Section 1
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t/f: prescriber must be identified on all rx's
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Last updated
1 year ago
Date created
Mar 14, 2020
Cards (64)
Section 1
(50 cards)
t/f: prescriber must be identified on all rx's
t
HO 12-501 covers:
pharmacist ability to refuse prescription
T/F: pharmacy has to retain original rx for 5 yrs regardless of transferring it out/in
T (both primary & 2ndary pharmacy have to keep records of rx for 5 yrs)
final check is the ________'s responsibility
pharm-d's
pt profiles have to include:
- date of fill - date of refill - pharm-d initials that dispensed drug - tech's initials that entered rx into system
T/F: generic subs are permitted except if DAW states otherwise
T
oral prescription requirements:
- must be received by pharm-d - must be read back to dr unless on VM - keep records for 5 years - may be given to pharm-d by Dr's agent (someone employed by dr)
T/F: when outsourcing, 2ndary pharmacy can either dispense prepared med directly to pt or return med to primary pharmacy
T
distribute (pharmacist)
when pharmacist gives drug to separate licensed individual who then gives it to pt (ex. when pharmacist gives drug to nurse, dr, NP)
rx transfer requirements:
- transfer is permanent - lawfully refillable (must have valid refills left)
to qualify for medicaid, hardcopy rx's must be written on:
tamper-proof pads
T/F: a pharmacist OR a tech can transfer out non-CDS rx's
T
if pharm-d gives unauthorized refill, they must:
- try to contact dr first - document date & qty of drug/device & sign their initials - notify prescribed of refill w/in 72 hrs
electronic rx requirements (cds pharmacy):
- must use system that meets federal regulatory requirements (system has to undergo audits) - has to have cds rx requirements (ex. dea #, pt address, etc.)
drug/device must be dispensed for 1st time w/in:
120 days of date written on prescription
T/F: a pharmacist OR a tech can receive non-CDS rx transferS
F: only pharm-d's can transfer in rx's
compound
- preparation/mixing, AS RESULT OF PRACTITIONER'S RX OR DRUG ORDER (sterile & non-sterile) - does NOT include rx's made for office use b/c they're made w/o rx
dispensing
- any process that results in receipt of rx & rx drug by pt (entire process that results in pt getting their rx)
outsourcing
primary pharmacy uses 2ndary pharmacy to prepare rx, but primary pharmacy keeps ownership of rx
hardcopy rx requirements:
- need to be able to read it - need physical signature (no esig unless it's an escript!) - not written on pre-printed rx pads
T/F: non-control rx's can be transferred unlimited # of times
T
T/F: pharm-d's can only dispense 1 30 day supply as an unauthorized refill
F: pharm-d's are allowed to dispense 1 14-day supply as an unauthorized refill (after that, pt needs a new rx)
vaccination records have to be maintained for:
5 years or until pt is 21 (whichever one is longer)
distribute (wholesale)
wholesale distribution (ex. McKesson)
t/f: you have to offer to counsel on all rx's
t
unauthorized refills can be given by pharm-d if:
- rx isn't CDS - drug/device is essential to maintain life & continue tx in chronic condition - interruption of tx would be detrimental to pt's health
pharmaceutical care
- anything that requires assessment of drug regimen for specific outcomes (ex. counseling, MTM) or is part of your duties as pharmacist (ex. delegating acts to tech/student, giving vaccines, etc.)
2ndary pharmacy
pharmacy that rx gets sent to (as transfer or outsourcing)
t/f: authorized prescribers can only prescribe w/in scope of prescriber's practice
T (ex. dentist can't prescribe BC)
you must keep electronic rx's for:
5 years
T/F: final checks have to include counseling under Medicaid requirements
T
ways state of emergency unauthorized refills differ from regular unauthorized refills
- has to be federal or state declaration of emergency (ex. hurricane, natural disaster, etc.) - pharm'd usually unable to contact dr - pharm'd can give 30 day supply (vs. 14 day w/ regular UR's) - pharm'd has to notify dr w/in 7 days (vs. 3 days w/ regular UR's)
SOP: non-CDS rx's expire after:
1 year
you must maintain records of oral & hardcopy rx's for:
5 yrs
who are authorized prescribers?
- dr's - PA's (w/ supervising dr) - dentists - podiatrists - NP's - vets - optometrists (very narrow range of drugs they can prescribe tho)
T/F: transfer & outsourcing are equitable
F: primary pharmacy relinquishes ownership in transferring but not in outsourcing
requirements for certain authorized prescribers (ex. Dr's, dentists, podiatrists) to dispense drugs
1. obtain dispensing permit from respective board 2. only dispense to own pts (podiatrists to podiatrist pts) when pharmacy not conveniently available 3. subject to DDC inspections 4. obtain 10 dispensing CE's every 5 yrs 5. comply w/ labeling & inventory requirements
T/F: transmission of rx's using a unified system doesn't count as transfer (ex. transferring from one CVS to another when they use the same system)
T (as long as systems are linked, it doesn't' count as a transfer)
T/F: schedule 2's can't be transferred
T
electronic rx's have to be _____ & _____ electronically
generated & sent (dr can't print out electronic signature & give to pt. not valid anymore)
administer
- direct administration of drug to pt (ex. vaccination) - NOT same as dispensing (pt leaves w/ drug w/ dispensing)
transfer
primary pharmacy permanently gives authority to fill rx to 2ndary pharmacy at request of pt
T/F: only a pharmacist can transfer out or receive a CDS rx
T (or an intern per the pharmacist's discretion)
practice pharmacy
electronic rx's requirements (non-cds pharmacy):
- have to be sent through system certified by MD Healthcare Commission - received by any pharmacy electronic device (ex. fax, computer, etc.)
T/F: schedule 3-5's can be transferred 2x
F (can only transfer these 1 time)
t/f: rx records are considered confidential medical/mental health recoreds
T
SOP: CDS rx's expire after:
6 mos
outsourcing requirements:
- primary & 2ndary must be licensed in MD or federally - label has primary pharmacy info - rx filed in primary pharmacy - pt informed in writing of outsourcing & name/address of 2ndary pharmacy
primary pharmacy
initially receives rx
Section 2
(14 cards)