MPJE Indiana

Question 1

How many board members?

Answer 1

7

Question 2

how many board members are pharmacists?

Answer 2

6

1 must be hospital

Question 3

who appointments board members

Answer 3

governor

Question 4

how long do board members serve?

Answer 4

4 years

Question 5

how many times/year do board members convene

Answer 5

8 x

Question 6

who can attend board meetings?

Answer 6

anyone

Question 7

How many CE hours are needed for renewal

Answer 7

30 hours every 2 years (even numbers)

Question 8

CE requirements

Answer 8

max 1/5th of hours in business, management, computers
4/5th must be practice realated
half of hours must be acpe approved

Question 9

renewal period - pharm license and tech license

Answer 9

June 30th on even numbered years

Question 10

required hours for pharmaicst license

Answer 10

1500

Question 11

how much rxs be stored

Answer 11

for 2 years in one of the following:
3 files: Cii, Ciii-v, legend
2 files: noncontrolled and controlled (must have red C stamp)
2 file: CII, all others with red C on ciii-v

Question 12

do hard copies have to be stored on site?

Answer 12

no, but must be accessible for BOP

Question 13

time period to notify board of changes of ownership of pharmacy

Answer 13

10 days

Question 14

time period to notify board of changes to PIC

Answer 14

immediately

Question 15

time period to notify board of change of address

Answer 15

no timeline, must file with application

Question 16

time period to notify board of change of hours

Answer 16

no times - must be submitted in writing

Question 17

how long of closure requires board notification?

Answer 17

5 or more consecutive days

Question 18

Required equipment

Answer 18

sink with hot and cold water, power sewage outlet, refrigeration

Question 19

emergency access to pharmacy

Answer 19

supervisor licensed nurse once per shift may access pharmacy if drugs not available in dispensing cabinets. Must be documented and copy of order left

Question 20

What is adulteration?

Answer 20

An issue is with the product itself

Must err on the side of caution and assume it’s adulterated if the product has been put in a compromising position

Question 21

What is misbranding?

Answer 21

There is an issue with the words associated with the product

Ex: prescription label requirements are not met

Question 22

What is cGMP

Answer 22

Current good manufacturing practices

Set minimum requirements for manufacturing of drugs

Question 23

Do’s and Donts of Compounding

Answer 23

Must be: for an individual patient, with a prescription, but can compound it before receiving the Rx based on prescribing history

Can not be a commercially available product
Does not including reconstituting, mixing, or other instructions on approved labeling

Question 24

What must be included on an Rx label for an outsourced compounded product?

Answer 24

“This is a compounded drug”
Outsourcing facility info 
Batch number
Expiration date
Storage instructions 
List of active ingredients

Question 25

A pharmacist forgets to dispense a med guide with sertraline. What is this considered?

Answer 25

Misbranding

Question 26

What class medical device are contact lenses?

Answer 26

Class III - most complicated class as mistakes can cause vision loss

Question 27

Which drug recall is the most severe?

Answer 27

One | This can cause death, things like wrong drug in bottle

Question 28

Can the FDA force a recall?

Answer 28

No, they must be voluntary

Question 29

What is the PPPA

Answer 29

Poison Prevention Packaging Act Enacted to prevent accidental poisoning in children under 5

Question 30

What are some CRC exempt products?

Answer 30

Nitro stat, Medrol dose pack, birth control

Question 31

Reusing a plastic vial is totally okay according to the PPPA

Answer 31

No! Must replace any plastic parts, glass or metal are okay to reuse though

Question 32

Which DEA form is used for ordering and transferring C-II?

Answer 32

222

Question 33

What is required to be dispensed with estrogen and contraceptive products?

Answer 33

Patient package insert

Question 34

PPIs (patient package inserts) are only required outpatient

Answer 34

False! Required inpatient as well

Question 35

Medication guides are required outpatient only

Answer 35

True!

Question 36

What is needed with dispensing of promethazine suppositories in a community pharmacy? PPI or CRC, both, or neither

Answer 36

Neither | CRC only applies to oral medication

Question 37

What DEA form is used to report theft or loss?

Answer 37

Form 106

Question 38

How soon must theft/loss be reported?

Answer 38

Within 1 business day, in writing | Form 106 does need to be submitted now, it is submitted after circumstances are clear?

Question 39

What must be done if C-II theft or loss investigation is taking a long time?

Answer 39

DEA must receive updates every 30 days

Question 40

What is DEA 41 for?

Answer 40

Destruction of controlled substances

Question 41

What needs to be on a DEA form 41?

Answer 41

2 employee witnesses | Record of destruction

Question 42

What Practitioners have a DEA number that starts with M?

Answer 42

Mid level practitioner like PA or NP, sometimes pharmacists

Question 43

What is the PDMA?

