Michigan Pharmacy Law Questions and Answers Already Passed

Michigan Pharmacy Law Questions and Answers Already Passed Relationship b/w Federal and State Law the stricter law is what is followed Professional Functions of a RPh interpret and evaluate a rx select drug products compound, dispense and safely store/distribute maintain legal books advise prescribers and pts about meds Quality, Purity, and Labeling only allowed to use drugs and devices that come from manufactures and whole sale distributors that are properly licensed A pharmacist has a professional responsibility to NOT fill orders under certain circumstances including, but not limited to: - Rx appears improperly written, - Rx susceptible to >1 interpretation - Reason to believe rx could cause harm to pt - Reason to believe rx will be used for other then legitimate medical purposes Duty to Counsel: MI Law Pharm. must communicate to pt. or pt/caregiver necessary info regarding safe and effective med use at the time a rx is dispensed Communications a) info given in person to pt or caregiver. If unable to then written material is appropriate b) info provided with each NEW rx c) info provided with refills if pharmacist deems appropriate d) info provided if pt/caregiver request True/False Pharmacist is required to provide consultation regardless if the pt/caregiver refuses consultation FALSE Rule of consultation does not apply if the pt/caregiver refuse consultation OR if the med is dispensed to pt while pt is in the medical institute OBRA 90 Omnibus Budget and Reconciliation Act of 1990: series of amendments applied to the Social Security act OBRA 90 Specifics a) applies to state run Medicaid plans that pay for Rx meds for indigent and disabled pts b) Pharmacies in program must provide DUR and pt counseling on covered meds c) Pharmacy must provide record keeping (6 yrs) d) Failure to comply can lead to de-participation from federal reimbursement In some states the Board of Pharmacy adopted laws and regs that go beyond the reqs of OBRA. In MI we have... mandated counseling and DUR for all pts as a standard of care regardless of how they pay OBRA 90: description of program a) Shall provide DUR (Rx is appropriate, medically necessary, and not likely to cause adverse effects) typically at point of the sale or point of distribution (include DDI/CI/Side fx) b) RPh must OFFER to discuss meds (standard counceling points) with all people in this program c) Reasonable effort to obtain, record and maintain: name address, phone #, DOB, gender, allergies, comprehensive list of meds, d) If