CPJE Secrets Law UPDATED ACTUAL
Exam Questions and CORRECT Answers
Poison Prevention Packaging Act of 1970 - CORRECT ANSWER - Place ORAL (only)
prescription meds in child-resistant safety containers.
there are some exemptions (Ex: nitroglycerin SL tabs)
Once a prescription is created electronically, all records of the prescription must be retained -
CORRECT ANSWER - electronically
The "Preemption Doctrine" - CORRECT ANSWER - if state is stricter, follow state law
CA CE - CORRECT ANSWER - 30 hr/2 yr
2/30 hr needs to be on law and ethics by the board !!
REMS drugs - CORRECT ANSWER - to restrict the access to the meds:
bosentan (tracleer): for pul HTN: liver tox
subutex and suboxone: abuse potential
clozapine: neutropenia and anemia
Natalizumab (Tysabri) (for MS & Crohn's): PML risk
Zyprexa Relprevv: Post-injection delirium/ sedation
,Sodium oxybate (Xyrem) (for narcolepsy): Overuse potential
Thalidomide (Thalomid) is a immunomodulator: Teratogenic
CA BOP inspector: - CORRECT ANSWER - does not need to be RPh
can issue order of abatement (citation); person/pharmacy can appeal to board in writing within
30 days
Pharmacy Closure and Voiding of the license by the Board - CORRECT ANSWER -
closure of pharmacy: transfer of drugs notice IN WRITING MUST be sent to board within 10
DAYS
close down means: Pharmacy no longer engaged in ordinary activity for at least 1 day/week
during any 120 day period
board can give tempt permit for 180 days: during transfer of ownership to pharmacy to continue
its operations
The Pharmacist-In-Charge (PIC) - CORRECT ANSWER - Cannot serve concurrently as a
PIC and as an "exemptee-in-charge" or "representative-in-charge" for a wholesaler or veterinary
food-animal drug retailer.
Interim PICs can only be designated for a maximum of - CORRECT ANSWER - 120
days.
technician checking the work of other techs is only allowed in - CORRECT ANSWER -
acute hospitals that have an ongoing clinical pharmacy program where pharmacists are in the
patient care areas
,Central Fill Pharmacy - CORRECT ANSWER - A pharmacy that fills (with its own drug
inventory) prescriptions submitted to another pharmacy.
The central filling pharmacy's address must be on the label.
Surgical Clinic vs. Multispecialty Clinic - CORRECT ANSWER - Surgical
ClinicsDispense 72-hours supplies
Multispecialty ClinicsNo restrictions
Prescriber's office & Emergency Room - CORRECT ANSWER - Dr can dispense Rx drug
(including CS) only if:
-drug started ASAP (ED)
-no pharmacy in hopsital
-records are kept
-Dr is the one counting/pouring drug into vial/bottle and labeling it
-written disclosure saying pt has the choice to get med from a pharmacy
-max: 72 hr supply
Hospital Pharmacy Practice Considerations - CORRECT ANSWER - hospital with <100
beds does not have to have a full time Rph but must have consultant Rph for quarterly reports
need a P&T committee
Dr must countersign verbal orders within 48 hrs
The pharmacist does a monthly inspection of all floor stock in nursing stations
, Online Pharmacies - CORRECT ANSWER - Any prescription transmitted via the Internet
must be pursuant to an "appropriate prior examination": The existence of a prescriber-patient
relationship
Must report monthly to the DEA the dispensing of ≥100 prescriptions or ≥5,000 dosage units of
C.S.
internet page has info including pharmacy name, pharmacist name, etc.
A prescription sent over the Internet shall indicate the name of the sender.
Pharmacies can sell to other pharmacies or to prescribers with DEA 222 form (C.S. Sch II) or
regular invoice. - CORRECT ANSWER - Mandatory: Both pharmacies must keep a log of
the transfer whether it is lent, sold, borrowed or bought.
A non-profit/ high-volume pharmacy purchases drugs at lower prices. - CORRECT
ANSWER - To prevent a smaller, low-volume for-profit pharmacy from purchasing its
drugs from the larger pharmacy, smaller pharmacies can only borrow drugs.
cannot convert Rx to a 90 day supply if Rx is a psych drug - CORRECT ANSWER -
anxiolytics, antidepressants, mood stabilizers, antipsychotics, anti-Parkinson, hypnotics, meds
for dementia, and psychostimulants.
Transfer of prescription refills between pharmacies: non CS meds - CORRECT
ANSWER - multiple transfers ok
Pharmacy must write a new Rx each time they receive a transfer (even if they have the Rx on
record or it is a fax).
The prescription can only be refilled within the period of 1 year regardless of the number of
remaining refills.
