Texas MPJE Flashcards
Tx RPh licensing requirements? Exam & Reciprocity
By Exam
- Must be @ least 18 yo
- Must have completed 1500 interns hours ; no more than 50 hrs/week.
- Graduated and received professional practice degree
- Must pass NAPLEX and MPJE (5 attempts)
Cannot use intern hours after >2 years of completion.
30 day license provided once MPJE & NAPLEX are passed – must submit for initial license within 30 days.
Reciprocity
- Must provide proof of initial licensure
- Must pass Tx MPJE
- May reciprocate from state where license was achieved through examination.
Tx RPh Expiration and License renewal?
Biennially license - expires last day of birth month
“Timely Receipt” - application at the board before last day of the expiration month with fee.
License Expired <90 day – may renew through paying fee equal to 1.5x renewal fee and reporting required CE’s.
License Expired >90 day – may renew through paying fee equal to 2x renewal fee and reporting required CE’s.
Expired >1 yr - may not renew, must reapply
Type of Tx Pharmacy Interns
Intern Trainee - 1st of Pharmacy School - may only work when School assigns to a site.
Student Intern - Completed 1st year AND minimum 30 CE credits toward pharmacy degree.
Extended Intern - Remains in effect for 2 years.
Resident Intern - Graduated from ACPE-accredited college of pharmacy and is completing a resident program.
Pharmacy Intern duties / ratios?
May perform any duty of a pharmacist – Must be under direct supervision of preceptor
If not under direct supervision – May function as technician
Ratio 1:1
Pharmacy Intern duties, restriction, ratios?
May perform any duty of a pharmacist – Must be under direct supervision of preceptor
If not under direct supervision – May function as technician
Ratio intern:preceptor 1:1 – Does not apply to uintern trainees or student interns part of a Tx school of pharmacy which have no ratio.
Duties Interns can perform tech’s can’t:
patient counseling
receiving prescriptions
others??
Pharmacy Technician licensing requirements?
- Start as Tech traineee - may work for 2 years (not renewable)
- Initial Registration: Pass board certification exam (renewal of cert. not req) – Become Pharmacy Technician
- Renewal of registration (pharmacy tech) – requres 20 hours of CE evey 2 years
- 0.1 CEU is Texas Law
Pharmacy Technician Expiration & License renewal?
Biennial Renewal - Expires after 2 years
20 Hrs of CE
0.1 CEU of Texas law
Pharmacy Technician Trainees licensing expiration, requirements?
License expires after 2 years - non-renewable
No CE requirements
Pharmacy Technician duties? **
Tech-check-tech for floor stock and automated dispensing machines in class C pharmacies - need ongoing clinical pharmacy program.
Certified Pharmacy Technician Expiration & License renewal? **
CE: 20 hrs total
Tx Law - 1 hr
If Sterile Compounding:
Initial – 40 hours
Renewal – Low/Med Risk: 2 hrs ; High Risk: 4 hrs
Pharmacy Technician Trainee duties?
No tech-check-tech allowed.
Pharmacist:Technician/CPhT/Pharmacy Trainee ratios?
Class A - Community Pharmacy - 1:4 (1 must be certified otherwise 1:3)
Class B - Nuclear Pharmacy - 1:4 (1 must be certified and authorized to handle radioactive materials)
Class C - Institutional Pharmacy (C) - None
Class D - Clinic Pharmacy
Class E - Nonresident Pharmacy
Class G - Central Prescription Druge or Medication Order Processing Pharmacy - 1:8 (max 1 trainee)
Class H - Limited Prescription Delivery Pharmacy
What must be on a control prescription in Tx?
start here…
Signature….
Must be manually signed
- If electronic, must be authorized electronically by provider and printed on tamper-proof paper.
CII - must be electronic or on official prescription form provided by board
CIII-V - Must be manually signed if written.
Stamps may not be used.
Quantity….
Must be written numerically and as a word.
Expiration Dates
CIII-V: 6 mo from written or 5 refills
C-II: 21 days from written or fill by date
DAY
What must be on a control prescription in Tx?
Signature….
Must be manually signed
- If electronic, must be authorized electronically by provider and printed on tamper-proof paper.
CII - must be electronic –> (required 1/21) … old: on official prescription form provided by board
CIII-V - Must be manually signed if written.
Stamps may not be used.
Quantity….
Must be written numerically and as a word.
One C-II medication per prescription
Expiration Dates….
CIII-V: 6 mo from written or 5 refills
C-II: 21 days from written or fill by date
(All others prescriptions 1 yr from written date)
DAW….
Physician must hand write: “Brand Medically Necessary”
Two line prescriptions, stamps, checkboxes, ect not permitted.
What cannot be change on a CII Rx?
