Utah MPJE

Question 1

What needs to be reported in writing to the division not later than ten business days before the date of (6 things)?

Answer 1

A permanent closure of the pharmacy facility,

A change of name or ownership of the pharmacy facility,

a change of location of the pharmacy facility, a sale or transfer of any controlled substance as a result of the permanent closing or change of ownership of the pharmacy facility,

a final administrative disciplinary order against the pharmacy license holder by the regulatory or licensing agency of the state in which the pharmacy is located if the pharmacy is a class D pharmacy,

or a final order against a pharmacist who is designated as the PIC of the pharmacy by the regulatory or licensing agency of the state.

Question 2

How long shall a reporting pharmacy maintain a copy of any notification required by the permanent closure/10 business day notification?

Answer 2

2 years and make a copy available for inspection.

Question 3

What is a class A vs B vs C vs D vs E pharmacy in Utah?

Answer 3

Class A - Pharmacy located in Utah that is authorized as a retail pharmacy to compound or dispense a drug or dispense a device to the public under a prescription order.

Class B - Pharmacy located in Utah that is authorized to provide pharmaceutical care for patient in an institutional setting (closed-door, hospital, clinic, nuclear, and branch pharmacies; and pharmaceutical administration and sterile product prep facilities.

Class C - Means a pharmacy that engages in the manufacture, production, wholesale, or distribution of drugs or devices in Utah

Class D - nonresident pharmacy

Class E - all other pharmacies

Closed-door - a pharmacy provides pharmaceutical care to a defined and exclusive group of patients because they are treated by or have an affiliation with a specific entity (including an HMO or infusion company) but not including a hospital pharmacy, retailer of goods to the general public, or the office of a practitioner.

Question 4

What is defined as compounding in Utah (4 things)?

Answer 4

Prep, mixing, assembling, packaging, or labeling of a limited quantity drug, sterile product or device:

As the result of a practitioner’s prescription order or initiative based on the practitioner, patient, or pharmacist relationship in the course of a professional practice;

For the purpose of, or as an incident to , research, teaching , or chemical analysis and not for sale or dispensing; or

in anticipation of prescription drug orders based on routine, regularly observed prescribing patterns.

Question 5

What is not compounding in Utah (3 things)?

Answer 5

The preparation of prescription drugs by a pharmacist or pharmacy intern for sale to another pharmacist or pharmaceutical facility;

The preparation by a pharmacist or pharmacy intern of any prescription drug in a dosage form which is regularly and commonly available from a manufacturer in quantities and strengths prescribed by a practitioner; or

the preparation of a prescription drug, sterile product, or device which has been withdrawn from the market for safety reasons.

Question 6

How long shall a prescription record be kept on file for?

Answer 6

5 years from the date of last dispensing

Question 7

Can you work as a pharmacy tech if your pharmacist license has been denied, revoke, etc.?

Answer 7

NO, while on probation with the division you can’t.

Question 8

What is required for an animal prescription (2 things)?

Answer 8

Name of the owner and the species of the animal

Question 9

How long shall all records required by federal and state laws or rules be maintained?

Answer 9

5 years

Question 10

How long shall inventory records be maintained?

Answer 10

5 years

Question 11

What 6 rules are there for inventory?

Answer 11

1) The PIC or DMPIC shall be responsible for taking all required inventories but can delegate to another person or persons.
2) The inventory records shall be maintained for a period of 5 years and be readily available for inspection
3) The inventory records shall be filed separately from all other records
4) The inventory records shall be in a written, typewritten, or printed form and include all stocks of controlled substances on hand on the date of inventory including any out of date drugs and drugs in an automated pharmacy systems. If using verbal recording it must be promptly transcribed.
5) The inventory may be taken either as the opening of the business or the close of business on the inventory date
6) The person taking the inventory and the PIC or DMPIC shall indicate the time the inventory was taken and shall sign and date the inventory with the date the inventory was taken. Signature of PIC or DMPIC and date of the inventory shall be documented within 72 hours or 3 working days of the completed initial, annual, change of ownership and closing inventory.

Question 12

What 8 things does a pharmacist licensee have to do?

