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Texas Law MPJE > Texas MPJE > Flashcards

Texas MPJE Flashcards

1
Q

Tx RPh licensing requirements? Exam & Reciprocity

A

By Exam

  • Must be @ least 18 yo
  • Must have completed 1500 interns hours ; no more than 50 hrs/week.
  • Graduated and received professional practice degree
  • Must pass NAPLEX and MPJE (5 attempts)

Cannot use intern hours after >2 years of completion.

30 day license provided once MPJE & NAPLEX are passed – must submit for initial license within 30 days.

Reciprocity

  • Must provide proof of initial licensure
  • Must pass Tx MPJE
  • May reciprocate from state where license was achieved through examination.
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2
Q

Tx RPh Expiration and License renewal?

A

Biennially license - expires last day of birth month

“Timely Receipt” - application at the board before last day of the expiration month with fee.

License Expired <90 day – may renew through paying fee equal to 1.5x renewal fee and reporting required CE’s.

License Expired >90 day – may renew through paying fee equal to 2x renewal fee and reporting required CE’s.

Expired >1 yr - may not renew, must reapply

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3
Q

Type of Tx Pharmacy Interns

A

Intern Trainee - 1st of Pharmacy School - may only work when School assigns to a site.

Student Intern - Completed 1st year AND minimum 30 CE credits toward pharmacy degree.

Extended Intern - Remains in effect for 2 years.

Resident Intern - Graduated from ACPE-accredited college of pharmacy and is completing a resident program.

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4
Q

Pharmacy Intern duties / ratios?

A

May perform any duty of a pharmacist – Must be under direct supervision of preceptor

If not under direct supervision – May function as technician

Ratio 1:1

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5
Q

Pharmacy Intern duties, restriction, ratios?

A

May perform any duty of a pharmacist – Must be under direct supervision of preceptor

If not under direct supervision – May function as technician

Ratio intern:preceptor 1:1 – Does not apply to uintern trainees or student interns part of a Tx school of pharmacy which have no ratio.

Duties Interns can perform tech’s can’t:
patient counseling
receiving prescriptions
others??

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6
Q

Pharmacy Technician licensing requirements?

A
  1. Start as Tech traineee - may work for 2 years (not renewable)
  2. Initial Registration: Pass board certification exam (renewal of cert. not req) – Become Pharmacy Technician
  3. Renewal of registration (pharmacy tech) – requres 20 hours of CE evey 2 years
    - 0.1 CEU is Texas Law
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7
Q

Pharmacy Technician Expiration & License renewal?

A

Biennial Renewal - Expires after 2 years

20 Hrs of CE
0.1 CEU of Texas law

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8
Q

Pharmacy Technician Trainees licensing expiration, requirements?

A

License expires after 2 years - non-renewable

No CE requirements

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9
Q

Pharmacy Technician duties? **

A

Tech-check-tech for floor stock and automated dispensing machines in class C pharmacies - need ongoing clinical pharmacy program.

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10
Q

Certified Pharmacy Technician Expiration & License renewal? **

A

CE: 20 hrs total
Tx Law - 1 hr

If Sterile Compounding:
Initial – 40 hours
Renewal – Low/Med Risk: 2 hrs ; High Risk: 4 hrs

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11
Q

Pharmacy Technician Trainee duties?

A

No tech-check-tech allowed.

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12
Q

Pharmacist:Technician/CPhT/Pharmacy Trainee ratios?

A

Class A - Community Pharmacy - 1:4 (1 must be certified otherwise 1:3)

Class B - Nuclear Pharmacy - 1:4 (1 must be certified and authorized to handle radioactive materials)

Class C - Institutional Pharmacy (C) - None

Class D - Clinic Pharmacy

Class E - Nonresident Pharmacy

Class G - Central Prescription Druge or Medication Order Processing Pharmacy - 1:8 (max 1 trainee)

Class H - Limited Prescription Delivery Pharmacy

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13
Q

What must be on a control prescription in Tx?

start here…

A

Signature….
Must be manually signed
- If electronic, must be authorized electronically by provider and printed on tamper-proof paper.

CII - must be electronic or on official prescription form provided by board

CIII-V - Must be manually signed if written.

Stamps may not be used.

Quantity….
Must be written numerically and as a word.

Expiration Dates
CIII-V: 6 mo from written or 5 refills
C-II: 21 days from written or fill by date

DAY

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14
Q

What must be on a control prescription in Tx?

A

Signature….
Must be manually signed
- If electronic, must be authorized electronically by provider and printed on tamper-proof paper.

CII - must be electronic –> (required 1/21) … old: on official prescription form provided by board

CIII-V - Must be manually signed if written.

Stamps may not be used.

Quantity….
Must be written numerically and as a word.

One C-II medication per prescription

Expiration Dates….
CIII-V: 6 mo from written or 5 refills
C-II: 21 days from written or fill by date
(All others prescriptions 1 yr from written date)

DAW….
Physician must hand write: “Brand Medically Necessary”
Two line prescriptions, stamps, checkboxes, ect not permitted.

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15
Q

What cannot be change on a CII Rx?

A

Name of Patient
Nate of the drug
Name of prescribing physician
Date the prescription was issued

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16
Q

Pharmacist License CE Requirements (Initial 18-30 months)

A

Human Trafficking Prevention course
Pain Management - 1 hr annually
Prescribing & Monitoring Controlled Substances - 2 hrs biennially
Sterile Compounding Certification - 20 hrs
Immunization Certification - 20 hrs
Drug Therapy Management - 6 hrs in related specific area

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17
Q

Pharmacy License CE Requirements (Renewal)

A

30 hrs total

Tx Pharmacy Law - 1 hr

Pain Management - 1 hr annually

Prescribing & Monitoring controlled substances - 2 hrs biennially

Sterile Compounding Certification

    • Low/Medium Risk: 2 hrs
    • High Risk: 4 hrs

Immunization Certification - 3 hrs & CPR Certified

Preceptor Certification - 3 hrs

Drug Therapy Management - 3 hrs

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18
Q

Can Codeine-containing products (not Rx C-V’s) be dispensed without a prescription

A

No

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19
Q

Board of Pharmacy components, how elected, term limits, how often do they meet?

