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Tennessee > Exam > Flashcards

Exam Flashcards

1
Q

Who makes the rules and regs?

A

BoP

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2
Q

What is the make up of the board?

A

6 RPh and 1 Public Member

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3
Q

Does the pharmacist board member need to be actively practicing?

A

Yes

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4
Q

The pharmacist board member needs __ years of practice.

A

5

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5
Q

What is the term length for all members?

A

6 years

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6
Q

What are the term limits?

A

1 term

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7
Q

Is MPJE required?

A

Yes

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8
Q

Is NAPLEX score transferable?

A

Yes

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9
Q

How many days after taking NAPLEX?

A

90 days

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10
Q

How many hours needed in internship?

A

1,700 hours

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11
Q

Do interns need to be licensed or registered?

A

No

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12
Q

How many interns can a preceptor supervise?

A

1 intern

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13
Q

Can a license be issued to a foreign educated pharmacist?

A

Yes

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14
Q

For foreign educated pharmacist is an FPGEC certification required?

A

Yes

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15
Q

For foreign educated pharmacist how many hours of practical experience are required?

A

1,700 hours; 500 in TN within a 6 month period

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16
Q

Does a foreign graduate have to appear before the board before a license can be issued?

A

No

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17
Q

Which regulatory agency issues the pharmacist license?

A

BoP

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18
Q

What is the minimum age to be a licensed pharmacist?

A

21

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19
Q

Does TN issue temporary licenses?

A

No

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20
Q

What are the reqs to transfer a license into TN?

A

Transfer NAPLEX within 12 months, after need to do license reciprocity.

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21
Q

Are MPJE results transferable to TN?

A

No

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22
Q

Is a board hearing required to transfer a license into TN?

A

No

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23
Q

How often must a pharmacist renew their license?

A

Biennially

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24
Q

What are the CE reqs?

A

30 hours CE of which 15 hours are live.

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25
Q

What agency is in charge of disciplining a pharmacist?

A

The Board of Pharmacy

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26
Q

Does a pharmacy technician have to be licensed? Registered? Certified?

A

Yes; registered or may be certified as well.

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27
Q

If a pharmacy technician has to be registered; How often do they have to renew their registration?

A

Every 2 years

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28
Q

Are there any pharmacy technician training requirements?

A

By the pharmacist

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29
Q

What is the pharmacy technician continuing education requirements?

A

Pharmacy techs don’t need CEs, however, If a tech is certified through PTCB they need 20 CE every 2
years to be able to renew their certification.

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30
Q

Is a pharmacy technician required to pass an examination?

A

No

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31
Q

Does the state board have the power to suspend, deny, or revoke a pharmacy technician’s license?

A

Yes, unprofessional conduct will be grounds for discipline.

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32
Q

What is the ratio of pharmacy technicians to pharmacists: In a pharmacy? In an institutional setting?

A

2:1 in all settings. May be increased to a maximum of 4:1 by the PIC based on public safety considerations but only if the additional techs are certified.

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33
Q

Can a pharmacy technician in Tennessee: Accept a called in prescription from the doctor’s office?

A

Only a Certified tech_ may receive new oral prescriptions and transfer copies from other pharmacies.

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34
Q

Can a pharmacy technician enter a prescription into the computer?

A

Yes; pharmacist must verify, check, and/or is responsible for allowed activities.

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35
Q

Is a pharmacy technician permitted to work with compounding?

A

Yes

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36
Q

How many pharmacy licensing categories are there for the state of Tennessee?

A

6

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37
Q

Does a non-resident pharmacy providing prescription drugs in the state of Tennessee have to be licensed or registered?

A

Yes. The pharmacist in charge of the non-resident pharmacy must also be licensed in TN.

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38
Q

What state agency is responsible for issuing a license to a wholesale distributor?

A

The Board of Pharmacy.

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39
Q

How often does wholesale distributor license have to be renewed?

A

Every 2 years. Renewal date is the date license initially issued.

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40
Q

Does Tennessee issue a license to out of state wholesalers?