Answer 12

1) Submit an application
2) Pay a fee
3) Produce satisfactory evidence of good moral character as it relates to the applicant’s ability to practice pharmacy
4) complete a criminal background check and be free from criminal convictions
5) Have no physical or mental condition of a nature which prevents the applicant from engaging in the practice of pharmacy
6) have graduated from and received a professional degree from a school of COP that is accredited by the ACPE
7) Completed internship hours
8) Passed examinations (MPJE, NAPLEX)

Question 13

How many hours of pharmacy practice are required for a reciprocity license?

Answer 13

2000 hours in a 4 years window immediately preceding the date of application

Question 14

Can a pharmacist or pharmacist intern dispense an oral prescription for a C2 of a practitioner if it’s immediately reduced to writing?

Answer 14

NO, can do any other (including other controls) but not C2

Question 15

How soon does a prescriber have to personally sign the order for a C2 drug if the patient is in a facility and was verbally requested by a licensed medical practitioner?

Answer 15

72 hours if C2, 30 days if another prescription drug.

Question 16

Can a physician’s verbal order be copied and forwarded to a pharmacy for dispensing and serve as the pharmacy’s record of the prescription order?

Answer 16

YES

Question 17

When and how often do pharmacy permits expire?

Answer 17

September 30th of odd-numbered year (so every 2 years)

Question 18

When and how often does a pharmacists and technicians license expire?

Answer 18

September 30th of odd-numbered year (so every 2 years)

Question 19

What is true about renewal of intern licenses (3 things)?

Answer 19

1) The duration of the intern license may be no longer than 5 years if the applicant is a current pharmacy student, resident, or fellow in a program approved by division in collaboration with the board.
2) The duration of a pharmacy intern license may be no longer than one year for a license issues if the applicant is a foreign grad from a foreign school and received a certification of equivalency from a credentialing agency approved by the board
3) A pharmacy intern license issued may not be renewed by may be extended by the vision in collaboration with the board

Question 20

How long are non-controlled drug or device prescriptions valid?

Answer 20

365 days after the date of issuance

Question 21

What 3 things to know about opioid antagonist dispensing?

Answer 21

1) A person licensed under the Utah chapter who dispenses an opiate antagonist to an individual with a prescription is not liable for any civil damages resulting from the outcomes that result from the eventual administration of the drug to a person who another believes is suffering from an opioid related overdose
2) The provision of the section do not establish a duty or standard of care in the prescribing, dispensing, or administration of an opiate antagonist.
3) It is not unprofessional conduct or unlawful conduct for a licensee under this chapter to dispense an opiate antagonist to a person on behalf of another person it he person obtaining the antagonist has a prescription for the drug from a licensed prescriber

Question 22

If a prescriber specifically indicated the name of the prescription product should not appear on the label, should the pharmacist still put the name on the label?

Answer 22

NO. If requested by the prescriber, don’t put it on.

Question 23

What are the rules for dispensing a limited supply of a prescription drug to an individual who is no longer a patient in the hospital setting?

Answer 23

Can do if:

1) the person is discharged from the hospital on the same day that the hospital pharmacy dispenses the prescription to the individual
2) the prescription drug relates to the reason the person was hospitalized
3) The class A pharmacy the patient usually goes to is not open at the time of discharge
4) The hospital pharmacy dispenses a quantity of the prescription drug that is the lesser of:

A 72 hour supply or an adequate amount to threat the discharged patient through the 1st day on which the patient’s class A pharmacy is open after the discharge and dispensing the prescription drug complies with protocols established by the hospital pharmacy.

Question 24

What are the rules around dispensing 1 or more refills of a legend drug at the time the drug is dispensed (4 rules)?

Answer 24

Can do so if:

1) The drug is not a controlled substance’
2) The prescription does not include the dispense quantity written or some other notation having similar meaning
3) The total dosage units dispensed including the units for both the prescription and refills, do not exceed a 100-day supply; and
4) in the professional judgment of the pharmacist or pharmacy intern, the refill should not be dispensed at the time the prescription is dispensed.

Question 25

When are emergency refills allowed for non-controlled maintenance meds?

Answer 25

30 days as of May 2020 (72 hours before). Drug is currently using the drug, the drug is not controlled, and it's in the patient's health best interest Prescriber is not available to promptly authorize refill and it's in the professional judgment of the pharmacist or intern to dispense The pharmacist or pharmacy intern or another pharmacist or pharmacy intern at the same pharmacy has not previously dispensed a refill for the prescription under this section Dispense no more than the amount necessary to address the emergency Notify practitioner of the emergency refill ASAP

Question 26

What are the partial filling of C2 rules in Utah?

