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MPJE Practice Questions And Answers 100
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MPJE Practice Questions And Answers 100
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MPJE Practice Questions And Answers 100% Correct Prior to dispensing, when is it not necessary for the pharmacist (or pharmacy employee) to OFFER to counsel? - - not "practicable" - person picking up is not the patient - pharmacist determine that offer should be make in writing (if in writing, should tell pt that counseling can be done in person or over the phone) What is an instance in which the pharmacist does not have to counsel? - - patient refuses/declines or is un able/ cannot provide info requested **MUST document counseling or refusal/inability to accept counseling or give info. Keep records for 3years What are the requirements for maintaining Medicaid patient's profiles? - - demographic info (name, address, pho ne, DOB/age, gender) - pt history (disease state, drug rxns, allergies) - comprehensive list of drugs, relevant devices dispenses within last 180days - pharmacist's comments relevant to drug therapy For Medicaid recipients, what are pharmacists requir ed to maintain a DUR of drugs within the last 180days for? - - therapeutic duplication - drug -disease state contraindications - drug -drug interactions - incorrect dosage or duration of therapy - drug -allergy interactions - clinical abuse/misuse/ in appropriate drug use For Medicaid recipients, what are the standards for DUR? - - American Hospital Formulary Service Drug Information - the United States Pharmacopoeia Drug Information - the American Medical Association Drug Evaluations and the peer -reviewed medical literature **may be applicable to general DURs For Medicaid patients, what are the EXCEPTIONS to the requirement for pharmacists offer counsel? - - the person obtaininng th e prescription is not the patient - the pharmacist determines it is appropriate to make such offer in writing (writing must offer to counsel in person or by phone) What should Medicaid patient counseling include? - - name & description of medication - dosage form, dose, route, duration - special directions/ precautions for preparation, administration, and use of drug - common severe ADEs, interactions, and therapeutic contraindications or precautions - self-monitoring techniques - proper storage - refill info - action to be taken if a dose is missed When is emergency refill of a non -controlled prescription without prescriber authorization allowed? - - unable to contact prescriber after reasonable effort - failure to refill might result in interruption of therapeutic regimen or create patient suffering - patient/ representative informed that prescription is being dispensed without authorization - prescriber is informed at earliest reasonable time that a uthorization is required for future refills - unauthorized refill quantity must not exceed 72 hour supply Pharmacist may immediately prescribe and dispense </=30days of which diabetic products (under special circumstances)? - - diabetic ketoacidosis dev ice - insulin drug - glucagon - diabetes device necessary to administer the insulin or glucagon What are the conditions in which pharmacist can prescribe and dispense diabetes products? - - patient claims to have <7day supply of the diabetes product s AND - the pharmacist determines (using professional judgement) that pt will likely suffer significant physical harm within 7 days if the diabetes products is/are not obtained AND - the pharmacist that no pharmacist prescribed (and dispensed) the d iabetes products in the preceding 12 months because the pharmacist: reviewed PDMP, contacted the pharmacy that most recently filled a prescription for diabetes, examined another prescription database, or reviewed a prescription label with the most recent p rescription information AND - within 72 hours, provides notice to the practitioner who most recently prescribed the diabetes products AND - the pharmacy reports all such diabetes products "prescribed and dispensed" by the pharmacy to Connecticut's PDMP What is another name for PDMP in the state of Connecticut? - Connecticut Prescription Drug Monitoring and Reporting System (CPMRS) If the p harmacist dispenses an emergency supply of diabetes products, the patient is expected to pay for the product and the insurance may be billed BUT the amount cannot exceed the price of: - - coinsurance, copayment, deductible, other out of pocket expense impo sed by the health insurance, and the usual customary charge to the public the supply of diabetes products When dispensing an emergency supply of diabetes products, what may the pharmacist require the patient to submit? - - proof of health insurance covera ge - personal identification for the patient - contact info for the patient's treating health care provider - info concerning previous prescriptions issued to the patient for the diabetes products - the patient's sworn statement that they are unable to obtain the diabetes products in a timely manner without suffering significant physical harm If a patient receives an emergency supply of diabetes products (regardless of whether the pharmacist prescribes and dispenses it), what is the pharmacist is re quired to do? (Hint: not in regards to dispensing the product) - refer the patient to a federally qualified health center (FQHC) if: - the pharmacist determines that the patient does not have health insurance coverage or the patient has health insurance but the requested diabetes product is not covered - the patient informs the pharmacist that the net cost to the patient is unaffordable When can a pharmacist fill for a greater quantity than the initial quantity prescribed? - - refill is made after orig inal quantity dispensed - refill does not exceed: 90 -day supply or total quantity prescribed - prescriber has not prohibited change to initial or refill quantity - drug is not a controlled drug - pharmacist informs prescriber ASAP (and within 48hrs of refill) - patient's insurance plan/policy covers refill quantity dispensed without additional co -pay, coinsurance, deductible, or out -of-pocket expense from patient When can pharmacists add flavor ing to a prescription product? - - if prescriber, patient, or patient's agent requests it - if acting on behalf of a hospital What are the requirements of a flavoring agent? - - must be used according to GMP and in minimum quantity to produce its intende d effect - must be recognized as safe (e.g. USP, 21 CFR 172) - must produce no effect other than flavoring - not more than 5% of the total weight of the product In relation to generic substitution and interchangeable biologic products, what must the prescription RECORD document? - - brand name of drug substituted or, if not brand, generic brand and manufacturerThe benefits of buying summaries with Stuvia:
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