KY MPJE 2023 Practitioners Already Passed

KY MPJE 2023 Practitioners Already Passed Who is considered a practitioner in KY? -physician (MD, DO) -dentist (DMD, DDS) -podiatrist (DPM) -veterinarian (DVM) -physician assistant (PA-C) advanced registered nurse practitioner (APRN) optometrist (OD) licensed in Kentucky or another state (NOT another country) When can you fill out of state prescriptions? only if that same type of prescriber licensed in KY can write that Rx Internet prescribing and telemedicine are ____ in KY legal What may an APRN prescribe? May prescribe legend drugs, must have collaborative care agreement with MD/DO and prescribe only according to that agreement, physician need not be on premises. What is an APRN's restriction on prescribing controlled substances? (this holds until July 2021 exams - law is actually different) lorazepam, alprazolam, clonazepam, diazepam, hydrocodone-containing products, carisoprodol containing products 30 day supply with no refills What are an APRNs limits on CIIs and CIIIs? -72 hour supply of C-IIs except 30 day supply of psychostimulants if APRN associated with psychiatrist or mental health facility--hydrocodone is an exception -30 day supply of C-III no refills Collaborative Care Agreements must be written. These must be maintained for _____ after the agreement terminates at the pharmacist’s (or APRN’s) practice site. 5 years What are the general prescribing allowed for a PA? PA may prescribe only as physician allows, and only within the specialized are of practice of the supervising physician. Does the physician have to be physically present? "Yes." PAs may also have their authority limited by an institution What are the prescribing rights of a PA with controlled substances? -may prescribe CS -no C-II -C-III = 30 day supply with no refill, benzos and carisoprodol = 30 day supply with no refill; -other C- IV and C-V = up to 5 refills in 6 months NOTE: allowing PAs to write for CS went into effect July 2020. As laws are usually not covered on the MPJE until they have been in effect for a year, persons taking the MPJE prior to July 2021 should consider that the correct answer to be “PAs may NOT prescribe CS” What are the prescribing rights of an optometrist? If an optometrist meets additional training requirements and is certified, may prescribe oral medications for conditions they are licensed to treat (already can prescribe eye drops). Controls are limited to a 72 hour supply and may not be refilled. No C-II prescriptions except 72 hour supply of hydrocodone What kind of medications can an optometrist administer? An optometrist may administer diagnostic agents topically (only). He or she may also administer adrenaline or diphenhydramine for an anaphylactic reaction. Can an optometrist purchase medications? only ones that are going to be administered What are the limitations for doctors dispensing? -Doctor must be on premises if dispensing occurs. -Dispensing is limited to this physician's patients, not from other docs. -All labeling, packaging, storage, and recordkeeping requirements for pharmacies attach to physician's office. -No more than a 48 hour supply of CS Veterinarians may prescribe ____ products for ____ but animal products may not be used on humans human; animal Podiatrists—prescriptions must be for the treatment of the ____ and _____. Do they have restrictions on prescribing controlled substances? ankle and foot NOPE Dentists—prescriptions must be for treatment of the ____ and _____. Do they have restrictions on prescribing controlled substances? teeth and mouth NOPE Death of a prescriber (this includes retirement and the revocation of a license): all CS immediately ____. Legend drugs may be refilled for______________ until the patient can find a new practitioner void a reasonable time period Internet prescribers are limited to prescribing ____ drugs non-controlled substance Office supplies for practitioner, clinic, etc: If seeking controlled substances, must be a ____ _____. Drugs must be obtained by invoice or purchase order. C-IIs must be obtained by a ____--cannot use a prescription blank. DEA registrant DEA Form 222 What kind of samples can a physician dispense? Physicians may dispense drug samples of non-controlled drugs. No controlled drugs allowed. Pharmacists may not dispense samples for profit. Vouchers and starter packs are not samples Example test question: Podiatrist wants to prescribe post-op hydrocodone after an ankle repair surgery. Because the patient is very anxious and his BP is high, podiatrist also wants to prescribe lisinopril a. Pharmacy can fill both drugs b. Pharmacy can fill neither drug c. Pharmacy can only fill the BP medication d. Pharmacy can fill the hydrocodone Rx D Example test question: Patient brings in a clonazepam Rx written by Dr Jones two days before he died A. The prescription may be filled one time B. The prescription may be filled as it was written before Dr Jones died C. The prescription is void D. The prescription is void but a previously filled Rx for clonazepam that still has refills maybe filled for a reasonable amount of time C