Answer 26

Allowed if: 1) Insufficient supply on had, make notation of the quantity supplied on the prescription record. Remaining portion must be filled within the 1st 72 hours of partial filling, if the remaining portion can not or will not be filled within the 72 hour the pharmacist shall so notify the prescriber. No more filled beyond 72 hours without a new prescription. No longer than 30 days after prescription is written. 2) LTCF or terminally ill patient may have them filled in partial quantities. a) If there is any questions whether the patient may be classified as having a terminal illness, contact the prescriber. b) the pharmacist shall record on the prescription either terminally ill" or "LTCF", dispensing date(s), quantity filled, remaining quantity, and identification of the dispensing pharmacist.

Question 27

What are the schedule I drugs in Utah?

Answer 27

Difenoxin (Lyspafen), Dihydromorphine, Heroin (Diacetylmorphine, diamorphine), LSD, Marijuana, Mescaline, Peyote

Question 28

How do you order schedule I drugs?

Answer 28

DEA form 222

Question 29

Who can you release or discuss patient info with (6 exceptions)?

Answer 29

1) Pharmacy patient in person or the pharmacy patient's legal guardian or designee 2) a lawfully authorized officer 3) 3rd party administrator 4) those providing pharmacy services 5) those who are getting a prescription transfer 6) pharmacy patient's attorney after the presentation of a written authorization signed by (patient before a notary public, parent or lawful guardian, if the patient is a minor, lawful guardian if patient is incompetent, or personal rep if patient deceased).

Question 30

What does unprofessional conduct NOT include (3 things)?

Answer 30

1) Giving or receiving a price discount based on purchase volume 2) passing along a pharmaceutical manufacturer's rebate; or 3) providing compensation for services to a veterinarian.

Question 31

What is an exhausted prescription for insulin?

Answer 31

1) Expired no earlier than 6 months before the patient requests the pharmacist for a refill; or 2) is not expired and has no refills remaining.

Question 32

Can a pharmacist dispense a insulin supply if presented with an exhausted prescription?

Answer 32

YES 1) If 1 or more refills on prescription, can combine to dispense a supply for 90 days but can not exceed total supply authorized by the refills. 2) Dispense based on the prescribing practitioner's instructions for the exhausted prescription in any amount up to a 60 day supply. a) can not do more than 1 time per exhausted prescription b) pharmacist shall attempt to contact the prescribing practitioner to inform it has expired and notify patient of the attempt c) notify prescriber of amount of insulin dispensed and type of insulin dispensed d) may dispense an interchangeable biological product except that the pharmacist may not dispense an interchangeable biological product if a prescribing practitioner prohibits the substitution e) Pharmacist may dispense the therapeutic equivalent when filling a prescription for : a glucometer, diabetes test strips, lancets, or syringes.

Question 33

What are the rules on a prescriber dispensing a medication (5 rules)?

Answer 33

1) the hospital pharmacy is closed 2) patient needs it in their professional judgement 3) dispensing meets protocols established by the hospital pharmacy 4) practitioner dispenses only a sufficient amount of the prescription drug as necessary to last until a pharmacy can fill the prescription 5) May not dispense more than a 2 day supply of a controlled substance

Question 34

Who may appoint the members of the Utah State Pharmacy Board?

Answer 34

Executive director of the department of commerce, governor must approve

Question 35

How many member are on the board?

Answer 35

5 pharmacists, 1 tech, 1 general public member (must be Utah resident, 21 or older, never licensed to practice pharmacy, never held financial interest, no activity directly related to pharmacy Pharmacists and tech must have at least 5 years experience in the practice of pharmacy in good standing with the division in Utah after licensure and maintain licensure in good standing to engage in the practice of pharmacy or practice as a pharmacy tech in Utah for the duration of the appointment. Must also be residents in Utah for 3 years.

Question 36

How long can Schedule V substances be dispensed after initiation?

Answer 36

1 year

Question 37

How often can a pharmacist report to the CSD regarding controlled subtances dispensed by the pharmacist?

Answer 37

1) Real time 2) 24 hour daily or next business day, whichever is later, batch submission. This does not apply to a patient at a healthcare facility and patients can access their records upon submission of a written request to the division

Question 38

May a prescriber or one of his employees check the CSD before giving a 1st time C2 or C3 prescription to a patient?

