Download Kentucky MPJE 2024 Edition. Real Exam Questions and Correct, Verified Answers. Graded A+ and more Exams Pharmacy in PDF only on Docsity!
Kentucky MPJE 2024 Edition. Real Exam
Questions and Correct, Verified
Answers. Graded A+
Accutane and generics special requirement - ANS1. Patient and prescribers must be enrolled in iPledge program
- Pharmacy must get on-line with patient's iPledge number for clearance to fill Rx
- Females must have pregnancy test
- up to 30 days supply, no refill Addiction doctor can write for these meds - ANSsuboxone, subutex (buprenorphine) methadone must be admin on-site, no Rx. However, can dispense 72h supply for a hospitalized addict. addiction treatment physicians have special DEA - ANSstart with "X" Again DEA 222 copies keeper, in 1, 2, 3 - ANSCopy 1 by supplier Copy 2 by DEA Copy 3 by pharmacy Any law governing clinical pharmacists? - ANSNo APAP 500mg take 1 to 2 tabs PO Q3-4H PRN - ANSMisbranded. Health issue max at 16 x 500mg table a day = >3000mg guideline = liver toxicity APRN - ANSNurse practitioner APRN and CS - ANSlorazepam, alprazolam, clonazepam, diazepam, hydrocodone- containing products, carisoprodol--> 30 days supply with no refill -CII = 72hours -CIII = 30days no refill APRN and psychostimulant - ANSthe only CII they can prescribe with 30 days supply, ADHD meds. But have to associate with psychiatrist. APRN meds that can be prescribed with 30 days no refill - ANSLorezepam, Clonazepam, Diazepam, Alprazolam, Carisoprodol (Soma), Hydrocodone containing product APRN prescribe thru this rule - ANSCollaborative care agreement with MD/DO Are counseling confidential? - ANSNo
Are patient's record confidential? - ANSYes As RPh, what can you add to the C-II prescription? - ANSDate Quantity Sig. NOT drug name, patient name, nor signature Belviq & Osymia BMI requirement - ANS 27 if has co-morbidities Biennial count rule - ANSC-II must be exact count CIII,IV, V - if less than 1000, estimate; if more than 1000, exact count. Board members term - ANS4 years C-I drug criteria - ANSHigh potential for abuse No accepted medical use C-II criteria - ANSHigh potential for abuse Accepted medical use Abuse may lead to severe dependence C-II prescription req. - ANSCannot be refilled valid only for 60 days from day written prescription blank must be kept separate from other prescriptions C-III criteria - ANSPotential for abuse less then C-I or C-II Accepted medical use Abuse may lead to moderate or low physical or high psychological dependence C-III to C-V validility - ANS180 days (6 months) C-IV Criteria - ANSLow potential for abuse relative to C-III Accepted medical use Abuse may lead to limited physical or psychological abuse relative to C-III C-V Criteria - ANSAccepted medical use Low potential for abuse relative to C-IV Abuse may lead to limited physical/psychological dependence relative to C-IV Can a physician's agent prepare a Rx? - ANSyes, except the signature Can FDA issue a recall? - ANSNO, they can only request it. Can graduate intern do the final verification? - ANSNo
Class I recall - ANSThis is the only recall that you MUST get the drugs back from the patients. Reasonable possibility death or serious adverse effects. Clinical Pharmacy specials rules - ANSMust have PIC and all reference books, but exempt on equipments Policy and procedure manuals updated annually Physical address Containers for CS - ANSmust contain the label of C-II, C-III, C-IV, C-V Continuing education requirements in KY - ANS15 hours (1.5 CEU) per year Controlled substance for animals, requirement - ANSMust list owner's name, the species of the animal Counseling shall include: - ANSCommon AND clinically significant ADR CS prescriptions paper requirement - ANS1. A latent void pattern in
- Pantone green narcotic safety prescription blank with
- Opaque Rx in upper right hand corner and
- a water mark "Kentucky Security Prescription") on the back
- Quantitiy must be check-marked in a box
- Only one prescription per blank is allowed
- Statement - void if more than 1 prescription per balnk DEA form 106 - ANSreports theft of CS Under HB1 theft or loss must now also be reported to Board DEA form 41 - ANSform for outdated (expired) drugs DEA registered pharmacy employment limitation - ANScannot hire anyone has been convicted of a felony related to CS unless the DEA issues a waiver. Waivers are specific to each employer and each employee. Definition of a misbranded drug - ANSA drug that its labeling is false or misleading. A drug that is dangerous to the health when used as prescribed on the label DMD, DDS - ANSDentist DO - ANSphysicians Do you need a telephone system if you have a real time computer thingy? - ANSNo Do you report CS in hospital to KASPER? - ANSNo