A

Yes

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41
Q

Does Tennessee require a license for wholesale distributors of: Prescription medical devices? Non-prescription medical devices? Non-prescription drugs?

A

Yes, No, No

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42
Q

What is the NABP Drug Distributor Accreditation Program (Formerly VAWD)?

A

It verifies Accredited Drug Distributors: A program designed to protect the public from counterfeit
drugs from entering the US drug supply.

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43
Q

Does Tennessee recognize the NABP Drug Distributor Accreditation Program (Formerly VAWD)?

A

No

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44
Q

In addition to Federal Law: Does Tennessee have its own Food, Drug, and Cosmetic Act? Dangerous Drug Law?
Controlled Substances Act?

A

Yes; Tennessee Food, Drug, and Cosmetic Act
Yes; Legend Drug and Controlled Substance Research Act of 1984
Yes: Tennessee Drug Control Act and Legend Drug and Controlled Substance Research Act of 1984

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45
Q

Does Tennessee have any rules and regulations on prescription medical devices? Medical oxygen?

A

Yes, Yes

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46
Q

Does this state have any special laws covering purchases of Pseudoephedrine?

A

5.76 g in any 30 consecutive days
28.8 g in any one year period
Not listed in pharmacy statutes found in Title 39: Criminal Offenses

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47
Q

Will Tennessee allow prescriptions for: Non-controlled legend drugs from an out-of-state prescriber?

A

Yes

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48
Q

Will Tennessee allow prescriptions for: Controlled drugs from an out-of-state prescriber?

A

Yes

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49
Q

Is a prescription needed to buy syringes and needles?

A

Must show medical need (See Standards of Practice 1140-03-.12-3)

50
Q

Is the sale of syringes or needles restricted to only a pharmacy?

A

May only be sold by a pharmacist, intern, or tech. (See Standards of Practice 1140-03-.12-3)

51
Q

What is the time limit for the state of Tennessee for controlled drug prescription refills?

A

If any medical or prescription order contains a statement that it may be refilled a specified number of
times within or during any particular period, such order shall be refilled in strict conformity with such
statement.
C-II - 1 year from date issued - no refills
IV - cannot be filled or refilled more than 6 months from date issued - 5 refills
C-V - partial filling not more than 6 months from date issued not to exceed total quantity, filling not more
than 1 year from issue of new Rx - no rule on refills

52
Q

Can you buy a Schedule V drug over the counter?

A

Tennessee has a controlled substance act. This issue is not addressed; Federal Law permits dispensing of
controlled substances listed in Schedule - V, which is not a prescription drug as determined under the
Federal Food, Drug, and Cosmetic Act, may be dispensed by a pharmacist without a prescription to a
purchaser at retail. Not more than 240 cc. (8 ounces) of any such controlled substance containing opium,
nor more than 120 cc. (4 ounces) of any other such controlled substance, (eg codeine) nor more than 48
dosage units of any such controlled substance containing opium, nor more than 24 dosage units of any
other such controlled substance may be dispensed at retail to the same purchaser in any given 48-hour
period; The purchaser must be 18 years of age, and sign a record book.

53
Q

Does Tennessee allow pre-printed prescription forms for a non-controlled prescription?

A

Yes; but the prescriber’s signature may NOT be preprinted.

54
Q

Is an expiration date required on a prescription vial label in a community practice?

A

Yes

55
Q

How long do prescription records have to be kept?

A

2 years

56
Q

Are there any special requirements for prescription pads?

A

Prescriptions for medicaid clients must be written on tamper resistant prescription pads. To be considered
tamper resistant must contain at least one of the following three characteristics:
1)One or more industry-recognized features designed to prevent unauthorized copying of a completed
or blank prescription form;
2)One or more industry-recognized features designed to prevent the erasure or modification of
information written on the prescription.
3)One or more industry-recognized features designed to prevent the use of counterfeit prescription
forms.
NOTE: T.C.A. 63-1-160 requires that on or after January 1, 2021, any prescription for a Schedule ll, Ill, IV or
V controlled substance issued by a prescriber who is authorized by law to prescribe the drug must
be issued as an electronic prescription from the person issuing the prescription to a pharmacy.