Answer 38

YES, must also periodically review in the data base or other records the patient has filled. Can have someone else do it if not in violation of subsections, necessary due to emergency, cause by a suspension or disruption of the database, failure in operation or availability of internet.

Question 39

What guidelines are followed for reviewing prescribers who have a pattern of prescribing opioids not in accordance?

Answer 39

1) CDC guideline for prescribing opioids for chronic pain 2) Utah clinical guidelines on prescribing opioids for the treatment of pain 3) other publications describing best practices related to prescribing opioids

Question 40

How many members and who is on the CS advisory committee?

Answer 40

15, director of the department of health or directors designee, state medical examiner or the examiners designee, commissioner of public safety or designee, a bunch of other people. Shall serve 4 year terms.

Question 41

Can a pharmacist or pharmacy intern dispense an epinephrine auto-injector and stock albuterol without any prescription drug order?

Answer 41

YES! Can to : 1) Qualified adult for use in Emergency Response for Life-threateninig conditions or qualified entity for epinephrine auto-injector entity. 2) pursuant to a standing prescription drug order 3) without any other prescription drug order

Question 42

Do you have to report the dispensing and sale transaction of gabapentin to the CSD?

Answer 42

YES

Question 43

What drugs can a pharmacist administer to a patient?

Answer 43

Any long acting injectables. Aripiprazole, paliperidone, risperidone, olanzapine, naltrexone, naloxone, and drugs approved by the FDA for the treatment of HIV. Must train, have BLS certification and LAI certification, maintain documentation of any prior administration and successfully complete a minimum of 2 hours CE related to LAIs.

Question 44

When is codeine a C3 drug in Utah?

Answer 44

If final mixture has less than 1.8 gms per 100 cc

Question 45

Can you dispense a legend drug written by a licensed prescribing practitioner in another state?

Answer 45

YES if the pharmacist or pharmacy intern verifies the prescription is valid

Question 46

Can you stamp brand medically necessary on a prescription?

Answer 46

NO. Must be WRITTEN. If orally given pharmacist or intern can write down and must say "orally by" with the name of the practitioner.

Question 47

Is phenergan with codeine a CV?

Answer 47

YES

Question 48

For anti seizure meds what are the rules on substitution of meds?

Answer 48

Must consult the prescriber, prescriber may prohibit the substitution, notification to prescriber is not required if the drug equivalent is paid for in whole or in part by Medicaid

Question 49

How soon must you notify a provider of a biosimilar substitution?

Answer 49

5 business days. Not required when there is no FDA-approved interchangeable biological product for the prescribed, a refill prescription is not changed from the product dispensed on the prior filling of the prescription or the product is paid for using cash or cash equivalent

Question 50

When can you dispense a refill of a liquid legend drug administered to the eye?

Answer 50

After time sufficient to allow 70% of the dosage units to be dispensed

Question 51

What are the intern rules for hours?

Answer 51

1) 1740 hours of practice 2) if suspended or dismissed from a college of pharmacy must notify the division within 15 days of the suspension or dismissal 3) If can't meet all requirements for intern licensure must surrender license within 60 days unless an extension is requested and granted by the Division in collaboration with the board. 4) Foreign schools must have at least 1,440 hours of supervised practice in the US 5) Up to 500 hours may be granted for other experience substantially related to the practice of pharmacy

Question 52

What are the drug sample rules?

Answer 52

1) Are not C2 drugs, opioids, or benzos (other controlled drugs are allowed. 2) Are prepackaged by the manufacturer 3) Are provided to the prescribing practitioner free of charge and provided to the patient free of any direct or indirect charge 4) Do not exceed a 30 day supply for (controls or non controls unless a prescriber documents that providing more than 30 days is necessary (legend drugs only)) 5) Marked on the immediate container to indicate the drug is a sample or are recorded in the patient's chart with the name and number of samples provided

Question 53

Can a C2 (excluding opioids) being filled exceed a 30 day supply quantity?

Answer 53

NO

Question 54

What are the CE requirements?

