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Texas Law MPJE > Texas Notes Flashcards > Flashcards

Texas Notes Flashcards

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1
Q

Class A Pharmacy

A

Community pharmacy

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2
Q

Class A-S Pharmacy

A

Sterile compounding - Must be inspected by board prior to initial & renewal license issuance

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3
Q

Class A pharmacy PIC requirements?

A

PIC must be employed FT

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4
Q

If Automated Dispensing Machine is used in a Class A pharmacy what requirements must be met?

A

Must be inspected monthly

Product is unable to dispense until RPH performs verification that medication was loaded correctly & signed into a log

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5
Q

Supervision for remote dispensing sites?

A

May be electronic

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6
Q

Tx Class A RPH:Tech Ratio?

A

1:4

1 of the 4 must be certified, max 3 tech trainees

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7
Q

ID requirements for Class A pharmacy?

A

Required at all times

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8
Q

Lunch rules for Pharmacists?

A

30 min break is permitted.

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9
Q

What are rules surrounding Pharmacist lunch breaks?

A
  • Interns may act as a pharmacy technician during this time
  • Previously verified Rx’s may be dispensed
  • Notice must be posted to public to indicate when the RPh left and will return.
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10
Q

Counseling Requirements

A

Provided to new and existing patients of a pharmacy with each Rx

Document through initials or RPh ID #

Is reinforced with written communication

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11
Q

What must occur if counseling is refused?

A

Must be documented

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12
Q

What constitutes a new Rx?

A

A prescription that has not been dispensed by the pharmacy to the patient in the same dosage form, strength within the last year

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13
Q

What must be included in written counseling support documentation?

A

Must contain label statement

“Do not flush unused medication or pour down a sink or drain”.

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14
Q

Non Prescription Schedule V rules

A

Codiene containing products may not be dispensed without a prescription

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15
Q

Class B Pharmacy>

A

Nuclear Pharmacy

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16
Q

Class B inspection requirements?

A

Must be inspected by board prior to initial and renewal license issuance

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17
Q

PIC Requirements for Class B pharmacy?

A

Must be a licensed nuclear pharmacist

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18
Q

Class B pharmacist:tech ratio?

A

1:4

1 tech must be certified and authorized to handle radioactive materials

Maximum 3 technician trainees

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19
Q

Class C pharmacy

A

Institutional pharmacy

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20
Q

Class C-S pharmacy

A

Sterile compounding

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21
Q

Class C-S inspection requirements

A

must be inspected by the board prior to initial and renewal licensure issuance

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22
Q

Supervision requirements for class C pharmacy

A

100 beds or less – technicians may be supervised electronically

Rph supervisor can be on a part time basis but needs to be on site at least every 7 days.

Pharmacist must be on call at all times

Only low risk sterile products may be compounded under remote supervision

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23
Q

Class C Pharmacy’s C-II inventory requirements

A

Must be stored in locked storage cabinet, perpetual inventory is required

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24
Q

Control substance handling for Ambulatory Surgical Centers - (ASC)

A

Perpetual inventory for C II-V

Must be reconciled weekly.

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25
Q

Class D Pharmacy?

A

Clinic Pharmacy

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26
Q

Class D Pharmacy PIC requirements

A

PIC may be employeed part time or as a contract worker.

PIC’s may be retained by more than one clinic.

Documented periodic onsite visits are required by the RPH.

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27
Q

Class D Pharmacy Training?

A

Inservice training but be provided annually for support staff who are providing drugs,

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28
Q

Class D (Clinic) Pharmacy formularies are limited to what?

A 
Anti-infectives 
Musculoskeletal drugs
Vitamins
OB/GYN
Topicals
Vaccines

They can not contain

  • Nalbuhine
  • ED Medications
  • CI-V
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29
Q

May Class D pharmacy’s expand their formularies?

A

Yes - is their population is >80% they may petition board for expanded formulary

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30
Q

At what cadence must a Class D pharmacy resubmit their petition for an expanded formulary?

A

Petition must be resubmitted with each biennial renewal application

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31
Q

Class D Pharmacists must conduct what quarterly?

A

Retrospective DUR - must be done by Class D staff pharmacist.

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32
Q

Class E Pharmacy?

A

Nonresident pharmacy

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33
Q

Class E-S Pharmacy?

A

Nonresident - sterile compounding pharmacy.

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34
Q

What must occur in a Class E-S pharmacy in order for renewal licenses to be granted?

A

Must be inspected by the board or a designee within the last renewal period.

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35
Q

Class E pharmacy PIC requirements?

A

PIC must be licensed in Texas

36
Q

Class F Pharmacy?

A

Pharmacies located in a freestanding emergency medical facility.

37
Q

Class F pharmacy PIC requirements?

A

PIC may be employed part time or as a contract work.

They may be retained by one or more clinic.

38
Q

Class F Pharmacy inventory requirements?

A

Class F Pharmacies shall maintain a perpetual inventory or controlled substances (C II-V)

Inventory should be verified for completeness and reconciled at least one time per week the pharmacy is open.

