Penzak 1 Flashcards
Who has legal authority to be in a pharmacy?
- Pharmacist
- Tech
- Intern/extern
- Pharmacist assistant
Intern definition
graduated with professional degree
Extern definition
Still in school, no professional degree
Pharmacist assistants ratio
none
Pharmacist assistants definition
someone who has practiced pharmacy under an RPh’s direct supervision for ≥15 years
Who is in charge of making sure no one is in the pharmacy that shouldn’t be, and that laws are being followed?
supervising pharmacist
Supervising pharmacist definition
PIC
Only people ______ may practice pharmacy
Licensed by ALBOP
What constitutes “practice” of pharmacy
- interpretation and evaulation of prescription orders
- compounding, dispensing, administering, and labeling of drugs and devices
- Drug selection, therapy management
- Drug utilization reviews
- Proper and safe storage of drugs and devices
- Maintenance of proper records
- Advising of therapeutic values, content, hazards, and use of drugs and devices
What is an intern/extern able to do?
anything a pharmacist can do while under the immediate supervision of a licensed pharmacist
ratio of interns/externs to pharmacists
3:1
What is the application fee for techs?
$60
What is the background check fee for techs?
$40
What is the transaction fee for techs?
$4
What is th total registration fee for techs?
$104
Are techs licensed or registered?
registered
Age requirement for techs
17
Techs registration requirements
- 17 or older
- good moral character
A pharmacist whose license has been denied or revoked can/can NOT become a tech?
can NOT
All techs receiving their initial registration on or after Jan 1st, 2020 shall complete a
board-approved training program
When should techs submit evidence of completion to the board of their board-approved training program?
within 10 days of completion
How long do techs have to complete their board-approved training program?
6 months after registration
All techs MUST wear a
name tag while on duty
Al techs MUST notify ALBOP if they ________; they must do so within _____ days
change employment status; must notify within 10 days
When do techs renew their license
biennially on ODD years (pharmacists are EVEN years)
how much CE do techs need?
6 hours/renewal period (2 years)
how much CE needs to be live for techs?
2 hours/renewal period (2 years)
If no techs are certified, what is the ratio of techs to pharmacists?
2:1
if 1 tech is certified, what is the ratio of techs to pharmacists?
3:1
If 2 techs are certified, what is the ratio of techs to pharmacists?
4:1
A pharmacy tech shall/shall not counsel
Shall NOT communicate orally or in writing, medical, therapeutic, clinical, or drug information, or communicate any information recorded on a patient profile that requires professional judgment
A tech can/can NOT document receipt of controlled substances (CII-CV)
can NOT
Pharmacy techs can/can NOT accept a new prescription
can NOT
Who can call in drug orders to a pharmacy
basically anyone (including receptionists), but only pharmacists/interns/externs can accept
A tech can/can NOT prepare a copy of a prescription or read a prescription to another person
this is considered transferring; can NOT perform this
A tech can/can NOT provide a prescription or medication to a patient without a pharmacist’s verification
obviously, can NOT
Can techs perform a drug utilization review?
NO! can collect data for DUR under the direction of the RPh, but cannot use professional judgment regarding what the data means
*be careful about questions like this on MPJE
What should be available regarding techs for review by ALBOP
written control procedures and guidelines for supervision of techs by an RPh and for performance of tasks by techs
Controlled substance records must be kept for at least
2 years
Which law requires that controlled substance records be kept for at least 2 years?
The Controlled Substance Act
Controlled substance paper Rxs must be kept at
the pharmacy itself
Schedule(s) ____ records must be maintained separately from all other pharmacy records
I and II must be separate from CIII-CV and legends
Can you have a central location that is off-site from the pharmacy to store financial and shipping records?
yes, but must be able to deliver them to the registered location within 2 business days
If you have an off-site central location, what info can be stored there?
shipping and financial records only
If you have an off-site central location, how quickly must you be able to retrieve these records?
2 days
Is an intern/extern allowed to counsel a patient on a new medication?
yes, but only under the direct supervision of a pharmacist
T/F: Pharmacy techs must be licensed in the state of AL?
F
which ways may one dispose or destroy controlled substances?