Answer 54

1) 30 hours for a pharmacist, 20 for a tech 2) Pharmacists shall include 12 hours of live or technology enabled participation in lectures, seminars, or workshops 3) 15 hours of disease state management/drug therapy, AIDS/HIV therapy, or patient safety 4) 1 hour of pharmacy law or ethics 5) 2 hours of immunization if providing immunizations 6) 2 hours of LAI if providing LAIs 7) 2 hours of hormonal contraceptives if dispensing 8) techs must have 8 hours of live or tech enabled, 1 hour of law, current PTCB or ExCPT shall fulfill all CE requirements for a tech 9) Must maintain competent records for a period of 4 years after the close of the 2 year period to which the records pertain

Question 55

What can a tech not do?

Answer 55

1) perform a DUR, clarify an order from a prescriberm final review, dispense or counsel on a PRESCRIPTION drug (can on OTC or dietary) 2) final review of a prescribed drug prepared for dispensing except as permitted by rules made by the division in consultation of the board 3) receive new prescription drug orders when communicated telephonically or electronically unless the original info is recorded so the pharmacist may review the prescription drug order as transmitted

Question 56

What are the rules for a PIC pharmacist to not be in the pharmacy?

Answer 56

1) Remote rural hospital 2) clinical located in a remote rural county with less than 20 people per square mile 3) Supervising pharmacist is not available and tele pharmacy system maintains records and files quarterly reports as required by the division rule to assure that patient safety is not compromised

Question 57

Can a prescriber issue more than 1 C2 prescription at the same time for the same C2?

Answer 57

YES, up to 3 and no one may exceed a 30-day supply and the 2 and 3 ones shall include the date of issuance and the date for dispensing.

Question 58

What needs to be done at least 14 days prior to the closing of a pharmacy?

Answer 58

1) If the pharmacy has controlled substances, send a written notification to the regional DEA office with: a) the name, address, and DEA registration number of the pharmacy b) the anticipated date of closing; c) the name, address and DEA registration of the pharmacy acquiring the controlled substances; and d) the date the transfer of controlled substances will occur 2) If the pharmacy dispenses prescription drugs, post a closing notice sign in a conspicuous place at the front of the pharmacy and at all public entrances with a) the date of closing b) the name, address and # of the pharmacy acquiring the prescription drug orders, including refill info and patient medication records of the pharmacy 3) on the date of closing the PIC shall remove all prescription drugs from the pharmacy by one or a combination of the following methods: a) return prescription drugs to manufacturere or supplier for credit or diposal; or b) transfer, sell or give away prescription drugs to a person who is legally entitled to possess drugs, such as a hospital or another pharmacy 4) If the pharmacy dispenses prescription drugs: a) transfer the files, including refill and patient records to a licensed pharmacy within a reasonable distance of the closing pharmacy b) move all signs or notify landlord or owner of the property that is unlawful to use the word pharmacy or any other word or combination of words with the same or similar meaning, or any graphic representation that would mislead or tend to mislead the public that a pharmacy is still there

Question 59

When shall a pharmacy report a potential problem that may affect the purity or labeling of a prescription?

Answer 59

Immediately. Maintain a copy of any notification for 2 years and make a copy available for inspection.

Question 60

Can a prescriber treating a patient for a reportable disease or non-emergency condition having a direct impact on public health write and sign a prescription (other than a controlled substance) without the name and address of the patient and without the date the prescription is provided to the patient?

Answer 60

YES!

Question 61

What are the rules on repackaging or compounding a prescription drug for sale to a practitioner?

Answer 61

May do so if: 1) The drug does not include a compounded drug or includes a compounded drug and is not a controlled substance. 2) The pharmacy labels the prescription drug for "office use only" 3) The practitioner administers the drug to a patient in their office or facility; and 4) the practitioner does not dispense the drug to the patient

Question 62

What are the expiration dates for C3 and C4 prescriptions?

Answer 62

Can not be filled after 6 months from the date issued or refilled more than 5 times within a 6-month period.

Question 63

What are the count rules for controlled substances during an audit?

Answer 63

1) If the drug is a C2, an exact count of the contents shall be made 2) If the substance is a C3,C4,or C5 an estimated count may be made unless the container holds more than 1,000 tablets or capsules, in which case an exact count of the contents must be made.

Question 64

When can you deliver a prescription drug to someone?

Answer 64

1) A pharmacy may only deliver if it's in person at the pharmacy or 2) via the USPS, a licensed common carrier, or supportive personnel, if the pharmacy takes reasonable precautions to ensure the prescription drug is delivered to the patient or patient's agent; or returned to the pharmacy.