39
Q

Class F Pharmacy must have Distribution records randomly audited at what cadence?

A

required every 30 days

40
Q

Class G Pharmacy?

A

Central Prescription drug or medication order processing pharmacy.

41
Q

How are class G pharmacies unique?

A

They may not store bulk medications or dispense prescription drug orders.

42
Q

PIC Requirements of Class G pharmacy?

A

PIC must be employed full time.

43
Q

Class G pharmacy pharmacist:technician ratio?

A

1:8

At least 7 must be technicians (max 1 trainee)

44
Q

Technician supervision requirements for Class G pharmacies?

A

Electronic supervision is permitted for data entry technicians.

45
Q

Class H pharmacy?

A

Limited prescription delivery pharmacy.

46
Q

May Class H pharmacies store bulk medication?

A

No

47
Q

May Class H pharmacies dispense medications?

A

No

48
Q

Can Class H pharmacies deliver controls?

A

No

49
Q

PIC requirements for Class H pharmacies?

A

PIC may be employed part time or as a contract worker.

50
Q

Class H pharmacy requirement (in order to exist)

A

Must be owned by a hospital and located in an area without another pharmacy.

51
Q

Preceptor to intern ratio requirement for College of pharmacy program related roles?

A

No ratio requirement for preceptors supervising intern-trainees & student -interns as part of a Texas college/school of pharmacy program.

52
Q

Intern-Trainee

A

PY-1 may only work during times and in sites assigned by a Texas college/school of pharmacy.

53
Q

Student-Intern

A

Successfully completed PY-1 and obtained a minimum of 30 credits toward a professional degree in pharmacy.

54
Q

Student-intern license expires when?

A

6 months post-graduation, if intern fails NAPLEX or MPJE or disenrolls from school.

55
Q

Extended-Intern

A

Remains in effect for 2 years

56
Q

Resident-intern

A

Graduated from ACPE-accredited college of pharmacy and is completing a residency program.

57
Q

Pharmacist-Intern duties?

A

May perform any duty of a pharmacist under the direct supervision of a preceptor.

58
Q

Intern:Preceptor ratio?

A

1:1

59
Q

When may a pharmacist intern perform all the duties of a pharmacist?

A

When under the direct supervision of a preceptor only. – Otherwise they may perform same duties as a technician.

60
Q

Pharmacist intern to pharmacist (not preceptor)

A

1:1

61
Q

How to become a pharmacy technician?

A

Must pass a certification program.

62
Q

How often in pharmacy technician license renewal?

A

Biennial

63
Q

Pharmacy technician continuing education requirement?

A

20 hours

Validate with book CEU vs CE

64
Q

May tech check techs in dispensing for automated dispensing machines?

A

This is permitted in Class C pharmacies with ongoing clinical pharmacy programs.

65
Q

Pharmacy technician trainees licensing?

A

Expires after 2 years? Not renewable.

66
Q

Pharmacy technician trainee continuing education requirements?

A

No CE requirements

67
Q

May pharmacy technician trainees engage in tech check tech?

A

No

68
Q

Board of Pharmacy composition

A

7 Pharmacists
1 Technician
3 Public members

69
Q

How do you get on the Tx BoP?

A

Appointed by governor

70
Q

BoP Tx Requirements for membership

A

Must be resident of Tx, actively practicing for past 5 years

Must complete a training program developed by executive director

71
Q

BoP member term limits?

A

Staggered 6 year terms, may not serve more than 2 consecutive terms

72
Q

Who appoints Tx BoP president?

A

Texas Governor

73
Q

Who appoints Tx BoP VP?

A

Membership vote

74
Q

Who appoints Tx BoP Treasurer?

A

Membership vote

75
Q

Who appoints other Tx BoP officers?

A

Membership vote

76
Q

How often must the Tx BoP meet?

A

Meet at least once every 4 months.

77
Q

Who is the executive director of the Tx BoP?

A

Full time employee and must be an RPH

78
Q

How must the Tx BoP handle complaints?

A

Must acknowledge complaint within 30 days of receipt

Complaints are not accepted for incidents happening >7 years ago.

79
Q

New pharmacist eligibility for licensure

A

1500 intern hours
- May not credit >50 hrs/week

5 attempts allowed for NAPLEX and MPJE

both of the above must be used within 2 yrs to apply for licensure.

80
Q

New Pharmacist Licensing - After passing tests what next?

A

30 day license once MPJE and NAPLEX are passed, initial license application must be submitted within 30 days.

81
Q

Pharmacist License Renewal

A

Biennially

82
Q

Pharmacist License Renewal penalties kick in after?

A

> 1 yr expired

83
Q

Pharmacist CE requirements

A

30 hours per two years, must maintain records for 3 years

84
Q

Preceptor Requirements

A

1 year experience as an RPh or 6 months residency training.

Initial certificate and renewal needed

3 hr CE training program

85
Q

Preceptor Ratio

A

1:1

No ratio for preceptors supervising intern-trainees or student-interns as part of a Tx college of pharmacy program.

Texas Law MPJE (4 decks)

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