MPJE 2021 - Pharmacy Operations With Complete Solution

MPJE 2021 - Pharmacy Operations 1. who is responsible for licensing, monitoring, and regulation of pharmacy practice within their jurisdiction state boards of pharmacy 2. who typically appoints pharmacy state board members state governor 3. foreign-trained pharmacists must complete what certification by passing what examination? what other exam must they take? - Foreign Pharmacy Graduate Examination Committee (FPGEC) Certification - Foreign Pharmacy Graduate Equivalency Examination (FPGEE) - Test of English as a Foreign Language (TOEFL) 4. to utilize NABP's Score Transfer Program to multiple states, an individual must request the score transfer through NABP up to how long after taking the NAPLEX? 89 days 5. what is licensure by reciprocity? what is a common requirement for this apply to transfer existing license to one or more other states or jurisdictions - most states require at least one year of practice before allowing transfering 6. technician registration vs. licensure vs. certification registration: basic requirements/skills licensure: has to pass exam, work experience, or tech training program certification: more responsibilities for techs, like med hx, receive/transfer rx, etc 7. what is the NABP Model State Pharmacy Act assists each state board by defining basic requirements for various areas of pharmacy practice 1 / 14 MPJE 2021 - Pharmacy Operations Study online at - expands role of techs - criteria for certification 8. 2 primary pharmacy technician certification exams 1) PTCB - Pharmacy Technician Certification Examination 2) NHA - ExCPT Pharmacy Technician Certification Exam 9. disciplinary actions: probation license restricted for specified period of time ex: under supervision for 6mo, can still practice 10. disciplinary actions: suspension license inactivated, may be reinstated if conditions met ex: cannot practice, CE hours to reinstate 11. disciplinary actions: revocation pharmacy license taken away by licensing agency permanent loss (some cases can be overturned, rare) 12. disciplinary actions: surrender voluntarily gives up license often under pressure to avoid penalties/criminal charges ex: cannot practice until reinstated 13. disciplinary actions: reinstatement license that lapsed/suspended/revoked and is returned to active status w/ no restrictions 14. who is responsible for initiating action against a pharmacist, pharmacy intern, tech who is deemed unfit to practice pharmacy state boards of pharmacy or specific division under the board 15. 3 most common causes of disciplinary action against pharmacy license 1) impairment 2) drug theft 3) drug diversion 16. drug theft vs. diversion theft: steal from pharmacy stock diversion: steal med that was intended to go to a pt 17. if you have disciplinary action against your license in one state, you must... report to all boards of pharmacy that you hold state licenses in 18. is the pharmacy employee that is impaired the only one that can have disciplinary action against them if no one reports them? pharmacy employees must report if a coworker is suspected of being impaired - if not notified in a timely manner, the coworkers of the impaired employee can also receive disciplinary action 19. what is the first step in opening a pharmacy? obtaining the pharmacy license, or permit, from the state 20. what is often required as part of the licensing application for pharmacies? (5) 1) physical address for pharmacy 2) classification of the pharmacy (ex: community, hospital, specialty) 3) name/license number of pharmacist in charge (PIC) 4) application fee 5) national provider identification (NPI) number for pharmacy 21. where do out-of-state or "non-resident" pharmacies, wholesalers, manf, distributors, and third-party logistics providers need to be licensed every state in which they do business 22. when can facility/prescriber register with the DEA in order to handle/prescribe controlled substances? only after obtaining a state license/permit 23. after initial approval for DEA registration, the DEA will send out a renewal no60 days tice to the registrant how long prior to expiration? 24. what is an out-of-state, or non-resident pharmacy? outsources parts of pharmacy process to centralized pharmacy, which may be out of state 25. out-of-state (non-resident) and mail-order pharmacies must comply with which state's laws? where are they required to be licensed? comply with the laws where the pharmacy is located, state where the patient lives, or both. almost all states require them to be registered/licensed in the state where the patient lives (anywhere business is conducted) 26. out-of-state pharmacy can perform centralized or shared services for another pharmacy. what are some requirements that these pharmacies have? - have same owner - written contract for individual responsibilities - share electronic files - patients notified if another pharmacy fills their rx 27. what types of medications must go through specialty pharmacies - complicated medication regiments - often injectables - high cost medications - drugs requiring risk evaluation and mitigation strategy (REMS) compliance 28. radiopharmaceuticals have what unique labeling requirement for the immediate container and outer delivery container "Caution - Radioactive Material" label an specifics about the product's activity 29. how do pharmacies ensure they are compliant and prepared for pharmacy inspections self-inspection forms on a scheduled basis 30. a facility that stores/distributes rx drugs should USP