LAW

Question 1

A non-opiate prescription must be filled within ___________ of date of issue.

Answer 1

6 months

Question 1

An opiate prescription must be filled within ____________ of date of issue.

Answer 1

14 days

Question 2

The cutoff for refilling a dangerous drug (or C-V) prescription is __________.

Answer 2

One year

Question 3

The cutoff for refilling a prescription for a C-III/C-IV is _________.

Answer 3

6 months

Question 4

Maximum days supply for a “do not fill until” prescription?

Answer 4

90 days

Question 5

Used to report destruction of controlled substance (natural causes)

Answer 5

DEA Form 41

Question 6

Used to report lost/stolen controlled substances

Answer 6

DEA Form 106

Question 7

Used to order C-I/C-II agents

Answer 7

DEA Form 222

Question 8

Used to order medications if opening a new pharmacy or attempting to get a personal DEA#

Answer 8

DEA Form 224

Question 9

The use of or exposure to will cause serious adverse health consequences or death

Answer 9

FDA Class I Recall

Question 10

The use of or exposure to may cause temporary or medically reversible adverse health consequences; or the probability of serious health consequences is remote

Answer 10

FDA Class II Recall

Question 11

The use of or exposure to is not likely to cause adverse health consequences

Answer 11

FDA Class III Recall

Question 12

A drug that is filthy, putrid, or decomposed (expired) is considered:

Answer 12

Adulterated

Question 13

A drug that is falsely labeled or is labeled in a misleading way:

Answer 13

Misbranded

Question 14

The Ohio Law that constitutes Duty to Report:

Answer 14

OAC 4729:1-4-02

Question 15

Duty to Report applies when:

Answer 15

An error is a result of reckless behavior/unprofessional conduct AND results in patient harm/death

Question 16

T/F: Prescribing must be done in the usual course of professional practice & only within the scope of their employment

Answer 16

TRUE

Question 17

In the old track/trace system of conducting recalls, entire lots had to be pulled from shelves. With serialization, recalls can be conducted on a ___________________.

Answer 17

Package level

Question 18

Partial fills for C-II’s can take place if:

Answer 18

1. Pt is terminally ill or in an ECF
2. Fill is requested by pt/prescriber, total # doesn’t exceed total RX #, and total # remaining gets filled within 30 days of written date.

Question 19

Things that must be documented on the back of a partial fill RX:

Answer 19

1. Date dispensed
2. # dispensed
3. Remaining # authorized to be dispensed
4. Prescription # (if different from original)
5. Manual initials or other form of positive identification of dispensing pharmacy

Question 20

Refill authorizations may be orally transferred by prescriber/agent to:

Answer 20

1. Pharmacist
2. Recording device
3. Intern being supervised by RPh
4. Certified technicians FOR NON-CONTROLS

Question 21

Outpatient/Retail label must contain:

Answer 21

1. Name/Address of pharmacy
2. Full name of pt & prescriber
3. Directions
4. Date of dispense
5. Cautions required by state/fed law
6. Serial #
7. Drug name & strength (or generic name & distributor)
8. Quantity

Question 22

Institutional drug order must contain:

Answer 22

1. Patient name
2. Name, strength, dosage form
3. Directions (including route)
4. Date prescribed
5. Prescriber’s Positive ID

Question 23

Sterile compounding

Answer 23

USP 797

Question 24

Non-sterile compounding

Answer 24

USP 795

Question 25

Federal chapter that defines "outsourcing pharmacy compounding" enabling these entities to compound bulk, non-patient specific compounds

Answer 25

FDA 503b (cGMP)

Question 26

Must notify BoPh within ___________ for: - Change of name - Change of address - Change of employer - D/C of a terminal distributor's license

Answer 26

30 days

Question 27

Must notify BoPh within _________ for: - Change of RP

Answer 27

10 days

Question 28

Must notify BoPh _________ for: - Suspected theft or loss of a dangerous drug

Answer 28

Immediately

Question 29

T/F: Every pharmacy must have a Responsible Person, who must be a pharmacist

Answer 29

TRUE

Question 30

Requirements of RP:

Answer 30

- Supervision of dangerous drugs/records/security - Adequate safeguards are assured to prevent sale/distribution of dangerous drugs by anyone but a pharmacist - Must be physically present a sufficient amount of time to provide supervision - Take inventory of controlled substances when changing RPs

