Pharmacy Practice Flashcards

1
Q

Does a collaborative practice agreement need to be submitted to the board?

A

Yes

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2
Q

How often does a collaborative practice agreement need to be renewed?

A

Every 2 years

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3
Q

What actions are pharmacists allowed to perform under a collaborative practice agreement (e.g., initiate, modify, monitor medications)?

A

Pursuant to a physician-driven collaborative practice agreement, pharmacists may:

  • Initiate therapy
  • Modify therapy
  • Discontinue therapy
  • Administer immunizations
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4
Q

Are there any restrictions on what diseases a pharmacist can manage under a collaborative practice agreement?

A

No

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5
Q

Is every pharmacy required to have a pharmacist-in-charge?

A

Yes

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6
Q

Can a pharmacist be the PIC at more than one pharmacy?

A

A pharmacist cannot serve as the PIC for more than one full-time pharmacy (a pharmacy providing on-site pharmacist services 30 hours per week or more).

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7
Q

How much time must the pharmacist-in-charge (PIC) actually spend in the pharmacy (e.g., providing services, hours required)?

A

Not addressed in the state law

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8
Q

What activities are interns permitted to perform (e.g., counseling, compounding, final verification, taking verbal prescriptions)?

A

While under the direct supervision of a licensed pharmacist, an intern can perform any pharmacist duty

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9
Q

Can technicians accept new prescriptions over the phone?

A

No

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10
Q

What tasks are technicians eligible to complete in a tech-check-tech workflow (e.g., practice site type, training, or certification required)?

A
  • A pharmacist-in-charge can authorize and delegate properly trained technicians/interns to load and unload automated drug delivery systems utilizing a bar code verification, electronic verification, or similar verification process.
  • Approved for use in an acute care hospital practice setting
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11
Q

What activities can a clerk perform (e.g., cashier functions, receive refills, put a bottle of medication on the shelf)?

A

The Kansas Board of Pharmacy does not specify what tasks a pharmacy clerk/cashier can perform.

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12
Q

Are there limits on prescribing controlled or non-controlled drugs to oneself or family members?

A

No

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13
Q

Can new prescriptions or refills be filled if the prescriber is known to be deceased or retired?

A

A controlled substance prescription ceases to be valid once the prescriber dies or retires.

A non-controlled maintenance prescription is valid until the patient has time to establish another physician relationship (typically 30-days).

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14
Q

Can pharmacists fill prescriptions written by prescribers in other countries?

A

No

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15
Q

How many years must prescription records be kept?

A

5 years

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16
Q

Within what time frame from the issue date are non-controlled prescriptions permitted to be refilled?

A

Non-controlled prescriptions are valid for one year from the date of issue.

17
Q

Is there a maximum number of refills permitted for non-controlled drugs?

A

No

18
Q

What is the maximum days’ supply that can be dispensed for an emergency refill of non-controlled drugs without prescriber authorization?

A

No more than a seven-day supply or one package of the drug.

19
Q

What information is required to be on a prescription container label?

A

Prescription labels should be typed or machine-printed and shall include the following:

  • Name, address, telephone number of the dispensing pharmacy
  • Name of the prescriber
  • Full name of the patient
  • Identification number assigned to prescription
  • Date prescription was filled or refilled
  • Adequate directions for use
  • Beyond-use-date for the drug
  • Brand name or corresponding generic
  • Name of manufacturer
  • Strength of drug
  • Contents in terms of weight, measure, or numerical count
  • Necessary auxiliary labels or storage instructions
20
Q

Is it required to provide a larger type size on the container label for patients with visual impairment?

A

No

21
Q

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)?

A

Yes

22
Q

How long must patient profiles be kept after the last fill?

A

5 years

23
Q

What is required to be in a patient profile?

A

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 peculiar to the patient or drug, patient’s weight, over-the-counter drug use)

24
Q

Is patient identification required to dispense non-controlled drugs in the community pharmacy setting?

A

No

25
Q

When must the offer to counsel a patient be made (e.g., all new prescriptions)?

A

All new prescriptions and once yearly for maintenance medications

26
Q

Who can provide the offer to counsel (e.g., pharmacist, intern or technician)?

A

The pharmacist or pharmacy intern (under direct supervision)

27
Q

What are the counseling requirements for medications delivered to the patient or sent by mail?

A

Not addressed in Kansas law.

28
Q

Are pharmacies required to provide translation services to limited-English proficient (LEP) patients?

A

Not addressed in Kansas law

29
Q

What are the requirements for generic substitution (e.g., must notify the patient)?

A

The patient must be notified of the substitution

30
Q

What resource/s can be used to select a suitable substitution (e.g., Orange Book, state formulary)?

A

The Orange Book

31
Q

What actions can be taken by the prescriber or patient to prevent generic interchange?

A

The prescriber can state “dispense as written” or “DAW” on the prescription

32
Q

What documentation is required when a generic substitution occurs?

A

For biological products:

Within 5 business days following dispensing of a biologic, the pharmacist shall make an entry with the name of the product and manufacturer. Options for documentation include:

  • electronic medical records system
  • electronic prescribing technology
  • a pharmacy benefits management system
  • a pharmacy record OR
  • fax, telephone, or electronic transmission
33
Q

Are there any drugs (e.g., narrow therapeutic index) that cannot be substituted?

A

No

34
Q

Does the state have a conscience clause (if so, what are the stipulations of the clause, or what drugs does it specifically apply to)?

A

Yes, this statute allows a pharmacist to refuse to fill or refill any prescription based on the pharmacist’s professional “judgment and discretion.”

35
Q

Does the state have death with dignity laws?

A

No