Michigan MPJE - Record Keeping
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Who is responsible for maintain complete pharmacy record? - CORRECT ANSWER -
Pharmacy
PIC
Pharmacist on duty
Who inspects pharmacy records? and when should they be made available for inspection? -
CORRECT ANSWER - LARA
The Board of Pharmacy
Records must be readily retrievable for inspection (usually within *48H* unless noted)
What prescription records must be maintained in a dispensing pharmacy? - CORRECT
ANSWER - ALL RX RECORDS
including STANDING ORDERS
Any RX that is not received as a hardy copy, must be electronically recorded, printed or written
& immediately dated by the pharmacist
Outpatient RX records
The final verification pharmacist must do these things to a RX prior to dispensing? - CORRECT
ANSWER - For all RX, Before dispensing the final verification pharmacist must:
- Number
- Date
- Initial (manually or electronically)
,Outpatient RX records
If the dispensed medication is different than the Brand prescribed or if a generic was prescribed,
what should be documented on the RX? - CORRECT ANSWER - Must document the
MANUFACTURER or SUPPLIER of the generic med on the RX
Outpatient RX records
Documenting Refills - CORRECT ANSWER - FEDERAL REGULATION
Must document ALL REFILLS either on the back of the RX or with an alternative method
(electronic record keeping)
partial fills are documented that same way as refills
Outpatient RX records
Filling RX Records - CORRECT ANSWER - There should be *3 separate RX files*:
1) C2 RXs
2) C3-5 RXs
3) Noncontrolled RXs
Original RXs should be sequentially numbered and filed in chronologically order
Control substance records must be readily retrievable from all other records
How long must pharmacies maintain RX records?
(Federal vs. Michigan law) - CORRECT ANSWER - FEDERAL LAW = 2 years
, MICHIGAN LAW = 5 years from last fill date
- After 3 years, paper RXs can be maintained electronically
- if the Board requests to see an electronic RX, a paper version of the electronic RX should be
made available
Can third party health plans have their own record keeping requirements different from state +
federal law? - CORRECT ANSWER - YES!
Medicaid = 7 years
Medicare = 10 years
Can a patient request to fill more than 1 authorized refill at once? - CORRECT ANSWER -
YES! As long as the RX was given refills
The pharmacist can dispense more than 1 refill at a time as long as the dispensed quantity does
NOT EXCEED the total quantity written for the RX
(EX: RX written for 30 days with 6 refills, can give 90 day supply)
Outpatient RX records
Types of Systems to Document Dispensing Records - CORRECT ANSWER - 1) Written
Manual System
2) Uniform System
3) Automated Uniform System(electronic)
Written Manuel System - CORRECT ANSWER - The dispensing pharmacist must document
the *DATE, AMOUNT DISPENSED, & INITIAL* on the RX
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Who is responsible for maintain complete pharmacy record? - CORRECT ANSWER -
Pharmacy
PIC
Pharmacist on duty
Who inspects pharmacy records? and when should they be made available for inspection? -
CORRECT ANSWER - LARA
The Board of Pharmacy
Records must be readily retrievable for inspection (usually within *48H* unless noted)
What prescription records must be maintained in a dispensing pharmacy? - CORRECT
ANSWER - ALL RX RECORDS
including STANDING ORDERS
Any RX that is not received as a hardy copy, must be electronically recorded, printed or written
& immediately dated by the pharmacist
Outpatient RX records
The final verification pharmacist must do these things to a RX prior to dispensing? - CORRECT
ANSWER - For all RX, Before dispensing the final verification pharmacist must:
- Number
- Date
- Initial (manually or electronically)
,Outpatient RX records
If the dispensed medication is different than the Brand prescribed or if a generic was prescribed,
what should be documented on the RX? - CORRECT ANSWER - Must document the
MANUFACTURER or SUPPLIER of the generic med on the RX
Outpatient RX records
Documenting Refills - CORRECT ANSWER - FEDERAL REGULATION
Must document ALL REFILLS either on the back of the RX or with an alternative method
(electronic record keeping)
partial fills are documented that same way as refills
Outpatient RX records
Filling RX Records - CORRECT ANSWER - There should be *3 separate RX files*:
1) C2 RXs
2) C3-5 RXs
3) Noncontrolled RXs
Original RXs should be sequentially numbered and filed in chronologically order
Control substance records must be readily retrievable from all other records
How long must pharmacies maintain RX records?
(Federal vs. Michigan law) - CORRECT ANSWER - FEDERAL LAW = 2 years
, MICHIGAN LAW = 5 years from last fill date
- After 3 years, paper RXs can be maintained electronically
- if the Board requests to see an electronic RX, a paper version of the electronic RX should be
made available
Can third party health plans have their own record keeping requirements different from state +
federal law? - CORRECT ANSWER - YES!
Medicaid = 7 years
Medicare = 10 years
Can a patient request to fill more than 1 authorized refill at once? - CORRECT ANSWER -
YES! As long as the RX was given refills
The pharmacist can dispense more than 1 refill at a time as long as the dispensed quantity does
NOT EXCEED the total quantity written for the RX
(EX: RX written for 30 days with 6 refills, can give 90 day supply)
Outpatient RX records
Types of Systems to Document Dispensing Records - CORRECT ANSWER - 1) Written
Manual System
2) Uniform System
3) Automated Uniform System(electronic)
Written Manuel System - CORRECT ANSWER - The dispensing pharmacist must document
the *DATE, AMOUNT DISPENSED, & INITIAL* on the RX
