Fassett's MPJE Review Questions for Washington State Questions and Answers Already Passed

Fassett's MPJE Review Questions for Washington State Questions and Answers Already Passed Define deliver/delivery The actual, constructive or attempted transfer from one person to another of a drug or device, whether or not there is an agency relationship. Define Dispense The interpretation of a prescription or order for a drug, biological or device and, pursuant to that prescription or order, the proper selection, measuring, compounding, labeling or packaging necessary to prepare that prescription or order for delivery. Define Distribute The delivery of a drug or device other than by administering or dispensing. Define Compounding The act of combining two or more ingredients in the preparation of a prescription. Define Labeling The process of preparing or affixing a label to any drug, device or container. The label must include all information required by current federal and state law and pharmacy rules. Define Administer The direct application of a drug or device, whether by injection, inhalation, ingestion or any other means, to the body of a patient or research subject How many members serve on the Board of Pharmacy? 15 How many are public members? 4 Complete the following table regarding prescriptive authority of those with various credentials. Answer Key for the previous table How long are prescriptions for legend drugs valid from the date issued? 1 year Is there a maximum number of refills allowed for legend drugs? What is it? 11 refills (1 year of medication) How long are prescriptions for each of the following valid: C-2s, C-3s, C-4s, C-5s? 6 months Is there a maximum number of refills allowed for C-5s? What is it? Five refills or six months total supply Are the number of refills for C-3s and C-4s the same as federal or less? Federal law places no restrictions on C-5s but WA does. Number of refills for C-3s and C-4s is the same in Washington as Federal; 5 refills, 6 month expiration What must be on the label of an outpatient prescription? Name and address of the pharmacy Patient Name (if on the prescription) Prescriber Name Serial number (prescription number) Directions for use Date of filling Name and strength of drug Quantity Expiration Date RPh initials Transfer Caution Side effects statement (may be on other labeling) Any cautionary statements on the prescription Can the prescribed brand name be placed on the label when a generic is dispensed? If so, what wording is required? Yes: "Generic for..." How does a pharmacist determine whether a particular generic drug is suitable as a substitute for a brand name drug? Orange/Purple book; Washington does not require utilization of a specific reference: it's up to the pharmacist's judgement. Must generic savings be passed on to patients? If so, what proportion, and how determined? Yes, Normal cash price of brand - (savings *0.6) = Max price; Savings = (Acq Cost brand - Acq cost generic) How can a prescriber indicate that substitution is or is not permitted? Sign on dispense as written line or write "DAW" on the face Do patients have the option of demanding the brand name when substitution is permitted? YES How about patients whose prescriptions are paid for by public funds? No What are the temperature USP standards for controlled room temp, a "cool place", a "cold place"/refrigerator, and freezer? Controlled room temp = 20° - 25° C "Cool place" = 8° - 15° C "Cold place"/refrigerated = 2° - 8°