A+ Guide
T or F. All pharmacies must have a PIC, even mail order. - correct
answers✅✅True
Define PIC - correct answers✅✅Pharmacist responsible for
practice of pharmacy on Pharmacy's License
Works w/in the physical confines *unless remote dispensing
pharmacy*
PIC duties - correct answers✅✅-Develop/implement
*policies/procedures* (hosp)
-Ensure that pharmacist *review medical orders* prior to first dose
(with exceptions) (hosp)
-Operational *Law Conformance*
-Initial Inspection presence
-File *Required Reports*
-*Notify* Dept. of HHS and patients if pharmacy closing
-*Supervision* and performance assessment
-Employee credentialing verification
T or F. Pharmacist review is required of all medical orders prior to
first dose being administered to patient in hospital. - correct
answers✅✅T (with exceptions)
-STAT Orders (given immediately and ONCE)
,Nebraska MPJE Questions and Answer
A+ Guide
-Harm to patient
Is telepharmacy allowed in hospitals to allow pharmacist review of
orders? - correct answers✅✅Yes
When is pharmacist review of medical order not required in
hospital? - correct answers✅✅When practitioner controls
ordering/dispensing/administration of the drug
*OR
*Endoscopy suite
*ER
*Etc.
When time does not permit pharmacist review
*Stat order (x1)
*When status of patient would be significantly compromised by
the delay
Does a hospital need a separate pharmacy license? - correct
answers✅✅Only if serving patients outside of the hospital (but
ok to do for any hospital within the healthcare system)
What reports are required for PIC to submit? - correct
answers✅✅*Annual Pharmacy Quality Assurance Report
*Semiannual as required by Parkinson's Disease Registry Act
,Nebraska MPJE Questions and Answer
A+ Guide
Details submitted in semiannual report required by Parkinson's
Disease Registry Act - correct answers✅✅-List of Patients
taking registered PD Drugs
-*Name & Address of Patient/Prescriber*
-SSN
How to change PIC - correct answers✅✅-*Notify* DHHS
immediately
-*Control Substance Inventory*
-Contain all info required in biennial inventory
-Maintain in pharmacy for 5 years
-Forward to Dept within 30 days
Do you need to send controlled substance inventories to
anybody? - correct answers✅✅Forward to the Department
What to do if pharmacy ceases legal existence or discontinues
business - correct answers✅✅Notify the Department within 15
days:
-Sale/Disposition of any pharmaceutical product or device.
(including legend/controls) -Invoices/inventory records
-Location of all patient records
, Nebraska MPJE Questions and Answer
A+ Guide
-Return Pharmacy *Licence, DEA Registration, unused 222 forms*
(including a and d)
What to do if pharmacy has change of ownership - correct
answers✅✅Notify the Department within 15 days
-How to transfer CIIs? -How long must transfer records be kept? -
correct answers✅✅-222 form
-2 years
How to transfer schedule III-V medications (to a pharmacy,
wholesaler, etc.) - correct answers✅✅Must be documented in
writing
-Drug name
-Dosage form
-Strength
-quantity
-date transferred
-name/address/DEA# of parties involved
How do reverse distributors for controlled substances work? -
correct answers✅✅-Pharmacy submits DEA 222 form/record of
transfer (CIII-V)
-Reverse distributor files DEA 41 for destruction