Maryland Pharmacy Law (MPJE) Questions and Answers Latest

Maryland Pharmacy Law (MPJE) Questions and Answers Latest 1. Requirements for dispensing of prescription drugs by physicians, dentists or podiatrists: DF-CLIMB Dispensing permit from board Biennial inventory Label the drug according to pharmacy act Follow poison prevention act Inspected by drug control divison Must purchase drugs from licensed wholesaler or pharmacy Must complete 10 contact hours of ACPE approved CE on preparing and dispensing prescription drugs 2. Composition of the board of pharmacy: 12 total = 2 consumers + 10 pharma- cists 2 pharm chain 2 independent retail pharm 2 acute care hospitals 1 LTC 1 home infusion/home based care 2 pharmacists at large 3. How long is pharmacist license good for?: 2 years 4. Number of CE required to renew license: 30 CE hours 5. True/False: Separate pharmacy permits are not required for different loca- tions, as long as they are under the same company: False, you need permit for each separate geographic location 6. If there are multiple pharmacies within the same hospital does each phar- macy require a separate permit?: No 7. How long must prescriptions be kept for?: 5 years from the date of last refill 8. Retail pharmacies may conduct wholesale distributions with as long as it doesn't exceed of total prescriptions per year: other retail pharmacies; 5% 9. Pharmacy permits are good for and expired when?: May 31st every two years 10. True/False: agents of the board may enter the pharmacy during normal business hours and inspect for compliance with Federal and State laws/regu- lations: True 11. Can a pharmacist refuse to fill a prescription? What are the requirements?- : Yes based upon professional or scientific judgement. Must notify prescriber within 72 hours of refusal to fill rx 12. A prescription should not be filled after days unless authorized by the prescriber: 120 days 13. Generic Substitution: -Prescribers orders brand name drug -FDA has approved generic available -Prescribers does NOT prohibit substitution -The prescription is NOT reimbursed by a third-party payer 14. Within business days after dispensing a biological product, the phar- macist SHALL communicate the specific biological product dispensed to the prescriber: 5 15. Prescription label requirements: DE(NI)^3S^2 Date of filling Expiration date of the lesser of 1 year from date of dispensing or manufacturer's expiration date Special handling or storage requirements Name and strength of the drug Must contain same name as used by the prescriber on the prescription (avoid misbranding) If a generic drug is substituted, must also add generic name (to avoid misbranding) and the name of the manufacturer or distributor of the drug 16. A pharmacist may refill a prescription without refill authorization IF:: -The drug is essential to the maintenance of life and to the continuation of therapy in a chronic condition -The pharmacist believes it would be detrimental to the patient's health if the drug was not provided -The pharmacist attempts to obtain authorization but is unsuccessful -The drug is NOT a controlled substance 17. If a pharmacist provides an emergency refill without authorization:: Must record date, quantity, and sign or initial the record May provide only 1 refill of a 14-day supply (or unit-of-use) Must notify the prescriber within 72 hours 18. If a state of emergency is declared, a pharmacist may refill without autho- rization IF:: The pharmacist is unable to obtain authorization The drug is not a controlled substance The quantity does not exceed a 30-day supply (or unit-of-use) Pharmacist must notify prescriber within 7 days 19. In order for pharmacist to give vaccinations the pharmacist: -Must complete a Vaccine certification course -Must be certified in CPR through in-person classroom instruction -Register with board 20. Pharmacist may administer influenza vaccine to patients years of age and older: 9 21. After administering vaccination pharmacist must: -Pharmacist must report vaccination to the ImmuNet Program -If vaccination was administered pursuant to prescription, pharmacist must attempt to inform prescriber 22. A pharmacist may administer any vaccination listed in the Centers for Disease Control and Prevention Recommended Immunization Schedule or Health Information for International Travel for patients 11- 18 years of age if:: -The patient must have a prescription -The pharmacist must inform prescribing physician AND the patient's primary care physician that the vaccine was given -The pharmacist must report to the ImmuNet Program 23. A pharmacist may administer to an adult (over 18 years of age) any vacci- nation listed in the Centers for Disease Control and Prevention Recommended Immunization Schedule or Centers for Disease Control and Prevention's Health Information for Interna- tional Travel parameters: -May be administered under a written vaccine specific protocol without a prescription -Pharmacist shall report the vaccination to the ImmuNet Program -If the vaccine was administered pursuant to a prescription, must attempt to notify the prescriber and the patient's