State Law Flashcards

1
Q

what does a class 3 vs 3a facility?

A

3 = a facility with an in house pharmacy (hospital)

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2
Q

if a prescription is written, when does it have to be signed by?

A

the day its written

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3
Q

what is required on a written rx

A

name, gender, age, address
med name, strength, dosage form, quantity (numeral and word)
directions (MDD and date signed)
prescriber name, address, phone #, DEA#, handwritten signature

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4
Q

can a prescriber use a stamp to sign a written rx

A

yes

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5
Q

what can be added to an rx w/o prescriber permission

A

gender
age
address
(patient info other than name)

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6
Q

what can NEVER be added to a script

A

patient name
medication
signature
date
quantity

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7
Q

if a pr gives permission, what can be added

A

DEA #
directions
code
MDD
strength

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8
Q

what can be edited w pr permission

A

DEA
sig
code
quantity
med
MDD
strength
dosage form

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9
Q

what can be edited w/o pr permission

A

address
age
gender
(same as add)

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10
Q

what can NEVER be edited

A

pt name
signature
date

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11
Q

what is the max day supply for an emergency CII or benzo? How long does the PR have to F/U?

A

5 day supply; 72 hrs

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12
Q

what are the criteria for a CS to be an oral emergency prescription?

A

immediate admin necessary
no alternative avail
no reasonablly possible way to do written
phoned in BY prescriber

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13
Q

prescriber phones in an emergency ativan rx for seizure. How many day supply can they give? How long does the prescriber have to follow up w/ written? If no follow up, the pharmacist has ______ days to report to the ______

A

max 5d supply
F/U within 72 hours
pharmacist has 7 days from when rx was phoned in to report to the BNE

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14
Q

if a prescriber phones in an emergency rx and you receive the follow up within 72 hours, how do you endorse the script?

A

write AFED (authorization for emergency dispensing” and signature

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15
Q

can an out of state rx be filled in nys

A

yes

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16
Q

diagnosis codes that permit up to a 90 day supply of any controls

A

A panic
B ADHD
C seizure
D pain
E sleep
F hormone deficiency –> special bc this code allows up to a 180 day supply

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17
Q

are refills allowed on CII or benzos

A

no

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18
Q

can we partial fill a CS?

A

yes, only if you do not have enough on hand and can FOR SURE supply the rest within 72 hours

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19
Q

if you cannot fulfill the entire quantity of a CS and partial it, you must supply the rest within 72h. what happens if you cannot?

A

void rest of rx and notify prescriber

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20
Q

max day supply for telephone order for CIII

A

5 days

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21
Q

max day supply for telephone order for CIV

A

30 days or 100 dosage units

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22
Q

max day supply for telephone order for CV

A

5 day supply

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23
Q

is an emergency required for an oral CIII-CV non benzo rx?

A

no, but it is required for CII+benzos

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24
Q

when is a faxed rx allowed for over the 5d supply?

A

30-d + refills allowed for hospice, parenteral product needing compounding, RHCF

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25
Q

there are ____ refills allowed on CII/benzos and _______ refills allowed on CIII-CV

A

no refills
5 refills or 6 months whichever is shorter

26
Q

what is required on a script label

A

name address telephone of pharmacy
pt name address
rx #
date dispensed
prescriber name
directions for use
med name and strength

27
Q

how do you endorse a rx

A

signature and date

28
Q

all CS dispensing is required to be reported to the ____ within ____ hrs

A

BNE (PMP), 24h

29
Q

every prescription record should be maintained for _____ and

A

5 years and easily accessible

30
Q

how does a 3a facility get medications

A

via scripts from a pharmacy

31
Q

how are controls able to be stored in a community pharmacy

A

if together, in securely locked substantially constructed cabinet or dispersed among other drugs

32
Q

how are controls able to be stored in a hospital pharmacy

A

locked up together

33
Q

how long are refills for needles or syringes valid for

A

2 years!

34
Q

who is allowed to purchase needles or syringes without a script

A

18+ yo
+safety insert
+stored behind counter
+participate in safe disposal
+not advertised

NO LIMIT ON NUMBER ANYMORE

35
Q

what is used to report theft or loss of CS

A

DEA 106 filed
NY DOH 2094 report

36
Q

if a patient has new onset acute pain, what is the max day supply on first fill

A

7 days

37
Q

co prescribing of naloxone is required

A

w first script of each year if
1. hx SUD
2. >90 MME/d
3. concurrent benzo or non benzo sedative hypnotic

38
Q

when are patient education materials required w CS dispensing

A

with every dispense

39
Q

are we permitted to administer naloxone

A

yes

40
Q

is a pharmacist required to counsel when dispensing syringes as part of ESAP

A

no, at their discretion

41
Q

how often does our license need to be renewed

A

never

42
Q

how often does our registration need to be renewed

A

q3yr

43
Q

how many technicians/unlicensed personnel may work with a pharmacist

A

4:1

44
Q

certified vs registered tech

A

registered - can only happen after certification

45
Q

can a supervising pharmacist supervise multiple sites

A

no

46
Q

how many days of PeP can be dispensed

A

7 days

47
Q

pharmacies must display the price of the top ____ drugs and updated ______

A

150 ; weekly

48
Q

what is required on a prescription label

A

name address phone pharmacy
serial number
date dispensed
pt name and address
sig
med
med manufacturer
prescriber name

49
Q

on an OTC bottle, what is required regarding the manufacturer

A

name address phone number of manufacturer

50
Q

if a patient returns a medication can it be used for re dispensing

A

never

51
Q

if a unit dose patient specific non CS med is returned by a nursing home w est relationship, can it be returned and dispensed?

A

yes
rely on exp date on packaged med
no repackaging

52
Q

what is the exp date for UD batched in house

A

12 months or 50% of time to exp date, whichever is less

53
Q

an SP must be on site for at least ___ hours a week

A

30

54
Q

notify of change of ownership timing

A

6 weeks notice

55
Q

notify of change in officers/principals

A

within 30d

56
Q

notify of natural disaster

A

48h

57
Q

notify of change of SP

A

within 7d

58
Q

notify of change in location

A

30 days in advance

59
Q

notify of renovation

A

ASAP

60
Q

BOP member requirements

A

at least
9 pharmacists licensed in NYS x5+yrs
2 registered techs
2 public people

61
Q

BOP goal

A

protect the people, not the profession

62
Q

professional assistance program
conditions

A

must self report and be willing to surrender license during treatment. charges dismissed if tx received

charges NOT dropped if criminal charges involved (selling CS), violations of PHI, patient injury involved