Does using a common data base constitute a transfer? - ANSNo DPM - ANSPodiatrist Drug samples - ANScannot be dispensed for profits DVM - ANSVeterinarian Emergency 72h refills - ANSNo refill on Rx Prescirbers not readily available to authorize refills. A 72 hours supply can be dispensed. Has to be maintenance meds, with your judgment that such interruption will be detrimental to the patient Emergency box in LTC facilities - ANSLimited to 6 CS with written policy and procedurs Physician must order. Pharmacy should be notified 24h after box open. Physical Inventory at least monthly. Equipment - ANSClass A balance + weight set Graduate 1-250mL Filter + funnel Mortar + Pestle (glass, porcelain, or wedgewood) Spatula-steel and non-metallic Oinment slab or papers Heating Unit, fridge Exempted control dispense limit - ANSno more than 4oz in 48 hours Exempted control product, which is it? - ANSCodeine Expiration date of repackaged drug - ANSExcept if the expiration date on the original packaging is less than 1 year Food Drug and Cosmetic Act - ANS FDA to ensure safety of food and drug. Creation of DEA For all Rx transfer out, what do you need to write down? - ANSName of the pharmacist date, name, address of the other pharmacy receiving, DEA# Formulary compliance dispensing? - ANS1st...what the hack is this? prescriber notes "formular compliance approval", may be stamped on Rx blank
How long should you maintain the record if closing a pharmacy - ANS2 years How many board members are pharmacists? - ANS one of them is a citizen representing a consumer How many patients can one addiction doctor treat at one time? - ANS How many ppl in the KY board of pharmacy - ANS How many students can one preceptor supervise at the same time - ANSonly 1 student at a time, but he/she can precept any number of students. How many techs can a pharmacist supervise at a time. - ANSlaw does not say so How many times can you be a president of the board? - ANS2 years (2 times) How many times can you do emergency refill - ANS1 time How many times should the board members meet? - ANS4 times How often do you elect a president for the board? - ANSannually How often do you renew your KY license? - ANSAnnually on 2/ How often do you send in info to KASPER? - ANSdaily How to display your pharmacist license? - ANSConspicuously displayed How to elect members of the KY board of Pharmacy? - ANSappointed by the governer How to file complaints to Board - ANSOral or written How to store C-II prescriptions? - ANSSeparate from other Humphrey-Hurham Amendment - ANS classified drugs as "prescription only" and OTC If a DEA 222 is lost or stolen - ANSmust be reported to DEA and Board of Pharmacy If a DEA 222 is voided or defective - ANSmust be retained If a disaster in KY, emergency fill - ANSup to 30days, but not including CS If you receive a prescription that shows the brand name of a drug, you should - ANS1. sub to a *lower priced therapeutic equivalent drug which is *in stock
If your prescriber is dead or retired, what happen to the prescriptions? - ANSALL CS void, but legend drugs can be filled for a reasonable period until patients can find a new practitioner In KY, how long should you retain CS records? - ANSC-II: 5 years C-III to C-V: 2 yeras Intern ID card is good for - ANS6 years Involuntary closure - ANSacute illness, death, natural disaster, bankruptcy, court or Board action written notice 5 days May maintain premises for up to 60 days Board may seize drugs if no sale made in 60 days Is an ID required for codeine? - ANSRequired unless the pharmacist knows the patient IS BMI required on the prescription for those weight loss drugs? - ANSNo Is mailing a control meds legal? - ANSYes it is. Kefauver-Harris Amendment - ANS Manufacturers must prove a drug is both safe and effective LTC facility and C-II prescription - ANSmay be faxed. The original prescription must be delivered to the pharmacy within 7 days Manufacturers/wholesalers return limitaions - ANSreturns of damage, unsalable, recalls, can only be distributed to original manuf., 3rd party return processor, or reverse distributor MD - ANSphysicians Medical gas pharmacy regulation - ANSHas a PIC but no 10 hours/week rule Inspect gas Quarterly (every 3 months) Written policy and procedure detailing security, follow state & federal law Medical gas pharmacy, which 2 gases - ANSoxygen and nitrous oxide medical records should be... - ANSreadily retrievable minimum age for immunization - ANS9yo+ minimum BMI requirement for anorexiants for a C-IV anorectic - ANS27 if no comorbidities
Pharmacists' right to retain prescriptions - ANSPharmacist has the right to seize & retain a prescription reasonably suspected to be forged, altered, or unlawfully possessed. One must ascertain whether or not valid within a reasonable time. Pharmacy can only get return of unused-unopened-sealed bottles for re-sale, but what are the limitations? - ANSMust be within 14 days, and also does not require refrigeration. Pharmacy closure sign - ANSthe sign has to be there 30 days in advance Sign must be left in place for 30 more days after closure. PHI and HIPAA record should be kept for - ANS6 years Physicians dispensing requirement - ANSDoctor must be on premises Dispensing limited to the physician's patients. No more than 48h supply if CS PIC and # of pharmacies - ANSa PIC can only be the PIC of one pharmacy at a time. You can submit request to the board of pharmacy to be PIC of multiple sites, but you have to be at each pharmacies