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MI MPJE
MPJE questions
| Question | Answer |
|---|---|
| Who are the 6 independent Prescribers? | Dr, DDS, DO, Podiatrist, DVM, Optometrist |
| Who are the dependent prescribers? | PA, NP, Chiropractor (cant dispense/prescribe any medication) |
| Which dependent prescriber can prescribe in the community (clinic)? | PA |
| What kind of prescriptions can be accepted from out of state? | Non-CS from MD, DO, or DDS (or the PA AND NPs acting under their delegation); CS from MD,DO or DDS if ok to do so in that other state. |
| What 9 things must be on a non-CS prescription? | name of pt; Dr name/address; drug name; drug strength; quantity; sig; refills; date; dr signature |
| Electronic prescriptions must be kept for how many years? | 5 years |
| Prescription labels must have what 7 things? | Pharmacy name/address; rx number; pt mane; date; Dr's name; sig; name of medication |
| What 10 things must be on a prescription drug receipt? | brand name of drug; mane of manufacturer/supplier; name/address of pharmacy; date; Dr's name; pt name; strength; qty; price; rx number (info can be on receipt and rx label) |
| How long must the pharmacy retain a copy of CS drug receipt? | 90 days (retain written rx form/ receipt form) |
| How fast must you be able to retrieve data (rx's) older than 16 months? | 48 hours (less then 16 months must be readily retrievable on site for immediate review) |
| Transfer prescriptions must have what additional information to a standard prescription? | Rx number at other pharmacy; other pharmacy name; refills remaining; date of transfer |
| What are pharmacy requirements? | 2 current pharmacy reference books(or electronic versions); 150 sq ft of space for compounding w/ counter that is at least 10 sq ft of working space; increase by 4 square ft per additional pharmacist |
| How long after a medication is dispensed w/o the presence of a RPh, for the RPh to review the oreder? | 48 hours |
| How often must an RPh audit storage locations for medications that are used after hours? | every 30 days |
| Hospice emergency drug boxes are checked how often? | weekly |
| How much medication can be dispensed for after hours/emergency dispensing? | a sufficient amt to meet the emergent needs of the pt. |
| How long is a pharmacy license good for? | 2 years (terminated june 30th) |
| When must you renew your pharmacy license? | July 1st |
| How many hours of Intern experience must a pharmacy intern have? | 1000 (500 hrs must be done 18 months immediately preceding pharmacist licensure; max 40 hrs per week; max 16 hrs non college experience a week |
| How often must a manufacturer or wholesale distributor renew their license? | 2 years (if they do business in MI, they must have a licensed in MI) |
| How long must a wholesale distributor keep record of outdated drugs? | 2 years after the disposition of the outdated drugs |
| What is a "wholesale distributor"? | If the number of dosage units of all Rx drugs distributed by a pharmacy is greater than 5% of total dosage units distributed and dsipensed byt he pharmacy in a 12 month periord. |
| When is a pharmacy considered a Manufacturer? | If the total number of dosage units of all Rx drugs that are prepared or coumpounded by a pharmacy for resale by another person during a consecutive 12 month period is more than 5% of the total number of units of drugs prepared by the pharmacy. |
| What is the max fine by the board? | $5,000 per violation |
| What are the CE requriements for MI? | 30 HRS BIENNUAL; 10hr ce live; 1hr pain management; max 12 hrs ce 1 day; |
| What is the pharmacist to intern ratio? | 2 interns per pharmacist |
| What are the requirements to be a preceptor? | must be engaged in practice of pharmacy for at least 1 year |
| What reqirements are set for radiopharmaceuticals? | Pharmacy area must occupy at least 300 square feet of space; and a storage/decay area no less than 25 square feet of space. |
| What is positive identification? | includes a photograph and dob |
| What is readily retrievable? | can be separated from other files within 48 hours; for CS HAS AN ASTERISK; REDLINED; OTHER MANNER VISUALLY ID'ABLE FROM OTHER RECORDS (STAMPED SIGNATURE IS INVALID FOR CS) |
| How long must you maintain a CS rx? | 5 years from the last date of dispensing |
| What 8 things are needed on a CS rx? | name/address of pt; DEA #, Dr's name/address/ professional designation; drug name/strength/form; drug qty; sig; date; signature of Dr |
| What add info do you need for phone orders of CS 3-5? | name of transmitting agent and name of who received it at the pharmacy |
| What extra is needed on a electronic transmission of rx? | name address of DR; e-signature; Dr's phone; Time/date of transmission; name of the pharmacy intended for receiving the transmission |
| What is required in emergency c-d dispensing? | all the regular stuff except dr signature & dr must give you a rx that states "authorization for emergency dispensing" within 7 days |
| When can you partial a C2? | if unable to supply all and can in 72 hours; or LTC facility or terminally ill (qty must be less than 60 days) |
