ANSWERS GUARANTEE A+
✔✔Refusal to dispense - ✔✔Religious, moral, ethical
Written notification to employer
Provide patient with timely access
✔✔Telepharmacy requirements - ✔✔<150 mi supervising pharmacy
2 techs: 1 offsite pharmacist
Remote counseling
Separate controls, CCTV 120d on file
Monthly RPh inspection
✔✔Automated drug delivery systems, SNFs - ✔✔RPh reviews order before drug
removal unless emergency override
RPh performs stocking
✔✔Dispensing during declared disasters/ emergencies - ✔✔Dispense w/o Rx
Record date, pt name/ address, drug (name/ strength/ quantity)
Mobile pharmacy until post-48h
✔✔Euthenesia - ✔✔SII: Secobarbital, pentobarbital
For pt self-admin
Est. death <6m
✔✔Unit dose expiration - ✔✔6m
✔✔Drug compounding - ✔✔Dose/ formulation not commercially available
✔✔Outsourcing compounding facilities - ✔✔503A: Traditional w/ Rx
503B: Bulk w/o Rx, sterile human meds
✔✔NIOSH - ✔✔USP 800
Engineering controls (closed-system transfer devices, negative pressure ventilated
cabinets)
PPE
Spill kits
✔✔Injectable administration - ✔✔IM: 1", deltoid
SQ: 5/8" 45d, fat over triceps
✔✔Immunization administration - ✔✔Immunization training, BLS, 1h CE/ 2y
Report to CAIR, keep vaccine admin record
, ✔✔Emergency contraception furnishing - ✔✔Levonorgestrel (OTC Plan B), ulipristal (Rx
Ella). high-dose birth control (off-label)
1h CE
Pt education: Allergies, post-5d use, no effect on implanted/ established pregnancy
✔✔Naloxone furnishing - ✔✔1h CE
Cannot waive counseling
✔✔Nicotine replacement therapy furnishing - ✔✔Inhaler, nasal spray
2h CE
Screening: Pregnancy, MI history, arrhythmia, angina, nasal allergies, TMJ dysfunction
✔✔Hormonal contraceptive furnishing - ✔✔Pills, patch, ring, injection
1h CE
Patient self-screening form (initially + annually)
BP (estrogen + progesterone)
Package insert
✔✔Travel medication furnishing - ✔✔Travel medicine training 10h
2h CE
Yellow Fever vaccine course
✔✔PrEP furnishing - ✔✔30d supply
TDF/FTC (Truvada), TAF/FTC (Descovy)
(TDF: tenofovir disoproxil fumarate, TAF: tenofovir alafenamide, FTC: emtricitabine)
Negative HIV test
Mandatory counseling
✔✔PEP furnishing - ✔✔28d supply (full course)
<72h of exposure
Mandatory counseling
Raltegravir (Isentress), dolutegravir (Tivicay), darunavir (Prezista) + ritonavir (Norvir)
AND
TDF/FTC (Truvada), bictegravir/FTC/TAF (Biktarvy)
✔✔Needle/ syringe furnishing - ✔✔>18 YO
No limit
✔✔Controlled substances - ✔✔Est. by DEA under DOJ through CSA (Controlled
Substances Act)
Scheduled I-V based on medical indication, abuse/ dependence potential
✔✔Scheduling tiers - ✔✔I: MDMA (ecstasy), GHB (date rape drug), LSD (acid),
marijuana, heroin, mescaline, peyote
II: Opioids, stimulants, euthanasia barbiturates (pentobarbital, secobarbital)