- Destroy with DEA agent onsite
- Deliver product to REVERSE DISTRIBUTOR
- Return to wholesaler/manufacturer
- Request special assistance of the special agent in charge of the nearest DEA office
- Facilities (hospitals) can destroy medications without prior approval
If using the assistance of a special agent in charge of the nearest DEA office to destroy a controlled substance, what is needed?
DEA form 41 (surrender of controlled substances)
What does a DEA form 41 do?
acknowledges surrender of controlled substances (usually for destruction)
Can hospitals destroy their own controlled product?
yes, they are given special guidelines
CSOS
Controlled substance ordering system
What does DEA form 222 do?
paper form allowing for ordering CI and CII
What does CSOS do?
allows ordering of CI, CII, CIII, CIV, and CV meds
to use a CSOS, what must you have?
power of attorney (need to apply for a digital certificate)
What does the digital certificate associated with the power of attorney needed to use CSOS do?
allows you to digitally sign for the order
How many copies of DEA form 222 are there?
3
Copy 1 of the DEA form 222 is
brown, and is kept by the wholesaler/supplier
Copy 2 of the DEA form 222 is
green, and is sent to the DEA by the wholesaler
Copy 3 of the DEA form 222 is
blue, and it is kept by the pharmacy
Which DEA form 222 is kept by the DEA
green (copy 2)
Which DEA form 222 is kept by the pharmacy
blue (copy 3)
Which DEA form 222 is kept by the wholesaler?
brown (copy 1)
Ordering CIII, CIV, and CV substances
Ordered directly from individual business (wholesaler/supplier) that is REGISTERED WITH DEA
Do individual pharmacists have a DEA number?
no, the facility/pharmacy will have a DEA number, but pharmacists do not individually
Who has a DEA number?
- wholesaler/supplier
- Pharmacy
Pharmacists do NOT, they have a controlled substance license from ALBOP (not registered with DEA)
Who can legally possess prescription drugs?
- Facility (pharmacy, hospital, LTCF, physician’s office, etc)
- End-user
Each pharmacy is required to have a PERMIT from
ALBOP
Before opening, each pharmacy must be
inspected
Each pharmacy must be staffed with
a licensed pharmacist and registered personnel
Pharmaceutical products may only be dispensed bia
- Prescription
- Drug order
Definition of prescription
any order for drug or medical supplies, written or signed or transmitted by word of mouth, telephone, telegraph, closed circuit television, or other means of communication by a legally competent practitioner, licensed by law to prescribe and administer such drugs and medical supplies, intended to be filled, compounded, or dispensed by a pharmacist
A prescription is an order for medication that is
dispensed to or for an ultimate user; therefore, it is NOT INTENDED FOR IMMEDIATE ADMINISTRATION
Definition of medication order
An order for medication which is dispensed for IMMEDIATE ADMINISTRATION to the ultimate user (inpatient orders are not prescriptions; they are meant for immediate administration and are therefore orders)
If the DEA asks for the schedule II records from your pharmacy, how long do you have to comply with their request?
2 business days
Medication SAMPLES may only be distributed to
licensed practitioners (or pharmacies of hospitals/health care entities)
Samples may/may not be sold
may NOT be sold
Starter packs left at pharmacies are/are not considered samples
are NOT considered samples
To obtain samples, prescribers must make a
written request
Drug sample receipts must contain 5 things:
- name and address of REQUESTOR
- name and address of HOSPITAL/INSTITUTION
- Name and address and title* of PERSON ACKNOWLEDGING DELIVERY of samples
- Brand name of drug, strength, quantity, and lot
- Date of delivery
Drug samples are highly regulated by
Prescription Drug Marketing Act
Controlled substances must be accounted for by a ____ process
closed loop (“cradle to grave”)
You must maintain records of CS in which 3 ways
- inventory
- receipt
- distribution
inventory
drugs had on hand at any time
receipt
drugs coming into the pharmacy (name, strength, quantity, date)
Distribution
where the drugs go when they leave the pharmacy
What is a drug pedigree
verification process (where pharmacies get their drugs)
Wholesaler distributors are required to be
licensed
Drug Supply Chain Security Act is also called
Track and Trace Law