WV MPJE WITH COMPLETE SOLUTIONS
West Virginia law requires pharmacists to substitute a less expensive generic-named
therapeutically equivalent drug for a brand name drug, if available, unless you or your
physician direct otherwise."
Lettering on sign must be at least 1&1/2 inches in height with appropriate margins &
spacing. - ANSWER-What sign is required in all WV pharmacies?
(> 15 Rxs/hour) Any pharmacy dispensing more than 15 prescriptions per hour on
average during a day shall have a registered pharmacy technician assisting the
pharmacist. - ANSWER-What is the prescription volume threshold to require a
pharmacy technician?
(1:4 ratio) In any pharmacy setting there is a max of 4 pharmacy technicians and/or
pharmacy technician trainees per on on-duty pharmacist. - ANSWER-What is the
maximum RPh to Tech/trainee ratio?
(1) $500 manufacturer permit fee
(2) Authorization to operate as a manufacturer with the FDA
(3) Satisfactory inspection by the FDA within the previous 5-year period OR pay an
additional $400 fee for inspection by the board. - ANSWER-What is required to obtain a
Manufacturer permit? (3)
(1) a firm's own initiative
(2) FDA request
(3) FDA order under statutory order - ANSWER-Under what terms can a product recall
be initiated?
(1) A person < 18 years, unless an emancipated minor, may NOT purchase a finished
product containing any quantity of DM.
(2) If the purchaser appears to be younger than 25 years, then proof of age is required
(3) Does NOT apply to a valid RX. - ANSWER-What are the stipulations surrounding the
sale of dextromethorphan? (3)
(1) A prescribing practitioner licensed in WV may access charitable clinic pharmacy to
fill, check, or dispense prescriptions when no pharmacist is present, provided that he or
she insures proper labeling & documentation of the dispensing.
(2) A drug dispensing practitioner (DDP) may only administer or dispense prescription
drugs to a patient under the practitioner's care in the course of his or her professional
practice.
(3) A registered controlled substance DDP may engage in office-based dispensing
and/or administrating of controlled substances to a patient under his or her care at
registered controlled substance dispensing locations. - ANSWER-What are the
stipulations surrounding a prescriber to prepare/dispense prescriptions? (3)
,(1) All samples received by the pharmacy are obtained pursuant to a written, signed
request of a licensed practitioner affiliated with that institution.
(2) The pharmacy retains a copy of all written, signed sample requests.
(3) Samples are stored separately from retail stock.
(4) Records of sample receipt or dispensing maintained separately from retail stock.
(5) Written documentation of a relationship exists between the health care entity and the
pharmacy.
(6) Dispensed in original packaging.
(7) Pharmacy and its employees do not sell, purchase, or trade or offer to sell,
purchase, or trade any samples. - ANSWER-What are the requirements for an
institutional pharmacy to handle samples? (7)
(1) An unrestricted pharmacist license
(2) Insurance coverage
(3) PLUS ONE OF THE FOLLOWING
(a) Certification from Board of Pharmaceutical Specialties or completed an ASHP
residency program.
(b) PharmD + 3 years of clinical experience + completion of ACPE certificate program
(c) BSPharm + 5 years of clinical experience + completion of 2 ACPE approved
certificate programs - ANSWER-What must any pharmacist wanting to enter into a
collaborative practice agreement have? (3)
(1) Application identification valid SSN or a tax identification number (TIN)
(2) Business Activity
(3) Drug schedules indicate which will be handled (Schedule II-V)
(4) State licenses(s)
(5) Liability
(6) Certificate of Exemption from application fee
(7) Method of payment fees are non-refundable
(8) Applicant's signature - ANSWER-What is information is needed to complete DEA
Form 224? (8)
(1) Assist in the dispensing process
(2) Receive a new written or electronic prescription drug order
(3) compound
(4) stock medications - ANSWER-What can a pharmacy technician perform under
DIRECT supervision of a pharmacist? (4)
(1) Cannot be filled passed 6 months of issue date.
(2) Cannot be refilled more than 5 times. - ANSWER-Refill stipulations for schedule III &
IV medications?
