Florida Administrative Code Part (I)(B)

Question 1

Change of prescription department manager

Answer 1

If the prescription department manager changes, no later than ten (10) days after a change for a community pharmacy, a Special Parenteral and Enteral pharmacy, a
Special Closed System pharmacy, a Nuclear pharmacy, or a Special Sterile Compounding permittee, or thirty (30) days for an internet pharmacy or a nonresident pharmacy, the Board must be notified via a form of the change and the identity of the new PDM by both the pharmacy Permittee and the newly designated PDM

Question 2

Delegable tasks to technicians

Answer 2

• Data entry
• Labeling of prescriptions and preparations
• Retrieval of patient and prescription files & profiles, and
  other pharmacy records
• Clarify (not change) select components with prescriber
  – Initiate communication to confirm patient’s name, medication, strength, quantity, directions, number of refills, and date of last refill
  – Initiate refill requests with prescriber or their medical staff
  – Initiate communication with prescribing practitioner or their agents to obtain clarification
  on missing or illegible dates, prescriber name, brand/generic preference, quantity, DEA
  registration number or license numbers
• May accept authorization for prescription renewal (refill
  authorization)
  – Prescription renewal is dispensing of medication
  pursuant to practitioner authorization to fill an existing
  prescription with no refills remaining
• Count, weigh, measure, and pour medications, legend drugs,
  and controlled substances
• Fill automated medication systems
• The receiving, in a permitted nuclear pharmacy, of diagnostic
  orders only
• Organizing of or participating in continuous quality improvement related events, meetings, or presentations
• Participation in a monitoring program to remove deteriorated pharmaceuticals to a quarantine area
• Catchall: While under the direct supervision of the pharmacist, performance of any other mechanical, technical
  or administrative tasks which do not themselves constitute
  practice of the profession of pharmacy

Question 3

For prepared injectable drugs and bulk solutions, the pharmacist must

Answer 3

– Interpret and identify all incoming orders
– Mix all extemporaneous compounding or be physically present and give direction to the registered pharmacy technician for reconstitution, for addition of additives, or for bulk compounding of the parenteral solution
– Physically examine, certify to the
accuracy of the final preparation,
assuming responsibility for the final preparation
– Systemize all records and
documentation of processing so that professional responsibility can be easily traced to a pharmacist

Question 4

Pharmacist to intern ratio

Answer 4

1 pharmacist: 1 FOREIGN pharmacy intern graduate. Otherwise, no limit on interns a pharmacist may supervise

Question 5

Technician responsibilities

Answer 5

• Disciplined pharmacist ineligible to register as a technician
• Pharmacy interns may be employed as pharmacy technicians without registration
• Enrolled technician students (students studying to become technicians) do not have to register to work in a pharmacy

Question 6

Pharmacist to technician ratios

Answer 6

Sterile compounding - 1:3
No sterile compounding - 1:6
Non-dispensing, non sterile compounding - 1:8

Question 7

Display of licensure and identification

Answer 7

• Every practicing pharmacist, pharmacy intern, and registered pharmacy technician must maintain proof of current licensure that is readily retrievable upon request by any representative of the Department of Health, the Board, or any member of the public
  – If at a secondary site, proof would be the valid wallet license that pharmacists are sent from the Board with their actual license to carry with them – it is a small
  blue card – you get a new one every time you renew your license
• The pharmacy may display either:
  – the license or registration of each pharmacy employee, or
  – a notice easily accessible to the public that the license or
  registration of each employee is available for viewing upon request
• Pharmacists, interns, and registered pharmacy technicians must be clearly identifiable by a clearly visible identification badge or a monogrammed smock showing their name and if they are a pharmacist, pharmacy intern, or a registered pharmacy technician
• Registered pharmacy technicians shall state their names and verbally
  identify themselves as registered pharmacy technicians on the telephone or other forms of communication

Question 8

True or false: You can return any medication to stock that was previously dispensed to a patient

Answer 8

False. Cannot return any part of any prescription compounded for, or dispensed to, any customer of any pharmacy and returned by said customer, unless otherwise
permitted by the unit dose medication rule which can be found at 64B16-28.118

Question 9

Pharmacists are allowed to write prescriptions for certain medications within the limits of

Answer 9

. No injectables
. No oral meds for pregnant/nursing mothers
. Directions shall not exceed manufacturer’s recommended dosage
. No more than 34 day supply
. Must write and file script
, Must maintain patient profile for 4 years
. Drug must be ordered and dispensed by PHARMACIST in a pharmacy with a Florida permit
Legend drugs only. If OTC, no script just recommend OTC
. Formulary: oral analgesics for mild-moderate pain, urinary analgesics, otic analgesics, anti nausea, antihistamines/decongestants, topical and otic antifungal/antibacterials, topical anti-inflammatories, keratolytics, vitamins w/ fluoride, ophthalmics, H2 antagonists, acne products, topical antivirals

Question 10

Prescription refills

Answer 10

. No refills for CIIs, script expires in 1 year
. No more than 5 refills for CIII-CV, script expired in 6 months

Question 11

Negative drug formulary. BOP determined these should not be generically substituted due to potential adverse events in patients

Answer 11

(1) Digitoxin
(2) Conjugated Estrogen
(3) Dicumarol
(4) Chlorpromazine (Solid Oral Dosage Forms)
(5) Theophylline (Controlled Release)
(6) Pancrelipase (Oral Dosage Forms)

Question 12

True or false: Community pharmacies may provide drug samples

Answer 12

False. Community pharmacies (non health care entities) may
NOT store or be in possession of drug samples

Question 13

Ture or false: If a patient/representative or prescriber/representative refuse to talk to you while attempting to verify a controlled med prescription you can outright refuse it

Answer 13

True

Question 14

Minimum standards before refusing to fill a prescription

Answer 14

• Before a pharmacist can refuse to fill a prescription based solely upon
  a concern with the validity of the prescription, the pharmacist shall
  attempt to resolve those concerns and shall attempt to validate the
  prescription by performing the following:
• Initiate communication with the patient or the patient’s
  representative to acquire information relevant to the concern
  with the validity of the prescription;
• Initiate communication with the prescriber or the prescriber’s
  agent to acquire information relevant to the pharmacist’s concern
  with the validity of the prescription.
• In lieu of either of the previous two options, but not both, the
  pharmacist may elect to access the Prescription Drug Monitoring
  Program’s Database to acquire information relevant to the
  pharmacist’s concern with the validity of the prescription.
• In the event that a pharmacist is unable to comply with
  communicating with the patient or prescriber or their agents to
  get information on the prescription due to a refusal to cooperate
  with the pharmacist, the minimum standards for refusing to fill a
  prescription shall not be required.