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PHCY 722 - State Regulation questions with Correct Answers
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PHCY 722 - State Regulation questions with Correct Answers
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PHCY 722 - State Regulation questions with CorrectAnswers
What are some arguments in favor or regulating the practice of
pharmacy? Arguments against? Correct Answer-In favor:
1) increased quality of healthcare by ensuring minimum competencies
2) reduced cost of health care
3) prevent criminal abuse of drugs
Against:
1) Regulation increases cost of health care (limit competition to those
who are licensed)
2) Market can sort out quality issues (approval with licensure/permits
unnecessary)... but at what cost?
3) Does licensure actually reduce criminal abuse of drugs?
*in favor > against
TRUE/FALSE
If the NC BoP investigates and finds compelling evidence pharmacists
are underpaid and wants to increase the reimbursement for drug filling,
then the board can make a rule mandating higher wages for community
pharmacists Correct Answer-FALSE!!
BoP created to ensure safe practice of pharmacy + protect public health
by ensuring minimum standards of competency, and this would be
beyond their statutory authority
- Board does not have any economic authority
,State Boards of Pharmacy
- What exactly are they?
- Created by the ______ body, housed in the _____ body
- What is their scope of authority?
- Purpose? Correct Answer-Administrative agency (scope of authority
created and limited by enabling statute)
-Created by legislative body, housed in executive body
- Purpose: protect public health, safety, welfare within the context of
pharmacy by ensuring minimum standards of competency (pharmacist
licensing, pharmacy permitting)
*kinda like pre-market approval of pharmacy practice
Why is licensure required to practice pharmacy? Correct Answer-
Government is unwilling to pay the price for the market to sort out
quality issues in pharmacy (excessive med errors, patient deaths, etc.),
so NC BoP created to ensure minimum standards of competency by
issuing licenses
- Large deal of information asymmetry in healthcare, so licensure is
generally a good idea
How are members of the NC BoP chosen? Is this the same in all states?
- Can board members be re-elected? Removed? Correct Answer-Hybrid
state: 5 members directly elected by NC practicing pharmacists + 1
public member (not healthcare providor, nor spouse of HCP) appointed
by Governor
,- Governor technically appoints all board members, but is 100% bound
to appoint the 5 winners of the election
- Two 5yr term limit (can technically take an election cycle off, then
come back)
- Governor can remove any board member for "good cause" (this does
NOT permit governor to control agenda-setting by threatening to remove
members based on policy they don't like)
*All other states governor directly appoints all board members
What's the point of the one politically appointed "public member" in the
NC BoP? How broad is the exclusion of "healthcare" workers? Correct
Answer-Very broad exclusion (any HCP or spoiuse; any agent or
employee of any healthcare institution/insurer/school)
- Provide unbiased perspective to advance protection of public health
- However, without topic expertise, some risk that only 1 member's
voice can get drowned out
What sort of folks are best suited to serve on the BoP? Correct Answer-
Topic experts (experienced pharmacists) to help "fill in the gaps" in the
specialized field of pharmacy
NC BoP Executive Director Correct Answer-Serves as secretary +
treasurer of the Board
- Performs administrative tasks delegated by the Board
- Investigates + prosecutes violations of the Pharmacy Act
, What are some of the arguments in favor of having pharmacists elect
pharmacists to the BoP? Against? Correct Answer-In favor:
- Vested interest, motivation in pharmacy matters
- Sufficient skill, expertise to regulate competently (all political
appointees could risk being non-competent)
Against:
- Owe allegiance to pharmacists who elect them, rather than the public
NC BoP grants _______ to pharmacists and ________ to pharmacies
Correct Answer-Pharmacists - licenses
Pharmacies - permits
What does it mean to be licensed as a pharmacist in NC? Correct
Answer-Given permission from government (BoP) to engage in
pharmacy practice legally
- "Premarket approval" of pharmacists by being safe and minimally
competent
What are the basic requirements to get licensed as a pharmacist in NC?
(x4) Correct Answer-1) 1500 hours of practical experience
2) Graduate from accredited SoP (or graduated from foreign SoP with
5yr curriculum, pass the Foreign Pharmacy Graduate Equivalency Exam
(FPGEE), pass TOFLE (English exam), plus NAPLEX and MPJE)
3) Pass the NAPLEX
4) Pass the MPJE in licensing state
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