Exam Questions and CORRECT Answers
Poison Prevention Packaging Act of 1970 - CORRECT ANSWER - Place ORAL (only)
prescription meds in child-resistant safety containers.
there are some exemptions (Ex: nitroglycerin SL tabs)
Once a prescription is created electronically, all records of the prescription must be retained -
CORRECT ANSWER - electronically
The "Preemption Doctrine" - CORRECT ANSWER - if state is stricter, follow state law
CA CE - CORRECT ANSWER - 30 hr/2 yr
2/30 hr needs to be on law and ethics by the board !!
REMS drugs - CORRECT ANSWER - to restrict the access to the meds:
bosentan (tracleer): for pul HTN: liver tox
subutex and suboxone: abuse potential
clozapine: neutropenia and anemia
Natalizumab (Tysabri) (for MS & Crohn's): PML risk
Zyprexa Relprevv: Post-injection delirium/ sedation
,Sodium oxybate (Xyrem) (for narcolepsy): Overuse potential
Thalidomide (Thalomid) is a immunomodulator: Teratogenic
CA BOP inspector: - CORRECT ANSWER - does not need to be RPh
can issue order of abatement (citation); person/pharmacy can appeal to board in writing within
30 days
Pharmacy Closure and Voiding of the license by the Board - CORRECT ANSWER -
closure of pharmacy: transfer of drugs notice IN WRITING MUST be sent to board within 10
DAYS
close down means: Pharmacy no longer engaged in ordinary activity for at least 1 day/week
during any 120 day period
board can give tempt permit for 180 days: during transfer of ownership to pharmacy to continue
its operations
The Pharmacist-In-Charge (PIC) - CORRECT ANSWER - Cannot serve concurrently as a
PIC and as an "exemptee-in-charge" or "representative-in-charge" for a wholesaler or veterinary
food-animal drug retailer.
Interim PICs can only be designated for a maximum of - CORRECT ANSWER - 120
days.
technician checking the work of other techs is only allowed in - CORRECT ANSWER -
acute hospitals that have an ongoing clinical pharmacy program where pharmacists are in the
patient care areas
,Central Fill Pharmacy - CORRECT ANSWER - A pharmacy that fills (with its own drug
inventory) prescriptions submitted to another pharmacy.
The central filling pharmacy's address must be on the label.
Surgical Clinic vs. Multispecialty Clinic - CORRECT ANSWER - Surgical
ClinicsDispense 72-hours supplies
Multispecialty ClinicsNo restrictions
Prescriber's office & Emergency Room - CORRECT ANSWER - Dr can dispense Rx drug
(including CS) only if:
-drug started ASAP (ED)
-no pharmacy in hopsital
-records are kept
-Dr is the one counting/pouring drug into vial/bottle and labeling it
-written disclosure saying pt has the choice to get med from a pharmacy
-max: 72 hr supply
Hospital Pharmacy Practice Considerations - CORRECT ANSWER - hospital with <100
beds does not have to have a full time Rph but must have consultant Rph for quarterly reports
need a P&T committee
Dr must countersign verbal orders within 48 hrs
The pharmacist does a monthly inspection of all floor stock in nursing stations
, Online Pharmacies - CORRECT ANSWER - Any prescription transmitted via the Internet
must be pursuant to an "appropriate prior examination": The existence of a prescriber-patient
relationship
Must report monthly to the DEA the dispensing of ≥100 prescriptions or ≥5,000 dosage units of
C.S.
internet page has info including pharmacy name, pharmacist name, etc.
A prescription sent over the Internet shall indicate the name of the sender.
Pharmacies can sell to other pharmacies or to prescribers with DEA 222 form (C.S. Sch II) or
regular invoice. - CORRECT ANSWER - Mandatory: Both pharmacies must keep a log of
the transfer whether it is lent, sold, borrowed or bought.
A non-profit/ high-volume pharmacy purchases drugs at lower prices. - CORRECT
ANSWER - To prevent a smaller, low-volume for-profit pharmacy from purchasing its
drugs from the larger pharmacy, smaller pharmacies can only borrow drugs.
cannot convert Rx to a 90 day supply if Rx is a psych drug - CORRECT ANSWER -
anxiolytics, antidepressants, mood stabilizers, antipsychotics, anti-Parkinson, hypnotics, meds
for dementia, and psychostimulants.
Transfer of prescription refills between pharmacies: non CS meds - CORRECT
ANSWER - multiple transfers ok
Pharmacy must write a new Rx each time they receive a transfer (even if they have the Rx on
record or it is a fax).
The prescription can only be refilled within the period of 1 year regardless of the number of
remaining refills.
