Pharmacy Rules for North Carolina
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| How does the board regulate the practice of pharmacy? | show 🗑
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| show | 1-reviews the appropriateness 2-identifies/resolves drug duplications 3-considers patient specific contra's
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| show | issued by the board to an applicant that wishes to render pharmacy services limited to time, not scope
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| show | While under supervision of licensed pharmacist, perform all acts constituting pharmacy
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| show | 1-duties performed by pharmacists 2-procedures for safe and effective distribution of medications 3-procedures for disposing of medications
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| show | must be notified within 24 hours. reported recurring losses or significant amounts
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| How often must PM inspect patient care units? | show 🗑
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| Does parenteral area need to be physically separate from the rest of the pharmacy? | show 🗑
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| Who can access the pharmacy in a 24h facility that is not open 24h? | show 🗑
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| show | RPh must verify removal within 24 hours. records of removal must be kept for 3 years.
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| show | No, controlled drugs are not allowed to be removed in the absence of a RPh.
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| show | these drugs should be review not less than quarterly for purity, potency, and strength. written procedures are required for checking
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| show | inspected at least q 30 days (90 days for LTCF). Pharmacy must be notified when a kit is opened
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| show | Develop a system for daily accountability and ID of pharmacists and tech's. Daily log must be kept for 30 days.
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| show | 1-interpretation/appropriateness of new med orders 2-profile entry of new med orders 3-dispensing of new med orders 4-daily cart fills
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| last 3 things PM records and keeps for 30 days about RPh's and techs | show 🗑
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| show | must be available for 3 years and recorded on health care facility forms. PM must document incorrect med or dose.
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| show | perpetual inventories are required for ADM's and emergency kits. also perpetual inventory is required for controlled substances awaiting destruction
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| show | Records must be given to the board within 48 hours of request.
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| How to dispense from an ED without a 24h pharmacy? | show 🗑
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| What is required of repackaged drugs? | show 🗑
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| show | Yes, they register as out of state pharmacies and pharmacists. They are required to maintain a policy manual and a list of everyone involved in RMOP and annually review it
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| show | 1-must follow written procedures to stock floor unit dose systems 2-must have facility specific training 3-record keeping similar to 30 day RPh / 3 year error rule
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| Can a technician validate parenteral floor stock? | show 🗑
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| show | 1-Certified 2-holds an associates degree 3-assists pharmacists in drugs that will be administered inpatient
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| show | 1. medical dictionary 2. books about pharmacology and interactions 3. USP DI 4. if parenteral, reference on parenteral incompatibilities
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| Must hours be posted? What about water req's? | show 🗑
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| show | must be available 6 days/week min 40 hours/week
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| show | Yes, and it must be separately identified o the public. transactions must be completed within the pharmacy
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| show | Issued pursuant to a joint application from the owner and PM
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| show | new permit required when changing location, business entity, or controlling interest (>50%)
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| show | Yes, the PM and the person in charge of the facility must appear in person before the board
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| What about rx's for acute illness for patients of a mail order pharmacy? | show 🗑
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| show | location, names and titles of all officers/partners. names and license numbers of RPh's. report made annually and within 30 days of changes
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| show | yes, within 14 days by a form provided by the board
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| show | pharmacy shall notify the board within 5 days.
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| show | Pharmacist prepares everything except the name and directions for use on the med. pharmacist must provide weekly RDUR
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| Is it ever acceptable to dispense a drug without a physical exam? | show 🗑
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| Are 90 day fills authorized even in only 30 day fills are written? | show 🗑
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| Who can receive rx's? | show 🗑
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| show | Yes, provided the are certified and the rx is not a controlled. Manufacturer or brand of drug dispensed is required on a transfer!
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| How long are transfers good for? | show 🗑
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| show | 1-not cII 2-essential for maintenance/harm avoidance 3-RPh creates a written order 4-notify the prescriber within 72 hours
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| Can one compounding pharmacy sell a compounded drug to another pharmacy? | show 🗑
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| show | Yes, record should be maintained of who made the rx and who checked the rx. retain the ingredient pedigree for 3 years.
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| show | 1-transmitted directly w/o intermediate 2-identify phone, time/date, and intended pharmacy 3-transmitted by an authorized agent
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| ADM requirements. timeline for review? who has access? | show 🗑
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| emergency dispensing limits if interruption in medical services | show 🗑
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| What label requirements are required by central fill pharmacies? | show 🗑
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| show | ask for photo ID and if not satisfied, may refuse to fill the rx and note the refusal on the rx. person acting on behalf of the pharmacist can do this
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| show | yes, if they feel that their rights have been infringed. must exhaust all other possibilities. 15 days notice are given
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| How much time must be given in order to request a board member to be excused due to personal interest in a case? | show 🗑
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| show | final decisions are issued within 60 days after the boards next regularly scheduled meeting
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| show | eligible pharmacists will be residents of NC as of March 15 prior to the board's election
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| How to be nominated? | show 🗑
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| show | 15 hours obtained annually. 8 hours must be live-give opportunity for 2 way comm. records retained for 3 years. carry up to 5 hours to the next year.
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| are Automated data processors required to make paper printouts | show 🗑
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| show | must be presented within 48 hours of the board's request.
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| Is a written plan required for providers of parenteral and enteral nutrition services? | show 🗑
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| Are device and medical equipment permit holders allowed to store rx drugs? | show 🗑
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| Is emergency dispensing of radiopharmaceuticals allowed by law? | show 🗑
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| Additional radiopharmacy labels? | show 🗑
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| additional library requirements where parenterals are mixed? | show 🗑
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| show | fridge/freezer; proper disposal containers; class 100 environment
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| show | vertical class II cabinet; written procedures; proper disposal
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| show | Yes, page 58 says monitor performance, equipment, and facilities. Think about sterile technique audits
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| Rule on returning expired drugs? | show 🗑
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| Can a CPP be a CPP without a physician supervising? | show 🗑
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| show | 35 hours/annually and must be kept on site
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| show | must be specific to pharmD and MD, as well as pt and dz. weekly face to face conference
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| How many CPP's can the MD have? | show 🗑
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| Suspected impairment? | show 🗑
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| show | annually on 12/31. not allowed to work 60 days after 12/31; "grace period"
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| show | neither requires pharmacist approval because high risk means delay could result in patient harm. RDUR required by consultant
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| show | Tech must be supervised. pharmacist must either a daily audit/random daily sample or quarterly sampling. Quarterly sampling will only be allowed if barcoding is used.
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| show | meds must be examined by pharmacist. certain exceptions apply.
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| what 2 things happen in order for a pharmacist to without seeing the med? | show 🗑
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| show | daily audits of outputs and QA reports
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