State Law Flashcards
what does a class 3 vs 3a facility?
3 = a facility with an in house pharmacy (hospital)
if a prescription is written, when does it have to be signed by?
the day its written
what is required on a written rx
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
can a prescriber use a stamp to sign a written rx
yes
what can be added to an rx w/o prescriber permission
gender
age
address
(patient info other than name)
what can NEVER be added to a script
patient name
medication
signature
date
quantity
if a pr gives permission, what can be added
DEA #
directions
code
MDD
strength
what can be edited w pr permission
DEA
sig
code
quantity
med
MDD
strength
dosage form
what can be edited w/o pr permission
address
age
gender
(same as add)
what can NEVER be edited
pt name
signature
date
what is the max day supply for an emergency CII or benzo? How long does the PR have to F/U?
5 day supply; 72 hrs
what are the criteria for a CS to be an oral emergency prescription?
immediate admin necessary
no alternative avail
no reasonablly possible way to do written
phoned in BY prescriber
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 ______
max 5d supply
F/U within 72 hours
pharmacist has 7 days from when rx was phoned in to report to the BNE
if a prescriber phones in an emergency rx and you receive the follow up within 72 hours, how do you endorse the script?
write AFED (authorization for emergency dispensing” and signature
can an out of state rx be filled in nys
yes
diagnosis codes that permit up to a 90 day supply of any controls
A panic
B ADHD
C seizure
D pain
E sleep
F hormone deficiency –> special bc this code allows up to a 180 day supply
are refills allowed on CII or benzos
no
can we partial fill a CS?
yes, only if you do not have enough on hand and can FOR SURE supply the rest within 72 hours
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?
void rest of rx and notify prescriber
max day supply for telephone order for CIII
5 days
max day supply for telephone order for CIV
30 days or 100 dosage units
max day supply for telephone order for CV
5 day supply
is an emergency required for an oral CIII-CV non benzo rx?
no, but it is required for CII+benzos
when is a faxed rx allowed for over the 5d supply?
30-d + refills allowed for hospice, parenteral product needing compounding, RHCF
there are ____ refills allowed on CII/benzos and _______ refills allowed on CIII-CV
no refills
5 refills or 6 months whichever is shorter
what is required on a script label
name address telephone of pharmacy
pt name address
rx #
date dispensed
prescriber name
directions for use
med name and strength
how do you endorse a rx
signature and date
all CS dispensing is required to be reported to the ____ within ____ hrs
BNE (PMP), 24h
every prescription record should be maintained for _____ and
5 years and easily accessible
how does a 3a facility get medications
via scripts from a pharmacy
how are controls able to be stored in a community pharmacy
if together, in securely locked substantially constructed cabinet or dispersed among other drugs
how are controls able to be stored in a hospital pharmacy
locked up together
how long are refills for needles or syringes valid for
2 years!
who is allowed to purchase needles or syringes without a script
18+ yo
+safety insert
+stored behind counter
+participate in safe disposal
+not advertised
NO LIMIT ON NUMBER ANYMORE
what is used to report theft or loss of CS
DEA 106 filed
NY DOH 2094 report
if a patient has new onset acute pain, what is the max day supply on first fill
7 days
co prescribing of naloxone is required
w first script of each year if
1. hx SUD
2. >90 MME/d
3. concurrent benzo or non benzo sedative hypnotic
when are patient education materials required w CS dispensing
with every dispense
are we permitted to administer naloxone
yes
is a pharmacist required to counsel when dispensing syringes as part of ESAP
no, at their discretion
how often does our license need to be renewed
never
how often does our registration need to be renewed
q3yr
how many technicians/unlicensed personnel may work with a pharmacist
4:1
certified vs registered tech
registered - can only happen after certification
can a supervising pharmacist supervise multiple sites
no
how many days of PeP can be dispensed
7 days
pharmacies must display the price of the top ____ drugs and updated ______
150 ; weekly
what is required on a prescription label
name address phone pharmacy
serial number
date dispensed
pt name and address
sig
med
med manufacturer
prescriber name
on an OTC bottle, what is required regarding the manufacturer
name address phone number of manufacturer
if a patient returns a medication can it be used for re dispensing
never
if a unit dose patient specific non CS med is returned by a nursing home w est relationship, can it be returned and dispensed?
yes
rely on exp date on packaged med
no repackaging
what is the exp date for UD batched in house
12 months or 50% of time to exp date, whichever is less
an SP must be on site for at least ___ hours a week
30
notify of change of ownership timing
6 weeks notice
notify of change in officers/principals
within 30d
notify of natural disaster
48h
notify of change of SP
within 7d
notify of change in location
30 days in advance
notify of renovation
ASAP
BOP member requirements
at least
9 pharmacists licensed in NYS x5+yrs
2 registered techs
2 public people
BOP goal
protect the people, not the profession
professional assistance program
conditions
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