Question 65

What are the most common issues found during DOPL inspections?

Answer 65

1) Expired stock meds or return-to-stock are expired or without dates. 2) Invoices of CS meds not signed and or dated 3) Annual inventories not having all of the required information and not having 5 years readily available 4) If the PIC is not working the day of random inspections, other pharmacists or techs are not familiar with where to find documents that DOPL inspectors will need for the inspection.

Question 66

How can someone serve as a PIC of 2 class A or B pharmacies simultaneously?

Answer 66

If the additional Class A or B pharmacies are not open to provide pharmacy services simultaneously

Question 67

When is the annual inventory due?

Answer 67

Within 12 months following the inventory date of each year and may be taken within 4 days of the specified inventory date; it shall include all stocks including out-of-date drugs and drugs in automated pharmacy systems

Question 68

How soon does the signature of a PIC and the date of inventory need to be document on the initial, annual, change of ownership, and closing inventory?

Answer 68

72 hours or 3 working days.

Question 69

How many interns can a preceptor supervise?

Answer 69

2 during a working shift or 5 at public health outreach programs

Question 70

What tests does a tech need to pass in Utah?

Answer 70

The PTCB or ExCPT

Question 71

How long should a patient profile be maintained?

Answer 71

1 year from date of most recent prescription, only exception is a hospital pharmacy may delete the profile for an inpatient upon discharge if a record of prescriptions is maintained as a part of the hospital record. Needs name, address, significant patient history.

Question 72

How long shall the offer to counsel maintained?

Answer 72

5 years and available for inspection within 7-10 business days.

Question 73

Who can transfer a prescription?

Answer 73

Intern and Pharmacist

Question 74

When do you notify the board of information changes if you are the PIC?

Answer 74

Notify of 30 days of change in employment, notify of change of email address within 7 calendar days

Question 75

If a PATIENT electronically transmits orders to your pharmacy do you fill them?

Answer 75

NO!

Question 76

How long do you keep records of the disposal of controls?

Answer 76

5 years

Question 77

Who can witness the destruction of CS's?

Answer 77

Medical or nursing director or a designated physician, registered nurse or other licensed person employed in the facility and the consulting pharmacist or licensed pharmacy technician and must be in compliance with DEA regulations

Question 78

What forms need to be sent to the DEA when a controlled substances pharmacy is closing?

Answer 78

1) DEA registration certificate 2) all unused form 222 with VOID on the face of each, 3) Copy No.2 of any DEA order forms used to transfer C2 from the pharmacy. If closed suddenly try to comply as allowed by circumstances

Question 79

Can more than 1 CS for a C3-C5 be on the same prescription?

Answer 79

YES

Question 80

Can a pharmacy tech trainee received an electronically commmunicated prescription?

Answer 80

YES

Question 81

How often is the temperature of a refrigerator within a pharmacy checked?

Answer 81

Daily. Logs kept for 3 years.

Question 82

If you get a C2 or C3 for an acute condition when should it be completely or partially filled?

Answer 82

7 days

Question 83

How do you file drugs under Utah law?

Answer 83

1 file for C2, 1 file for C3-C5, 1 file for non controlled

Question 84

Can you do an emergency refill of a drug at your pharmacy if the drug was filled at another (outside of a C2?

Answer 84

Yes, but have to try to reach the other pharmacy first.

Question 85

Can you have your licensed suspended if you default on a student loan?

Answer 85

YES

Question 86

What can not satisfy the OBRA counseling act?

Answer 86

1) Making an offer for the patient to ask questions 2) Any other method that shifts responsibility to the patient 3) Relaying info through an intermediary, unless needed for translations

Question 87

What's the ration of technician trainee to pharmacist?

Answer 87

1:1

Question 88

Do you maintain all documentation for automated pharmacy systems at the central pharmacy?

Answer 88

NO. Must maintain on site.

Question 89

Who needs to be notified immediately of any shortage or theft of controlled substances?

Answer 89

1) DEA 2) Local law enforcement 3) The investigation bureau

Question 90

What can be provided by a hospital emergency department?

Answer 90

1) 3 day emergency supply of basically anything 2) 7 day supply of STI prophylaxis 3) a naloxone kit

Question 91

Under Utah law how much time needs to pass before a refill can be given?

