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Pharmacy Law > Oklahoma State Law > Flashcards

Oklahoma State Law Flashcards

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1
Q

Board of Pharmacy

A

6 Members
5 Pharmacists
1 Non Pharmacist

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2
Q

What are the terms and eligibility for the Board of Pharmacy?

A
  1. Must be a pharmacist >5 yrs to be eligible
  2. 5 yr term, limit two consecutive terms
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3
Q

What are the Powers and Duties of the Board of Pharmacy?

A
  1. Regulate the practice of pharmacy
  2. Regulate the sale and distribution of drugs
  3. Regulate the dispensing of drugs in all places
  4. Examine and license pharmacists
  5. PROTECT THE PUBLIC SAFETY
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4
Q

Operations of the Board

A

Required to have at least one regular meeting and one meeting for examinations per year

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5
Q

Board Hearings

A
  1. If the Board finds IMMINENT danger to the public, they can immediately suspend the license when the hearing is SCHEDULED
  2. If you are requested to appear before the board you will receive notice either in person or by certified mail at least 10 days before the hearing
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6
Q

Standard of Proof

A

Clear and Convincing Evidence, required before any action can be taken on a license

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7
Q

What are Violations of the OK Pharmacy Act?

A
  1. Making false representations for yourself to another to obtain licensure is perjury
  2. Perjury is considered to be a felony
  3. Impersonating a pharmacist and causing patient harm, if convicted, is a felony
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8
Q

Revoking/Suspending a License or Permit will occur if any of the following is violated:

A
  1. Provision of the OK Pharmacy Act or other applicable state or federal law
  2. Provision of the Controlled Dangerous Substances Act
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9
Q

What are punishment options by the Board?

A
  1. Revoke permanently or suspend: certificate, license, permit
  2. Fine the pharmacy or pharmacist
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10
Q

Intern Licensure

A
  1. 1500 hours required prior to pharmacist licensure
  2. Must have a license displayed
  3. Have to be enrolled in accredited school of pharmacy and be in good standing (C Average)
  4. Can only practice as an intern under the immediate supervision of a preceptor
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11
Q

What is the ratio of a pharmacist to technician for community/retail settings?

A

2 technicians to : 1 pharmacist

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12
Q

Significant Compounding

A

Means compounding activity which equals at least 10% of the prescription volume of the pharmacy

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13
Q

A licensed pharmacy that conducts significant compounding may utilize up to 2 TWO technicians specifically trained in compounding while performing ONLY compounding duties that what?

A

Are NOT counted for the purposes of the technician to pharmacist ratio

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14
Q

Pharmacist Licensure Qualifications

A
  1. 1500 intern hours
  2. May be required to appear before Board for interview
  3. Pass a board approved jurisprudence exam MPJE
  4. Pass a licensure exam NAPLEX
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15
Q

How many times can you fail the NAPLEX before additional education is required?

A

TWO times, if you want to take it a 3rd time you have to ask the board for permission
If you fail FIVE times you can no longer ever sit for the exam

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16
Q

Preceptor Requirements

A
  1. Registered pharmacist engaged in practice for one year
  2. Submit Intern Progress report at end of each 240 hours or termination of employment
17
Q

What are the requirements for Pharmacist License Renewals?

A
  1. 15 hrs of CE credit annually required
  2. Calendar year CE PRIOR to renewal year, in birth month –> every year on your birth month you have to renew your license and the CE for the year before aka April 2023 you submit CE for 2022
  3. Renewal form and fee
18
Q

As a pharmacist, if you have an employment change you must notify the Board when?

A

Within 10 days in WRITING

19
Q

To have a Pharmacy License (the building/business) what are the Qualifications?

A
  1. Size: at least 125 square feet, commercial location
  2. Sanitary: sink with hot and cold running water that CANNOT be apart of the bathroom
  3. Balances: capacity from 1/10 gram to at least 1 ounce – EXCEPTION: if proof no weighing will occur
  4. Refrigeration
  5. Exempt Narcotic Book
  6. Poison Book
  7. Filing System
  8. Containers
  9. Labels
  10. E-Prescribing of Controlled Substances
20
Q

What are the duties that ONLY a pharmacist can perform?

A
  1. Interpret the original prescription
  2. Perform prospective DUR
  3. Determine product selection
  4. Prepare certain IV or sterile products
  5. Certify the completed prescription
  6. Provide patient counseling
21
Q

What are the Responsibilities of the PIC?

