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MPJE > Errythang Else > Flashcards

Errythang Else Flashcards

1
Q

verifying DEA for a physician, what will the first letter be?

A

first letter: A, B, F, or G

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2
Q

verifying DEA for a mid-level practitioner, what will the first letter be?

A

first letter: M

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3
Q

2nd letter when verifying DEA

A

first letter of his / her last name

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4
Q

DEA number is composed of

A

2 letters and 7 numbers

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5
Q

Verify the DEA number AB2648612

A

Add 1st, 3rd, and 5th (=12); add 2nd, 4th, and 6th, and multiple by 2 (=15*2=30); add these together (30+12=42); the last digit here (2) should be the same at the last digit in the DEA number

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6
Q

Do hospital pharmacies need to register with the DEA?

A

No. They are covered under the hospital DEA number

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7
Q

Hospital pharmacies are considered

A

institutional practitioner

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8
Q

individual practitioners may dispense controlled substances if

A

permitted by state law (MDs, PAs, NPs)

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9
Q

no CII rx shall be dispensed more than “BLANK” after the date the rx was issued

A

6 months

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10
Q

schedule II rx’s are allowed refills?

A

no

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11
Q

CII’s can only be prescribed via

A

written or electronic rx

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12
Q

true / false: there is no quantity limit per federal law on CII’s

A

true

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13
Q

how long does the provider have to supply to the pharmacy a written / signed emergency rx for a CII?

A

7 days (may be mailed or sent electronically)

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14
Q

for partial fills, RPH must record

A

date of partial fill, quantity dispensed, quantity remaining, ID of dispensing RPH (either on back of rx or recorded in computer)

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15
Q

Partial fill time clocks

A

pharmacy unable to supply (72 hours from partial fill); pt requests partial (30 days from when rx was written); terminally ill pt (60 days from when rx was written)

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16
Q

targeted controlled substances

A

refers to any schedule II opioid and select schedule III opioids (buprenorphine and codeine combo products)

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17
Q

prescribing requirement for targeted controlled substances

A

must be issued electronically

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18
Q

board of pharmacy is composed of….

A

6 members (5 licensed pharmacists and 1 public representative who is not a healthcare provider)

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19
Q

types of discipline the BOP may give (to pharmacist, tech, or pharmacy)

A

issue letter of reprimand; suspension (active / stayed / summary); restrict; revoke; refuse to grand or renew a license; require the licensees to successfully complete remedial education

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20
Q

Pharmacist license requirements

A

complete BOP form; pay the required fees; submit criminal record report; graduate form approved pharmacy school; pass NAPLEX and MPJE; receive 1500 hours of practical experience

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21
Q

foreign graduates must

A

pass the foreign pharm graduate equivalency exam (FPGEE); complete 1500 hours; pass the test of English as a foreign language; pass the test of spoken English; pass NAPLEX / MPJE

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22
Q

out of practice up to two years need

A

15 hours of CE for each year out of practice, 5 of which must be live; take and pass the MPJE

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23
Q

out of practice > 2 and < 5 years need

A

500 hours of internship from a NC licensed pharmacist; 15 hours of CE for each year out of practice, 5 of which must be live; take and pass the MPJE

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24
Q

out of practice > 5 years need

A

1500 hours of internship from a NC licensed pharmacist; take and pass the NAPLEX and the MPJE

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25
Q

pharmacist license renewal date

A

December 31st with a 60 day grace period (same for techs)

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26
Q

How many days do pharmacists and techs have to report a change of address / name / place of employment to the BOP?

A

30 days

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27
Q

How many days does the new pharmacist manager have (after they take over) to complete the required inventory of ALL controlled substance? How long must this record be kept?

A

10 days; record must be kept for 3 years

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28
Q

Pharmacist manager pharmacy presence requirements (for a full service pharmacy, not limited service)

A

shall be present for at least 1/2 of the hours the pharmacy is open or 32 hours a week (whichever is less); 20 hours per week for limited service

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29
Q

how long can a pharmacy operate without a permanent or a temporary pharmacist-manager?

A

no longer than 30 days

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30
Q

how long can a pharmacist serve as a temporary PM? how many hours per week do they need to be present?