(1) Clinical research
(2) Ambulance services
(3) durable medical equipment
(4) mental health (inpatient, outpatient, & partial hospitalization)
,(5) Getting a 2nd opinion before surgery
(6) Limited outpatient Rx drugs. - ANSWER-What is covered under Medicare Part B?
(6)
(1) Date the prescription drug was administered or dispensed.
(2) Name, dose, & quantity of the drug
(3) Reason the prescription drug was prescribed, dispensed, or adminsitered. -
ANSWER-What must be documented in a patient's medical record for a drug dispensing
practitioner? (3)
(1) Dated as of, and signed on, the day when issued
(2) Full name & address of the patient
(3) Name, address, & registration number of the practitioner. - ANSWER-What are the
required elements for a controlled substance prescription?
(1) Dispensed at no charge to qualified patients.
(2) Samples are possessed in compliance with the Federal Prescription Drug Marketing
Act of 1987 or its successor.
(3) In original container by manufacturer & is clearly marked sample
(4) Stored under the proper conditions
(5) Not expired
(6) Not a controlled substance - ANSWER-What are the requirements for a charitable
care clinic to dispense samples? (7)
(1) drug-drug
(2) drug-food
(3) drug-disease
(4) adverse drug reactions
(5) Overuse & underuse
(6) Optimum therapeutic outcomes - ANSWER-A pharmacist is responsible for
evaluating prescriptions for possible drug interactions and/or ADRs which may include
but are not limited to: (6)
(1) Drugs are properly labeled
(2) On prepackaged drugs are available, in amounts sufficient for immediate therapeutic
requirements.
(3) Whenever access to the cabinet occurs, written practitioner's orders and proof-of-
use are provided.
(4) All drugs in the cabinet are inventoried no less than once per week.
(5) Complete audit of all activity concerning the cabinet is conducted no less than once
per month.
(6) Written policies & procedures are established to implement the patient care
provisions of this subdivision. - ANSWER-During times that an institutional pharmacy
may be unattended by a pharmacist, arrangements shall be made in advance by the
PIC for provision of drugs to the medical staff. These arrangements shall ensure: (6)
, (1) Drugs are properly labelled
(2) Only prepackaged drugs are available, in amounts sufficient for immediate
therapeutic requirements.
(3) Whenever access to the cabinet occurs, written practitioner's orders and proof-of-
use are provided.
(4) All drugs in the cabinet are inventoried no less than once per week
(5) A complete audit of all activity concerning the cabinet is conducted no less than
once per month
(6) Written policies & procedures are established to implement the patient care
provisions of this subdivision. - ANSWER-What arrangements must be made in
advance by the PIC for provision of drugs to medical staff in an institutional pharmacy
when it is unattended by a pharmacist? (6)
(1) Drugs in emergency kits are to be administered only by those persons licensed to
administer drugs
(2) Drugs in emergency kits are of such nature that their absence would threaten the
survival of the patients.
(3) Contents determined by pharmacist consultant, medical director, and nursing
director.
(4) Sealed so that it is obvious if it has been opened
(5) Stored under secure conditions
(6) Administration of drugs from the kit is ordered by a practitioner & a record is kept of
administration
(7) Stocked drugs are unit dose packaged
(8) Any drug used from the kit is replaced only upon a prescription or physician
institution order form for the patient to which the dose was administered
(9) Any emergency kit containing controlled substances is kept only at a facility holding
a controlled substance permit from the Board. - ANSWER-In a long-term care center,
drugs, other than by prescription, may be stocked in emergency kits when the following
conditions are met: (9)
(1) Each partial fill is recorded in the same manner as a refill
(2) The total quantity dispensed in all partial fills does not exceed the total quantity
prescribed
(3) No dispensing occurs after 6 months after the date on which the Rx was issued. -
ANSWER-What are the stipulations surrounding the partial filling of a C-III-V? (3)
(1) Elsevier Gold Standard/Clinical Pharmacology
(2) Handbook of injectable drugs published by ASHP - ANSWER-What minimum
reference books are required by a pharmacy with a sterile pharmaceutical compounding
permit? (2)
(1) Emergency situations
(2) Compounded injectables
(3) LTC patients
West Virginia law requires pharmacists to substitute a less expensive generic-named
therapeutically equivalent drug for a brand name drug, if available, unless you or your
physician direct otherwise."
