pharmacy scope of practice for assignment #6

Question 1

all licensed pharmacy technicians

(including pharmacy technician trainees who must be under direct pharmacist supervision, unless otherwise noted)

may do what

what can they do for Rx

what can they fill and where do they get it from

what can they do for a label

what can they do to a medication

what can they prepare packages for

what can they compound

what can they do for counseling

what can they do for the transport of filled and verified CI - VI

what can they do for expiration dates

Answer 1

1. enter prescription data into a computerized pharmacy system;
2. take stock bottles from the shelf to fill prescriptions for Schedules III through VI medications;
3. affix label to a prescription container;
4. reconstitute a medication;
5. prepare patient compliance packaging with Schedule III through VI
   medications;
6. compound sterile and non-sterile Schedule III through VI medications;
7. extend the offer to counsel;
8. assist in the transport of filled and verified Schedule II through VI prescriptions or orders (e.g., delivering filled prescriptions from the pharmacy to a nurse, retrieving the medication from a pickup bin and ringing out the transaction at the register, etc.); and
9. transport, load, remove, and / or perform expiration date checking of non- patient specific medications in Schedules III through VI in Automated Dispensing Devices (“ADD”).

Question 2

all licensed pharmacy technicians (EXCEPT pharmacy technician trainees) may also:

what can they do for oral refills

what can they do for remote processing of Rx

what can they do for Covid

what can they do for expiration dates

Answer 2

1. request and accept orally transmitted REFILL authorizations for Schedule III through VI medications if there have not been any changes to the prescription;

2.conduct remote processing of prescriptions in accordance with Policy2021- 02: Shared Pharmacy Service Models Including Central Fill, Remote Processing, and Telepharmacy;

3. trained pharmacy technicians may prepare and administer COVID-19 and other vaccines in accordance with Policy 2023-02: Vaccine Administration;
4. transport, load, remove, and / or perform expiration date checking of Schedule II medications in ADDs within a Massachusetts-licensed health
   care facility (e.g., hospital) in accordance with Policy 2023-08: Pharmacy Technician Stocking of Automated Dispensing Devices (ADD).

Question 3

licensed pharmacy technicians that have national certification (CPhT or ExCPT) may also:

what can they do for CVI

what can they do for expiration dates?

what can they do for CII inventory, with who and who must verify

what can they make entries for

what can they accept

what can they preform between pharmacies and for what schedule

what can they assist in handling

what can they preform

Answer 3

1. use technology to conduct certain inventory management functions for Schedule VI medications (excluding PMP drugs such as gabapentin) in accordance with Policy 2023-08: Pharmacy Technician Stocking of Automated Dispensing Devices (ADD).
2. transport, load, remove, and / or perform expiration date checking of Schedule II medications in ADDs;
3. perform Schedule II perpetual inventory counts with a second licensed nationally certified technician provided that the supervising pharmacist verifies that the perpetual inventory has been completed in accordance with Board regulations;
4. make entries into the Schedule II perpetual inventory;
5. accept NEW orally transmitted Schedule III through VI prescriptions;
6. perform prescription transfers between pharmacies for Schedule VI drugs;
7. assist in the HANDLING of Schedule II medications (e.g., counting pills,
   working in a vault, performing inventory related tasks, filling / checking ADDs, compounding, etc.) EXCEPT for any hydrocodone-only extended- release medication that is not in an abuse deterrent form; and
8. perform medication histories.

Question 4

Pharmacy Technicians may not:

do what for medications unless what

do what for patient dispensing

do what for counseling

do what for DUR

do what for clinical issues

do what for prescribers and for what

do what without a pharmacist

Answer 4

1. administer medications, unless permitted by Board policy;
2. perform final patient dispensing process validation;
3. counsel patients;
4. perform a drug utilization review (“DUR”);
5. resolve clinical issues;
6. contact prescribers concerning drug therapy clarification or modification;
7. compound,fill, and/or dispense prescriptions without a pharmacist on site.