board within 10 days
  2. Indicate NEW and FORMER manager names + registration numbers
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19
Q

Board Requested Inventory has to be done when in OK?

A

Due to loss/theft/etc the board will request the pharmacy to conduct an inventory and must be done within 10 days

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20
Q

Closing Inventory has to be done when in OK?

A

Taken and a copy sent to the board within 10 days of closing the pharmacy

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21
Q

What are the Prescription Requirements for Oklahoma CDS Prescriptions?

A
  1. Practitioner Name, Address, DEA#
  2. Date of Issuance
  3. Name of Medication/Dosage/Strength
  4. Name and Address of Patient
  5. Directions for Use
  6. Cautionary Statements
  7. Refills Allotted, if any
  8. For Veterinary, must include species, name, and address of owner
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22
Q

For ALL schedules regardless of category, a PHARMACIST may ADD what?

A
  1. Patients address or age
  2. Generic name, if used
  3. Prescriber DEA # IF CIII-V
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23
Q

A Pharmacist may ADD what AFTER confirmation with prescriber?

A
  1. Strength, dosage form, quantity, directions for use
  2. Must call prescriber and confirm to add DEA# for C-II
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24
Q

For C-II Prescriptions Pharmacists CANNOT ADD what?

A
  1. Prescriber Name
  2. Drug Name
  3. Date of Issuance
  4. Patient Name
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25
Q

For C-II prescriptions can you erase, white out, or mark out anything?

A

NO

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26
Q

EACH CDS prescription should be written on a SINGLE prescription form with NO other prescriptions on the same form. Mistakes happen most often with?

A

Dentists prescribing tramadol and phenergan on the same form

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27
Q

Schedule II prescriptions becomes INVALID when?

A

30 days from the day they are issued

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28
Q

A FAX sent from the prescriber may serve as the original for a C-II if what?

A
  1. Being filled by a home infusion pharmacy
  2. The patient is in a long-term care facility
  3. The patient is in a hospice program
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29
Q

Oklahoma House Bill 1446 applies to what?

A

ONLY to Immediate Release Opioids prescribed for acute pain

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30
Q

Oklahoma House Bill 1446 requires written diagnosis for acute or chronic pain be included on prescription is excluded in what populations?

A
  1. Active cancer treatment
  2. Hospice
  3. LTCFs
  4. Treatment of substance abuse/dependence
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31
Q

Buprenorphine Cough Syrups with Codeine or Hydrocodone are excluded from Oklahoma House Bill 1446?

A

YES, when prescribed for cough

32
Q

Initial prescription for ACUTE Pain for patients that what?

A
  1. Never been issued prescription for the drug/equivalent in the past YEAR or
  2. NEW surgical procedure within the past YEAR
  3. LIMITED to MAX of a 7-day supply (CAN PARTIAL FILL)
33
Q

If a SECOND ACUTE pain prescription is needed, what is the max?

A

MAX quantity of a 7-day supply after prescriber has consulted with patient

34
Q

If a THIRD ACUTE pain prescription is needed, what is required?

A
  1. Prescriber must have in place with patient a written agreement
  2. No quantity/days supply noted
  3. Pharmacies are NOT required to ensure the written contract is in place
35
Q

What is Chronic Pain?

A

Beyond acute healing of injury

36
Q

Prescriber must evaluate patient therapy, if chronic pain treated for 3 months or greater but what happens if the patient has an acute pain during chronic therapy?

A

Prescriber is no longer limited to THREE 7-day periods, can do 4 prescriptions or more

37
Q

What is the Oklahoma House Bill 2931?

A

Prescribers registered with OBNDD must electronically submit all CII-V prescriptions

38
Q

CII prescriptions MUST be electronically prescribed except may accept NON-Compounded FAXED prescription on OBNDD PAD ONLY if what?

A
  1. Pain management by home infusion pharmacy
  2. LTCF patient
  3. Hospice patient
39
Q

What are the electronic prescribing exceptions of Oklahoma House Bill 2931?

A
  1. OK Veterinarians (must use OBNDD pad)
  2. Out of state prescribers
  3. Prescribers practicing in federal facilites
  4. Prescription filled at a pharmacy on federal property
  5. On-site hospital pharmacy order for on-site admin
40
Q

What is Oklahoma House Bill 2676?

A

Prescribing exceptions for Copounded Rxs

41
Q

What are the exceptions included in Oklahoma House Bill 2676?

A
  1. Do NOT have to be e-prescribed or issued on OBNDD prescription pad
  2. CIII-V can be written, phone in, or faxed
  3. CII van be WRITTEN (NOT PHONED)
42
Q

According to Oklahoma House Bill 2676, Electronic Prescriptions MAY BE used for what?

A
  1. Compounded prescriptions
  2. Compounded infusion prescriptions
  3. Prescriptions issued under approved research protocols
43
Q

For Multiple CII Rxs same drug, patient, and day what is permitted?

A
  1. Each prescription issued on a SEPARATE blank
  2. Up to 3 prescriptions of same medication on same date
  3. Total quantity prescribed does not exceed 90 day supply
  4. 2nd/3rd Rx have a Do Not fill UNTIL DATE
44
Q

Can the pharmacy alter written date on multiple CIIs on same day?

A

NO, must include both written and fill dates

45
Q

According to Oklahoma HB 1446 Emergency Rules: Major Surgery/Confided to Home, after issuing initial Rx, practitioner can issue 1 subsequent rx for immediate release opioid in CII in a quantity to NOT exceed 7 days IF what?

A
  1. Patient had a major surgery and confined to home
  2. Subsequent Rx provided on same day as initial Rx
  3. Written instructions on subsequent Rx indicate earliest date on which it may be filled
46
Q

For Oklahoma HB 1446 Emergency Rules: Subsequent Rx must be filled within 5 days of the do not fill date indicated on the Rx or what?

