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VA MPJE Prep > Pharmacist Practice > Flashcards

Pharmacist Practice Flashcards

1
Q

Who has corresponding liability for patient provider relationship?

A

Pharmacist

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2
Q

Prescriber can prescribe CS for self/family only in emergency (true/false)

A

true

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3
Q

Can you fill out of state CS Rx?

A

Yes-but must meet VA requirements

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4
Q

Rules for PA to prescribe CS

A

-become approved by board of medicine to prescribe under collaborating physician OR podiatrist
-Rx must have name of collaborating physician

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5
Q

Rules for APRN/NP to prescribe CS

A

Option 1: become authorized with board of nursing and medicine for autonomous practice to prescribe
Option 2: collaborative practice agreement with physician
*need either DEA number for CS or if legend need Rx authority #

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6
Q

Can TPA-certified optometrists prescribe CS?

A

Yes-can prescribe oral analgesics. CII-only hydrocodone

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7
Q

Can dentists prescribe CS?

A

Yes-must be in scope

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8
Q

What needs to be on legend Rx?

A

-signature (or e signature)
-patient first/last name
-patient address (prescriber or pharmacist)
-only 1 Rx per blank

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9
Q

Can legend drugs be filled without authorized refills?

A

Yes-if prescriber unavailable and patient’s health is in danger. However, cannot happen after 12 dates from Rx written.

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10
Q

What are exceptions to eRx for CII?

A

Can be faxed for LTCF, hospice, home infusion. If it is faxed outside of these examples, pharmacist must obtain original Rx prior to dispensing

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11
Q

How long can CII be filled from date of issuance?

A

6 months

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12
Q

Can CIIs be transferred?

A

Partial fill, no. Unfilled that was issued electronically can be transferred.

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13
Q

Acute pain opioid Rx limit

A

-7 days; must be short acting
-Exception: clearly documented in medical record why they need longer
-must document why it’s greater than 50 MME per day

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14
Q

Surgical procedure opioid Rx limit

A

14 days

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15
Q

How long do you have to do partial CII fill due to lack of supply?

A

72 hours

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16
Q

CII partial fill timeline

A

30 days from issuance. 60 days for LTCF

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17
Q

Items needed for CII Rx

A

PharmD can add:
patient address
DEA
dosage form
strength
directions
quantity
date
PharmD cannot add:
signature
drug

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18
Q

How long does a provider have to provide hard copy Rx for emergency CII verbal orders?

A

7 days

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19
Q

Can multiple CII Rxs be issued on same day for same pt/drug?

A

Yes-90 day supply. Can put earliest fill date on Rx. Issue date must be accurate though!

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20
Q

RN can authorize refills for what type of drugs?

A

Non CS if no changes

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21
Q

CIII-V refills?

A

5 refills and cannot be filled after 6 months from issuance. Can be faxed.

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22
Q

When can pharmacists administer drugs under standing state protocol?

A

-standing protocol (naloxone, epinephrine, contraception, prenatals, PrEP, PEP, dietary fluoride supplements, PPD)
-hormonal contraception: preventative care, well woman visits, STI risk, pap smear importance
-CLIA waiver: therapy for COVID, flu, Strep A, UTI
-vaccines-anything on CDC on immunization schedule
-collaborative practice with provider

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23
Q

When must counseling be offered?

A

New scripts. If declined, must be documented.

24
Q

Can a retail pharmacy accepted dispensed drugs?

A

No! Exception: drug donation site registered, charitable clinics, prison pharmacies

25
Q

Can drug be returned to stock in retail if not dispensed?

A

Yes-expiration date cannot exceed 1 year

26
Q

When must naloxone be prescribed for acute pain?

A

-If prescribing >/= 120 MME per day. Must also document why in EMR
-risk factors for OD
-substance misuse
-concomitant benzos

27
Q

What can TPA optometrist prescribe?

A

Must be on TPA formulary
-analgesics hydrocodone/APAP, oral analgesics
-other drugs to treat eye conditions
-topicals
-IM epi for emergencies

28
Q

What must a patient fill out prior to pharmacist prescribed contraception?

A

Assessment - US medical eligibility criteria for contraception use

29
Q

What can techs not do that pharmacists/interns can do?