Lettering on sign must be at least 1&1/2 inches in height with appropriate margins &
spacing. - ANSWER-What sign is required in all WV pharmacies?
(> 15 Rxs/hour) Any pharmacy dispensing more than 15 prescriptions per hour on
average during a day shall have a registered pharmacy technician assisting the
pharmacist. - ANSWER-What is the prescription volume threshold to require a
pharmacy technician?
(1:4 ratio) In any pharmacy setting there is a max of 4 pharmacy technicians and/or
pharmacy technician trainees per on on-duty pharmacist. - ANSWER-What is the
maximum RPh to Tech/trainee ratio?
(1) $500 manufacturer permit fee
(2) Authorization to operate as a manufacturer with the FDA
(3) Satisfactory inspection by the FDA within the previous 5-year period OR pay an
additional $400 fee for inspection by the board. - ANSWER-What is required to obtain a
Manufacturer permit? (3)
(1) a firm's own initiative
(2) FDA request
(3) FDA order under statutory order - ANSWER-Under what terms can a product recall
be initiated?
(1) A person < 18 years, unless an emancipated minor, may NOT purchase a finished
product containing any quantity of DM.
(2) If the purchaser appears to be younger than 25 years, then proof of age is required
(3) Does NOT apply to a valid RX. - ANSWER-What are the stipulations surrounding the
sale of dextromethorphan? (3)
(1) A prescribing practitioner licensed in WV may access charitable clinic pharmacy to
fill, check, or dispense prescriptions when no pharmacist is present, provided that he or
she insures proper labeling & documentation of the dispensing.
(2) A drug dispensing practitioner (DDP) may only administer or dispense prescription
drugs to a patient under the practitioner's care in the course of his or her professional
practice.
(3) A registered controlled substance DDP may engage in office-based dispensing
and/or administrating of controlled substances to a patient under his or her care at
registered controlled substance dispensing locations. - ANSWER-What are the
stipulations surrounding a prescriber to prepare/dispense prescriptions? (3)
,(1) All samples received by the pharmacy are obtained pursuant to a written, signed
request of a licensed practitioner affiliated with that institution.
(2) The pharmacy retains a copy of all written, signed sample requests.
(3) Samples are stored separately from retail stock.
(4) Records of sample receipt or dispensing maintained separately from retail stock.
(5) Written documentation of a relationship exists between the health care entity and the
pharmacy.
(6) Dispensed in original packaging.
(7) Pharmacy and its employees do not sell, purchase, or trade or offer to sell,
purchase, or trade any samples. - ANSWER-What are the requirements for an
institutional pharmacy to handle samples? (7)
(1) An unrestricted pharmacist license
(2) Insurance coverage
(3) PLUS ONE OF THE FOLLOWING
(a) Certification from Board of Pharmaceutical Specialties or completed an ASHP
residency program.
(b) PharmD + 3 years of clinical experience + completion of ACPE certificate program
(c) BSPharm + 5 years of clinical experience + completion of 2 ACPE approved
certificate programs - ANSWER-What must any pharmacist wanting to enter into a
collaborative practice agreement have? (3)
(1) Application identification valid SSN or a tax identification number (TIN)
(2) Business Activity
(3) Drug schedules indicate which will be handled (Schedule II-V)
(4) State licenses(s)
(5) Liability
(6) Certificate of Exemption from application fee
(7) Method of payment fees are non-refundable
(8) Applicant's signature - ANSWER-What is information is needed to complete DEA
Form 224? (8)
(1) Assist in the dispensing process
(2) Receive a new written or electronic prescription drug order
(3) compound
(4) stock medications - ANSWER-What can a pharmacy technician perform under
DIRECT supervision of a pharmacist? (4)
(1) Cannot be filled passed 6 months of issue date.
(2) Cannot be refilled more than 5 times. - ANSWER-Refill stipulations for schedule III &
IV medications?