| What must be recorded for partial C2s? | date of partial; qty dispensed; qty remaining; who the rph was |
| What limits are set on C5s w/o rxs? | max 8 oz/ 48 doses of opium; max 4 oz/ 24 doses of all other C5s in any 48 hr period |
| What are the transfer rules? | CS 3-5 only can transfer once (unless real-time computer system; then as many times as authorized); no C2 transfer; must right VOID on rx (record name/address/ dea # of pharmacy; name of the pharmacist who took and gave transfer) |
| MAPS (Michigan automate Prescription system) you must report what? | Pt identifier (id number); CS name; qty dispensed; ndc; date of issue; date of dispensing; day supply; rx number; dr/pharmacy DEA #; MI license # of dispensing RPh. |
| What is ASAP? | American society of automation in pharmacy |
| When do you have to report to MAPS? | TWICE monthly (by the first calendar day and the 15th calendar day of each month)(can report w/in 2 days of the 1st and 15th) |
| When do you not have to report to MAPS? | When CS is administered directly to the pt; when CS is dispensed to a health care facility or agency by a dispensing prescriber in qty adequate to treat not more than 48 hours. |
| What are ephedrine regulations for OTC sale? | max 400 mg guaifensin and 25mg ephedrine per dose; blisters not more than 2 tabs/caps per blister; max 12g possed by any person; Max dose is 100mg/qd |
| How do you handle the loss/theft of a CS? | Within 10 days must notify the administrator w/ a DEA for 106. |
| How must records for CS be kept? | retrievable in 48 hrs & kept for 2 years |
| What are inventory requirements? | C1-2: exact ct; C3-5: estimate unless container has more than 1000. Taken and open/close of business; maintain invetory in writting; sign/date;licensee's name/address/dea # on inventory; c2 on separate page; annually; keep and make available for inspectio |
| How must CS be filed? | C2 separate; C3-5 together |
| Prescriptions must be maintained for how many years? | 5 years |
| What are the requirements for displaying info on pricing/ generic interchange? | Must be placed conspicuously in the pharmacy; at least 32 font and 11"x17" paper; BOP and dep of community health address and phone number are required on notice |
| What are drug interchange rules in MI? | non AB product interchange is ok as long as they are generic equivalents of each other; caution w/ narrow therapeutic ranges |
| What prescriptions can you not fill from out of state? | Ones written by DVMs, Podiatrists; optometrists (unless under supervision of a MD/DO) |
| What is a RPh required to do for the first fill of a RX at the pharmacy? | Rx must be numbered; dated; initialed by RPh |
| How long are non CS Rxs valid? | 1 year from issued date |
| What information is required on a Rx label (community)regarding name of the medicaiton? | Both the name of prescribed and dsipensed; no brand name then brand prescribed &generic name; if a brand name selection the maufacturer/supplier will be noted; if written generic/dispense is dif. from brand prescribed then manu/supplier must be on lable |
| What 9 things must be recorded for each Rx refill? | Rx number; pt name & address; Dr's name; DEA # (if appropriate); refills authorized; DAW (if indicated); name/strength/form/ qty of drug; date Rx written; date of refills & RPh ID |
| When is a copy transfer not needed? | When it is between linked chain pharmacies (this constitutes one pharmacy) |
| What must be on a manufacturers label other wise considered misbranded? | name/place of business of manufacturer or name/place of business of packer/distributor |
| What is a CPMP? | Customized pt medication packages; prepared by a RPh for pt and contains 2 or more prescribed solid oral dosage forms |
| What is required for a CPMP? | label; pt package insert; non reclosable; can not be returned to stock/ dispensed to other patient |
| What 8 things are on a CPMP label? | day/time period; serial # of CPMP and each drug; name;strenth;description/quantity of each drug; name of dr for each drug; sig; date prepared; expriation date; name/address/phone of dispenser |
| How do you set an expiration date of a CPMP? | Earliest manufacturing date or 60 days after dispensing |
| What record keeping is required for CPMPs? | pt name address; serial number of rx number; info on characteristics of the CPMP; date of preparation; expiration date; labeling instructions; pharmacists inital/name |
| What are the restocking rules for medical institutions? | meds in single-unit packages and IV soln that are tamper evident may be restocked; and med that leaves the medical institution may not be restocked |
| How must medications be ID'ed in a medical institution? | Name/strength labeled on container dispensed/each unit; name of pt and ID # on med container (container may be kept in pt individual med drawer; sig must be on container) |
| How must meds be kept in the absence of a RPh? | locked cabinet (limited access; eeach med labeled;written order/proof of removal/use doc need be submitted; pharmacist must audit Q30 days; RPh must meet with P&T quarterly |
| What are drug label requirements of drugs locked up w/o RPh present? | must have name; strength; exp. date; lot number |