Name of Patient
Nate of the drug
Name of prescribing physician
Date the prescription was issued
Pharmacist License CE Requirements (Initial 18-30 months)
Human Trafficking Prevention course
Pain Management - 1 hr annually
Prescribing & Monitoring Controlled Substances - 2 hrs biennially
Sterile Compounding Certification - 20 hrs
Immunization Certification - 20 hrs
Drug Therapy Management - 6 hrs in related specific area
Pharmacy License CE Requirements (Renewal)
30 hrs total
Tx Pharmacy Law - 1 hr
Pain Management - 1 hr annually
Prescribing & Monitoring controlled substances - 2 hrs biennially
Sterile Compounding Certification
- Low/Medium Risk: 2 hrs
- High Risk: 4 hrs
Immunization Certification - 3 hrs & CPR Certified
Preceptor Certification - 3 hrs
Drug Therapy Management - 3 hrs
Can Codeine-containing products (not Rx C-V’s) be dispensed without a prescription
No
Board of Pharmacy components, how elected, term limits, how often do they meet?
11 Members
- 7 Pharmacist
- 1 Technician
- 3 Public Members
Appointed by Governor - Must be Texas resident and practiced actively past 5 years
Governor designates president
Members vote on VP, Treasurer, and other offices
Terms
Staggered 6 year terms, may not serve more than 2 consecutive terms.
Meet
At least once every 4 months
Explain the role of Executive Director to the Tx Board of Pharmacy
Executive Director is full time employee of the board - must be an RPH
Develops training program for board members - must be completed.
How does the Tx Board of Pharmacy handle complaints?
Board must acknowledge a compliant with 30 days or receipt
Complaints are not accepted for incidents that occurred >7 years ago.
What are Texas’ pseudoephedrine limits? How can it be purchased?
- Daily
- Monthly
- Annually
Positive ID required for sale. Purchase should be transmitted using electronic record or in written long it electronic fails. (Enter into electronic as soon as available)
Limits
Day: 3.6g
30 Days: 9g
90 Days: 27g
How is pseudoephedrine stored?
In locked cabinet behind the counter or within 30 ft of sales counter.
How long must Pseudoephedrine dispensing records be stored?
Maintain for 2 years
In Texas - What schedule is Carisprodol?
C-IV
Describe laws around C-II prescriptions
Must be electronic (if it was written has to be on Tx doc)
1 Medication per Rx
Expires 21 days from issue date
What limitations surround the prescription of opioid medications?
For Acute Pain: 10 day supply / 0 refills
What are Tx’s expectations around PDMP usage?
Uploaded no later than next business day from dispense date
If a written Rx: include Rx Form Control #
Errors have 7 days to be corrected from ID
Must submit 0 dispenses every 7 days if no controls are dispensed.
When should a RPh consult the PDMP in Texas?
Every dispense of opiod, benzo, barbiturate, or carisoprodol
How often should a Pharmacy license be renewed? When?
Biennially
Prior to 91 days – post 91 days it may not.
What must a Class E pharmacy have in order to have a license renewed?
Class E - Non-resident pharmacy
Inspection report from home state BOP dated within past 3 years.
When should the board be notified of a change in pharmacy location?
New application @ least 30 days before date of change.
Sign must be posted at least 14 days before relocation.
When should the board be notified of a change in pharmacy name?
New application should be filed within 10 days.
Who should be notified of a pharmacy closing & when?
Board - 14 days prior
Sign must be posted to public
DEA – When???
What is a Class A pharmacy?
Community Pharmacy
What is a Class B pharmacy?
Nuclear Pharmacy
What is a Class C pharmacy?
Institutional Pharmacy
What is a Class D pharmacy?
Clinic Pharmacy
What is a Class E pharmacy?
Nonresident Pharmacy
What is a Class F pharmacy?
Pharmacy located in Freestanding Emergency Medical Care Facility
What is a Class G pharmacy?
Central Prescription Drug or Medication Order Processing Pharmacy
What is a Class H pharmacy?
Limited Prescription Delivery Pharmacy
What does “-S” mean when applied to a pharmacy type?
The pharmacy engages in sterile compounding
- Must be inspected by board prior to initial and renewal licensure
- Particularly we see “-S” with A and C
When & at what cadence are Controlled Substance inventories required?
What pharmacies must do them?
Date: May 1
Cadence: Annually
Pharmacies Required: A, C, F (community/institutional/pharmacy in freestanding emergency medical care facility)
How and for how long should an annual controlled substance be retained?
Maintained: 2 years
If kept offsite should be available within 72 hours of request
How:
- Separate from all other records
- C-II’s should be listed separately
What should be done with a control count once completed in Texas?
Notarized within three days.
How should controls be counted?
C-II: Exact counts
C-III - C-V: Bottles <1000 = estimated count ; >1000 count = exact
CE’s needed for Texas pharmacist license?
CE’s: 30 hrs must maintain during preceding 2 years .
Save records for 3 years.
- 1 Contact Hr (0.1 CEU) 00 Texas Pharmacy Laws & Rules
- Between 8/21 & 9/23 – 0.1 CEU annually related to best practices, alternative treatment options and multi-modal approach to pain management.
- Between 8/20 - 9/22 – Human Trafficking prevention course.
Texas Pharmacy Preceptor: CE’s and How to
To be a Preceptor: 1 year RPH experience or 6 months residency.
- Initial certification/renewal – 3 hr training program (CE)
- 1:1 ratio for intern to preceptor
- No ratio if student is part of Tx School of Pharmacy Program
