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Florida MPJE
| Question | Answer |
|---|---|
| Three exceptions for faxing RX for C-II | Home infusion/IV, LTCF, and Hospice |
| What can pharmacist NOT change on C-II RX? | Drug, Patient, Signature. Can change strength, quantity, directions with authorization. |
| Partial fills permitted for LTCF. RX is valid for _____. Also allowed for _____ if pharmacist unable to supply. | 60 days. 72 hours. |
| Who can transfer controlled substance prescriptions (one time) in Florida? | Pharmacists and interns |
| Schedule ___ are available without prescription and indicated for _____ or _____. However, _____ requires prescription | Schedule V indicated for cough or antidiarrheal. Lyrica requires prescription. |
| Dispensing non-prescription drug must be done by _____. Max of _____ opium and ______ codeine per ___ hours. | Pharmacist. Max of 240 mg opium or 120mg codeine (60 mg dihydrocodeine, 30 mg of ethyl morphine) per 48 hours. |
| Schedule V cough preparations must have less than _____ mg of codeine (per _____ mL if liquid form). | 200 mg of codeine (per 100 mL if liquid form). |
| What three chemical products are used to manufacture Meth? | Ephedrine, pseudoephedrine, and phenlypropanolamine |
| Six drugs used in the manufacture of a controlled substance | Ephedrine, pseudoephedrine, ergonovine, iodine, sasfrole, piperidine |
| Three solvents used in the manufacture of a controlled substance | Acetone, HCl, and K/NA-Permanganate |
| Fill DEA form ____ for theft or significant loss | DEA form 106 |
| Reverse distributor who will destroy and dispose of controlled substances will fill a DEA form ____ | DEA form 41 |
| Breakage, damage, or spillage of RECOVERABLE controlled substance or destruction of controlled substance must be reported to DEA with form ____ | DEA form 41 |
| Breakage, damage, or spillage of non-recoverable controlled substances must be documented of the breakage by pharmacist and signed by ___ witnesses. | Two witnesses |
| Are midlevel practitioners (PA or NP) allowed to prescribe controlled substances in Florida? | No |
| Optometrists can prescribe what controlled substance? | Tylenol with Codeine #3 |
| Can prescribers delegate authority of prescribing controlled substances to another? | No. However, they can have a receptionist or agent phone in the prescription. Including emergency prescriptions. |
| Do military personnel who can prescribe controlled substnaces need a DEA registration number? | No. Can provide Military Service Number instead. |
| Can central fill pharmacies fill controlled substance prescriptions transmitted by fax, electronically, or orally? | Yes. However, they can not fill C-II with oral authorization from a retail pharmacist or practitioner. |
| DEA 222. Copy 1 is _____ and is given to ______. Copy 2 is _____ and is given to _____. Copy 3 is _____ and is given to _____. | Copy 1 is brown (supplier). Copy 2 is green (DEA). Copy 3 is Blue (pharmacy). |
| How is DEA 222 copies handled? | Pharmacy keeps copy 3 and gives copy 1+2 to supplier. Supplier then fills the order and keeps copy 1 and sends copy 2 to DEA. Pharmacy completes copy 3 when receiving order. |
| What is the first letter of DEA number? | A code identifying the type of registrant |
| What is the second letter of DEA number? | First letter of the registrant's last name |
| Calculate the last number for BS121212__ | BS1212125 |
| DEA form for application for retail pharmacy, hospital/clinic, practitioner, teaching institution, or mid-level practitioner | DEA form 224 |
| DEA form for renewal of retail pharmacy, hospital/clinic, practitioner, teaching institution, or mid-level practitioner | DEA form 224a |
| DEA form for renewal license for chain pharmacy operating under a single registration | DEA form 224b |
| DEA form for registration of online pharmacies | DEA form 224c |
| DEA form for manufacturer, distributor, researcher, analytical laboratory, importer, exporter. Valid for _____ | DEA form 225. Valid for 12 months. |
| DEA form for narcotic treatment programs | DEA form 363 for methadone maintenance and detox programs |
| DEA form for domestic chemical (businesses involved with precursor chemicals for manufacturing of controlled substances | DEA form 510 |
| Marijuana schedule | C-I |
| Ecstasy schedule | C-I |
| Heroin schedule | C-I |
| LSD schedule | C-I |
| Peyote schedule | C-I |
| Salvia schedule | C-I |
| Dilaudid schedule | C-II |
| Demerol schedule | C-II |
| Oxycontin schedule | C-II |
| Sublimaze schedule | C-II |
| Dexedrine schedule | C-II |
| Pentobarbital schedule | C-II |
| Straight codeine schedule | C-II |
| Tylox schedule | C-II |
| PCP schedule | C-II |
| Cocaine schedule | C-II |
| Buprenorphine schedule | C-III |
| Anabolic steroids schedule | C-III |
| Testosterone schedule | C-III |
| Oxandrin schedule | C-III |
| Ketamine schedule | C-III |
| Didrex schedule | C-III |
| Tylenol w/ Codeine schedule | C-III |
| Fiorinal and Fioricet schedule | C-III in Florida |