primary care physician 24. Can pharmacist administer self-administer drugs?: Yes A pharmacist may administer a self-administered drug to a patient that is prescribed by an authorized prescriber Self-administered drugs include eye drops and drugs administered by IM injection and Subcutaneous injection 25. Can a pharmacist provide nonsterile and sterile compounding to a Vet without a patient specific prescription?: Yes -The pharmacy may not provide such preparations in an amount greater than 10% of the total amount of drug products sold from the pharmacy -This provision may violate the Federal Food, Drug, & Cosmetic Act unless the pharmacy registers with the FDA under the Drug Security Act 26. A pharmacist must not exceed more than % of the total amount of drug products sold in pharmacy for nonsterile and sterile compounding to a Vet without a patient specific prescription: 10% 27. In order for pharmacist to prescribe and dispense contraceptives a phar- macist must:: -Complete a training program approved by the Board -Provide the patient with a self-screening risk assessment tool -After prescribing and dispensing contraceptives shall refer the patient for any additional care Provide the patient with the following: -Written record of contraceptive dispensed -Copy of the self-assessment tool and the contraceptive prescribed -Written information about the importance of seeing the patient's primary care practitioner 28. How often is the pharmacy inspected by the board: annually 29. Remote Machines at clinics or nursing home without pharmacist on premises must:: -Have bar-code technology -Have electronic reporting capability of all persons accessing the machine and all medication removed from the machine -Provide a picture of the drug or a written description of the drug -Operate under a quality assurance program with policies and procedures aka POBE 30. If the pharmacist does not review the order within hours the first dose may be pulled from the remote machine: 24 31. Collaborative practice agreement regulations: -A contract is NOT required in a hospital setting -Pharmacist must have PharmD or other training as approved by the Board -The pharmacist is approved by the Board to enter into the agreement -A pharmacist may not employ or offer economic incentives to a prescriber to induce entering into the agreement The protocol may allow a pharmacist to: -Initiate drug therapy under disease-state protocols -Modify, continue, or discontinue drug therapy -Order laboratory tests -Other patient care management The agreement may be terminated by any party, including the patient, at any time 32. Do pharmacy trainees need to register with the board: no 33. Qualifications for pharmacy technicians who are NOT certified by a Nation- al pharmacy certification program: -17 years old (may start training at 16 years and 6 months); -High school graduate; GED or enrolled in high school -Successfully passed an examination approved by the Board -Completes training program approved by the Board that includes 160 hours of experience and is no longer than 6 months duration 34. The board may waive the pharmacy technician requirements for :: a person who is registered or has worked in another state 35. Technician licenses are valid for years: 2 36. How many CE credits must pharm tech have: 20 37. Authorized or prohibited acts for techs: A technician may not operate under a therapy management contract A technician may not administer influenza vaccine (what about other types of vaccinations?) A technician may not delegate a pharmacy act that was delegated to the technician Registration must be displayed at place of business or be available for viewing Must wear ID badge as a registered pharmacy technician 38. A pharmacy may sell drugs to non-patients under the following circum- stances:: -To transfer a prescription drug for emergency medical meetings -The sale of minimal quantities of prescription drugs to a licensed healthcare practitioner for office use -The transfer of expired, damaged, returned, or recalled prescription drugs to the original wholesaler or manufacturer -A pharmacy's wholesale distributions may not exceed 5% of the pharmacies annual sales 39. Pharmacist to intern ratio: No more than 2 interns per pharmacist at a time 40. Pharmacy Intern Qualificiations: Must be currently enrolled and completed 1 year of professional education in an accredited pharmacy program Must register with the Board before practicing under the supervision of a pharmacist Must undergo a State criminal history records check Must notify the Board within 7 days of convictionplea to certain crimes 41. If a pharm intern is convicted on pleas to a criminal act they must notify the board within : 7 days 42. Intern license is renewed every and can only be renewed time (s): 2 years; once 43. Can interns delegate pharmacy acts?: No 44. Can interns perform final verification of prescription: No 45. Can interns administer vaccines: Yes 46. If the drugs are donated for dispensing:: Must be in original, sealed, tam- per-evident unit dose packaging Must have an expiration date equal to or greater than 90 days