57
Q

Are there any special regulations regarding prescriptions sent by fax?

A

The facsimile can be considered an original for filing, but if integrity can not be maintained a photocopy
should be made. Transmission of a prescription must be to a pharmacy of the patient’s choice. A facsimile
device or supplies can not be provided to a prescriber. An original medical or prescription order that
indicates that it has been faxed to a pharmacy practiced site, may only be dispensed as an original
medical or prescription order by the pharmacy in which it was faxed.
NOTE: T.C.A. 63-1-160 requires that on or after January 1, 2021, any prescription for a Schedule II, Ill, 1V
or V controlled substance issued by a prescriber who is authorized by law to prescribe the drug must
be issued as an electronic prescription from the person issuing the prescription to a pharmacy.

58
Q

Is a faxed prescription permitted: From an in-state prescriber to the pharmacy?

A

Yes

59
Q

Is a faxed prescription permitted: Out-of-state prescriber to the pharmacy?

A

Yes

60
Q

Does Tennessee recognize electronic signatures for non-controlled drug prescriptions that are faxed?

A

Yes; “Electronic Signature” is defined as the process that secures the user authentication (proof of
claimed identify, such as by biometrics, fingerprints, retinal scans, hand written signature verification, etc.)
at the time the signature is generated and creates the logical manifestation of a signature.

61
Q

Can a Tennessee pharmacy accept electronic prescriptions for controlled drugs?

A

Yes, T.C.A. 63-1-160 requires that on or after January 1, 2021, any prescription for a Schedule II, Ill, IV or
V controlled substance issued by a prescriber who is authorized by law to prescribe the drug must
be issued as an electronic prescription from the person issuing the prescription to a pharmacy.

62
Q

Is patient counseling required for Medicaid and all other patients?

A

Yes; The pharmacist shall personally counsel the patient or caregiver “face-to-face” if the patient or
caregiver is present. If the patient or caregiver is not present, a pharmacist shall make a reasonable
effort to counsel through alternative means.

63
Q

Is patient counseling required when filling: New prescriptions? Refill prescriptions?

A

Yes; New prescriptions. For refills; A pharmacist or a person designated by the pharmacist shall offer for the pharmacist to personally counsel the patient or caregiver. Counseling is not required unless requested by the patient or deemed necessary in the professional judgment of the pharmacist.

64
Q

Who has to perform the counseling?

A

The pharmacist or pharmacy intern under the direct supervision of a pharmacist.

65
Q

Are patient profiles required?

A

Yes

66
Q

Is a drug utilization review (DUR) required?

A

Yes

67
Q

In the state of Tennessee: Who can write a prescription?

A 
MD
DO
Dentist
Optometrist
Veterinarian
Podiatrist
PA
NP w/ certificate of fitness to prescribe.
68
Q

Can a pharmacist start, stop, or change a drug therapy with a collaborative agreement?

A

Yes

69
Q

Can a prescriber have ownership in a pharmacy?

A

Yes

70
Q

Can pharmacists in the state of Tennessee administer drugs or immunizations?

A

Yes

71
Q

Are pharmacies allowed to use electronic reference materials?

A

Yes

72
Q

Are pharmacies required to have any type of continuous quality improvement programs to keep track of and prevent quality
related issues?

A

Yes must have a quality assurance program for pharmacy services designed to objectively and
systematically monitor and evaluate the quality of patient care, the identification of problems with patient
care, and the resolution of any identified problems with patient care.

73
Q

Does Tennessee have any regulations to help with a pharmacists workload?

A

Yes; A pharmacist is permitted one temporary absence for up to 1 hour per day. Pharmacy must be closed
off and a sign must be posted that reads “pharmacist not on duty.”

74
Q

Does Tennessee have a drug repository/donation of drug program?