| Benzodiazepines schedule | C-IV |
| Sonata schedule | C-IV |
| Lunesta schedule | C-IV |
| Soma schedule | C-IV |
| Tramadol schedule | C-IV |
| Lyrica schedule | C-V |
| Robitussin AC schedule | C-V |
| Phenergan with Codeine schedule | C-V |
| Secobarbital schedule. Secobarbital suppository schedule | C-II (C-III if suppository) |
| Methylphenidate schedule | C-II |
| Dronabinol schedule | C-III |
| Zolpidem schedule | C-IV |
| Phentermine schedule | C-IV |
| Codeine in combination with a non-narcotic ingredient schedule | If codeine 3 mg/mL, then C-III. If 2 mg/mL, then C-V |
| Prescription drug manager of community pharmacy must notify state within ___ of relinquishing responsibility | 10 days |
| For Class I institutional pharmacy (nursing homes), up to ___ controlled substance drugs may be in emergency medication kit with ___ doses max per ___ beds. | Up to 5 controlled drugs with up to 3 doses per 60 beds |
| Who can replace, reseal, and inventory emergency kits in nursing homes? | Pharmacist or nurses |
| Who can dispense drugs for outpatient use when pharmacy services are not available? And for how long? Are controlled substances ok? | ER prescribers. For smallest duration needed (max 24 hours). Dispensing controlled substances is okay. |
| Where are considered modified Class II A? | Methadone clinics and dialysis centers |
| Modified Class II A can have no more than ___ formulary drugs. Also can not have... | Can not have more than 15 formulary drugs. Can not have large stock bottles (> 100 doses) of controlled substances. |
| Where are considered modified class II B? | Surgical centers |
| Modified Class II B can have no more than ___ formulary drugs. | No limits on formulary drugs for Class II B. Drugs can also be stored in bulk or unit-dose. |
| Does an internet pharmacy need to be licensed in FL? Does the prescription drug manager need to be licensed in FL? | Internet pharmacy needs to be licensed in FL. PDM does NOT need to be licensed in FL. |
| Nuclear pharmacy hot lab, storage area, compounding and dispensing area needs to be a minimum of _____. | 150 square feet |
| Can technicians working only in a nuclear pharmacy write new prescriptions from a prescriber's oral prescription? | Yes. This is the ONLY time technicans can take oral prescriptions. |
| Permits are renewable every _____ | two years |
| How often should the expiration dates of drugs be checked? | Every four months (three times a year) |
| What signs must medicaid provider pharmacies post in a conspicuous location? | Two signs. 1) Important Notice to Medicaid Recipients 2) Aviso Importante a Recipientes sde Medicaid |
| How many pharmacy inspections occur? | Twice during the first year, then yearly. If pass for three years straight, then every two years. If failed, then annually until pass for three years straight. |
| What is the minimum that a pharmacy must be open? What about an internet pharmacy? Out of state pharmacies that mails to FL? | Pharmacy must be open 5 days a week/40 hours a week. Internet and out of state pharmacies must be accessible 6 days a week/ 40 hours a week. |
| Pharmacy audits are given a _____ advanced noticed, and not within ______. Limited to _____ after claim is submitted. | Given a 7 days notice. Not within the first three days of month without permission from pharmacist. Limited to 2 years after claim is submitted. |
| When pharmacy is closed, needs a sign that reads "Prescription Department Closed" and be at least _____. | Two inches |
| The anteroom for sterile compounding needs to be _____. | ISO 8 or lower |
| The buffer room for sterile compounding needs to be _____. | ISO 7 or lower |
| The compounding room for sterile compounding needs to be _____. | ISO 5 or lower |
| How often must sterile compounding facilities be tested for sterility and air particle count? | Minimum twice a year |
| Low risk compounding expiration dates are... | 48 hours room temp. 14 days cold. 45 days frozen. |
| Medium risk compounding expiration dates are... | 30 hours room temp. 9 days cold. 45 days frozen. |
| High risk compounding expiration dates are... | 24 hours room temp. 3 days cold. 45 days frozen. |
| Low risk compounding is combining ___ sterile drugs or ___ entries into a bag/vial. | 3 or less sterile drugs or two or less entries into a bag/vial. |
| Medium risk compounding is combining ___ sterile drugs or those requiring complex preparations. | 4 or more |
| How often must media-filled test be done by compounding personnel? | Every year |
| Order of garbing for sterile compounding. | Shoes. Head/facial hair. Face mask. Wash hands. Gown. Antispectic hand wash (hand sanitizer). Gloves. |
| Chemotherapy compounding needs a _____ laminar flow hood with a _____ pressure. | Vertical laminar flow hood with a negative pressure. |
| NDC codes identifies _____-_____-_____ | Manufacturer. Drug Product. Package size. |
| Syringes in FL must never be sold to ______ without a prescription | Minors |
| Recordkeeping for Medicaid/Medicare is _____. | 10 years |