for 10 hours/week PIC and the pharmacy - ANSPIC is in "full and actual charge" of the pharmacy. This should overrule the cooperate Plan B age requirement for female - ANScan be sold as OTC to female 17yo+ under that age needs a prescription Plan B age requirement for male - ANS18+ or older with Photo ID Preceptor's license - ANSThe license will be marked "Preceptor" Pseudoephedrine purchase limit - ANS3.6g/purchase 7.2g/30days Annual limit 24g Pure Food and Drug Act - ANS Led to creation of FDA Certain drugs had to be accurately labeled with dose and contents Re-elect board members? - ANSPossible for 1 more term (like the president) Reference needed in hospital pharmacy - ANSDrug identification Toxicology Drug interactions Parenteral drug compatibility Microbiology
Sale of syringes or needles - ANSYou need to know the planned use. An ID is required but not recorded. Service of pharmacist in a hospital - ANSShould be ALL TIME. If pharmacy is not 24/7, there must be someone on call. Steps of the board handling complain - ANS1. Agreed order
- Administrative conference
- Settlement conference
- Hearing Storage of C-III to C-V prescriptions - ANSCan be together or separate from regular prescription. IF together, must be readily retrievable. Supervision of pharm tech vs. cert. pharm tech - ANSpharm tech: immediate supervision Cert. pharm tech: general supervision Thalidomide requirement - ANS1. Prescriber has to be certified thru prescriber enrollment form
- Patient must be enrolled in program
- Prescriber must counsel on risk vs. benefits
- Rx limited to 28 days supply The 3 special functions of the Medicaid tamper resistant blanks - ANS1. Prevent unauthorized copying of a blank
- prevent erasure or modification
- prevent the use of counterfeit blanks but requirements are not required for telephone, oral, faxed, or electronic Rx The board is authorized to: - ANS*approve approved college of pharmacy (No such thing as accredited) *employ an executive director. The executive director must be a pharmacist etc. The only drug that does not need safety cap - ANSNitroglycerin Time period for CE - ANS1/1-12/ To be a pharmacist in a compounding pharmacy - ANSMust be license in KY, and be knowledgeable in parenteral product (Not certified, just knowledgeable) To become a pharmacist in KY, you have to register with... - ANSKASPER CPE monitor
What is a negative formulary state? - ANSThe Board is authorized to prepare a nonequivalent drug formulary of drugs for which there are no equivalent drug products and which should not be interchanged. What is a prescription is unlawful, what do you need to do - ANSreport to authorities What is corresponding responsibility - ANSthe pharmacist has equal liability for dispensing a prescription that would be dangerous to the patient. What is the requirement to mail CS then? - ANSthe mailing package must be free of markings that indicate the contents of the package. Return address should be the pharmacy. What kind of licenses do you need as drug manufacturers and wholesalers? - ANSA CHFS-drug control license & DEA license- if handling CS Each location should have its own license. What limit what can a practitioner prescribe? - ANSTheir profession, not their specialty. What should be kept in the pseudoephedrine log - ANSname address DOB photo ID amount sold What should be on the prescribers Rx pads? - ANSname, address, tel# of the prescribing physician DEA as well for CS When do you need a distributor license? - ANSIf distribution of control is more than 5% When do you need documentation for counseling? - ANSOnly if the patient refuses offer to counsel. When do you need to use the Medicaid tamper resistant prescription blanks? - ANSFor all Medicaid (Not medicare) prescriptions. When does pharmacy permit expire? - ANS6/ when to notify PIC change - ANSwithin 14 calendar days who can authorize refills - ANSprescriber Who can CHFS provide info to? - ANSLicensure boards Law enforcement State medicaid
RPh or other practitioner directly involved in patient care Who can or cannot request non-safety cap? - ANSPatients only, not physicians. But physician can request non safety cap on a single prescription. Who cannot prescribe in KY? - ANSHolistic doctors, dietitian (RD) Who elects the president of the board? - ANSThe Board Who should you notice if closing a pharmacy - ANS15 days prior to Board, DEA, CHFS Why shouldn't you give opinion on a physician? - ANSdefamation Women with Accutane needs to - ANSuse 2 forms of contraceptive methods You are getting the transfer, what do you need to know - ANSSame as transfer out, with more... Original fill date Last date of fill date of issue
of refills remaining
original number of refills authorized you should report to the board, DEA, CHFS for closure in - ANS15 days You should retain the purchase record of control substance, what to keep - ANSC-II: Invoice and DEA 222 blue copy. On these, there must be listed the seller and buyers names, addresses, and DEA numbers, the date of actual receipt of the drugs , quantity, drug name, strength, form. C-III to C-V: Everything except DEA 222
