WASHINGTON MPJE UPDATED EXAMS SCRIPT
QUESTIONS AND ANSWERS SURE A+
✔✔Can legend drug prescriptions be transferred
electronically (ie, by computer)? Under what
circumstances and requirements? - ✔✔Consistent with state and federal laws and rules
over-the-counter, legend drug and controlled substance prescriptions may be
transmitted electronically.
✔✔Under what circumstances are FAXed CSA
prescriptions allowed? - ✔✔CII: injectable to be compounded by RPh for patient use, Rx
for LTC or hospice patient, Rx signed by the prescriber, non-emergent situation (RPh
may rely on the fax to prepare the order for delivery to the patient until hard copy is
presented), emergent situation (Auth for Emergency Supply), order is faxed to a hospital
for a patient being admitted or discharged from the hospital
✔✔Can refills of legend drugs be transferred from one
pharmacy to another? Can they be transferred
back? - ✔✔Pharmacies with a common electronic database track refills for legend drugs
at any outlet in this common database
DEA Rule: "The transfer of original prescription information for a controlled substance
listed in Schedules III, IV or V for the purpose of refill dispensing is permissible between
pharmacies on a one time basis only. However, pharmacies electronically sharing a
,real-time, on-line database may transfer up to the maximum refills permitted by law and
the prescriber's authorization."
Most pharmacies - one time basis means that the pharmacy must transfer all available
refills to the other pharmacy.
Shared database - may transfer any number from one refill up to all the available refills
to the other location.
✔✔Can an intern transfer refills? - ✔✔Because interns are allowed to practice
pharmacy, they may perform any act that their supervising pharmacist allows within the
scope of practice of a pharmacist (other than supervising technicians or checking IV
admixtures prepared by technicians). One such act is the transfer of refill information to
another pharmacy concerning controlled substances prescriptions. Interns may do this
in Washington. Interns in Washington may also sell Schedule V controlled substances
and sign the record book, and Washington interns may take oral prescriptions over the
phone.
✔✔Must information regarding the transfer of legend
drugs be recorded on the hard copy of the original
prescription, or can it merely be recorded in the
computer? - ✔✔Recorded in the computer (legend drugs only, CSA drugs must have
original copy with "VOID" written)
THE RECEIVING PHARMACIST treats the prescription as an oral prescription, and
must perform the following steps:
Reduce the prescription to writing on a prescription blank, including patient name,
address, prescriber's name and address, and other information required to be on the
prescription.
Write the word "TRANSFER" on the face of the prescription.
✔✔What information must be recorded by the
transferring pharmacy? - ✔✔Record that the prescription has been transferred in the
medication record system.
Record in the medication record system the name and address of the pharmacy to
which it has been transferrer and the name of the pharmacist (or intern) that received
the information. (first and last name)
✔✔What information must be placed on the original copy of the transferred prescription
by the receiving pharmacy? - ✔✔Reduce the prescription to writing on a prescription
blank, including patient name, address, prescriber's name and address, and other
information required to be on the prescription.
Write the word "TRANSFER" on the face of the prescription.
Also record the following:
The date the prescription was originally written (cannot be refilled for a year after that.)
When processing a transferred prescription, it is important to override the current date
in the computer,
,and record the original date written
Number of refills remaining
Date of last refill
The name and address of the transferring pharmacy, and the serial number of the
original prescription
at that pharmacy
The name of the transferring (transferor) pharmacist. As noted above, this should
normally be the full
legal name of the individual.
For controlled substances, the receiving pharmacist must also record the following:
o Number of original refills allowed on the prescription o Dates (and locations) of all
previous refills
o Number of valid refills remaining
o DEA number of transferring pharmacy
o Name, address, serial number and DEA number of pharmacy at which prescription
was originally filled (if different from transferring pharmacy).
✔✔Is it possible for pharmacies under a common
ownership to share a single patient/prescription
database? If so, what are the rules for prescription
transfers? - ✔✔A Washington licensed dispensing pharmacy may outsource
prescription filling to another pharmacy under the same ownership, or based on a
written contract or agreement outlining responsibilities and accountability of each
pharmacy. Unless there is common ownership, the CENTRAL FILL PHARMACY
SHALL DELIVER PRESCRIPTIONS TO THE DISPENSING PHARMACY FOR
DELIVERY TO PATIENTS.
According to DEA rules, controlled substances may be transferred on a "one‐time"
basis, unless the transferring pharmacies share a common electronic database.
Pharmacies with a common electronic database may track refills for non‐controlled
substances at any outlet in this common database, without going through the
prescription transfer process. Many chains (e.g., Rite‐Aid and Walgreens) have these
databases.
✔✔How long must the pharmacy maintain the
following records: original prescriptions, refill
records, drug purchase records, patient profiles?