A

Yes, Prescription drug donation repository program

75
Q

Does Tennessee allow the return and reuse of drugs?

A

Medications may be returned to, and received by, the pharmacy/pharmacist if received expressly for
the purpose of destruction of the returned medication, provided the pharmacy is equipped for doing so
with a policy for complete and timely destruction of medications.

76
Q

Does Tennessee have rules and regulations on how drugs are to be disposed of?

A

Yes; Controlled substances listed in any schedule shall be destroyed by a board approved agent or vendor.
All hazardous sterile product primary containers and waste are removed from the site of use and disposed
of as hazardous waste in accordance with applicable state and federal laws.

77
Q

Are there any special time limits on controlled drugs?

A

C-II - No Refills -
C-Ill - C-IV - 5 fills in 6 months
No prescription may be refilled after 1 year from original filling unless specified on prescription.

78
Q

Are there any unique laws regarding the actual control drug prescription blank? For example, unique Rx color or check boxes for quantity, or carbon copies to anyone?

A

All prescriptions written or printed by practitioners shall be written on either tamper-resistant prescription
paper or printed utilizing a technology that results in a tamper-resistant prescription.

79
Q

Are there any special restrictions on emergency telephone Rxs for class CII? Does the state define “Emergency Period” for quantity?

A

In an emergency situation, a C-II drug may be dispensed upon oral prescription of a practitioner, reduced
promptly to writing and filed by the pharmacy.

80
Q

Under Tennessee law, how many schedules of controlled substances are there?

A

C-1 to C-5, C-6 Marijuana or similar, C-7 Butyl nitrate and any isomer of butyl nitrate

81
Q

What may be changed on a Schedule II prescription?

A

This is not addressed in the state statutes. Follow federal law.
May NOT be changed:
Name of patient
Name of Drug (except generic)
Name of prescribing practitioner (including signature)
May be changed (provided pharmacist directly contacts prescribing practitioner)
Strength of drug
Quantity of drug
Directions for use
Date of issue

82
Q

On OTC C-V, is it the usual 4 oz in 48 hrs and sign book?

A

Federal law permits no more than 4 oz in 48 hours.

83
Q

What is the formula for Duke’s Magic Mouthwash?

A
  1. Nystatin Suspension, 100,000 u/ml, 30 mL. or Nystatin Powder 3 Million Units
  2. Hydrocortisone 60 mg.
  3. Diphenhydramine HCL Syrup
    q. s. ad. 240 ml.
84
Q

What is the state statute on emergency contraception?

A

A pharmacist in good faith is authorized to provide hormonal contraceptives according to a valid
collaborative pharmacy practice agreement containing a non patient-specific prescriptive order and
standardized procedures developed and executed by 1 or more authorized prescribers. Pharmacists must
have completed required training for dispensing of contraceptives.

85
Q

How should you handle a prescription from a patient when the prescribing physician has died, or had license revoked?

A

A prescription may continue to be dispensed within 90 days of date of deceased or revoked.
Refills may be dispensed within 90 days for IV, & V drugs, and 180 days for non-scheduled drugs of
date of deceased or revoked.
These do not apply to C-II drugs.

86
Q

Does Tennessee permit the use of centralized prescription filling facilities?

A

Yes. Both pharmacies shall be licensed by the State of Tennessee.

87
Q

Does Tennessee have a controlled drug monitoring program?

A

Yes. The CSMD (Controlled Substance Monitoring Database) - for all prescribers and dispensers who
provide direct care to patients for more than 15 days per year, shall be registered in this database.

88
Q

Does Tennessee have a controlled drug registration requirement?

A

Yes. No licensee may obtain, possess, administer, dispense, distribute, or manufacture any controlled
substance in this state, and no representative of a manufacturer or wholesaler may distribute any
controlled substance in this state, without obtaining a controlled substance registration from the board.

89
Q

Which Insulin products can be purchased without a prescription?

A

Humulin R Novolin R
Humulin N Novolin N
Humulin 70/30 Novolin 70/30

90
Q

Who determines the contents of an emergency kit at a long-term care facility?