A

11 Members

  • 7 Pharmacist
  • 1 Technician
  • 3 Public Members

Appointed by Governor - Must be Texas resident and practiced actively past 5 years

Governor designates president
Members vote on VP, Treasurer, and other offices

Terms
Staggered 6 year terms, may not serve more than 2 consecutive terms.

Meet
At least once every 4 months

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20
Q

Explain the role of Executive Director to the Tx Board of Pharmacy

A

Executive Director is full time employee of the board - must be an RPH

Develops training program for board members - must be completed.

21
Q

How does the Tx Board of Pharmacy handle complaints?

A

Board must acknowledge a compliant with 30 days or receipt

Complaints are not accepted for incidents that occurred >7 years ago.

22
Q

What are Texas’ pseudoephedrine limits? How can it be purchased?

  • Daily
  • Monthly
  • Annually
A

Positive ID required for sale. Purchase should be transmitted using electronic record or in written long it electronic fails. (Enter into electronic as soon as available)

Limits
Day: 3.6g
30 Days: 9g
90 Days: 27g

23
Q

How is pseudoephedrine stored?

A

In locked cabinet behind the counter or within 30 ft of sales counter.

24
Q

How long must Pseudoephedrine dispensing records be stored?

A

Maintain for 2 years

25
Q

In Texas - What schedule is Carisprodol?

A

C-IV

26
Q

Describe laws around C-II prescriptions

A

Must be electronic (if it was written has to be on Tx doc)

1 Medication per Rx

Expires 21 days from issue date

27
Q

What limitations surround the prescription of opioid medications?

A

For Acute Pain: 10 day supply / 0 refills

28
Q

What are Tx’s expectations around PDMP usage?

A

Uploaded no later than next business day from dispense date

If a written Rx: include Rx Form Control #

Errors have 7 days to be corrected from ID

Must submit 0 dispenses every 7 days if no controls are dispensed.

29
Q

When should a RPh consult the PDMP in Texas?

A

Every dispense of opiod, benzo, barbiturate, or carisoprodol

30
Q

How often should a Pharmacy license be renewed? When?

A

Biennially

Prior to 91 days – post 91 days it may not.

31
Q

What must a Class E pharmacy have in order to have a license renewed?

A

Class E - Non-resident pharmacy

Inspection report from home state BOP dated within past 3 years.

32
Q

When should the board be notified of a change in pharmacy location?

A

New application @ least 30 days before date of change.

Sign must be posted at least 14 days before relocation.

33
Q

When should the board be notified of a change in pharmacy name?

A

New application should be filed within 10 days.

34
Q

Who should be notified of a pharmacy closing & when?

A

Board - 14 days prior
Sign must be posted to public
DEA – When???

35
Q

What is a Class A pharmacy?

A

Community Pharmacy

36
Q

What is a Class B pharmacy?

A

Nuclear Pharmacy

37
Q

What is a Class C pharmacy?

A

Institutional Pharmacy

38
Q

What is a Class D pharmacy?

A

Clinic Pharmacy

39
Q

What is a Class E pharmacy?

A

Nonresident Pharmacy

40
Q

What is a Class F pharmacy?

A

Pharmacy located in Freestanding Emergency Medical Care Facility

41
Q

What is a Class G pharmacy?

A

Central Prescription Drug or Medication Order Processing Pharmacy

42
Q

What is a Class H pharmacy?

A

Limited Prescription Delivery Pharmacy

43
Q

What does “-S” mean when applied to a pharmacy type?

A

The pharmacy engages in sterile compounding

  • Must be inspected by board prior to initial and renewal licensure
  • Particularly we see “-S” with A and C
44
Q

When & at what cadence are Controlled Substance inventories required?

What pharmacies must do them?

A

Date: May 1
Cadence: Annually
Pharmacies Required: A, C, F (community/institutional/pharmacy in freestanding emergency medical care facility)

45
Q

How and for how long should an annual controlled substance be retained?

A

Maintained: 2 years
If kept offsite should be available within 72 hours of request

How:

  • Separate from all other records
  • C-II’s should be listed separately
46
Q

What should be done with a control count once completed in Texas?

A

Notarized within three days.

47
Q

How should controls be counted?

A

C-II: Exact counts

C-III - C-V: Bottles <1000 = estimated count ; >1000 count = exact

48
Q

CE’s needed for Texas pharmacist license?

A

CE’s: 30 hrs must maintain during preceding 2 years .

Save records for 3 years.

  • 1 Contact Hr (0.1 CEU) 00 Texas Pharmacy Laws & Rules
  • Between 8/21 & 9/23 – 0.1 CEU annually related to best practices, alternative treatment options and multi-modal approach to pain management.
  • Between 8/20 - 9/22 – Human Trafficking prevention course.
49
Q

Texas Pharmacy Preceptor: CE’s and How to

A

To be a Preceptor: 1 year RPH experience or 6 months residency.

  • Initial certification/renewal – 3 hr training program (CE)
  • 1:1 ratio for intern to preceptor
  • No ratio if student is part of Tx School of Pharmacy Program

Texas Law MPJE (4 decks)

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