Oregon Specific Laws/Rules Flashcards
Can techs provide a prescription or med to a patient w/out a pharmacist’s verification?
No
Can a pharmacist or intern refuse to release a medication?
Yes, if they believe the patient’s safety may be affected, or they don’t have identification.
How long are prescriptions for C-III meds good for?
6 months from written date.
Can techs affix required labels on a container?
Yes
Regulations of the sale of pseudoephedrine
Applies to pseudoephedrine, ephedrine, and phenylpropanolamine:
These are C-III and require a prescription.
Pharmacist to intern ratio limit
1:1 during a “traditional pharmacy-practice internship”
More than one if the others are doing technician duties
Can techs communicate or accept by oral communication a new or transferred prescription?
No
How many refills are allowed for C-IV meds?
5 refills.
How long are prescriptions for C-IV meds good for?
6 months from written date.
Can we take emergency C-II’s over the phone?
Yes, but it must be promptly reduced to writing and filed by the pharmacy.
Can techs pick doses for unit dose cart fill for a hospital or nursing home?
Yes
Pharmacist CE requirements in Oregon
30 hours per year 2 years
2 hour of law 2 hour of med errors One-time 7 hour of pain management: - 1 hour specific to Oregon - 6 more hours in general
Newly licensed pharmacists are exempt from their first year.
Are other states allowed to access our PDMP?
Only bordering states accessing it for patient-care:
Washington
Idaho
Nevada
California
Can we correct the patien’ts name on a C-II?
No
Can we provide an emergency supply for controlled medications?
No
Are pharmacies allowed to store prescription records off-site?
Yes, after 1 year.
Who can counsel on prescriptions?
Pharmacists and interns
What are the required features of a prescription pad?
The requirements are the same as those from CMS for Medicaid prescriptions:
VOID appears on reproductions.
Erasure resistant background.
Micro-printed border.
Artificial watermark on back visible at 45 degree angle.
Thermochromic “Rx” disappears when rubbed or heated.
A “security features” box on the back.
How quickly must records stored off-site be retrievable by the pharmacy?
3 business days.
Who can accept a refusal to counsel?
Pharmacists and interns
When does a pharmacist license need to be renewed?
Biennial by June 30th
Can we provide an emergency supply for non-controlled medications?
Yes. 72 hours worth.
How long are prescriptions for non-controlled meds valid for?
1 year from written date.
Can we correct the prescriber’s signature on a C-II?
No
Can techs check nursing units, or nursing homes for nonjudgmental tasks such as sanitation and out of date meds?
Yes
Which schedules of controlled meds need to be uploaded to PDMP?
C-II, C-III, and C-IV
How often does dispensing data need to be uploaded to the PDMP?
Every 72 hours.
Intern license expiration
2 years
Can techs initiate or accept oral or electronic refill authorizations if nothing is new?
Yes
How long are prescriptions for C-V meds good for?
6 months from written date.
Are schedule V drugs available OTC?
No
Can we “furnish” naloxone to patient/caregivers at risk of opioid overdose?
Yes. We used to need training but now we don’t. We just need to make sure they know how/when to use it.
How long do we have to report the loss or theft of controlled substances?
1 business day.
Pharmacist breaks
“There must be appropriate opportunities for uninterrupted rest periods and meal breaks, time is not defined.”
Can techs enter info into the computer?
Yes
How many refills are allowed for C-III meds?
5 refills.
Intern hour requirements
1440 hours
How long must prescription records be kept?
3 years.
Pharmacist to technicians ratio
No limitations
Preceptor to intern ratio limit
1: 2 during “school-based rotational internships”
1: 10 during public-health outreaches w/out patient-care activities
1: 2 for immunization clinics, but the preceptor may delegate their responsibilities to another licensed pharmacist or preceptor.
Can we correct the drug on a C-II?
No. Except for generic substitutions.
If a prescription is going to be delivered to a patient, what do we need to provide them?
Counseling and drug information plus your contact information.
Can we fill out of state prescriptions?
As long as we think it is legit, but we have to try and get some sort of proof of a patient-provider relationship if we don’t know the prescriber. We have to be sure.
Can techs counsel a patient on meds or perform DUR?
No
Can techs prepack and label multi-dose and unit-dose packages of meds?
Yes
Can techs add one manufacturer’s single dose or multiple unit dose of the same product to another manufacturer’s prepared unit to be administered parenterally to a patient?
Yes
How many refills are allowed for C-V meds?
5 refills.
Can techs receive or transfer prescriptions to another pharmacy?
Not without prior verification of a pharmacist.
Can techs perform any task that requires the professional judgment of a pharmacist?
No
Can techs reconstitute prescription medications?
Yes
Can we correct prescriptions for C-II’s?
We have to speak with a provider to correct: - The dosage form - The strength - The quantity - The directions We can add, per the patient: - The PATIENT'S address
Can techs bulk compound solutions for small-volume injectables, sterile irrigating solutions, products prepared in relatively large volume for internal or external use by patients, and reagents or other products for the pharmacy or other departments of a hospital?
Yes
Can techs reconstitute single or multiple dose units that are to be administered parenterally to a given patient as a unit?
Yes
Can a tech pack, pour, or place drugs into a container?
Yes