| Inventory of controlled substances should be done _____. | Every two years. Can vary by no more than 6 months from the biennial date. |
| If prescriber is unavailable, emergency refill of _____ allowed. During state of emergency, pharmacist may dispense _____ instead. | One-time 72 hour emergency refill. 30 day emergency refill during state of emergency. |
| Pharmacists can order a max of ____ therapy of fluoride. Can fluoride brands be switched? | Max of one year therapy. Can NOT switch fluoride brand. |
| May immunize for ___. Maintain records for _____. | All immunizations listed in CDC. Maintain records for 5 years. |
| Can fill out of state or out of jurisdiction (country) only if... | 1) Valid prescription 2) Licensed prescriber in that area 3) For chronic or recurrent condition only |
| What should a pharmacist do if questions the validity of a pain prescription? | Verify with doctor. If patient is unknown, also photocopy ID or document back of prescription |
| In Florida, for every prescription, there must be an offer to counsel _____. What if someone else is picking up? | Verbally and in writing. This can be offered by anyone, but only pharmacist or intern can counsel. Even if someone else is picking up! |
| How many CE hours are needed every two years? | 30 CE hours every 2 years with 2 hours being Medication Errors. On the first renewal, 1 hour must be HIV/AIDS. |
| How many of the total CE hours required need to be live seminar, video teleconference, or through an interactive computer application? | 10 of the 30 CE hours |
| How many CE hours needed if first renewal is < 12 months after licensure? 12-24 months after licensure? | No CE is required if < 12 months after licensure. 15 hours required if 12-24 months after licensure. |
| How many additional CE hours relating to lab and clinical testing needed to order lab tests? | 3 additional hours |
| What is the max that pharmacists can order/dispense from a limited formulary without a prescription? | 34 days max |
| When dispensing pharmacist-only schedule V drug, what is needed? | 18 years minimum (adult), record bound volume, and ID required if patient is unknown |
| Can a pharmacist practice while in a program for DAMP impairment? | No |
| A consultant pharmacist must obtain ___ CE hours every two years in addition to the 30 CE hours for license renewal. | 24 CE hours |
| Consultant pharmacist training requirements? | Consultant pharmacist course of at least 12 hours at accredited FL pharmacy school. Then do a 40 hour clerkship under consultant pharmacist. |
| A nuclear pharmacist must obtain ___ CE hours every two years in addition to the 30 CE hours for license renewal | 24 CE hours |
| What is the default technician to pharmacist ratio? | 1:1, but can be increased with written approval from board of pharmacy. |
| Max tech:pharmacist ratio for sterile compounding? Dispensing? If not involved with sterile compounding or dispensing? | 3:1 for sterile compounding. 4:1 for dispensing. 6:1 if not involved with sterile compounding or dispensing. |
| Who can prescribe in FL limited to scope of practice (5)? | Physicians (MD/DO), Dentists, Podiatrists, Veterinarians, Optometrists |
| FL law requires that prescriptions must be... | written legibly |
| Are "office use" of controlled substances allowed? What about compounded prescriptions? | No office use of controlled substances. Can use compounded prescriptions in limited amounts. |
| What must be on a prescription (12)? | Date of issue (month spelled out). Patient's name. Patient's address. Practitioner's name. Practitioner's address. Drug name. Drug strength. Dosage form. Quantity prescribed (Numerical and text). Refills. Directions of use. Signature of prescriber. |
| What extra needs to be on prescription for controlled drug (4)? | Practitioner's DEA. Pharmacist initial the prescription. Write date filled. Write the prescription number. |
| Can medications of different schedules be on the same prescription? | No. |
| What generic medications can NOT be substituted for a brand drug (6)? | Digitoxin, Conjugated Estrogen. Dicumarol. Solid chlorpromazine. CR theophylline. Oral pancrelipase |
| What needs to be on a prescription label (9)? | Pharmacy name. Pharmacy address. Date of dispensing. Prescription number. Patient name. Prescriber name. Name of drug (unless prescriber requests it to be withheld). Directions. Expiration date (1 year or manufacture expiration date). |
| What additional items needs to be included on a controlled substance label(2)? | Date of initial fill. Cautionary statement for C-II to C-IV only (Caution: Federal law prohibits transfer of this drug to any person other than the patient for whom it was prescribed). |
| Repackaged drugs needs to be labeled with...(Think REPACK6) | Brand/generic name. Strength. Dose form. Manufacturer name. Expiration date. Lot number. |
| Compounded label needs (10)... | Compound pharmacy name. Pharmacy address. Pharmacy phone number. Name of compound (list of active ingredients). Strengths. Pharmacy lot number. Beyond-use-date. Quantity. Ancillary instructions (storage, caution, warning labels). Statement. |