| Hospice emergency drug box requirements? | inspected weekly;tamper evident seal ; locked; hospice med directors responsibility that prescriptions for drugs removed are obtained; numbered; drugs contained listed on box cover; labeled; RNs/PAs can remove drugs; records kept for box in pharmacy |
| what is on the label of a drug box ? | pharmacy name/address; name/address of hospice; RPh who last inspected; date restocked; date returned to phramcy for expired drugs; number of box |
| What must a pharmacy record on drug boxes? | number; hospice name; date box released; RPh who released the box; expiration date; date box returned to pharmacy for restock |
| What info must be on a complimentary starte dose dispensed in a hospital? | MD &RPh name |
| Where can an automated rx device be located? | pharmacy/dr office (must not be owned by a pharmacy) |
| What are after hour rules for automated devices? | can remove amt need for emergency; verified in 48 Hours |
| if you haven't practiced pharmacy in 3 years what do you need to do to be re licensed? | get 200 hrs of experience |
| When is a drug control license not needed? | if dispensing in an ER; trauma center; or only issuing complementary starter dose |
| How can a RPh legally distribute to a MD? | Can distribute a control soln at no more than 1 ounce at a time; contain no more than 20% narcotic substance; which is admin to patients by MD |
| Why cant MDs write rx of CS for the purpose of office use? | its considered to be distribution |
| What rules govern electronic transmission of rx (community)? | must have all required info; RPh must exercise professional judgement; Rx must be transmitted to the pharmacy of pt choice and only at the option of the pt. |
| What must a C5 label (w/o rx) have on it? | date/ his or her name/ name, address of dispensed location |
| what must a pharmacy record when selling C5 (w/o rx)? | pt name address; purchaser name address (if dif form pt); drug name qty; date; name or inital of RPh/pharm intern |
| What 5 things must be on a Medical institutions prescription? | pt name; MD name/address/dea (pharmacy can keep separate list of authorized drs address and dea so not need on rx); dr signature; drug name/dose/frequency of administration; date of order |
| What added info is added when a delegate prepares the prescription for dr? | name of delegate; delegate license; the prescriber name; signature of delegate |
| What conditions must be met when dispensing an "emergency CS" in an institution? | order from dr is added to pt chart by RN/PA/RPh who communicated w/ dr; order has dr name and PA/RN/RPh name who recieved order; order forwarded to pharmacy ;dr signs order w/in 7 days; order preserved for 5 years for pt discharge date. |
| CS record keeping in medical institutions? | # of doses of CS purchased; # dispensed; # administered; # dispensed not administered; annual physical inventory |
| What is the max CS dispensed to a nursing unit? | 25 doses per container |
| What shall be recorded for drugs dispensed to a nursing unit? | qty; date delivered; location of unit; name of pharm if different for hosp; RPh name; name of person who received substance on nursing unit |
| What records are kept for an administered CS substance? | CS name; dose administered; date/time administered; pt name; signature of individual who administered |
| Schedule 5s that are added to compounds are? | codeine; dihydrocodeine; ethylmorphine; opium; diphenoxylate;difenoxine (all in limited qty, all divisible by 5 (C5)) |
| Separate licenses for CS must be obtained when? | manU/distribute CS; Dispense CS; research on CS1; Research on CS2-5; instructional activites of CS; CS admin to drug dependent pt in rehab; chemical analysis of CS; at each principle place of business; CS in automated devices |
| What 6 people don't need CS licenses? | DEA employee/officer; US customs; FDA employee/officer; federal/MI state officer; official acting in course of official duties; official who procure CS in course of criminal investigation |
| What records are keptof CS distributed to another license? | name/address/DEA # of receiver; same for supplier; name/qty of CS distributed; date distribute; dea form 222 for C2 |
| What are the rules for dispensing to a drug dependent person? | dr who is licensed to conduct drug tx; can dispense to dependent person who is enrolled in drug tx/rehab program; acute care hospital to countiue maintence treatment for durg dependency if hospitalized for tx of a med condition other than addiction |
| Animal enthansia laws on using sodium pentobarbital (CS)? | MUST HAVE 8 HRS OF TRAINING ON USE OF DRUG; must be administered by a licensed MI vet.; keep records for 2 years |
| Official compendium? | national formulary; us pharmacopoeia; homeopathic pharmacopoeia of the US |
| Dr can deligate drug dispensing to who if no on-stie pharmacy? | RN/PA (not more then 72 hrs supply of drug |
| US mail regulations? | Pharmacists can not mail legend drugs in the mail if they got the prescription in the mail (of if received the rx in person) |
| CS record, inventories, invoices DEA 222 form Saved for how long? | 2 years |
Created by:
tktfire2133