NH MPJE CORRECT SCRIPT ANSWERS AND
QUESTIONS SET A+
✔✔Aspartame - ✔✔Phenylketuronics
✔✔Sulfites - ✔✔Must contain allergy warning
✔✔Mineral oil - ✔✔- used only at bedtime
- not used in infants
- discourage use in pregnancy
✔✔Methyl salicylate - ✔✔Wintergreen, more than 5% labeled as dangerous
✔✔Sodium phosphate - ✔✔No more than 90ml OTC per container
✔✔Ipecac - ✔✔- very specific labeling: boxed statement in red about poison control
- warning about unconscious or petroleum distillates
- dosage: 15ml over 1 year old
- only sold in 30ml containers
✔✔Prescription Drug Marketing Act 87 - ✔✔- referred to as Dingle Bill
- requires proper storage and record keeping of drugs
- prohibit shipping between states unless registered in the state where shipping
- prohibits reimportation into US except by manufacturer
- state licensing of drug wholesalers
- retail pharmacy may NOT possess drug samples
- possession considered to be drug diversion
- allows use of starter packs or vouchers distributed to pharmacies
- allows pharmacies in health facilities to receive samples if requested by licensed
prescriber and maintain precise records and separate from regular stock
- restricts resale of drugs by hospitals or health care facilities
- sales reps responsible for maintaining annual inventory of samples
, ✔✔Category A - ✔✔Studies demonstrate no harm throughout pregnancy
✔✔Category B - ✔✔Animal studies show no risk
✔✔Category C - ✔✔Safety not determined; only use if benefit > risks
✔✔Category D - ✔✔Positive evidence of risk but benefit may still > risk
✔✔Category X - ✔✔Risk of damage > any possible benefits
- isotretinion, cytotec, thalidomide, statin drugs
✔✔Off label drug use - ✔✔- discouraged by FDA
- pharmacists may dispense off label use drugs using their professional discretion
- drug co may not advertise offlabel uses
✔✔On each unit dosage package - ✔✔Generic & trade name
Quantity of active drug present
Name of packer, manufacturer or distributor
Repackagers lot #
Expiration date
Special storage reqs
✔✔Expiration date or repackaged items - ✔✔Should not exceed 25% of remaining time
to expiration OR
12 months from last repackaging whichever is LEAST
✔✔Class I recall - ✔✔May cause serious injury and death
✔✔Class II recall - ✔✔May cause temporary or reversible effects
✔✔Class III recall - ✔✔Unlikely to cause any health consequence
✔✔Rph may refuse to fill a script - ✔✔- forgery or fictitious
- drug out of stock
- drug harmful to pt
- would be violating law if script filled
✔✔Once filled and dispensed - ✔✔- prescription is legally owned by pharmacy
- can provide copy of Rx but not original
- must be kept for 10 years
✔✔Top of rx label - ✔✔Pt name
Rx number
Drug name B&G
QUESTIONS SET A+
✔✔Aspartame - ✔✔Phenylketuronics
✔✔Sulfites - ✔✔Must contain allergy warning
✔✔Mineral oil - ✔✔- used only at bedtime
- not used in infants
- discourage use in pregnancy
✔✔Methyl salicylate - ✔✔Wintergreen, more than 5% labeled as dangerous
✔✔Sodium phosphate - ✔✔No more than 90ml OTC per container
✔✔Ipecac - ✔✔- very specific labeling: boxed statement in red about poison control
- warning about unconscious or petroleum distillates
- dosage: 15ml over 1 year old
- only sold in 30ml containers
✔✔Prescription Drug Marketing Act 87 - ✔✔- referred to as Dingle Bill
- requires proper storage and record keeping of drugs
- prohibit shipping between states unless registered in the state where shipping
- prohibits reimportation into US except by manufacturer
- state licensing of drug wholesalers
- retail pharmacy may NOT possess drug samples
- possession considered to be drug diversion
- allows use of starter packs or vouchers distributed to pharmacies
- allows pharmacies in health facilities to receive samples if requested by licensed
prescriber and maintain precise records and separate from regular stock
- restricts resale of drugs by hospitals or health care facilities
- sales reps responsible for maintaining annual inventory of samples
, ✔✔Category A - ✔✔Studies demonstrate no harm throughout pregnancy
✔✔Category B - ✔✔Animal studies show no risk
✔✔Category C - ✔✔Safety not determined; only use if benefit > risks
✔✔Category D - ✔✔Positive evidence of risk but benefit may still > risk
✔✔Category X - ✔✔Risk of damage > any possible benefits
- isotretinion, cytotec, thalidomide, statin drugs
✔✔Off label drug use - ✔✔- discouraged by FDA
- pharmacists may dispense off label use drugs using their professional discretion
- drug co may not advertise offlabel uses
✔✔On each unit dosage package - ✔✔Generic & trade name
Quantity of active drug present
Name of packer, manufacturer or distributor
Repackagers lot #
Expiration date
Special storage reqs
✔✔Expiration date or repackaged items - ✔✔Should not exceed 25% of remaining time
to expiration OR
12 months from last repackaging whichever is LEAST
✔✔Class I recall - ✔✔May cause serious injury and death
✔✔Class II recall - ✔✔May cause temporary or reversible effects
✔✔Class III recall - ✔✔Unlikely to cause any health consequence
✔✔Rph may refuse to fill a script - ✔✔- forgery or fictitious
- drug out of stock
- drug harmful to pt
- would be violating law if script filled
✔✔Once filled and dispensed - ✔✔- prescription is legally owned by pharmacy
- can provide copy of Rx but not original
- must be kept for 10 years
✔✔Top of rx label - ✔✔Pt name
Rx number
Drug name B&G