PTCB Federal Requirements Study Guide
Questions and Answers
1. Handling and Disposal of Pharmacy Substances and Waste: Extreme caution
should always be used - PPE and wear as outlined in SDS
2. Hazardous materials: any chemical or drug that poses potential harm to the person
preparing/coming in contact with
-OSHA has standards to protect
employees- PPE SDS- safety data sheets
-should be stored seperately from other materials often in a negative pressure room
-leakproof container labeled hazardous
-in case of accidental exposure, you should be aware of the equipment available and follow all cleanup
of hazardous materials -- spill kits for safe cleaning
-- report any accidents to supervisor
3. Non-hazardous materials: handled with care, even though PPE is not required
-may pose a risk to the environment if not disposed of correctly
-keep out of waterways (don't dump down drain)
-can range from materials used to prepare a compounded product to products that have passed their
intended expiration date
4. Pharmaceutical Substances: -any substance used for therapeutic treatment - medications or
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, the
ingredients used to make them
-Hazardous: warfarin, tretinoin, finasteride, methotrexate
-Non-hazardous: amoxicillin, diphenhydramine, ranitidine, atorvastatin
-expired pharm subs can be sent back to manufacturer
-vaccines, syringes, and needles disposed in sharps container.
5. Controlled Substances: medications that carry a high risk for abuse and misuse
-highly regulated by the DEA and categorized into schedules based on level of potential abuse
-each pharmacy has a designated area (vault or locked cabinet) for certain controlled medications are
placed
6. Movement: movement of controlled substances from manufacturer to pharmacy, then pharmacy
to patient - highly regulated by DEA
-each step in the life cycle of a controlled substance must be traceable
7. New prescriptions: schedule II prescriptions must be sent electronically from the
practitioner to the pharmacy or handwritten on a secure prescription blank
-Faxes are only acceptable for hospice/long-term care patients
-telephonic emergency schedule II prescriptions must be followed up with an electronic or hard copy per
DEA
regulations
-To combat current opioid crisis, some states limit days supply and amount that can be prescribed to
2/
13
Questions and Answers
1. Handling and Disposal of Pharmacy Substances and Waste: Extreme caution
should always be used - PPE and wear as outlined in SDS
2. Hazardous materials: any chemical or drug that poses potential harm to the person
preparing/coming in contact with
-OSHA has standards to protect
employees- PPE SDS- safety data sheets
-should be stored seperately from other materials often in a negative pressure room
-leakproof container labeled hazardous
-in case of accidental exposure, you should be aware of the equipment available and follow all cleanup
of hazardous materials -- spill kits for safe cleaning
-- report any accidents to supervisor
3. Non-hazardous materials: handled with care, even though PPE is not required
-may pose a risk to the environment if not disposed of correctly
-keep out of waterways (don't dump down drain)
-can range from materials used to prepare a compounded product to products that have passed their
intended expiration date
4. Pharmaceutical Substances: -any substance used for therapeutic treatment - medications or
1/
13
, the
ingredients used to make them
-Hazardous: warfarin, tretinoin, finasteride, methotrexate
-Non-hazardous: amoxicillin, diphenhydramine, ranitidine, atorvastatin
-expired pharm subs can be sent back to manufacturer
-vaccines, syringes, and needles disposed in sharps container.
5. Controlled Substances: medications that carry a high risk for abuse and misuse
-highly regulated by the DEA and categorized into schedules based on level of potential abuse
-each pharmacy has a designated area (vault or locked cabinet) for certain controlled medications are
placed
6. Movement: movement of controlled substances from manufacturer to pharmacy, then pharmacy
to patient - highly regulated by DEA
-each step in the life cycle of a controlled substance must be traceable
7. New prescriptions: schedule II prescriptions must be sent electronically from the
practitioner to the pharmacy or handwritten on a secure prescription blank
-Faxes are only acceptable for hospice/long-term care patients
-telephonic emergency schedule II prescriptions must be followed up with an electronic or hard copy per
DEA
regulations
-To combat current opioid crisis, some states limit days supply and amount that can be prescribed to
2/
13