A

no more than 90 days; must be present at least 20 hours per week

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31
Q

PM shall notify the BOP of any change in pharmacy personnel within…

A

30 days

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32
Q

When a pharmacy is closing permanently, the pharmacy must return the permit to the BOP within BLANK days of closing.

A

10 days

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33
Q

When a pharmacy is closing permanently, if possible, provide the public with BLANK days notice. How many days must they keep the sign posted after the closing date?

A

30 days; 15 days

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34
Q

Pharmacy permits expire annually on…. and are considered lapsed if not renewed by….

A

December 31st; march 31st (after which they must re-apply

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35
Q

Each pharmacy permit identifies:

A

the PM and all pharmacy personnel

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36
Q

Pharmacy permits are issued pursuant to a joint application by:

A

the owner and the PM

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37
Q

Pharmacy permits are not valid until….

A

signed by the PM

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38
Q

For mail order pharmacies, each container of dispensed drug must contain:

A

a toll-free number to facilitate communication between patients and pharmacists

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39
Q

True or false: technicians must be CERTIFIED to receive called-in prescriptions or call for refill authorizations

A

true

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40
Q

certified pharmacy techs have done the following:

A

passed a nationally recognized pharmacy technician certification board exam; obtains and maintains that certification

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41
Q

Non-certified pharmacy techs have done the following:

A

have a high school diploma or its equivalent (may also be currently enrolled in a program which awards one); must complete a required training program provided by the supervising PM

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42
Q

how many days does a non-certified pharmacy tech have to complete his / her training program?

A

must be completed within 180 days of the date the pharmacy tech began employment

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43
Q

Tech to pharmacist ratio

A

2:1

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44
Q

If the pharmacist petitions the BOP to increase the tech to pharmacist ratio (and it is approved), then the following must be true:

A

additional pharmacy techs must be CERTIFIED

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45
Q

Schedule I drug examples

A

marijuana (federal law), LSD, peyote, mescaline, heroin, bath salts

46
Q

True / false: Schedule I drugs have no accepted medical use

A

true

47
Q

In terms of dependence, schedule II drugs may lead to…..

A

severe physical or psychological dependence; high potential for abuse

48
Q

In terms of dependence, schedule III drugs may lead to…

A

moderate / low physical dependence or high psychological dependence; potential for abuse is less than that of schedule II

49
Q

In terms of dependence, schedule IV drugs may lead to…

A

limited physical or psychological dependence relative to schedule III’s

50
Q

In terms of dependence, schedule V drugs may lead to…

A

limited physical or psychological dependence relative to schedule IV’s

51
Q

NC controlled substance schedule VI

A

no currently accepted medical use; low potential for abuse and psychic / physiological dependence; need further studying; examples: marijuana and tetrahydrocannabinols

52
Q

when can a NC schedule VI drug be dispensed?

A

only for scientific or research purposes

53
Q

Hemp extract

A

considered a NC schedule VI; may only be used by a person with intractable epilepsy (and the hemp must be acquired in another jurisdiction)

54
Q

True / false: every entity that handles controlled substances must be registered with the DEA or be exempt

A

true

55
Q

The following are exempt from registering with the DEA:

A

agents / employees of registrants; drug reps; common carriers; ultimate users; law enforcement officers; prescribers and dispensers in the service of the US government

56
Q

practitioners do not need more than one DEA registration for controlled substances if they prescribe from multiple offices UNLESS

A

they are administering, storing, or dispensing controlled substances in each office

57
Q

practitioner requirements for providers who are agents or employees of a hospital that is registered with the DEA and dispense / prescribe controlled substances using hospital’s DEA:

A

dispensing / administering / prescribing is done in the usual course of his / her practice; practitioners are authorized to do so within the state; the institution has assigned a specific internal code number to the practitioner

58
Q

Manufacturers and distributors must renew their DEA registration

A

annually

59
Q

dispensers (aka pharmacies) and practitioners must renew their DEA registration

A

every 3 years

60
Q

true / false: ophthalmologists have their MD

A

true

61
Q

true / false: optometrists have their MD

A

false

62
Q

true / false: psychiatrists have their MD

A

true

63
Q

true / false: psychologists have their MD

A

false

64
Q

Who can a controlled substance be dispensed to at a retail pharmacy?