A
  1. Supervision of employees
  2. Establishing policies and procedures for safekeeping pharmaceuticals
  3. Proper record keeping
  4. Controlled substance inventories
  5. Maintaining prescription files
  6. ONE PIC may only serve only one store at a time
  7. Present in the store at least 20 hrs weekly of 50% of time open if less than 40 hrs weekly
22
Q

What are Unlawful/Prohibited Acts Related to Pharmacists?

A
  1. Allow anyone other than a licensed pharmacist to certify a prescription (or perform pharmacist only duties)
  2. A linked pharmacist may only manage, supervise, or be in charge of 1 pharmacy
  3. Cannot substitute product without authority of prescriber or purchaser
23
Q

What are violations of Professional Conduct?

A
  1. Violating patient confidentiality (FEDERAL ISSUE)
  2. Submitting fraudulent billing or reports
  3. Not attempting to address the possible addiction or dependency of a patient
  4. Failure to establish and maintain controls against diversion and prevention of prescription errors
  5. No auto refills unless patient or agent authorization
24
Q

What are the 7 components of Prospective Drug Utilization Review DUR?

A
  1. Overutilization or Underutilization
  2. Therapeutic Duplication
  3. Drug Disease Contraindications, if disease is known
  4. Drug Drug Contraindications
  5. Incorrect drug dosage or duration of drug treatment
  6. Drug Allergy Interactions
  7. Clinical Abuse/Misuse
25
Q

What is Counseling?

A

Counseling is performed when deemed appropriate in the pharmacist’s professional judgment or when required by applicable federal or state laws and rules

26
Q

If counseling required in Oklahoma?

A

It is not required to be given, BUT required to be OFFERED

27
Q

What patient information is required for the dispensing of medication?

A
  1. Name
  2. Address
  3. Telephone Number
  4. DOB
  5. Gender
  6. Individual History were significant: allergies, drug reactions
28
Q

For Phone-In-Prescriptions what can be recorded?

A
  1. Pharmacy interns can receive new prescriptions
  2. Pharmacy technicians can only receive refill requests
29
Q

To whom does the prescription BELONG?

A

The patient

30
Q

What is the refill limit on non-CDS medications?

A

Maximum of 1 year from the original date

31
Q

What is required for all Outpatient Labelings?

A
  1. Name and address of the pharmacy
  2. Date of filling
  3. Name of patient
  4. Name of prescriber
  5. Directions for use
  6. Prescription number
  7. Trade or generic name of drug
  8. Prescribed quantity
  9. Strength of drug
32
Q

Refills for Safety - refilling without an authorization but effort to contact the physician must be documented and sent to the state Board, what are the allowable products for this process?

A
  1. Insulin
  2. Glucometers
  3. Rescue Inhalers for Chronic Asthma/COPD
  4. Nebulized Medications
  5. Ophthalmic Products for chronic conditions
    NO CDS
33
Q

For Prescription Shipping a pharmacy shall maintain what?

A
  1. Adequate storage or shipment containers
  2. Shipping processes to ensure drug stability and potency
  3. Appropriate temperature range to maintain integrity of the medication
34
Q

Emergency Dispensing is what?

A

Occurs when the Governor declares a disaster or emergency and the Board finds the disaster or emergency disrupts the normal prescription drug distribution channels in Oklahoma

35
Q

In Emergency Dispensing, an attempt must be made to reach out to the prescriber, if they cannot be reached and the pharmacist deems the medication essential (non-CDS) a ONE TIME 30 DAY SUPPLY can be dispensed but it must what?

A
  1. Mark the prescription as EMERGENCY
  2. If it was a CDS dispensed DEA and OBNDD MUST confirm the emergency dispensing has been approved – 10 DAY SUPPLY ONLY
36
Q

Pharmacist’s Responsibility regarding access and security:

A
  1. Only the pharmacist is permitted to unlock the pharmacy area or any additional storage area for dangerous drugs, except in extreme emergency
  2. Prescription medications shall not be left outside the prescription area when the pharmacist is not in attendance
37
Q

Collaborative Agreements: Administration Agreements

A
  1. Allowed between OK licensed pharmacists and physician
  2. Copy of agreement on file in pharmacy, available for Board Review
  3. Shall not violate any state or federal law
38
Q

Collaborative Agreements: Administer Agreements

A
  1. A pharmacist may administer drugs that have been dispensed on orders from a prescriber: if a prescriber writes for testosterone, a pharmacist can administer it and charge and admin fee
  2. A pharmacist should inform or teach the patient’s caregiver how to administer their drugs
39
Q

To provide immunizations a pharmacist must:

A
  1. Complete approved training
  2. Receive registration from board
  3. Be CPR certified
  4. Keep appropriate records

Pharmacy Law (13 decks)

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