Answer 91

80% of medication since date of last dispensing

Question 92

Can a C2 or C3 be used for weight reduction or control?

Answer 92

NO, a C4 can though (think phentermine)

Question 93

What's scoring parameters for NARxCHECK?

Answer 93

Less than 200 - be confident, low risk for misuse 200-500 be curious - moderate risk for misuse Greater than 500 - be cautious - higher risk for misuse

Question 94

Who establishes the format for CS data transmission?

Answer 94

ASAP

Question 95

How soon must you obtain a DEA registration once you obtain a controlled substance license?

Answer 95

120 business days

Question 96

A nuclear pharmacy shall have:

Answer 96

(a) . have applied for or possess a current Utah Radioactive Materials License; and (b) . adequate space and equipment commensurate with the scope of services required and provided. (2) . Nuclear pharmacies shall only dispense radiopharmaceuticals that comply with acceptable standards of quality assurance. (3) . Nuclear pharmacies shall maintain a library commensurate with the level of radiopharmaceutical service to be provided. (4) . A licensed Utah pharmacist shall be immediately available on the premises at all times when the facility is open or available to engage in the practice of pharmacy. (5) . In addition to Utah licensure, the pharmacist shall have classroom and laboratory training and experience as required by the Utah Radiation Control Rules.

Question 97

A pharmacy in Utah not licensed specifically as a pharmaceutical wholesaler or distributor may sell drugs to other pharmacies if their total distribution-related sales of prescription drugs do not exceed 10% of the facility’s total prescription drug sales. A. True B. False

Answer 97

Answer: (b) False, [Utah April 2014 Newsletter]. A pharmacy in Utah not licensed specifically as a pharmaceutical wholesaler or distributor may sell drugs to other pharmacies if their total distribution-related sales of prescription drugs do not exceed 5% of the facility’s total prescription drug sales.

Question 98

How many continuing educations per licensing period are required by the controlled substance prescriber?

Answer 98

A controlled substance prescriber shall complete at least 3.5 hours of continuing education in one or more controlled substance prescribing classes, except dentists who shall complete at least two hours, that satisfy the requirements of Subsections (4) and (6)

Question 99

In Utah, all pharmacy technician training programs must be accredited by: I. ASHP II. NPTA III. ACPE

Answer 99

Effective December 23, 2013, all pharmacy technician training programs must be accredited by the American Society of Health-System Pharmacists (ASHP) or conducted by the National Pharmacy Technician Association (NPTA). Existing programs without ASHP or NPTA approval, but approved by the Division before March 31, 2014, will continue to meet the program requirement until January 1, 2016. Beginning January 2, 2016, all programs must be accredited by ASHP or conducted by NPTA.

Question 100

A pharmacist-in-charge (PIC) may designate how many pharmacy technicians to have access to the Utah Controlled Substance Database Program (CSD) on behalf of the PIC? A. None B. 2 C. 3 D. 5

Answer 100

D) 5

Question 101

An emergency oral prescription for Schedule II controlled drugs must be mailed to dispensing pharmacy by an authorized prescriber within:

Answer 101

(b) An emergency oral prescription for Schedule II controlled drugs must be written to reduce and mailed to dispensing pharmacy by an authorized prescriber within 7 days after an oral authorization, [Utah Controlled Substances Act Rules R156-37-605 and 21CFR1306.11(d)(1-to-4)].

Question 102

Licenses which have been restricted, suspended or revoked shall be surrendered to the Division within ________ of the effective date of the order of restriction, suspension or revocation.

Answer 102

Licenses which have been restricted, suspended or revoked shall be surrendered to the Division within 30 days of the effective date of the order of restriction, suspension or revocation.

Question 103

When is a PDR not required?

Answer 103

(1) . An order for a drug for an inpatient of an institution. (2) . A drug dispensed in an emergency room. (3) . A drug dispensed by a medical practitioner. (4) . A drug dispensed by a pharmacist to a medical practitioner who will administer it to a patient.

Question 104

Can you refill a prescription from a deceased provider?

Answer 104

Yes

Question 105

What must be included in a prescription?

Answer 105

Prescriber name, address and #, if a Control then DEA # as well and patient age, date of issuance, name of the medication, and prescription instructions

Question 106

What must be on a label?