Answer 43

Prescription drug marketing act - bans selling or trading prescriptions purchased by healthcare facilities - bans offer to sell coupons or samples

Question 44

How soon do you have to complete a partial fill of a C-II?

Answer 44

Within 72 hours

Question 45

What is used for generic approvals?

Answer 45

ANDA

Question 46

What can the DEA not look at during an inspection without a warrant

Answer 46

Sales or financial information

Question 47

An OTC drug is not packaged in tamper resistant packaging. What is it?

Answer 47

Both adulterated and misbranded

Question 48

What practitioners haveDEA numbers that start with ABF or G?

Answer 48

Physician Vet Podiatrist Dentist

Question 49

Can optometrist prescribe controlled substances?

Answer 49

Only tramadol if DEA registered

Question 50

Legal THC percentage for CBD

Answer 50

0.3%

Question 51

How many times can a C-III-V be refilled?

Answer 51

5

Question 52

Who can prescribe methadone?

Answer 52

Only physicians

Question 53

Formula for DEA license:

Answer 53

1. Add together numbers 1,3, and 5 2. Add together numbers 2,4,6 and multiply result by 2 3. Add products from step 1 and 2 4. Last digit of this result should be equal to number 7 in the license.

Question 54

Maximum limit for opium containing OTC products

Answer 54

8 oz or 48 dosage units

Question 55

Max behind the counter sale quanitity of codeine

Answer 55

4 oz or 24 dosage units

Question 56

How long do sudofed sale records need to be retained?

Answer 56

2 years

Question 57

365 dispensing limit for pseudophed

Answer 57

61.2g

Question 58

30 day dispensing limit for pseudophed

Answer 58

3.6g

Question 59

LTC: when can prn medications be given?

Answer 59

only after authorization by licensed nurse or physicain

Question 60

Can a patient self-admin drugs in LTC?

Answer 60

only if authorized by physician and patient has received training by pharmacist or self-admin knowledge has been evaluated

Question 61

what must be on the label of a unit dose package in an LTC?

Answer 61

drug name strength control number expiration date

Question 62

Which can a tech not complete according to state law? - admin flu vaccine - receive verbal refill approval from a provider - obtain a tech license without high school diploma - dispense rx drug info to a patient

Answer 62

dispense rx drug info to a patient

Question 63

how long until. a person can reapply after a revocation of their license?

Answer 63

after 7 years and this is for a brand new license rather than reinstatement

Question 64

What is a censure?

Answer 64

sanction that consists of a verbal expression of disapproval

Question 65

what is the min and max a license can be suspended for?

Answer 65

no min or max!

Question 66

What can a practioner do if a sanction is imposed on their license

Answer 66

appeal! and they can have legal representation at their hearing.

Question 67

what happens if a practioner surrenders their license?

Answer 67

they can avoid a hearing, but the board must agree to the surrender and may impose conditions to the surrender

Question 68

whats a category I pharmacy permit

Answer 68

a retail permit that allows dispensing of drugs and devices (community pharmacies)

Question 69

what's a category II pharmacy permit?

Answer 69

institutional permit for inpatient dispensing under drug order or to an outpatient of the institution via prescription

Question 70

whats a category III pharmacy permit

Answer 70

closed door central fill, mail order, or processing operation not open to general public

Question 71

Who may be dispensed to under a category II permit?

Answer 71

employee, student or volunteer of hospital system retiree of system independent contractor with relationship with system member of the system's governing board a member of the systems medical staff *or dependents of these individuals in addition to inpatients

Question 72

what pharmacy category is a LTCF?

Answer 72

category 2 - "Inpatient"

Question 73

Can you substitute a generic for a brand name called in by a veterinarian?

Answer 73

NO! must have verbal approval

Question 74

When can a brand be dispensed to a medicaid patient if generic is avaliable?

Answer 74

if BRAND MEDICALLY NECESSARY is hand written on the script or sent in electronically

Question 75

can we substitute equivalent biosimilar products?

Answer 75

yes, but practitioner must be notified no later than 10 days after dispensing *refills do NOT require this

Question 76

what insulins can be sold without a prescription?

Answer 76

regular nph combo of these

Question 77

What is the expiration rule for glucagon and epinephrine

Answer 77

can not dispesne these products if expiration date is less than 12 from date of dispense unless patient consents

Question 78

Can we substitute epinephrine products that aren't AB rated?

Answer 78

Yes, but they must be a therapeutic alternate

Question 79

what must the pharmacist document before initiating a rph refill aka emergency fill

Answer 79

information required for any refill dispensed dates and time prescriber contacts were attempted the fact this was dispensed without prescriber authorization

Question 80

what is important about 30 - 90 day conversions?

Answer 80

can not be done unless a patient has completed an initial 30 day supply of drug therapy unless its written for 90 days initially