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NY MPJE > RxPrep FlashCards > Flashcards

RxPrep FlashCards

1
Q

How many members serve on the state board of pharmacy, and how long is each term of service?

A 
13 members (as of 2021) 
5 years
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2
Q

How many public members (non-pharmacist) and how many pharmacist members serve on the board of pharmacy?

A

2 public members
9 pharmacists
2 registered techs

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3
Q

What is the name of the agency that issues pharmacist licenses?

A

The New York State Education Department Office of the Professions (NYSED-OP)

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4
Q

What is the minimum age to become a licensed pharmacist?

A

21 years

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5
Q

What exams are required for pharmacist licensure?

A

NAPLEX, MPJE, Part 3 (Prescription Compounding and Pharmacy Practice)

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6
Q

How long does a pharmacist have to notify the board of a change in name, home address or employer?

A

Name: 30 days
Home address: 30 days
Employer: not addressed in the state law

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7
Q

What are the CPE requirements for pharmacists?

A

minimum of 45 hours each renewal period. At least 23 hours must be live (max 22 hours of self-study). At least 3 of the 45 hours must be in the area of reducing medication errors

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8
Q

How often is the pharmacist license renewed?

A

every 3 years; this is sometimes referred to as triennial. The renewal occurs in the pharmacist’s birth month.

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9
Q

What are the requirements to become a nuclear pharmacist?

A

1) Certification as a Nuclear Pharmacist by the Board of Pharmaceutical Specialities
2) Completion of at least 200 contact hours of didactic (classroom) instruction in nuclear pharmacy in an accreditated school or college of pharmacy and a minimum of 500 hours of clinical nuclear pharmacy training under a board-certified nuclear pharmacist in a residency program or a nuclear pharmacy training program in an accreditated school or college of pharmacy

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10
Q

Are preceptors required to register with the state board?

A

No

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11
Q

What are the requirements to serve as a pharmacist preceptor?

A

The pharmacist must have at least 1 year of experience as a licensed pharmacist prior to serving as a preceptor.

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12
Q

Do individuals need to submit fingerprints to register as an intern?

A

No

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13
Q

Are interns required to have a criminal background check?

A

No

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14
Q

When does an intern license expire?

A

5 years from the date of issue. An intern license or permit can be renewed once for up to 2 years.

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15
Q

How many intern hours are required?

A

6 months (1,040 hours)

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16
Q

What is the ratio of interns for each pharmacist in a community/hospital setting?

A

1 full-time intern or 2 part-time interns to 1 pharmacist

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17
Q

Are there permitted conditions in which the number of interns per pharmacist can increase?

A

No

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18
Q

What is the minimum age to become a pharmacy technician?

A

18 years

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19
Q

Do technicians have to be licensed or registered?

A

No

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20
Q

Are there permitted conditions in which the number of techs per pharmacist can increase?

A

No

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21
Q

What are the requirements for pharmacy staff ID badges?

A

Every pharmacist must wear a board-designed badge with his or her name and title on it while on duty

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22
Q

What organization operates the impaired pharmacist recovery program?

A

The Professional Assistance Program (PAP) is operated by the NY State Department Office of the Professions (NYSED-OP)

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23
Q

What healthcare professionals can enroll in the state’s impaired pharmacist recovery program?

A

Most licensed professionals in NY including pharmacists, dentists, nurses, and veterinarians, are eligible. Physicians, physician assistants, and specialist assistants are not eligible as they have their own program.

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24
Q

Can a healthcare professional self-enroll in the impaired pharmacist recovery program?

A

Yes

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25
Q

Are a mail-order pharmacy’s hours and/or toll-free number required to be listed on the Rx container labeling?

A

Telephone #: Yes- a written offer to counsel and a telephone # at which a licensed pharmacist or pharmacy intern may be reached

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26
Q

Are a mail-order pharmacy’s hours and/or toll-free number required to be listed on the Rx container labeling?