A

-receive oral rx
-prospective drug review
-counseling
-communicate w prescriber about anything other than than refill auth
-verify (can interns do though??)

30
Q

What can techs not do that pharmacists/interns can do?

A

-receive oral rx
-prospective drug review
-counseling
-communicate w prescriber about anything other than than refill auth
-verify (can interns do though??)

31
Q

What type of oral Rx can techs accept?

A

Under nuclear pharmD can accept diagnostic, non patient specific radiopharm rx

32
Q

Can CIII-V be renewed orally?

A

Yes-must be transcribed to written by pharmacist.

33
Q

What acronym is used to depict bioequivalence?

A

AB (NO NUMBERS AFTER)

34
Q

What do numbers after AB represent?

A

If same number then they are bioequiv (AB1 and AB1).

35
Q

What book determines bioequivalence?

A

Orange Book

36
Q

Who besides patient can pick up CS?

A

-anyone with proof of identity provided (unless know to pharmacist)
-if it isn’t the patient, we take a photocopy of ID –> keep record for 1 month

37
Q

A pharmacist can have registration to dispense CS suspended or revoked for misdemeanor relating to CS. True or false

A

False-would have to be felony

38
Q

When does accuracy of on hold Rx need to be confirmed?

A

Upon time of data entry by pharmacist; pharmD dispensing it at a later date must do prospective drug review

39
Q

Can you return an on hold Rx to patient?

A

Yes but then must delete entry from system

40
Q

What legend drugs are exceptions to emergency fill law?

A

psychotherapeutic agents, anxiolytics, sedatives, or hypnotics

41
Q

What can be accepted at drug donation site?

A

Legend drugs, in sealed manufacturer containers, individual dose/unit dose packaging, don’t expire in less than 90 days

42
Q

Max CE required from activating inactive license?

A

60 hrs (15 hrs per year)

43
Q

How many years can pharm license be inactive for you to have to retake VA law?

A

5 years
Also must perform 160 hrs of intern work if you can’t prove you were practicing in a different state

44
Q

What out of state products cannot be dispensed to a pharmacy or equipment supplier?

A

Hypodermic needles
oxygen
medical devices
drugs for operation/cleaning of medical equipment
solutions for PD
sterile water
saline irrigation
they must register as medical equipment supplier and if happening out of state then non resident medical supplier

45
Q

If an out of state pharmacy is shipping, mailing, or delivering drugs to VA residents-what must they do?

A

register as a non-resident pharmacy

46
Q

A pharmacy can provide compounded drugs to an office for office use. True or false

A

False-must be non compounded.
-if CS cannot exceed 5% of total dosage units dispensed annually

47
Q

Pharmacists may dispense from Rx written “For office use only”

A

False-this is outside patient provider relationship. Instead pharmacist must create invoice with:
-date of transfer
-name/address of physician
-name/address of pharmacy
-kind/quantity drugs

48
Q

If physician wants CII for office use what form must they use?

A

222

49
Q

Procedures for collecting eligible donated drugs

A

-pharmD or CPhT must receive/screen the drugs
-donor form (give pt a copy), don’t need to have if directly from facility
-cannot charge a fee!!

50
Q

What does BC mean in terms of bioequivalence?

A

NOT bioequivalent-often times of a different formulation (i.e. extended release)

51
Q

What can AB2 be subbed for?

A

Only other AB2! AB = bioequivalence and can be subbed for any other product that matches it # wise

52
Q

A pharmacist is required to verify that a written CS Rx meets one of the requirements. True or false

A

False!

53
Q

If a pharmacy delivers medications, how do they offer counseling?

A

Prescription in tamper resistant bag with Medi-Span Patient leaflet and a written offer for counseling with a toll free number

54
Q

What is pharmacists responsibility to notifying PCPs when partaking in initiating treatment?

A

Notify them IF you get consent from patient

55
Q

Can a nurse authorize refills? Give original verbal orders?

A

-refills-90 days only IF legend, no change to dose/strength/drug and protocol. RN must document in chart
-new Rx-must take down name of ‘authorized agent’. If CIII-V, you need a whole signed agreement. If emergency CII rx must be provider

VA MPJE Prep (10 decks)

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