Are any of these different for CSAs? If any of these
can be maintained on computer, how long do they
need to be maintained "on-line?" - ✔✔original Rx (2yrs), drug samples (3yrs), CSAs
(2yrs), computer-CSAs (2yrs after last possible refill = 2½yrs), Medicaid (6yrs), drug
purchase records (3yrs)
✔✔Must every pharmacy have a pharmacist-in-charge? - ✔✔Pharmacy Owner
Responsibilities
Place a pharmacist in charge
, Pay an annual license fee
File a statement of ownership and location
If these people change needs to be an adendum or submit a new statement
Maintain records of prescriptions and dispensing for a minimum of 2 years (business
requirement for maintaining, pharmacist responsibility of accuracy)
Maintain CSA records for a minimum of 2 years
Ensuring the quality of drug products (safe and pure products, that it is in working order,
security, hot and cold running water, etc)
✔✔Are there any special requirements to be
pharmacist-in-charge? - ✔✔An active license in the state, must be specially trained
(aseptic technique, quality assurance)
Home Infusion: PHARMACIST IN CHARGE MUST HAVE BEEN TRAINED in
specialized functions related to parenteral products, including aseptic technique and
quality assurance. (The Commission's proposed rules will require all
pharmacists or technicians involved in sterile compounding to obtain a "sterile
compounding endorsement," to their licenses.)
✔✔May a person be pharmacist-in-charge for more
than one pharmacy? - ✔✔A PHARMACIST MAY BE RPM FOR MORE THAN ONE
LOCATION. The Commission has indicated that one pharmacist may accept
appointment as the RPM for more than one pharmacy location.
✔✔When must the Board of Pharmacy be notified of
any of the following? Change of pharmacist-incharge,
change of pharmacy address, closing or
sale of a pharmacy, change of pharmacy telephone
number, change of an individual pharmacist's
address, change of an intern's address, change of
a technician's address, change of a person's name? - ✔✔RPh/Intern's name/address
("promptly"), closing a pharmacy (15d prior)
✔✔What must be on the label of a unit-dose or singledose
package of a legend drug dispensed for a
patient in a hospital or nursing home? - ✔✔Individual storage unit for each patient,
clearly labeled with resident name
Individual package must have
Name of drug
Strength
Lot number
Expiration date
CSA Schedule
✔✔What must be on the label of a multiple-dose
container dispensed for a patient in a hospital? In a
QUESTIONS AND ANSWERS SURE A+
✔✔Can legend drug prescriptions be transferred
electronically (ie, by computer)? Under what
circumstances and requirements? - ✔✔Consistent with state and federal laws and rules
over-the-counter, legend drug and controlled substance prescriptions may be
transmitted electronically.
✔✔Under what circumstances are FAXed CSA
prescriptions allowed? - ✔✔CII: injectable to be compounded by RPh for patient use, Rx
for LTC or hospice patient, Rx signed by the prescriber, non-emergent situation (RPh
may rely on the fax to prepare the order for delivery to the patient until hard copy is
presented), emergent situation (Auth for Emergency Supply), order is faxed to a hospital
for a patient being admitted or discharged from the hospital
✔✔Can refills of legend drugs be transferred from one
pharmacy to another? Can they be transferred
back? - ✔✔Pharmacies with a common electronic database track refills for legend drugs
at any outlet in this common database
DEA Rule: "The transfer of original prescription information for a controlled substance
listed in Schedules III, IV or V for the purpose of refill dispensing is permissible between
pharmacies on a one time basis only. However, pharmacies electronically sharing a
,real-time, on-line database may transfer up to the maximum refills permitted by law and
the prescriber's authorization."
Most pharmacies - one time basis means that the pharmacy must transfer all available
refills to the other pharmacy.
Shared database - may transfer any number from one refill up to all the available refills
to the other location.
✔✔Can an intern transfer refills? - ✔✔Because interns are allowed to practice
pharmacy, they may perform any act that their supervising pharmacist allows within the
scope of practice of a pharmacist (other than supervising technicians or checking IV
admixtures prepared by technicians). One such act is the transfer of refill information to
another pharmacy concerning controlled substances prescriptions. Interns may do this
in Washington. Interns in Washington may also sell Schedule V controlled substances
and sign the record book, and Washington interns may take oral prescriptions over the
phone.
✔✔Must information regarding the transfer of legend
drugs be recorded on the hard copy of the original
prescription, or can it merely be recorded in the
computer? - ✔✔Recorded in the computer (legend drugs only, CSA drugs must have
original copy with "VOID" written)
THE RECEIVING PHARMACIST treats the prescription as an oral prescription, and
must perform the following steps:
Reduce the prescription to writing on a prescription blank, including patient name,
address, prescriber's name and address, and other information required to be on the
prescription.