A

VOIDED

47
Q

In Oklahoma, for an emergency situation with ORAL authorization of CII, the prescriber must deliver a written prescription to pharmacy when?

A

72 hrs Oklahoma
1. Must have authorization for emergency dispensing on Rx and DATE of ORAL order
2. May be directly delivered or mailed
3. If not completed pharmacist must contact OBNDD

48
Q

For PARTIAL filling of CIIs, federal partial fill rules do NOT apply to what 2 situations in Oklahoma?

A
  1. Does NOT apply to emergency oral Rx
  2. Does NOT apply if pharmacy does not have enough medication in stock, must fill the remainder within 72 hrs
49
Q

Refills for CIII-IV has what rules?

A
  1. Expire 6 months from date of issuance
  2. May not be refilled more than 5 times
  3. May not get refills at the same time as initial fill or more than one refill at a time
50
Q

A new prescription for a specific CDS VOIDS any existing refills or other prescriptions for the same drug meaning?

A

New prescription = the refills for the existing prescription immediately are voided

51
Q

A practitioner may authorize additional refills for CIII-IV if the original prescription was what?

A

Written for less than 5 refills

52
Q

Partial Fill Regulations for CIII-V are what?

A
  1. Total quantity dispensed cannot exceed total prescribed
  2. No dispensing 6 months after date issued
53
Q

Transfer Regulations for CIII-V are what?

A
  1. If on hold or never filled = cannot be transferred
  2. Refills can be transferred according to State Law
  3. ONLY between 2 Licensed PHARMACISTS = NO interns
54
Q

Exempt narcotics only apply to what?

A

Schedule V

55
Q

Logbook for C-V dispensing by a pharmacist must contain what?

A
  1. Name and Address of Purchaser
  2. Date of EACH purchase
  3. Name or Initials of Pharmacist
56
Q

What are the 48 hr limits for C-V Codeine/Salts?

A

160 mg (<80 mg/30mL or oz)
1. Codeine Oral Solution 0.2% allowable
2. Codeine Oral Syrup 5mg/mL allowable

57
Q

What is the max amount of mLs that you can dispense or codeine oral solution 0.2%?

A

80 mL

58
Q

Reporting to OBNDD must be done within 5 MINUTES of CDS Dispensing and must submit what?

A
  1. Recipient’s name
  2. Recipient’s identification number (drivers license)
  3. NDC
  4. Date of Dispensing
  5. Quantity
  6. Prescribers DEA Registration #
  7. Dispensers DEA Registration # and Location
59
Q

What is acceptable identification for CDS prescriptions per OBNDD?

A
  1. Valid Passport
  2. Military Identification Card
  3. Driver’s License
  4. State Issued Identification
60
Q

House Bill 1246 says if state issued identification is expired <1 yr what can be used?

A

SSN

61
Q

OBNDD requires the ID of both the ultimate user and who?

A

The person who picks up the prescription be reported to the PMP

62
Q

What are the sale limits of PSE in Oklahoma?

A
  1. 3.6g per day
  2. 7.2g per 30 days
  3. 60g per year (250 days at max labeled dosing)
63
Q

For Mid-Level Practitioners in Oklahoma what are the prescribing limits?

A
  1. OUT of state mid level may prescribe noncontrolled substances
  2. ONLY mid level licensed IN OKLAHOMA may prescribed controlled substances (supervising physician must also be licensed in OK)
64
Q

PA’s can prescribe what?

A

CII: drug formulary per medial board/pharmacy board
CIII-V: 30 day supply, no refills
Legend/Non CDS: new diagnosis 30 day supply 2 refills or established diagnosis 90 day supply with 3 refills

65
Q

APN can prescribe what?

A

CII: NO
CIII-V: 30 day supply, no refills – may be less than 30 day supply w/refills but not to exceed 30 days total

66
Q

CRNA can prescribe what?

A

CII-V
ONLY in perioperative, NO outpatient

67
Q

Optometrists can prescribe what?

A

Hydrocodone-Containing products up to 5 days
CIII-V: up to 7 day supply, no refills without follow up exam
Must be within scope of the eye

68
Q

Oklahoma House Bill 3862 allows for what?

A

Optometrists to DISPENSE medications

69
Q

Legal to fill CDS from MD/DO/DDS/Vets licensed from out-of state but NOT legal for who unless licensed in Oklahoma?

A

NP, PA, Optometrists

70
Q

Veterinarians are NOT eligible to obtain an NPI # and prescriptions should NOT be denied and for NON-CDS prescriptions pharmacies should what?

A

NOT request DEA number

71
Q

Laws on electronic prescriptions and use of OBNDD prescription pad do NOT apply to who?

A

Prescriber’s practicing in a FEDERAL facility

72
Q

Practitioners may NOT prescribe a CDS for patient within the 1st or 2nd degree whether by blood or marriage

A

But they MAY prescribe a CDS for patient within the 3rd degree or BELOW, must have a VALID doctor patient relationship

73
Q

What counts as a 1st degree relationship?

A

Spouse, parent, children

74
Q

What counts as a 2nd degree relationship?

A

Sibling, grandchildren, grandparents

75
Q

What counts as a 3rd degree relationship?

A

Niece/Nephew, Great Grandchildren, Aunt/Uncle, Great Grandparents

76
Q

Naloxone can be prescribed/dispensed by a pharmacist without protocol to who?

A
  1. Any person at risk of experiencing an opioid related drug overdose
  2. Family or friend of an at risk person
  3. First responder

Pharmacy Law (13 decks)

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