Pharmacy Practice Flashcards
What are the requirements for a pharmacist to be designated as a “provider” for reimbursement purposes and what tasks are permitted under this designation?
Pharmacists are considered providers solely based on their licensure as a pharmacist.
Does a collaborative practice agreement need to be submitted to the board?
Yes
How often does a collaborative practice agreement need to be renewed?
Every 2 years
What actions are pharmacists allowed to perform under a collaborative practice agreement (e.g., initiate, modify, monitor medications)?
Pharmacists can initiate, modify and discontinue therapy as allowed in their collaborative practice agreement.
Are there any restrictions on what diseases a pharmacist can manage under a collaborative practice agreement?
No
Is every pharmacy required to have a pharmacist-in-charge?
Yes
Can a pharmacist serve as the pharmacist-in-charge (PIC) at more than one pharmacy?
No
What is the minimum number of hours the pharmacist-in-charge (PIC) must be present at the pharmacy?
50% of business hours not to exceed 40 hours per week on average
What activities are interns permitted to perform (e.g., counseling, compounding, final verification, taking verbal prescriptions)?
An intern can do everything a pharmacist can do as long as the intern is supervised by a pharmacist:
1) Certifying medical and prescription orders
2) Performing final verification of the product prior to dispensing
3) Initialing medical/prescription orders and noting appropriate comments
4) Providing patient counseling
5) Providing direct patient care services
6) Providing drug information to patients, caregivers, and health care providers
7) Supervising compounding
8) Evaluating and establishing criteria for selection of drug products and suppliers
9) Opening and closing the pharmacy
Can technicians accept new prescriptions over the phone?
Yes. Certified technicians may receive new or transferred oral medical and prescription orders.
What are the requirements for tech-check-tech (e.g., practice site type, training or certification required)?
Certified pharmacy technicians may verify the contents of unit dose carts/automated dispensing systems prepared by other technicians when an additional verification by use of bar code technology or a licensed health care professional if performed prior to administration to the patient.
What activities can a clerk perform (e.g., cashier functions, receive refills, put a bottle of medication on the shelf)?
The TN Board of Pharmacy does not specify what tasks a pharmacy clerk/cashier can perform.
What are the limits on prescribing controlled or non-controlled drugs to oneself or family members?
Self-prescribing should only be done in emergency situations. Treatment of family members should be only for minor, self-limiting illnesses or emergency situations.
Controlled drugs can be prescribed to family members in emergency situations. Prescribing controlled substances to oneself is prohibited.
Can new prescriptions or refills be filled if the prescriber is known to be deceased or retired?
When a pharmacist becomes aware that a prescriber has died, the prescription may continue to be dispensed based on the pharmacist’s professional judgment and with the following requirements:
1) If the prescription is new and has not previously been dispensed, it may be dispensed within 90 days of the date when the prescriber died
2) If the prescription had been previously dispensed and has valid refills, the refills may be dispensed for no more than 90 days from the date when the prescriber died for Schedules III, IV, and V and 180 days for non-scheduled drugs
3) The drug is not a schedule II drug
Can pharmacists fill prescriptions written by prescribers in other countries?
The board does not specify if it is acceptable to fill prescriptions written by prescribers of another country.
How many years must prescription records be kept?
2 years
Within what time frame from the issue date are non-controlled prescriptions permitted to be refilled?
1 year from the date of issue
Is there a maximum number of refills permitted for non-controlled drugs?
No
What is the maximum days’ supply that can be dispensed for an emergency refill of non-controlled drugs without prescriber authorization?
3 days
What information is required to be on a prescription container label?
1) Name, address and telephone number of pharmacy
2) The medical or prescription order serial number
3) Name of prescriber
4) Name of patient
5) Directions for use
6) Date originally dispensed, and/or refill date
7) “Poison”, “shake”, “caution”, or other appropriate advisory labels
8) Name of product (unless otherwise required by the prescriber)
9) Expiration date of the product (if applicable)
What must the pharmacist do when labeling and dispensing a drug to a person who is blind, visually impaired, or otherwise print-disabled?
The pharmacist must make all reasonable accommodations for individuals who are blind, visually impaired, or otherwise print-disabled.
Are patient profiles required to be kept in the pharmacy for all patients (e.g., a traveling patient on vacation getting a one-time fill)?
Yes, for all patients for whom medical and prescription orders are dispensed
How long must patient profiles be kept after the last fill?
2 years from the last dispensing record on the profile
What is required to be in a patient profile?
Follows federal law.
1) Full name, address and phone number of the patient
2) Patient’s age or date of birth
3) Patient’s gender
4) Chronic medical conditions
5) A list of all prescription drug orders with the drug name, strength, quantity and date received, prescription number and prescriber
6) Known allergies, drug reactions and drug idiosyncrasies
7) Other information deemed relevant by the pharmacist’s judgment (e.g., any information specific to the patient or drug, patient’s weight, over-the-counter drug use)