Write the word "TRANSFER" on the face of the prescription.
✔✔What information must be recorded by the
transferring pharmacy? - ✔✔Record that the prescription has been transferred in the
medication record system.
Record in the medication record system the name and address of the pharmacy to
which it has been transferrer and the name of the pharmacist (or intern) that received
the information. (first and last name)
✔✔What information must be placed on the original copy of the transferred prescription
by the receiving pharmacy? - ✔✔Reduce the prescription to writing on a prescription
blank, including patient name, address, prescriber's name and address, and other
information required to be on the prescription.
Write the word "TRANSFER" on the face of the prescription.
Also record the following:
The date the prescription was originally written (cannot be refilled for a year after that.)
When processing a transferred prescription, it is important to override the current date
in the computer,
,and record the original date written
Number of refills remaining
Date of last refill
The name and address of the transferring pharmacy, and the serial number of the
original prescription
at that pharmacy
The name of the transferring (transferor) pharmacist. As noted above, this should
normally be the full
legal name of the individual.
For controlled substances, the receiving pharmacist must also record the following:
o Number of original refills allowed on the prescription o Dates (and locations) of all
previous refills
o Number of valid refills remaining
o DEA number of transferring pharmacy
o Name, address, serial number and DEA number of pharmacy at which prescription
was originally filled (if different from transferring pharmacy).
✔✔Is it possible for pharmacies under a common
ownership to share a single patient/prescription
database? If so, what are the rules for prescription
transfers? - ✔✔A Washington licensed dispensing pharmacy may outsource
prescription filling to another pharmacy under the same ownership, or based on a
written contract or agreement outlining responsibilities and accountability of each
pharmacy. Unless there is common ownership, the CENTRAL FILL PHARMACY
SHALL DELIVER PRESCRIPTIONS TO THE DISPENSING PHARMACY FOR
DELIVERY TO PATIENTS.
According to DEA rules, controlled substances may be transferred on a "one‐time"
basis, unless the transferring pharmacies share a common electronic database.
Pharmacies with a common electronic database may track refills for non‐controlled
substances at any outlet in this common database, without going through the
prescription transfer process. Many chains (e.g., Rite‐Aid and Walgreens) have these
databases.
✔✔How long must the pharmacy maintain the
following records: original prescriptions, refill
records, drug purchase records, patient profiles?
Are any of these different for CSAs? If any of these
can be maintained on computer, how long do they
need to be maintained "on-line?" - ✔✔original Rx (2yrs), drug samples (3yrs), CSAs
(2yrs), computer-CSAs (2yrs after last possible refill = 2½yrs), Medicaid (6yrs), drug
purchase records (3yrs)
✔✔Must every pharmacy have a pharmacist-in-charge? - ✔✔Pharmacy Owner
Responsibilities
Place a pharmacist in charge
, Pay an annual license fee
File a statement of ownership and location
If these people change needs to be an adendum or submit a new statement
Maintain records of prescriptions and dispensing for a minimum of 2 years (business
requirement for maintaining, pharmacist responsibility of accuracy)
Maintain CSA records for a minimum of 2 years
Ensuring the quality of drug products (safe and pure products, that it is in working order,
security, hot and cold running water, etc)
✔✔Are there any special requirements to be
pharmacist-in-charge? - ✔✔An active license in the state, must be specially trained
(aseptic technique, quality assurance)
Home Infusion: PHARMACIST IN CHARGE MUST HAVE BEEN TRAINED in
specialized functions related to parenteral products, including aseptic technique and
quality assurance. (The Commission's proposed rules will require all
pharmacists or technicians involved in sterile compounding to obtain a "sterile
compounding endorsement," to their licenses.)
✔✔May a person be pharmacist-in-charge for more
than one pharmacy? - ✔✔A PHARMACIST MAY BE RPM FOR MORE THAN ONE
LOCATION. The Commission has indicated that one pharmacist may accept
appointment as the RPM for more than one pharmacy location.
✔✔When must the Board of Pharmacy be notified of
any of the following? Change of pharmacist-incharge,
change of pharmacy address, closing or
sale of a pharmacy, change of pharmacy telephone
number, change of an individual pharmacist's
address, change of an intern's address, change of
a technician's address, change of a person's name? - ✔✔RPh/Intern's name/address
("promptly"), closing a pharmacy (15d prior)
✔✔What must be on the label of a unit-dose or singledose
package of a legend drug dispensed for a
patient in a hospital or nursing home? - ✔✔Individual storage unit for each patient,
clearly labeled with resident name
Individual package must have
Name of drug
Strength
Lot number
Expiration date
CSA Schedule
✔✔What must be on the label of a multiple-dose
container dispensed for a patient in a hospital? In a