A

the patient or a family member in their household

65
Q

In general, CII’s can only be prescribed via

A

written or electronic prescription

66
Q

how long is a CII prescription valid for after the date the rx was issued?

A

6 months

67
Q

Emergency for the dispensing of an emergency CII rx is defined as:

A

1) immediate administration is necessary; 2) no appropriate alternative is available; 3) its not reasonable for the prescriber to provide an rx before the drug is dispensed

68
Q

requirements for an emergency CII to be dispensed:

A

provider must PERSONALLY call-in the rx; the rx must be reduced to writing by the RPH and contain all the usual necessary info (except for the provider’s signature); quantity must be limited to the emergency period

69
Q

How long does the provider have to get a written and signed rx to the pharmacy for an emergency CII dispense?

A

7 days; if delivered by mail, must be postmarked within the 7 day period; rx may also be sent electronically

70
Q

what must appear on the face of an emergency CII rx?

A

“authorization for emergency dispense”

71
Q

True / false: the RPH must notify the local DEA office if a real prescription for an emergency CII dispense is not received?

A

true

72
Q

General rule for faxing CII rx’s (not asking for one of the 3 circumstances where fax rx would be valid):

A

prescriber may fax rx ahead of time so the pharmacy can start prepping it, but the patient must present with a written / signed / original rx to the pharmacy when they pick it up

73
Q

true / false: a faxed prescription for a CII is considered valid

A

false (unless one of the 3 exceptions)

74
Q

Three instances where a fax for a CII is valid:

A

1) schedule II NARCOTIC substance to be compounded for direct administration (parenteral / IV / IM / SQ / intraspinal infusion); 2) schedule II SUBSTANCE for a resident of a LTCF; 3) schedule II NARCOTIC substance for a patient in hospice

75
Q

true or false: the prescriber must note “for hospice” somewhere on the rx for a faxed prescription for a CII narcotic

A

true

76
Q

When partial filling for a CII b/c the pharmacy is unable to supply the full quantity, the remaining portion must be supplied within:

A

72 hours of the FIRST PARTIAL FILL DATE: note, the patient doesnt have to actually pick it up within 72 hours, but the rx must be ready / available for pick up

77
Q

When partial filling for a CII b/c the pt or prescriber requests it, the remaining portion must be filled within:

A

30 days from the DATE on which the rx was WRITTEN

78
Q

When partial filling for a CII b/c the pt is terminally ill or a resident of a LTCF, the remaining portion must be filled within:

A

60 days from the DATE on which the rx was WRITTEN

79
Q

True / false: the RPH must write “terminally ill” or “LTCF” on the rx

A

true

80
Q

the RPH must record the following for each partial fill for a terminally ill / LTCF patient:

A

date of partial filling, # dispensed, # remaining, ID of the dispensing RPH (may be written on back of RX or recorded in computer)

81
Q

requirements for a provider to prescribe multiple CII rx’s at one time

A

its for a legit medical purpose; each rx is on a separate prescription; total quantity prescribed doesn’t exceed a 90 day supply total (could be 9 rx’s for a 10 day supply, 2 rx’s for a 45 day supply, etc. No cap on # of RX’s, just the total day supply); writes earliest date each prescription can be filled; multiple rx’s do not create an undue risk of diversion / abuse

82
Q

CIII-CIV rx’s may be prescribed via…

A

electronic / written / faxed / oral order called into pharmacy; only the pharmacist can take this oral rx; written and faxed rx’s must contain the providers signature

83
Q

how long is a CIII-CIV rx valid for? how many times can it be refilled?

A

6 months from the date it was issued; 5 times (do not confuse refills with partial fills)

84
Q

How long are CV rx’s valid for? How many times can they be refilled?