A

Telephone #: Yes- a written offer to counsel and a telephone # at which a licensed pharmacist or pharmacy intern may be reached must be provided with each Rx that is delivered to a patient. If the pharmacy is primarily a mail-order pharmacy, the phone number must be toll-free. Pharmacy’s hours: no

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27
Q

Are mail-order pharmacies required to be open for a defined # of days and hours per week?

A

No

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28
Q

Does the board require a specific inspection/assessment form to be used by pharmacists?

A

No

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29
Q

Do the licenses displayed for public view need to be the originals or is a photocopy or printed copy acceptable?

A

Pharmacist and intern licenses must be displayed in the pharmacy. NY state law does not specify whether a copy or not is acceptable.

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30
Q

What are the sign requirements for pharmacies?

A

A sign bearing the full name of the registrant must be displayed prominently on the outside of the building in which a registered pharmacy is located, or in the directory and on the immediate entrance to the registered pharmacy if it is in a multi-tenant building. Each pharmacy must conspicuously post a notice to inform LEP individuals or their rights to free, competent oral interpretation and translation services.

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31
Q

What are the advertising limitations for pharmacies?

A

Pharmacies must have a drug retail price sign that states “Drug Retail Price List Available Upon Request” in bold, black letters at least one inch high. The sign must be posted in a conspicuous area, such as the Rx waiting area.

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32
Q

Within how many days must a change of pharmacy address, phone # or name be reported to the board?

A

Address: no less than 30 days before the anticipate moving day. Phone #: not addressed in the state law. Name: ASAP

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33
Q

Within how many days must pharmacy closures be reported to the board?

A

at least 30 days before closing

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34
Q

Within how many days must a pharmacist notify the board that there has been a change in the pharmacist-in-charge?

A

Within 7 days

In NY state, the pharmacist-in-charge is often referred to as the “supervising pharmacist”

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35
Q

What requirements are there for emergency kits in long-term care facilities or other instuitional facilities?

A

Contents of an emergency kits must be approved by the facility’s medical director, pharmacist, and director of nursing. If the kit contains controlled substances, the instuition must notify the pharmacy that furnishes the medications within 24 hours of each time the emergency kit is unsealed, opened or shows evidence of tampering. NY state law does not specifically address the time frame for refilling the kit.

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36
Q

Are the permissible pharmacist breaks or a max break duration?

A

NY state law does not address pharmacist breaks

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37
Q

During a pharmacist break, does a sign need to be posted that the pharmacist is not on duty?

A

No

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38
Q

What intern/tech functions can be done without the presence of a pharmacist?

A

Techs and interns are not permitted to perform any tasks without the presence of a pharmacist.

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39
Q

What are the limitations on medication delivery (by couriers, pharmacy employees or by kiosk)?

A

Prescriptions may be delivered by mail, a delivery service or in another fashion. Each prescription delivery must include a written offer to counsel the patient or caregiver.

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40
Q

Are there any limitations on drive-up windows?

A

No

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41
Q

Does the state recognize pharmacists as providers for reimbursement purposes?

A

No

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42
Q

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

A

No

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43
Q

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

A

NY state does not specify how often collaborative practice agreement must be renewed

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44
Q

What actions are pharmacists allowed to perform under a collaborative practice agreement?

A

1) Adjust or manage a patient’s drug regimen, which may include adjusting drug strength, frequency or route of administration. The pharmacist is required to immediately document any changes that are made in the patient’s medical record. 2) Evaluate and, if specifically authorized in the protocol, order disease state lab tests related to drug therapy management. 3) Order or perform routine monitoring functions, including collecting and reviewing patient histories and ordering or checking vital signs, if specifically authorized in the protocol.

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45
Q

What actions are pharmacists allowed to perform under a collaborative practice agreement?

A

1) Adjust or manage a patient’s drug regimen, which may include adjusting drug strength, frequency or route of administration. The pharmacist is required to immediately document any changes that are made in the patient’s medical record. 2) Evaluate and, if specifically authorized in the protocol, order disease state lab tests related to drug therapy management. 3) Order or perform routine monitoring functions, including collecting and reviewing patient histories and ordering or checking vital signs, if specifically authorized in the protocol.