Question 31

Return to stock requirements:

Answer 31

-Pharmacy expiration label (1 year, unless manufacturer outdate sooner) -Drug remains in container that it was meant to be dispensed in

Question 32

Pseudoephedrine Maximums

Answer 32

-3.6 g per day -9 g per 30 days

Question 33

Things that tech trainees cannot do:

Answer 33

-Accept new verbal prescription orders/verbal refill authorizations from a prescriber -Stock automated dispensing units, floor stock, and crash carts -Request refill authorizations -Send/receive transfers -Contact prescriber for clarification of prescription

Question 34

Things that Registered techs cannot do:

Answer 34

-Perform sterile compounding -Accept new verbal prescription orders/verbal refill authorizations from a prescriber -Send/receive transfers -Contact prescriber for clarification of prescription

Question 35

Vaccine Admin

Answer 35

-Flu/COVID WITHOUT prescription if 7 years of age or older -All CDC recommended vaccines WITH a prescription if age 7-13 -All CDC recommended vaccines WITHOUT a prescription if 13 years or older Excludes Rabies vaccine

Question 36

Other approved RPh Injections

Answer 36

LAI meds allowed if under protocol and HAS a prescription: -Long acting opioid antagonist for addiction -Long acting antipsychotic injections -Hydroxyprogesterone caproate -Medroxyprogesterone acetate -Cobalamin (B12)

Question 37

For immunizations, the ratio of interns to pharmacists is _______.

Answer 37

6 to 1

Question 38

Ohio Schedule II Opioids

Answer 38

-Fentanyl -Hydrocodone -Hydromorphone -Meperidine -Methadone -Morphine -Oxycodone -Oxymorphone -Tapentadol

Question 39

Ohio Schedule III Opioids

Answer 39

-Buprenorphine -Codeine -Dihydrocodeine/ ASA/CaffeineO

Question 40

Ohio Schedule IV Opioids

Answer 40

-Butorphanol -Tramadol

Question 41

Act that prohibits interstate sale of adulterated/misbranded food and drugs

Answer 41

Pure Food and Drugs Act of 1906

Question 42

Act that created child proof caps

Answer 42

Poison Prevention Packaging Act of 1970

Question 43

Amendment that defined Legend vs. OTC medications

Answer 43

Durham-Humphrey Amendment of 1951

Question 44

Act that created the 5 different controlled substance classes

Answer 44

Controlled Substance Act of 1970

Question 45

For NON-CONTROLLED substances, the RPh may change the following without verification with the prescriber:

Answer 45

1. Dosage form 2. Drug strength 3. Drug QTY 4. Directions As long as: -Drug is generically equivalent -Rx is for a human -DAW is not written

Question 46

Things that cannot be changed on a prescription:

Answer 46

1. Patient name 2. Drug name 3. Prescriber name

Question 47

Pharmacist CE Requirements:

Answer 47

1. 30 hours every 2 years 2. Due on odd years 3. 2 hours in law 4. 2 hours in med safety

Question 48

Technician CE Requirements:

Answer 48

1. Registered = 10 hours every year (2,2) 2. Certified = 20 hours q2years (1,1) 3. Due on even years

Question 49

T/F: Gabapentin qualifies as a drug that does not need to be reported to OARRS

Answer 49

FALSE

Question 50

NDC Code

Answer 50

12345-6789-0 12345 = Labeler code 6789 = formulation, dosage form, physical form 0 = size and type of package

Question 51

DEA # Code

Answer 51

AP5836727 -"A" signifies practitioner (could also be B, F, G, or M for mid-level) -"P" signifies practitioner last name -Sum of digits (1+3+5) + ((2+4+6)x2) -Last digit of total sum = last number of DEA number

Question 52

Emergency C-II Fill

Answer 52

-If deemed an emergency situation -Prescriber must provide RPh with a written prescription for the emergency med within 7 days -Abides by partial fill rules

Question 53

Things that a pharmacist can do under a consult agreement with a physcian:

Answer 53

1. Manage a patient's drug therapy for specified diagnoses or diseases 2. Order and evaluate: -Blood -Urine -Other labs/diagnostics related to drug therapy being managed

Question 54

Pharmacist can enter consult agreement with:

Answer 54

-Physicians -PAs -Clinical Nurse Specialists -Clinical Nurse Midwives -Certified Nurse Practitioners