A

they do not expire; they do not have a limit on the number of refills

85
Q

On-site VISIT requirement for PM for a pharmacy with a limited service permit (certain settings only):

A

AUX medication inventory: once per calendar quarter
Automated dispensing device: once per calendar quarter
Dispensing by NP or PA: once per week
Dispensing at a county health department by a nurse: once per week

86
Q

On-site HOUR requirements for a PM for a pharmacy with a limit service permit (certain settings only):

A

Must be present 1/2 hours the pharmacy is open or 20 hours per week (whichever is less).
County health department where someone other than an RN is dispensing medications: licensed RPH must be on site when pharmacy is open
Free / charitable pharmacy: licensed RPH must be on site when pharmacy is open
Critical access hospital pharmacy: may operate in absence of pharmacist

87
Q

Certified pharmacy technician exams include:

A

Pharmacy technician certification board (PTCB) or exam for certification of pharmacy technician (ExCPT)

88
Q

The pharmacy must be closed if the RPH is not present for BLANK minutes or more

A

90 minutes

89
Q

These entities renew annually with the DEA:

A

Manufacturers and distributors

90
Q

These entities renew every three years with the DEA:

A

Dispensers (pharmacies) and practitioners (prescribers)

91
Q

The term dispenser includes the following three actions:

A

Prescribing, administering, and dispensing

92
Q

System to record refills for a CIII-CIV prescription must include the following

A

Name / dosage form of drug; date filled and / or refilled; quantity dispensed; initials of dispensing pharmacist for each refill; total number of refills for that rx

93
Q

When filling out a form 41, the following must be documented:

A

Drug name, NDC, strength, form, package quantity, number of full packages, and partial package count of each controlled substance to be disposed.

94
Q

Sale of an over the counter CV must be logged in a bound record book with the following information recorded:

A

Name and address of purchaser (must be at least 18 y/o); name and quantity if controlled substance purchased; date; name or initials of RPH

95
Q

Requirements for purchasing an over the counter CV and another controlled substance at the same time:

A

No more than 48 dosage units or 240 mL (8 oz) of an opium containing product may be dispensed within a 48 hour period; no more than 24 dosage units or 120 mL (4 oz) of any other controlled substance may be dispensed within a 48 hour period

96
Q

When does a PA or NP have to consult their supervising physician prior to prescribing a targeted controlled substance?

A

when use is expected to exceed 30 days; the facility primarily engages in treatment of pain; if the targeted controlled substance is continuously prescribed, the NP / PA must check in with their supervising physician at least every 90 days

97
Q

Who has prescribing authority in NC?

A

physicians, PA’s, NP’s (not CRNA), clinical pharmacist practitioner (CPP), Nurse midwife (not professional midwife)

98
Q

what must appear on every rx a CPP writes? Regardless of control vs non-control.

A

their personal prescribing / license / approval number

99
Q

True / False: A manufacturer’s sales rep may distribute a controlled substance complimentary sample only upon the oral request of a practitioner.

A

False; must be a WRITTEN request

100
Q

Restricted drugs (with respect to use in the treatment of COVID)

A

Hydroxychloroquine (plaquenil); chloroquine; lopinavir-ritonavir (Kaletra); ribavirin (rebetol); darunavir (prezista)

101
Q

True/ False: The pseudoephedrine sale restriction does not apply to any pseudoephedrine product that is in the form of a liquid, liquid capsule, gel capsule, or pediatric product labeled pursuant to federal regulation primarily intended for administration to children under 12 years of age according to label instruction

A

True.

102
Q

The following may never be changed on a CII prescription by the pharmacist (if the provider has mistakenly left it off or made an error):

A

patients name; the signature of the provider, and the name of the drug (except from brand to generic)

103
Q

True or false: only a registered pharmacist can dispense a schedule V otc substance.

A

True. Not an intern, not a tech.

104
Q

When dispensing a schedule V otc substance, which of the following must be recorded in the log book?

A

the name / address of purchaser, the name / quantity of drug, date of purchase

105
Q

Examples of anabolic steroids

A

testosterone; most likely anything that ends with “olone” for example nandrolone

106
Q

When sending rx’s to a central fill pharmacy, the originating pharmacy must record the following (on the original paper rx or in the electronic record):

A

name / address / DEA number of central fill pharmacy; their name; date of transmittal; the words “CENTRAL FILL”

107
Q

True / false: a retail pharmacy may double as a central fill pharmacy without a separate DEA registration, inventories, or records

A

true

108
Q

what must be on a rx for an animal?

A

species of pt; pt name; caretaker info

109
Q

who do hospitals also have to register with, in addition to the NC BOP?

A

NC drug control unit (basically a state level DEA)

110
Q

a validating tech must

A

Register with BOP; be a certified tech; and hold an associates degree in pharmacy technology

MPJE (5 decks)

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