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46
Q

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

A

No

47
Q

Is every pharmacy required to have a pharmacist-in-charge aka “supervising pharmacist”?

A

Yes

48
Q

What is the minimum number of hours the pharmacist-in-charge (PIC) must be present at the pharmacy?

A

The PIC must be considered full-time, defined as working at least 30 hours/week. If the pharmacy is open for less than 30 hours/week, the supervising pharmacist must work a majority of the hours that the pharmacy is open.

49
Q

What activities are interns permitted to perform?

A

A pharmacy intern may perform for all functions of a pharmacist while under the supervision of a preceptor pharmacist.

50
Q

Can techs accept new prescriptions over the phone?

A

No

51
Q

What activities can a clerk perform?

A

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

52
Q

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

A

No

53
Q

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

A

The board does not specify if it is acceptable to fill or refill a prescription if the prescriber is known to be retired or deceased.

54
Q

Can pharmacists fill prescriptions written by prescribers in other countries?

A

The board does not specify if it is acceptable to fill prescriptions written by prescribers of another country.

55
Q

How many years must prescription records be kept?

A

At least 5 years

56
Q

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

A

There is no time limit for refills of non-controlled prescriptions.

57
Q

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

A

No

58
Q

Is emergency refilling of non-controlled drugs permitted without prescriber authorization?

A

No

59
Q

What information is required to be on Rx container label?

A

Critical elements (highlighted in color, bold type, or both and min of 12-point font): 1) patient’s name, 2) directions for use, 3) drug name and strength. Important elements: 1) name, address, and telephone of pharmacy. 2) patient’s address. 3) prescriber’s name. 4) date of filling or refilling of the Rx. 5) Rx #.

60
Q

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

A

No

61
Q

Are patient profiles required to be kept in the pharmacy for all patients?

A

Yes

62
Q

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

A

5 years

63
Q

What is required to be in a patient profile?

A

Follows federal law: 1) Full name, address, and phone # of the patient 2) patient’s age or DOB 3) patient’s gender 4) chronic medical conditions 5) a list of Rx drug orders with the drug name, strength, quantity and date received, Rx #, and prescriber 6) known allergies, drug reactions and idiosyncrasies 7) other information deemed relevant by the pharmacist’s judgment

64
Q

Who can provide the offer to counsel?

A

The pharmacist, intern, or unlicensed assistant such as a tech can provide the offer to counsel

65
Q

What are the requirements for providing translation services to the limited-English proficient (LEP) patients?

A

Pharmacies that are part of a group of 8 or more pharmacies owned by the same corporation and mail-order pharmacies must provide free, competent oral interpretation and translation services in the individual’s preferred primary language to each LEP patient who requests it or when filling a Rx that indicates the patient is LEP, unless the patient is offered and refused these services.

66
Q

What are the requirements for generic substitution?

A

Generic substitution is mandatory. The drug dispensed must be the same price or less than the drug prescribed. Patients must be notified of the substitution.

67
Q

What resource/s can be used to select a suitable substitution?

A

The Orange Book

68
Q

What resource/s can be used to select a suitable substitution?

A

The Orange Book

69
Q

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

A

The prescriber must include “DAW” (dispense as written) on the prescription

70
Q

What documentation is required when a generic substitution occurs?

A

The name and strength of the product and its manufacturer must be included on the Rx label. The brand name or the name of the manufacturer of the product dispensed must be recorded on the prescription.

71
Q

Are there any drugs (narrow therapeutic index) that cannot be substituted?

A

No

72
Q

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

A

No

73
Q

Does the state have death with dignity laws?

A

No

74
Q

Does the state have stricter laws for compounding than federal requirements?

A

No

75
Q

What drugs are classified in a different schedule in this state compared to the federal schedule?

A

Anabolic steroids are schedule II drugs in NY. Chorionic gonadotropin is a schedule III drug in NY.

