Pharmacy Exam Section 5

Question 1

What are the four type of prescribers that can prescribe controlled substances (within the course of their license)

Answer 1

Podiatrist, veterinarian, physician, Dentist

Question 2

What does a mid-level prescriber need to include with their application if they are going to prescribe controlled substances

Answer 2

1) Their license number
2) The license number AND DEA number of the collaborating physcian
3) A notice of delegation of prescriptive authority signed by the physician saying what schedule of controlled substances they can prescribe

Question 3

What are the four things a pharmacist cannot change on a C2 prescription

Answer 3

1) Date of issuance or ADD date of issuance
2) Name of the drug
3) Name of the patient
4) Name of the prescriber or ADD a signature

Question 4

What would make a prescription with Pentazocine a C3

Answer 4

Less than 12.5 mg of pentazocine in 325 mg of acetaminophen
Less than 12.5 mg of pentazocine in 325 mg of aspirin
Any mixture of pentazocine with less than 50 mg OR 0.5 mg per unit dose

Question 5

T/F: For “May not substitute” the prescriber should write in his or her words and not use a rubber stamp or preprint it on the prescription

Answer 5

True

Question 6

What class is Meprobamate

Answer 6

C4

Question 7

If a prescriber marks “may not substitute” on a prescription for an anti-epileptic drug who must the pharmacist get permission from to change it

Answer 7

The prescriber and the patient

Question 8

If a pharmacist substitutes any generic prescription in place of a brand name anti-epileptic what must the pharmacist give to the patient

Answer 8

Provide written notice to the patient no later than at the time of the dispense

Question 9

How long after obtaining a pharmacy license does the pharmacy have to be open

Answer 9

30 days

Question 10

If a pharmacy is reducing in hours of operation how long do they have to tell the division

Answer 10

30 days

Question 11

T/F: Upon receipt by the Division of a change of ownership application, the purchaser may begin operations prior to the issuance of a new pharmacy license only when the purchaser and seller have a written power of attorney agreement

Answer 11

True

Question 12

If a license was approved for a pharmacy transfer when should the drugs be transferred

Answer 12

Within 24 hours

Question 13

Which of the following resources shall be required to maintain by all pharmacies?

Answer 13

1) Copies of the Illinois Pharmacy Practice Act
2) Copies of the Illinois Controlled Substance Act
3) 21 CFR
4) The Illinois Hypodermic Syringes and Needles Act

Question 14

T/F; If an online connection between a home pharmacy and a dispensing site is lost the dispensing site must be closed unless the pharmacist is on site

Answer 14

True

Question 15

How much experience does a certified pharmacy technician have to have in order to work at a remote dispensing cite

Answer 15

One year of experience

Question 16

What is the max amount of remote sites one pharmacist may electronically supervise at a time from a home pharmacy

Answer 16

3 remote sites

Question 17

If refilling a C3 through C5 on the back of a prescription what should the pharmacist write to indicate a partial fill

Answer 17

Date of the refill
Quantity
Name or initials of the pharmacist

Question 18

T/F: For a controlled substance listed in Schedules III, IV or V, if a pharmacist merely signs or initials and dates the back of the prescription, he shall be deemed to have dispensed a refill for the full face amount of the prescription

Answer 18

True

Question 19

T/F: Prescriptions dispensed at the remote pharmacy site must be distinguishable from those dispensed at the home pharmacy

Answer 19

True

Question 20

T/F: A sink with hot and cold water is not required if the pharmacy has no drug inventory

Answer 20

True

Question 21

The Combat Methamphetamine Regulation DOES NOT apply to dietary supplements, herbs, or other natural products, including concentrates or extracts, which may contain naturally occurring ephedrine alkaloids and what

Answer 21

1) May have naturally occurring pseudoephedrine and ephedrine
2) Is in an organic matrix
3) Do not exceed 15% of the total weight

Question 22

If a community pharmacy or an institutional pharmacy has an automated dispensing and storage system what documentation is required to accompany it

Answer 22

1) Name and address of the home pharmacy
2) Manufacturer make and model
3) Quality assurance policy and procedures
4) Policy and procedures for system operation

Question 23

If a LTCF has an emergency kit with controlled substances inside of it THE LTCF does not have to register with the DEA, but what does

Answer 23

The pharmacy or institution that the controlled substances came from

Question 24

For stocking and restocking of an automated dispensing system who determines who is allowed to do this

Answer 24

The Pharmacist in Charge (as long as they are appropriately trained)

Question 25

For medication removed from the automated dispensing and storage systems for on-site patient administration, the system must document

Answer 25

1) Name of the patient
2) Patient’s unique and permanent identifier (MRN)
3) Date and time the medication was removed from the system
4) Name, initials, or unique identifier of whomever removed the medication
5) Name, strength and dosage form of the drug or description of the medical device removed

Question 26

How long does a pharmacist have to tell the division that they are installing an automated dispensing system

Answer 26

30 days

Question 27

The pharmacist-in-charge shall be responsible for providing the Division with written notice 30 days prior to the installation of, or at the time of removal of, an automated storage and dispensing system. The notice must include

Answer 27

1) The address of the location of the automated dispensing and storage system
2) A written description of how the facility intends to use the automated storage and dispensing system
3) The automated dispensing systems manufacturer and mode

Question 28

T/F: All containers of medications stored in the automated dispensing and storage systems shall be packaged as a unit of use for a single patient use

Answer 28

True

Question 29

If a sterile solution is added to an automated dispensing and storage system, and is not in its original package, what is required to be on the label

Answer 29

1) Name, concentration, and volume
2) Name and strength of drugs and diluent
3) Beyond use date (may only get up to a year)
4) Reference code to identify source and lot number of drugs

Question 30

If a Non-parenteral repackaged for future use is added to an automated dispensing and storage system what is required to be on the label

Answer 30

1) Brand or generic name
2) Strength
3) BUD
4) Reference code

Question 31

What are the two exceptions to “unit of use” requirement for automated dispensing and storage system

Answer 31

1) Injectable medications stored in their original multi-dose vial (insulin, heparin)
2) Over-the-counter (OTC) products stored in their original multi-dose container

Question 32

What control substances can be dispensed by an animal shelter

Answer 32

Schedule 2 and Schedule 3 medications

Question 33

T/F: Nurse practioners and physician assistants can prescribe, administer and dispense Schedule II to V controlled substances, can only prescribe 30-day supply for schedule II controlled drugs

Answer 33

True

Question 34

T/F: Optometrists can only prescribe schedule III, IV and V controlled substances and schedule II hydrocodone containing products

Answer 34

True