Michigan Pharmacy Law UPDATED
ACTUAL Exam Questions and
CORRECT Answers
Relationship b/w Federal and State Law - CORRECT ANSWER - the stricter law is what is
followed
Professional Functions of a RPh - CORRECT ANSWER - 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 - CORRECT ANSWER - 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: - CORRECT ANSWER - - 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 - CORRECT ANSWER - Pharm. must communicate to pt. or
pt/caregiver necessary info regarding safe and effective med use at the time a rx is dispensed
Communications - CORRECT ANSWER - 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 -
CORRECT ANSWER - 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 - CORRECT ANSWER - Omnibus Budget and Reconciliation Act of 1990: series
of amendments applied to the Social Security act
OBRA 90 Specifics - CORRECT ANSWER - 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... - CORRECT ANSWER - mandated counseling and DUR for all pts as a
standard of care regardless of how they pay
OBRA 90: description of program - CORRECT ANSWER - 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 pt refuses consultation then its ok
Notice to Consumer about Rx Drugs - CORRECT ANSWER - Under MI LAW pt is allowed
to request price of med before pharmacy refills and shop around for a better price
Notice to Consumer about Rx Drugs Requirements - CORRECT ANSWER - a) posted
CONSPICUOUSLY
b) have address and phone # of BoP and Dept.
c) 32 point bold font
d) 11x7 in paper
e) may be printed on multiple pages
Rx receipt must contain all of the following - CORRECT ANSWER - Name of med (brand if
available), manufacture, strength, (these 3 may be omitted, if prescriber requests) quantity
dispensed, name and address of pharmacy, Rx #, fill date, name of prescriber, name of pt, price
of med sold to purchaser
Pharmacist must retain copy of each receipt for ______ days. What is considered a valid reciept -
CORRECT ANSWER - 90 days. Info on Rx container label is considered valid receipt,
keeping this info on the back of prescription is considered a valid reciept (BACK TAGs)
Who can engage in practice of pharmacy? - CORRECT ANSWER - Persons who are licensed
by the Board of Pharmacy:
pharmacists, partnerships and corps, pharmacy interns (under supervision of preceptor)
Who is responsible for compliance of pharmacy practice law? - CORRECT ANSWER -
Pharmacist in Charge (Rita)
, Pharmacist on Duty (Reshma)
Designated indv. responsible pharmacist in the pharmacy organization (Danielle)
Pharmacist in Charge - CORRECT ANSWER - PIC may be in charge of >1 pharmacy at a
time. Must work in each pharmacy for at least 8 hours/wk
MI Pharmacy open for business must..... - CORRECT ANSWER - be under the personal
charge (immediate physical presence) and control of a MI licensed pharmacist
If individuals responsible for compliance of pharm practice law change location they must notify
LARA w/in _____ days - CORRECT ANSWER - 30 days of the change
Pilot Project - CORRECT ANSWER - designed to use new or expanded technology or
processes and to provide pts with better pharmacy products or provide pharmacy services in a
more efficient manner.
What functions can be delegated to non-pharmacists - CORRECT ANSWER - activities
related to dispensing:
counting med, placing med into containers, prep of labels, sale of med
True/False
Only licensed pharmacies and pharmacists may perform activities associated with the practice of
pharmacy - CORRECT ANSWER - TRUE
Prescriber's designations... - CORRECT ANSWER - Prescriber may designate an AGENT to
act on behalf of them, not required to be in writing to be a valid designation
Who is considered an agent? can they call in control Rx as well? - CORRECT ANSWER -
agent can be an employee or a non employee.
If agent is non-employee the designation is ENCOURAGED to be put in writing
ACTUAL Exam Questions and
CORRECT Answers
Relationship b/w Federal and State Law - CORRECT ANSWER - the stricter law is what is
followed
Professional Functions of a RPh - CORRECT ANSWER - 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 - CORRECT ANSWER - 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: - CORRECT ANSWER - - 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 - CORRECT ANSWER - Pharm. must communicate to pt. or
pt/caregiver necessary info regarding safe and effective med use at the time a rx is dispensed
Communications - CORRECT ANSWER - 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 -
CORRECT ANSWER - 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 - CORRECT ANSWER - Omnibus Budget and Reconciliation Act of 1990: series
of amendments applied to the Social Security act
OBRA 90 Specifics - CORRECT ANSWER - 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... - CORRECT ANSWER - mandated counseling and DUR for all pts as a
standard of care regardless of how they pay
OBRA 90: description of program - CORRECT ANSWER - 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 pt refuses consultation then its ok
Notice to Consumer about Rx Drugs - CORRECT ANSWER - Under MI LAW pt is allowed
to request price of med before pharmacy refills and shop around for a better price
Notice to Consumer about Rx Drugs Requirements - CORRECT ANSWER - a) posted
CONSPICUOUSLY
b) have address and phone # of BoP and Dept.
c) 32 point bold font
d) 11x7 in paper
e) may be printed on multiple pages
Rx receipt must contain all of the following - CORRECT ANSWER - Name of med (brand if
available), manufacture, strength, (these 3 may be omitted, if prescriber requests) quantity
dispensed, name and address of pharmacy, Rx #, fill date, name of prescriber, name of pt, price
of med sold to purchaser
Pharmacist must retain copy of each receipt for ______ days. What is considered a valid reciept -
CORRECT ANSWER - 90 days. Info on Rx container label is considered valid receipt,
keeping this info on the back of prescription is considered a valid reciept (BACK TAGs)
Who can engage in practice of pharmacy? - CORRECT ANSWER - Persons who are licensed
by the Board of Pharmacy:
pharmacists, partnerships and corps, pharmacy interns (under supervision of preceptor)
Who is responsible for compliance of pharmacy practice law? - CORRECT ANSWER -
Pharmacist in Charge (Rita)
, Pharmacist on Duty (Reshma)
Designated indv. responsible pharmacist in the pharmacy organization (Danielle)
Pharmacist in Charge - CORRECT ANSWER - PIC may be in charge of >1 pharmacy at a
time. Must work in each pharmacy for at least 8 hours/wk
MI Pharmacy open for business must..... - CORRECT ANSWER - be under the personal
charge (immediate physical presence) and control of a MI licensed pharmacist
If individuals responsible for compliance of pharm practice law change location they must notify
LARA w/in _____ days - CORRECT ANSWER - 30 days of the change
Pilot Project - CORRECT ANSWER - designed to use new or expanded technology or
processes and to provide pts with better pharmacy products or provide pharmacy services in a
more efficient manner.
What functions can be delegated to non-pharmacists - CORRECT ANSWER - activities
related to dispensing:
counting med, placing med into containers, prep of labels, sale of med
True/False
Only licensed pharmacies and pharmacists may perform activities associated with the practice of
pharmacy - CORRECT ANSWER - TRUE
Prescriber's designations... - CORRECT ANSWER - Prescriber may designate an AGENT to
act on behalf of them, not required to be in writing to be a valid designation
Who is considered an agent? can they call in control Rx as well? - CORRECT ANSWER -
agent can be an employee or a non employee.
If agent is non-employee the designation is ENCOURAGED to be put in writing