76
Q

Can marijuana be obtained from a state-approved dispensary for recreational use or only for medical purposes?

A

Marijuana can be obtained for medical use only

77
Q

Does an individual need to obtain an ID card to purchase marijuana?

A

Yes, the patient must be certified and obtain a registry ID card to purchase medical marijuana

78
Q

Is medical marijuana limited to certain indications? (If yes, what indications?)

A

Yes. Cancer, HIV/AIDS, amyotrophic lateral sclerosis (ALS), Parkinson’s Disease, Multiple Sclerosis (MS), damage to the spinal cord with intractable spasticity, epilepsy, inflammatory bowel disease (IBD), neuropathies, Huntington’s Disease, Severe pain (that will last for at least 3 months), Post-Traumatic Stress Disorder (PTSD), pain that degrades health and functional capability where medical marijuana is an alternative to opioid use, Substance Use Disorder

79
Q

Does a practitioner need authorization from the state to recommend medical marijuana?

A

Yes. Physicians, nurse practitioners and physician assistants can apply for registration to prescribe medical marijuana.

80
Q

How does a practitioner authorize a patient to obtain medical marijuana?

A

The practitioner must issue a certification for use, including the patient’s diagnosis.

81
Q

What agencies must a controlled substance loss or theft be reported to and within what time frame must this be reported?

A

The licensee must notify the Bureau of Narcotic Enforcement “promptly” of each incident or alleged incident of theft, loss or possible diversion of controlled substances

82
Q

How long does the pharmacy need to keep paper and electronic documents for scheduled drugs?

A

All prescription records must be kept for 5 years. Other documentation (e.g. DEA form 222) must be kept for 2 years.

83
Q

Which controlled substance schedules (if any) can each type of mid-level practitioner prescribe?

A

Nurse practitioners (NPs), nurse midwives and physician assistants (PAs) can prescribe schedule II-V drugs

84
Q

List the schedules of drugs collected in the state’s prescription drug monitoring program (PDMP)?

A

Schedules II-IV

85
Q

In what timeframe must a pharmacy submit the records of dispensed controlled substances to the state’s PDMP?

A

Within 24 hours of dispensing

86
Q

Which healthcare professionals are authorized to access the prescription drug monitoring program (PDMP)?

A

Prescribers (except for veterinarians) and pharmacists, and individuals to whom the prescriber or pharmacist has delegated access.

87
Q

Can controlled and non-controlled drugs be written on the same Rx form?

A

No

88
Q

Is there a limit to the number of medications that can be written on one prescription form?

A

Yes. Only one medication can be written on single Rx form.

89
Q

Other than prescriptions for Medicaid patients, what prescriptions require tamper-resistant security forms?

A

All prescriptions in New York state are required to be transmitted electronically. If the prescription cannot be transmitted electronically (for ex, during a power outage), it must be written on an official NY state prescription form.

90
Q

What security elements must be present on tamper-resistant security forms?

A

Follows federal requirement. One of each of the following security requirements: 1) one or more features designed to prevent unauthorized copying of a completed or blank prescription form. 2) one or more features designed to prevent the erasure or modification of information written on the Rx by the prescriber 3) one or more features designed to prevent the use of counterfeit prescription forms

91
Q

What changes can be made, at the pharmacist’s discretion, to schedule II prescriptions?

A

The following 4 items may NOT be changed: 1) patient name 2) drug name 3) prescriber’s signature 4) date of the Rx. The patient’s age, sex and address can be changed without consulting the prescriber. Any other changes may be made with the prescriber’s authorization.

92
Q

What changes can be made, at the pharmacist’s discretion, to schedule III-V prescriptions?

A

The same rules for schedule II drugs also apply for schedule III-V drugs.

93
Q

What is the time limit (i.e. days/months) that a schedule II prescription must be filled from the date of issue?

A

Within 30 days from the date of issue

94
Q

What is the maximum quantity or days’ supply that a patient can receive of a schedule II drug?

