MPJE Exam Review

MPJE Exam Review How many members serve on the BOP? How many are public members? - 3 public members 6 pharmacists (w/ 5+ yrs practice experience) appointed by governor 4 year terms Who can prescribe legend drugs? Can they use them for use in their practice? - MD/DO, PA, podiatrist DDS, Dental Therapists APRN Vet Optometrist yes, can use in practice Who can sign a valid Rx if protocol in place with practitioner? - PharmD, RN, dietician, nutritionist, med student/resident Who can prescribe CS Rxs? What classes? - MD/DO/APRN/PA DDS Vet Podiatrist Optometrist - limited to schedule IV-V How long are Rxs valid from date issued? - 12 months, unless CS Max number of refills for non-CS? - May not exceed # of refills for 12 month period How long are CII, CIII, CIV, CV Rx valid? - CII - 30 days, if opioid CIII - 6 mo CIV - 6 mo CV - 12 mo Max # refills for CII, CIII, CIV, CV? - CII - ZERO CIII - 5 CIV - 5 CV - not limited to 5 Label requirements for outpatient Rx? - Pharmacy name, address, phone Pt name Prescriber name Rx # Generic or trade name, drug strength Directions, manufacturer, physical description Aux labels Date of issue/renewal Can the prescribed brand name be placed on the label when a generic is dispensed? If so, what wording is required? - Can place brand name only in addition to generic name (example: atorvastatin 40 mg - generic for Lipitor) How does a pharmacist determine whether a particular generic drug is suitable as a substitute for a brand name drug? - May rely on professional judgement, may consult Orange Book (but not required) Must generic savings be passed on to patients? If so, what proportion, and how determined? - No legal requirement to pass along cost savings How can a prescriber indicate that substitution is or is not permitted? - Write DAW on Rx, indicate on E-Rx If taken as verbal order, must indicate DAW Do patients have the option of demanding the brand name when substitution is permitted? How about patients whose prescriptions are paid for by public funds? - Patients may demand brand name drugs, but insurers do not have to pay for it (assuming on commercial plan) If on public fund-sponsored plan, w/closed formulary, does not apply - must fill from formulary What documentation is required of the pharmacist when product interchange is performed? - Pharmacist shall notify the purchaser if the pharmacist is dispensing a drug or biological product other than the specific drug or biological product prescribed Under what conditions, if any, is therapeutic substitution allowed? - -Prescriber did not indicate DAW -prescribed drug is not covered by pt's ins -PharmD has written protocol w/prescriber outlining class of drugs for same indication that can be subbed What minimum sets of references, products are required in all community pharmacies? - References (at least 1 in each category): -Pharmacotherapy (Goodman & Gilman, Applied Therapeutics) -Dosage/Toxicology (Facts & Comparisons) -General (Handbook of Non-Rx Drugs) What minimum sets of equipment are required in all community pharmacies? - -Accessible toilet with hand towels -Sink w/ hot and cold water -Rx balance -Volume 1ml-500ml measurers -Mortar, pestle, stir rods, spatulas, funnels, heating apparatus as needed -Fridge (or separate compartment of) for Rx only