Penzak 2 Flashcards
If a CVS has multiple locations, do they each need their own license?
Yes
How early must you provide notice for the board when getting a pharmacy permit?
at least 30 days before opening
4 Rs and a C: must comply with prescription department technical equipment
- References (Facts and Comparisons, equiv)
- Running water (hot and cold)
- Register for exempt narcotics (doesn’t really apply, but memorize)
- Rx balance with appropriate weights
- Compounding equipment (for the level of compounding required)
To manufactuer, bottle, package, repackage, what must you do?
have an ANNUAL registration with ALBOP (different from pharmacist license)
What is a 3PL?
3rd Party Logistics (UPS is an example)
How large should a prescription room be?
240 ft
How large should a working space be for 1 pharmacist?
16 sq ft
How large should a working space be for 2 or more pharmacists?
24
How much space must be unobstructed?
36 in
Where should pharmacy licenses be displayed?
prominently and conspicuously
Does the name of the pharmacist on duty need to be displaced?
yes
what 3 things need to be displayed at all times in a pharmacy?
- pharmacy license
- name of pharmacist on duty
- name of supervising pharmacist
IND definition
drugs that have not been through the full FDA drug approval process
To use an IND, it must be for a
serious, immediately life-threatening diseases
To use an IND, no other
comparable or satisfactory alternative therapy must be available
To use an IND, it must be under investigation for
the disease or condition in question
To use an IND, sponsor must be actively
pursuing approval
To use an IND, for serious diseases, there must be
sufficient evidence of safety AND efficacy
Mdication samples may only be distributed to
practitioners licensed to prescribe OR pharmacies of health systems
starter packs are/are not samples
are NOT
The prescriber must make what for samples?
written request
drug sample receipts must contain which 5 things?
- name and address of prescriber
- name and address of hospital/health facility
- name, address, and TITLE of the person acknowledging delivery of samples
- brand name, strength, quantity, and lot number
- date of delivery
is it legal to mail controlled substances?
yes, but must have an inner container marked and sealed pursuant to CSA regulations
What must an inner container in a mailed controlled substance have on its label?
- name and address of pharmacy
- practitioner/person dispensing
Regulations for mailed prescriptions: exterior labeling
must have NO indication that it contains medication contents
Which case recall is the following: Reasonable probability that the product will result in serious adverse health consequences or death
I
Which case recall is the following: Not likely to cause adverse health consequences
III
Which case recall is the following: Product may temporarily cause medically reversible health consequences
II
Class recalls and medical devices are similar; the most severe of each is
most severe recall is I; most risk for medical devices is III
Are pick up stations allowed?
no pharmacy shall authorize any person, firm, or business establishment to serve as a pick-up station
(except for federally qualified health centers (FQHC))
What is the ONE exception to pick-up stations being prohibited?
federally qualified health centers
Are kiosks available to pick up meds?
not currently available
are drive-thrus prohibited in AL?
no
Are vacuum tubes prohibited in AL?
no
What is a residential care facility?
- convaslescent home
- nursing home
- extended care facility
- mental health facility
- rehabilitation facility
- developmental/disability center
- assisted living facility
- a specialty care assisted living facility
Wich drugs can be repackaged, relabeled, and stored (as a UNIT DOSE) for a residential care facility that doesn’t have a pharmacy located on its premises
any legend (can NOT repackage controls)
Can certified nurse practitioners (CRNP), PAs, and certified nurse midwives (CNMs), write for CII?
Yes, if certain conditions are met
Which conditions must be met for CRNPs, PAs, and CNMs to write for CIIs?
- must have QASC certificate
- must have a CII PERMIT (LPSP)
- Must have a DEA#
- must have a collaborative practice agreement
- CII must fall within scope and be listed as formulary set forth by physician that CPA is in
best option for destruction of unwanted meds
take-back programs; pharmacies can NEVER dispense again, though
second best option for destruction of unwanted meds
“flush list” - check to see if can be flushed safely down toilet)
third best option for destruction of unwanted meds
mix meds with undesirable substances - do NOT crush them. mix with cat litter, used coffee grounds and throw away
Can an RPh give emergency refills?
yes, but under certain conditions
conditions in which pharmacists may fill emergency refills
- cannot get ahold of HCP and required for life/progression of disease
- not CII or CIII
- must be 72h supply
- must notify HCP within 72 hours after dispensing
CII expiration
non
legend expiration
none
CIII expiration
6 months or 5 refills; whichever comes first