Pharmacy Law - New York MPJE Latest Update 100% Solved

Pharmacy Law - New York MPJE Latest Update 100% Solved Definition of Pharmacy Practice The: 1. Preparing 2. Compounding 3. Preserving 4. Dispensing of drugs, medicines and therapeutic devices on the basis of prescriptions or other legal authority, and collaborative drug therapy management T/F: A collaborative drug therapy management program requires a written agreement or protocol with a voluntarily participating physician True T/F: A pharmacist participating in a collaborative drug therapy management may adjust the regimen of a patient by substituting or selecting a different drug that differs from the initially prescribed therapy by the physician False. A pharmacist can adjust drug strength, frequency, or route of administration. However, the pharmacist can't select a different drug unless it is expressly authorized in the written order or protocol What is the federal age requirement for a professional license? 19 T/F: Every pharmacist on duty should be identified by a badge designed by the state board of pharmacy which shall contain name and title True Requirements for Prescription Labels 1. Name and address of the owner of the establishment 2. Date compounded 3. Number of the prescription 4. Name of the prescriber 5. Name and address of the patient 6. Directions for use T/F: Pharmacies who deliver medication w/o patient or authorized consent are required to accept the return of the medication from the patient, refund the patient, and destroy the drug True When a Pharmacist receives an oral authorization for refills, what must be written on the reverse side of the original prescription? Date, time, and name of the practitioner authorizing the refill How long must records of all prescriptions filled or refilled be maintained by the pharmacy? 5 years T/F: It is mandatory to have the prescriber's signature (or electronic signature) on the prescription to validate the prescription? True What is written on every prescription in the state under the signature line? "This prescription will be filled generically unless prescriber writes DAW in the box below" T/F: Every prescription written in the state by a person authorized to issue a prescription should imprint or stamp a legible copy of the prescriber's name in ADDITION to their signature True Requirements of an Auction 1. The PLACE of auction must be registered w/the Board and under a licensed pharmacist supervision. 2. Drugs in open containers connot be sold at auction unless there is a certificate from the Board that shows the drugs were inspected. 3. Drugs may not be sold at auction after expiration or if expiration date is within 30 days or less from date of sale 4. Board of pharmacy must be notified at least 7 days prior to the date of the auction w/Date, time, and place 5. Drugs in bulk or open containers may be sold in 1 lot only Composition of Board of Pharmacy 1. At least 9 pharmacists, each licensed in the state for at least 5 years 2. Minimum of 2 public representatives Positions last for 5 year terms Child-Resistant Containers (Poison Prevention Packaging Act) Considered unprofessional conduct not to package a drug in child-resistant container, unless the PRESCRIBER or PATIENT requests otherwise. Purpose of the Poison Prevention Packaging To prevent/minimize risk of serious personal injury or serious illness to children under 5 years of age by hazardous household substances (including Rx drugs) What must a Refill of a C3 - C5 Controlled substance must have on the reverse side? 1. Date dispensed 2. Amount dispensed 3. Signature of dispensing pharmacist T/F: All employees can enter controlled substance information into computer record keeping False. Employees can type/key in information, but only pharmacists or pharmacy interns can enter the information T/F: It is mandatory for prescribers to use electronic prescribing True When is a prescriber exempt from electronic prescribing? 1. Veterinarian 2. Rx will be dispensed in a pharmacy outside of New York 3. Impractical for a patient to obtain substances in a timely manner if sent electronically 4. Prescriber has a waiver from the NYS Commissioner of Health 5. E-prescribing is not available due to temporary technological/electronic failure T/F: Emails and faxes are considered e-prescribing False T/F: Electronic prescriptions require an NPI, electronic signature, and specify DAW or not True How often do computer applications require renewal through the Bureau of Narcotic Enforcement (BNE)? Every 2 years How many continuing education hours are necessary Minimum of 45 contact hours in each 3-year period (w/at least 23 live hours) T/F: Pharmacists must keep their own continuing education records for 6 years from program date for random audits True. Must have: 1. Title of course (any ID# assigned) 2. # hours completed 3. sponsor's name 4. Verification on your attendance by the sponsor 5. Date and location Who has jurisdiction over controlled substances in NYS? Department of Health (DOH) What is the form used to order C2 prescriptions? DEA 222 Form T/F: Pre-printed prescriptions are allowed in NYS? False. Use of pre-printed prescriptions is prohibited How long must records of controlled substances be kept? 5 years T/F: Hydrocodone and anabolic steroids are considered C3 medications federally and don't require DEA 222 Form True. T/F: Benzodiazepines are C4 drugs that have similar C2 limitations in NYS True. They may have no refills, dispensing is limited to 30 day supply, and emergency Rx is limited to 5 day supplies Condition or prescription code must be written on the face of a controlled substance prescription True. Codes: A - Panic Disorder B - Minimal brain function, ADHD C - Chronic debilitating neurological conditions D - Relief of pain in patients suffering from diseases known to be chronic and incurable E - Narcolepsy F - Hormone Deficiency T/F: When a prescription for a C3 - C5 with a code is written for a quantity in excess of 30 day supply, the prescription can only be refilled once True. In addition, an oral authorization for the refilling of these prescriptions can't be given by the prescriber and require a new prescription How many refills or partial refills can prescriptions for anabolic steroids have in NYS? None, it is prohibited in NYS. However, you may dispense up to a 6 month supply. What type of prescription files are required in NYS? 1. C2 (including anabolic steroids and oral emergency prescriptions) 2. C3 - C5 (inluding Benzos) 3. Non-controlled T/F: Each pharmacy is required to notify the BNE each day that a controlled substance has been picked up True. Must be electronically submitted to BNE within 24 hours of the date picked up. T/F: DEA 222 Form is used to order C1 and C2 prescriptions True What is the pharmacist responsible for filling in on the DEA 222 Form? 1. Number of packages 2. Size of the package 3. Name of the item Where does each copy of form 222 go? Copy 1 - Retained by supplier Copy 2 - Sent to regional administrator of DEA Copy 3 - Retained by purchaser What information is recorded on the purchaser's copy of DEA Form 222? The actual number of packages received and the date received T/F: If an order is refused on DEA Form 222 the supplier should return copies 1 and 2 to the purchaser w/a statement explaining the reason True How long must copy 3 of DEA Form 222 be retained? 2 years after the date of order How soon must a pharmacist report loss or stolen 222 forms to the DEA Diversion Field office? Immediately. If found, immediately notify the same office. NYS BNE can ask for DEA Forms from how far in the past? 5 years Who do you notify if a controlled substance is lost or stolen? DEA and local police immediately What is the form needed to complete in the event of a loss or theft of controlled substance? DEA Form 106 Who gets Each copy of DEA Form 106 DEA receives form and the pharmacy keeps a copy to be maintained for 5 years T/F: C2 inventory must be kept separate from other medications True How long must inventory be maintained as the registered pharmacy? 2 years T/F: Pharmacists are required to submit a copy of the inventory to the DEA False T/F: C2 medications can be estimated to fulfill inventory requirement False. C2 medications must be counted, C3 - C5 medications can be estimated (Unless the bottle is open and has over 1000 pills)