A

A committee composed of representatives of the medical and nursing staff and the pharmacist in
charge or his/her designee.

91
Q

The feds encourage the USP to create standards for compounding, sterile and non-sterile products. But, the feds left it to
each state to incorporate these standards into state statutes. Therefore, it is the states prerogative whether to implement
these and regulate this sterile and non-sterile compounding. Has Tennessee done so?

A

Yes; must follow the USP standards.

92
Q

Has Tennessee said “All sterile products shall be prepared in compliance with applicable USP standards for pharmaceutical
compounding”?

A

Yes; must follow USP chapter 797 standards.

93
Q

What does a pharmacist have to worry about in Tennessee if they do not comply with these USP standards?

A

The board is authorized to deny, restrict or condition any application for licensure or certification and is
authorized to revoke or suspend any license or certification previously issued or otherwise discipline and
assess civil penalties against a applicant, licensee or holder of a certificate.

94
Q

A pharmacist in Tennessee who does compounding must be available to respond to patients’ and other health care
practitioners’ needs for how many hours a day?

A

24 hours a day.

95
Q

What are SOME of the salient features regarding these USP standards?

A

A:Pharmacies preparing hazardous sterile products must have a dedicated Class II, Type A contained vertical flow biohazard cabinet.

B:These Laminar Flow Hoods must exhaust to the outdoors and HEPA-filtered prior to exhaust.

C:Laminar Flow Hood and other things must be in a clean roam that complies with an ISO Class 5 environment. This means air containing no more than 100 pill’ of air of a size at least 0.5 micron or larger in diameter.

D:The hoods must be in a separate room with HEPA-filters to make it a sterile room.

E:All personnel must be trained and certified with annual continuing education documentation.

F:Personnel must use PPE (personal protective equipment) which refers to things such as, gloves, gowns, respirators, goggles, face shields, and others that protect the individual workers from hazardous physical or chemical exposures.

G:Compounding records must be kept, that includes the individual ingredients, their lot numbers and expiration dates, and chronologically documented compounding process, etc.

96
Q

Can a physician self prescribe schedule II-IV drugs?

A

No

97
Q

Does a doctor have the ability to dispense schedule II drugs to a patient?

A

Yes - within the scope of practice

98
Q

When is partial filling of a C-II controlled substance allowed? What is the time limit for the C-Il prescription?

A

According to Federal Law, a partial fill of a C-II drug is allowed if the pharmacist is unable to supply a
full quantity, but the balance must be filled within 72 hours or the balance becomes void.
According to CARA (Comprehensive Addiction and Recovery Act of 2016) states that a patient may
request a partial fill of a C-II, and the pharmacist may fill the balance within 30 days from the date the
prescription was written.

99
Q

Can a pharmacist run an ad, offering a $10 free gift card with every transferred prescription?

A

No; the pharmacist shall not incept or induce the transfer of prescriptions. The intent of this is to
encourage patients to use one pharmacy instead of utilizing multiple pharmacies to obtain gift cards
or other incentives.

100
Q

How do emergency kits work?

A

The content of an emergency kit is determined by the pharmacist, director of nursing, and the medical
director of the facility. This is true for nursing homes, hospitals, ambulances, and any other institution.
Emergency kits have a break-away seal so that you can tell when it’s been opened. There is chain of
custody, so that you always know who is responsible for the accurate content of the kit. The
nurse coming on signs on as the nurse going off the shift, signs off the chain of custody form. When
an emergency kit is needed and opened, the seal is broken and whatever is used is documented, and
that documentation is put into the kit and the pharmacy is called. The pharmacy then replaces that
kit, with a new sealed kit.
The pharmacy is responsible for making sure that the content of each emergency kit has not expired.
When a drug in the kit is about to expire, the pharmacy replaces that kit with a new kit, with nothing
expired. Can an emergency kit contain a Class II narcotic? Yes, of course. For example, usually the kit
contains morphine for use in heart attack patients.

101
Q

Does Tennessee have a Prescription Monitoring Program?

