MARYLAND MPJE Exam Material review #1

Description

Clarifications and explanations for concepts from two types of exam prep materials
Chuchi Oka-Zeh
Flashcards by Chuchi Oka-Zeh, updated more than 1 year ago
Chuchi Oka-Zeh
Created by Chuchi Oka-Zeh over 2 years ago
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Resource summary

Question Answer
OBRA 90 and offer to counsel 1. Pharmacist? 2. Pharmacy intern/extern? 3. Pharmacy technician? Correct Answer: *Mandates the offer to counsel patients about their prescriptions, also specifies the components of patient counseling. *OBRA specified that pharmacists can substitute for a preferred drug, (if one exists in that state), and must offer counseling to the patient on the substitution.
Medicaid coverage 1. Blind 2.Deaf 3. Disabled 4. Medically indigent Correct Answer: 4 primarily. 1,2 and noted examples. Others include the aged and low-income
The roles of the pharmacist and pharmacy staff when counseling patients are all in accordance with OBRA 90 with which exception A. Pharmacist providing telephone number for patient to call B. Pharmacy intern providing preliminary counseling before pharmacist counsels C. Pharmacy technician giving patient written information D. Pharmacist prompting patient to ask questions ? Correct Answer:
Prospective Drug Review(PDR) Exceptions Nursing Home or Personal Home care or Hospital? Correct Answer: Nursing Homes, radiopharmaceutical to a physician dispensed by pharmacist who will administer it to a patient, admistration by physician to a patient in an ER/receiving emergency care services
Loss of password and keys for CSOS reporting requirements 1. 72 hours 2. 24 hours 3. 48 hours 4. 1 weeks ? Correct Answer:
Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed", is required when dispensing A.CII B.CIII C. CV D. CIV Correct Answer(s): This cautionary label is not required when dispensing a Schedule V controlled substance or on the label of a controlled substance dispensed for use in clinical investigations which are "blind.
Limit to partial filling of controlled substances: Federal law vs Maryland(state) law Example Zolpidem 10 #28,take 2 tabs po hs 5 refills 1. State law-120 day limitation 2. State law-168 tablets in 120 days 3. Federal law-168 tablets in 6 months 4. Federal law-<60 tablets in 5 months Correct Answer(s)
Schedule V logbook requirements/description A correct characteristic of Schedule V OTC logbook is which of the following 1. Federal law-Recordkeep for 5 years 2. Federal law-Age requirement is at least 18 years old 3.Federal law-Pharmacy intern is a person that can dispense to a patient 4. Sales for opium is limited to 240mL/8fluid ounces 5. Sales for codeine is limited to 240mll/8 fluid ounces ? Correct Answer: *2 years from the DATE of the TRANSACTION(Federal and state Recordkeeping requirement*
Practitioners, hospitals and controlled substance prescriptions The following shall be noted on a prescription for a controlled substance by a practitioner of a hospital (Correct Answer) : The registration number of the hospital The special internal code number assigned to the individual practitioner by the hospital
Loss of DEA Form 222--Responsibilities of the purchaser and the supplier If a purchaser ascertains that an unfilled DEA Form 222 has been lost, the purchaser must execute another and attach a statement containing the order form number and date of the lost form, and stating that the goods covered by the first DEA Form 222 were not received through loss of that DEA Form 222. Supplier needs to write NOT accepted and return the original. OR P Correct Answer
Long Term Care Facilities(LTCF), Controlled Drug Substances, and Emergency Kits Notable point: LTCFs can store controlled substances in an emergency kit without being registered with the DEA The placement of emergency kits containing controlled substances in non-federally registered Long Term Care Facilities (LTCF) shall be deemed to be in compliance with the Comprehensive Drug Abuse Prevention and Control Act of 1970, provided if the source from which an LTCF may obtain controlled substances for emergency kits must be a DEA registered hospital/clinic, pharmacy, or practitioner.
Night Cabinets...Emergency Drug Kits...institutional pharmacy When an institutional facility has an institutional pharmacy, a night cabinet shall be used in case of emergency in the absence of a pharmacist, whereas when an institutional facility does not have an institutional pharmacy, an emergency kit shall be used to obtain drugs in case of emergency.
DEA Form 222 Amendments by a supplier *Strength of the drug: If the product is only manufactured in one strength, then it is not necessary to indicate the strength in the section "Name of Drug". If the product is available in more than one strength, then the strength may not be added by the distributor. The line should be voided on the DEA Form 222 by the supplier and the purchaser notified. *Last Line Completed: A distributor may not fill in the "Last Line Completed" area of the DEA Form 222. This section must be completed by the purchaser. If the purchaser enters an incorrect number, such as the total number of packages ordered instead of the last line completed, then the DEA Form 222 is not valid.
Requirement on prescription for controlled substances 1. Date of issue* 2. Patient’s name and address; 3. Practitioner’s name, address, and DEA registration number; 4. Drug name; 5. Drug strength; 6. Dosage form; 7. Quantity prescribed; 8. Directions for use; 9. Number of refills (if any) authorized; and 10. Manual signature of prescriber. A prescription must be written in ink or indelible pencil or typewritten and must be manually signed by the practitioner. An individual may be designated by the practitioner to prepare the prescriptions for his/her signature. The practitioner is responsible for making sure that the prescription conforms in all essential respects to the law and regulation. Prescriptions for schedule II controlled substances must be signed by the practitioner. In emergency situations, a prescription for a schedule II controlled substance may be telephoned to the pharmacy and the prescriber must follow up with a written prescription being sent to the pharmacy within seven days.
NOT considered an offer to counsel ~Using signs or other types of written notices or written information given to the patient with each drug dispensed. ~Making an offer for the patient to ask questions.
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