A

In most cases, the max is a 30-day supply. The patient may receive up to a 6-month supply of an anabolic steroid or up to a 3-month supply of other controlled substances if the prescriber includes one of the following codes on the Rx:
Code A: Panic disorders “A for anxiety”
Code B: attention deficit disorder “B for boys”
Code C: chronic debilitating neurological seizures, such as seizures. “Ceizures”
Code D: pain from a chronic or incurable “Disease” or condition
Code E: “narcolEpsy”
Code F: hormone deficiency (males), gynecologic conditions responsive to anabolic steroids or chorionic gonadotropin, metastatic breast cancer (women), anemia and angioedema

95
Q

What is the maximum quantity or days’ supply that a patient can receive of a schedule II drug?

A

In most cases, the max is a 30-day supply. The patient may receive up to a 6-month supply of an anabolic steroid or up to a 3-month supply of other controlled substances if the prescriber includes one of the following codes on the Rx:
Code A: Panic disorders “A for anxiety”
Code B: attention deficit disorder “B for boys”
Code C: chronic debilitating neurological seizures, such as seizures. “Ceizures”
Code D: pain from a chronic or incurable “Disease” or condition
Code E: “narcolEpsy”
Code F: hormone deficiency (males), gynecologic conditions responsive to anabolic steroids or chorionic gonadotropin, metastatic breast cancer (women), anemia and angioedema

96
Q

What are the additional requirements for an emergency oral schedule II prescription compared to federal law?

A

Emergency prescriptions for schedule II prescriptions are limited to a max of a 5-day supply. Also, the prescriber must provide the pharmacy with the original Rx for the verbal order within 72 hours of the oral order.

97
Q

What is the time limit (i.e. months) that schedule III-V prescriptions must be filled from the date of issue?

A

30 days

98
Q

How long are refills valid for schedule III, IV, and V prescriptions?

A

6 months from the issue date

99
Q

What is the maximum number of refills allowed for schedule III, IV, and V substances?

A

No more than 5

100
Q

Can a pharmacist provide an emergency filling of schedule III-V drugs without the prescriber’s authorization?

A

No

101
Q

What controlled drug schedules require ID for dispensing?

A

ID is required for any controlled substance Rx unless the person picking up the prescription is known to the pharmacist.

102
Q

Are pharmacists allowed to sell select schedule V cough syrups without a prescription?

A

No

103
Q

Can pharmacists furnish naloxone to patients and caregivers at risk of opioid overdose?

A

Yes

104
Q

Is naloxone distribution by a pharmacist permissible in all situations, or is it pursuant to a standing order, a protocol or authorization from a prescriber?

A

It is permissible under a standing order or dispensed pursuant to a valid prescription.

105
Q

What requirements must the pharmacist meet in order to furnish naloxone under the protocol (training program)?

A

The pharmacist must complete an opioid overdose prevention training program and a refresher course at least every 2 years.

106
Q

Does the state allow pharmacists to furnish emergency contraception?

A

No

107
Q

What are the requirements and quantity limits for selling pseudoephedrine?

A

Follows federal law: 1) products must be kept behind the counter or in a locked cabinet 2) sales must be recorded in a logbook; the logbook must be kept for 2 years 3) Government-issued photo ID is required 4) Sales limits: i) 3.6 grams per day ii) 9 grams per 30-day period iii) 7.5 grams per 30-day period for mail-order purchases

108
Q

Does the state require the submission of pseudoephedrine sales to NPLEx?

A

No; submission is voluntary (not mandatory) in NY state

109
Q

Other than exceeding the quantity limit, are there any conditions in which a pseudoephedrine sale can be rejected?

A

No

110
Q

What are the requirements for selling dextrometorphan?

A

The purchaser must be ≥ 18 years old. Sellers are required to ask for proof of age unless the purchaser appears to be over age 25.

111
Q

Does the state require a prescription for syringes and needles?

A

No

112
Q

What is the max number of syringes that can be purchased without a prescription?

A

10

113
Q

Does the state allow syringe exchange programs?

A

Yes

NY MPJE (19 decks)

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