Delaware Mpje (General) Study Guide

Components of patient counseling - Answer-**Does not include pricing information ** Do not have to encourage/explain generic use **RPh is not required to provide counseling if the patient refuses it. Simply document refusal When don't you have to counsel? - Answer-Dispensing of drugs for inpatient use in a hospital or institution where the drug is to be administered by a healthcare provider Components of a prospective DUR - Answer-Screening for problems due to therapeutic duplication, interactions, OTC interactions, drug-disease CI, incorrect dosage or duration, drug-allergy interactions, clinical abuse or misuse Generic substitution - Answer-1. Practitioner writes substitution permitted on Rx, verbally states substitution permitted. Prescribers may issue blanket authorizations in an institutional setting. 2. Pharmacist informs patient/representative of substitution 3. Pharmacist indicates on the prescription and the label the manufacturer/distributor of generic. 4. Prescriber must write "brand neccessary" if they require brand name drug State laws/regs on medication disposal - Answer-Follow federal -Do not flush unless specifically directed, take advantage of community takeback programs - Household: mix with undesirable solid, place in a sealable bag or can. De-identify bottles. What is the procedure to close a pharmacy? - Answer-Notify the executive secretary of DE BOP in writing at least 14 days before closing. If owner/PIC is deceased, notify immediately. If fire/water/damage, notify immediately. Public notification: local newspaper for 7 days including the name of the pharmacy to which the Rxs will be transferred. A sign must be placed in the window 14 days before closing and 14 days after closing. All signage must be removed within 30 days of closing. Temporary closing: notify board ASAP, notify the public in a highly visible place x5 days Emergency filling of non-controlled substances - Answer-Professional judgement. Minimum necessary for emergency period Prescription originally dispensed from this pharmacy If dispensed: As an emergency supply only one time. Refill date, quantity, and pharmacist's initials must be documented in patient profile. Prescriber must be notified in writing or verbally. Prescription may be refilled