Answer 106

Name, address, and phone number of the pharmacy, serial number and filling date, name of patient, name of prescriber, cautionary statements, name, amount dispensed, beyond use date

Question 107

What does the federal food drug and cosmetic act do of 1938 do?

Answer 107

Establishes safety standards so to prevent misbranding and adulteration. Required safety BEFORE releasing drug.

Question 108

What does the durham-humphrey amendment do?

Answer 108

Established legend vs OTC drugs

Question 109

What does the kefauver harris amendment do?

Answer 109

Establishes manufacturing guidelines

Question 110

What are the FDA recall classes?

Answer 110

Class 1` - serious health issue or death, Class 2- temporary or reversible health issues, Class 3- unlikely to have health issues

Question 111

What do the colors mean for the different FDA books?

Answer 111

Orange - Therapeutic equivalence, Purple - biosimilar, Red - food ingredients, yellow - travelers information, green - animal drugs

Question 112

What does form 224 do?

Answer 112

Registers with DEA

Question 113

Who gets what color copies in DEA form 222?

Answer 113

Blue is pharmacy (Blue is you), Brown is supplier, Green is DEA (GrEEn, dEa)

Question 114

What is DEA form 106 and how long do you keep the record for?

Answer 114

Theft or loss, 5 years in Utah, must submit in 1 day and submit to DEA field office

Question 115

What is DEA form 41?

Answer 115

Pharmacy must register as a collector and fill out this form, if returning to reverse distributor than the reverse distributor completes the form

Question 116

How much codeine cough syrup can be dispensed at the pharmacy?

Answer 116

No more than 240 mL or 48 dosage units of opium containing product, no more than 120 ml or 24 dosage units of others, document for 5 years

Question 117

How many times can a C3-C5 be transferred?

Answer 117

1 time unless sharing same computer system than multiple times.

Question 118

What can a pharmacist change on a C2 prescription?

Answer 118

patient address, and if authorized by prescriber (strength, dosage form, directions, or quantity).

Question 119

What is USP 795?

Answer 119

Non sterile compounding

Question 120

What is USP 797?

Answer 120

Sterile compounding

Question 121

Do you have to wear name badge and communicate license type?

Answer 121

YES

Question 122

Can a prescriber make a blanket request to only have non child proof containers?

Answer 122

NO, a patient can but a prescriber can not (Poison prevention act)

Question 123

What is adulteration vs misbranding?

Answer 123

Adulteration - primarily concerned with the physical conditions. Misbranding - concerned with misleading information on the label or packaging.

Question 124

What are the portions of an NDC?

Answer 124

first 4-5 represent manufacturer, second 3-4 characters are the product, last 1-2 are the packaging.

Question 125

Is Tramadol a schedule V in Utah?

Answer 125

Yes, IV for Federal

Question 126

How much can a practitioner dispense of a controlled substance in a hospital emergency department?

Answer 126

2 days

Question 127

How much is the pharmacist application fee?

Answer 127

$240

Question 128

What other documents are required for a pharmacist license?

Answer 128

Official transcripts if a US grad, FPGEC copy if foreign grad and official transcripts, 2 finger print cards, background check

Question 129

How much is the intern fee?

Answer 129

$140

Question 130

What are the fees for technicians and tech trainees?

Answer 130

$90 for techs, $50 for trainee

Question 131

How many hours of tech training does a technician need?

Answer 131

at least 180

Question 132

How long to notify board of changes to PIC?

Answer 132

30 days

Question 133

How long to notify board of changes to address?

Answer 133

10 business days

Question 134

Time to notify board of changes to ownership?

Answer 134

10 days

Question 135

Do you have to be a Class D pharmacy to mail to other states?

Answer 135

YES

Question 136

What are the fees for a pharmacy license?

Answer 136

$200 to DOPL. $30 fingerprint for PIC, $30 for supervisor of PIC

Question 137

Do you have to be a pharmacist to own a pharmacy?

Answer 137

YES and must be licensed and in good standing.

Question 138

How much is a Utah controlled substance license?

Answer 138

$100

Question 139

When to notify board on sales or transfers?

Answer 139

when 51% or more is sold or transferred

Question 140

What are optometrist controlled substnace dispensing rules?

Answer 140

Can only prescribe C2 hydrocodone products, can only prescribe and administer C2 and C3 no more than 72 hours at a time

Question 141

What is the rule on naturopathic physician?

Answer 141

3N administer and prescribe only