| What statement must be on compounded label? | "For institutional or office use only - not for resale." If provided to veterinarian, instead the statement should be "compounded drug." |
| What needs to be recorded for a compounded drug (10)? | Practitioner name. Practitioner address. Practitioner phone number. Compound drug name for office use.. Drug strength. Quantity. Compounding date. Date drug was provided to practitioner. Lot number. Beyond-use-date. |
| If patient does not get a medication guide with a drug that requires one, then it is considered _____. | Misbranded. |
| What is required with all estrogens and oral contraceptives? | Patient package inserts |
| How often must PPIs be given with estrogen or OC prescriptions? | Outpatient - with each prescription. Inpatient - with the first dose and every 30 days afterwards. |
| What is provided by pharmacies with every prescription dispensed? | Consumer medication information |
| Which are not part of the drugs labeling, and so would not be considered misbranding: Medication guide, PPI, or CMI? | CMI |
| How many people are on the FL board of pharmacy? How many are state licensed pharmacists? | 9 total on FL BOP. 7 are pharmacists with at least 4 years practice (2 community, 2 class II pharmacy.). 1 must be at least 60 years old. |
| How many members of the Florida board of pharmacy are NOT pharmacists? | 2 |
| Job of the Florida board of pharmacy is to protect who? | The public. NOT the pharmacists. |
| What is the FL prescription drug monitoring program called? | E-FORCSE |
| E-FORCSE reports drugs that were dispensed from what schedules? | C-II to C-IV |
| What must pharmacy report to E-FORCSE within 7 days (15)? | Doctor name. DEA #. Date written. Pharmacy name. Pharmacy address. Pharmacy DEA #. Date filled. Method of payment. Patient name. Patient address. Patient DOB. Drug name. NDC. Quantity. Strength. |
| Are compounded controlled drugs reported to E-FORCSE? | Yes |
| Are coontrolled drugs given to patients < 16 yo reported to E-FORCSE? | No |
| Are controlled drugs given to hospitals and correctional facilities reported toe E-FORCSE? | No |
| Are controlled drugs given to patients for emergency refill or one-time doses reported toe E-FORCSE? | No |
| Are controlled drugs given to emergency rooms or facilities for disabled reported toe E-FORCSE? | No |
| What is the expiration date on C-II prescriptions for LTC and terminal patients? | 60 days from date issued |
| Oral prescriptions for C-III are limited to ______ | 30 day supply including refills |
| What must a pharmacist do on the face of all controlled substance prescriptions? | Write his initials and date filled |
| What needs to be on counterfeit resistant prescription pads according to FL? | C-II, C-III, and C-IV prescriptions (Veterinary prescriptions are exempt) |
| What needs to be on counterfeit resistant prescription pads according to federal? | All Medicaid outpatient prescriptions |
| How long must prescription record be kept on file? | Four years from date of LAST DISPENSING |
| When do pharmacy permits expire in FL? | Every odd years on February 28th |
| How long should immunization records be kept? | At least five years |
| How long should patient records for prescription drugs dispensed be kept? | Four years from date of last entry |
| How long should any records on drug samples be kept on file? | Three years |
| How long should wholesale records be kept on file? | The longest of two options: Two years follow disposition of drug OR three years from creation of record |
| How long should records or sales of manufacturers, distributors, and dealers be kept? | Five years |
| How long should a controlled substance prescription be kept on file in the pharmacy? | Two years |
| Federal labeling requirement for Glandular preparations | No scientific evidence |
| Federal labeling requirement for Isoproterenol | Severe paradoxical bronchoconstriction |
| Federal labeling requirement for OTC sore throat lozenges | If severe or persistent call physician, may be severe |
| Federal labeling requirement for Ipecac | Call for professional advice before using |
| Federal labeling requirement for Nonoxynol 9 | Does not protect against HIV |
| Federal labeling requirement for Phenindione | Causes agranulocytosis and hepatitis |
| Federal labeling requirement for SYSTEMIC antibiotics | To reduce the development of resistance, use only in proven or strongly suspected |
| Federal requirement for Isotretinoin | iPledge program. Wholesalers, prescribers, pharmacies, all male and female patients need to register. 30 day supply only. Females need two birth controls. Negative pregnancy tests one month before and after therapy. |
| Federal requirement for Thalidomide | STEPS program. To minimize fetal exposure to drug |
| How many proof gallons are represented by 9 gallons of 70% alcohol? | (gallon x % x 2) / 100 |
Created by:
Devoren