A

Yes, Controlled Substance Monitoring Database (CSMD)

102
Q

How often must prescriptions for controlled substances be reported to the CSMD?

A

No later than the close of the next business day, but are encouraged to report no later than 24 hours
after the prescription was delivered.

103
Q

What prescriptions be reported to the CSMD?

A

All prescriptions for schedule II - V must be reported.

104
Q

What must be reported to the CSMD?

A

(a) Prescriber identifier;
(b) Dispensing date of controlled substance;
(c) Patient identifier and/or client identifier;
(d) Controlled substance dispensed identifier;
(e) Quantity of controlled substance dispensed;
(f) Strength of controlled substance dispensed;
(g) Estimated number of days’ supply;
(h) Dispenser identifier;
(i) Date the prescription was issued by the prescriber;
(j) Whether the prescription was new or a refill; and
(k) Source of payment.

105
Q

Does Tennessee have an Impaired pharmacists recovery program?

A

Yes; Uses the Tennessee Pharmacy Recovery Network

106
Q

What aftercare must they complete?

A

Must sign an aftercare or extended aftercare contract.

107
Q

How do you use DEA Form 222?

A

The purchaser fills out DEA form 222 in triplicate. They retain copy 3 for their own records. The purchaser
then send copy 1 and 2 to the supplier. The supplier then keeps copy 1 for their own records. The supplier
will then send copy 2 to the local DEA agent in their area.

108
Q

Can a pharmacist change the quantity dispensed?

A

According to Standards of Practice Rule 1140-03-03 6 (c) says that an order must be filled in strict
conformity on how it is written. According to 62-10-2018 a pharmacist can dispense a ninety (90) day
supply of a chronic med if using professional judgement. These two statements seem in conflict, here is
my opinion:
On a non-controlled drug, use for chronic condition, professional judgement would indicate a change
in quantity if there is a need (EG patient is going to Europe for 3 months, or insurance costs less with
giving a ninety day supply)

109
Q

Can a prescriber write a prescription for himself? Immediate family?

A

No; A physician cannot have a bona fide doctor/patient relationship with himself or herself. Therefore,
except in emergency situations, a physician shall not prescribe, dispense, administer or otherwise
treat himself/ herself.
Yes; Treatment of immediate family members should be reserved only for minor, self-limited illnesses or
emergency situations. No scheduled drugs should be dispensed or prescribed except in emergency
situations.

110
Q

Can a pharmacist fill a prescription if the prescriber has died?

A

Yes; There are restrictions;
(1)If the prescription is a new prescription that has not been previously dispensed, it may be dispensed within ninety (90) days of the date on which the practitioner has died;
(2)If the prescription has been previously dispensed and has valid authorization to be refilled, the refills may be dispensed but not for a period of more than ninety (90) days from the date on
which the practitioner died for Schedule 111, 1V and V drugs and one hundred eighty (180) days
from the date on which the practitioner died for non-scheduled drugs; and
(3)Nothing in this section shall authorize the dispensing of a prescription that was issued for a controlled substance unless permitted by the federal Controlled Substances Act and regulations of the federal drug enforcement administration.

111
Q

M What immunizing guidelines does Tennessee follow?

A

Tennessee follows the immunization guidelines set forth by the CDC.

112
Q

What is the TennlIS?

A

Tennessee Immunization Information System. It is a tool used to record the immunization records of TN
residents. Any health care providing facility, pharmacy, school district, or daycare may apply for
registration to access the TennlIS system.

113
Q

Who needs vaccines in Tennessee?