(1) Clinical research
(2) Ambulance services
(3) durable medical equipment
(4) mental health (inpatient, outpatient, & partial hospitalization)
,(5) Getting a 2nd opinion before surgery
(6) Limited outpatient Rx drugs. - ANSWER-What is covered under Medicare Part B?
(6)
(1) Date the prescription drug was administered or dispensed.
(2) Name, dose, & quantity of the drug
(3) Reason the prescription drug was prescribed, dispensed, or adminsitered. -
ANSWER-What must be documented in a patient's medical record for a drug dispensing
practitioner? (3)
(1) Dated as of, and signed on, the day when issued
(2) Full name & address of the patient
(3) Name, address, & registration number of the practitioner. - ANSWER-What are the
required elements for a controlled substance prescription?
(1) Dispensed at no charge to qualified patients.
(2) Samples are possessed in compliance with the Federal Prescription Drug Marketing
Act of 1987 or its successor.
(3) In original container by manufacturer & is clearly marked sample
(4) Stored under the proper conditions
(5) Not expired
(6) Not a controlled substance - ANSWER-What are the requirements for a charitable
care clinic to dispense samples? (7)
(1) drug-drug
(2) drug-food
(3) drug-disease
(4) adverse drug reactions
(5) Overuse & underuse
(6) Optimum therapeutic outcomes - ANSWER-A pharmacist is responsible for
evaluating prescriptions for possible drug interactions and/or ADRs which may include
but are not limited to: (6)
(1) Drugs are properly labeled
(2) On prepackaged drugs are available, in amounts sufficient for immediate therapeutic
requirements.
(3) Whenever access to the cabinet occurs, written practitioner's orders and proof-of-
use are provided.
(4) All drugs in the cabinet are inventoried no less than once per week.
(5) Complete audit of all activity concerning the cabinet is conducted no less than once
per month.
(6) Written policies & procedures are established to implement the patient care
provisions of this subdivision. - ANSWER-During times that an institutional pharmacy
may be unattended by a pharmacist, arrangements shall be made in advance by the
PIC for provision of drugs to the medical staff. These arrangements shall ensure: (6)
, (1) Drugs are properly labelled
(2) Only prepackaged drugs are available, in amounts sufficient for immediate
therapeutic requirements.
(3) Whenever access to the cabinet occurs, written practitioner's orders and proof-of-
use are provided.
(4) All drugs in the cabinet are inventoried no less than once per week
(5) A complete audit of all activity concerning the cabinet is conducted no less than
once per month
(6) Written policies & procedures are established to implement the patient care
provisions of this subdivision. - ANSWER-What arrangements must be made in
advance by the PIC for provision of drugs to medical staff in an institutional pharmacy
when it is unattended by a pharmacist? (6)
(1) Drugs in emergency kits are to be administered only by those persons licensed to
administer drugs
(2) Drugs in emergency kits are of such nature that their absence would threaten the
survival of the patients.
(3) Contents determined by pharmacist consultant, medical director, and nursing
director.
(4) Sealed so that it is obvious if it has been opened
(5) Stored under secure conditions
(6) Administration of drugs from the kit is ordered by a practitioner & a record is kept of
administration
(7) Stocked drugs are unit dose packaged
(8) Any drug used from the kit is replaced only upon a prescription or physician
institution order form for the patient to which the dose was administered
(9) Any emergency kit containing controlled substances is kept only at a facility holding
a controlled substance permit from the Board. - ANSWER-In a long-term care center,
drugs, other than by prescription, may be stocked in emergency kits when the following
conditions are met: (9)
(1) Each partial fill is recorded in the same manner as a refill
(2) The total quantity dispensed in all partial fills does not exceed the total quantity
prescribed
(3) No dispensing occurs after 6 months after the date on which the Rx was issued. -
ANSWER-What are the stipulations surrounding the partial filling of a C-III-V? (3)
(1) Elsevier Gold Standard/Clinical Pharmacology
(2) Handbook of injectable drugs published by ASHP - ANSWER-What minimum
reference books are required by a pharmacy with a sterile pharmaceutical compounding
permit? (2)
(1) Emergency situations
(2) Compounded injectables
(3) LTC patients