A

The Tennessee Board of Pharmacy states that:
Children enrolling in preschool or pre-kindergarten:
Poliomyelitis (IPV or OPV)
Haemophilus influenzae type B (Hib) - age younger than 5 years only
Pneumococcal conjugate vaccine (PCV) - age younger than 5 years only
Measles, Mumps, Rubella - 1 dose of each, normally given together as MMR
Varicella - 1 dose or credible history of disease
Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Hepatitis A - 1 dose, required by 18 months of age or older

Children enrolling in Kindergarten:
Hepatitis B (HBV)
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Poliomyelitis (IPV or OPV) - final dose on or after the 4th birthday
Measles, Mumps, Rubella - 2 doses of each, usually given together as MMR
Varicella - 2 doses or credible history of disease
Hepatitis A - total of 2 doses, spaced at least 6 - 18 months apart

All Children entering 7th Grade:
Tetanus-diphtheria-pertussis booster (Tdap) - evidence of one Tdap dose given any time before 7th grade entry is required regardless of Td history
Varicella - 2 doses or credible history of disease

Children who are new enrollees in a TN in grades other than kindergarten:
Diphtheria-Tetanus-Pertussis (DTaP, or DT if appropriate)
Measles, Mumps, Rubella (2 doses of each, normally given together as MMR)
Poliomyelitis (IPV or OPV) - final dose on or after the 4th birthday now required
Varicella (2 doses or credible history of disease) - previously only one dose was required
Hepatitis B (HBV) - previously only for Kindergarten, 7th grade entry
New students entering grades other than 7th grade are not required to have Tdap

Full Time TN college students:	
Measles, Mumps, Rubella (2 doses of each, normally given together as MMR): if born on or after January 1, 1957 only.
Varicella (2 doses or credible history of disease): if born on or after January 1, 1980 only. 	
Hepatitis B (HBV) - only for health science students expected to have patient contact (before patient contact begins).	
Meningococcal - At a minimum of 1 dose given at 16 years of age or greater if enrolling in public institution for the first time and under 22 years of age and living in on-campus housing; private institutions set their own requirements for this vaccine.
114
Q

How often must you renew your DEA Controlled Substance Registration?

A

Every three years.

115
Q

Can you fill a prescription for a CII drug that has been faxed?

A

The state does not list anything prohibiting this. The DEA states that a prescription for a Cl! drug that
has been sent via fax may be filled but may not be dispensed until after the original hard copy prescription
is presented for verification.

116
Q

Who do you have to report a loss of drugs to?

A

The board of pharmacy and the DEA for controlled drugs.

117
Q

What must be on a prescription label for retail dispensed to a patient?

A

Name and address and telephone number of pharmacy practice site; the medical or prescription order
serial number, name of prescriber; name of patient; directions for use; date medical or prescription
order originally dispensed, and/or refill date; “poison”, “shake”, “caution”, or other appropriate
advisory label; name of product (unless otherwise required by the prescriber); and expiration date of
the product (if applicable).

118
Q

What is a manufacturer required to put on an OTC label?

A

Nothing is listed in the statutes for OTC Labels, Federal Law states the following information must be
present:
The product’s active ingredients, including the amount in each dosage unit.
The purpose of the product.
The uses (indications) for the product.
Specific warnings, including when the product should not be used under any circumstances, and
when it is appropriate to consult with a doctor or pharmacist. This section also describes side effects
that could occur and substances or activities to avoid.
Dosage instructions–when, how, and how often to take the product.
The product’s inactive ingredients, important information to help consumers avoid ingredients that
may cause an allergic reaction.

119
Q

What information is required on a repackaged label?

A

(a)The name, strength, and quantity of prescription drug or device or related material, if larger than
one (1), in the container;
(b)The manufacturer’s name, and lot or control number;
(c)The expiration date of the prescription drug or device or related material being repackaged; and
(d)Cautionary notations (e.g., refrigerate, shake well, not for injection), if applicable.

120
Q

What can an optometrist prescribe in this state?

A

Optometrist may prescribe pharmaceutical agents rational to the diagnosis or treatment only of
conditions of the eye or eyelids

121
Q

Can an optometrist prescribe Chantix?

A

No. Tennessee allows optometrist to prescribe medications for the treatment of ocular disease.
Smoking may cause glaucoma. Chantix will help people quit smoking. Statues do not indicate
optometrist can prescribe to prevent glaucoma. (my best guess).

Tennessee (2 decks)

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