UAMS P3 - Law and Ethics E1 Study Guide

The ARSBOP consists of 8 members: ____ pharmacist members ____ consumer representative member ____ senior citizen-representative member

6, 1, 1

Board member terms are ______ years

6

The ________________ is totally and absolutely responsible for the actions of the pharmacy technician.

supervising pharmacist

If a tech leaves employment, pharmacists must notify the board within ________

14 days

Pharm Techs can do the following tasks

filling medications,

enter information in the pharmacy computer,

may obtain authorization for refills (as long as there are no changes to the prescription),

prepackaging and labeling dose packages

T/F: Pharmacy techs shall not make judgment/care decisions related to patient care

True

Requirements for Pharm Techs to assist in Compounding

must complete training and assessed by the pharmacist in charge,

must follow written directions,

the pharmacist must perform all calculations,

the pharmacist must verify all ingredients and the final product

Pharmacist to Tech to Intern Ratio (as of now, may change in november)

1 pharm : 3 techs : 1 intern

T/F: APPE/Rotation students are considered in the pharmacist:tech:intern ratio

False

Tech licenses expire ___________ in the first _______-numbered year after issuance

December 31; even

Pharmacist licenses expire ___________ in the first _______-numbered year after issuance

December 31; odd

When does intern licenses expire after graduation

6 months

It is the responsibility of the __________ to keep address on-record for their license up-to-date

license/permit holder

For Continuing education for pharmacists, a total of _________ hours should be achieved biennium

30

____________ of the required CE credits must be live contact and ACPE accredited (same # of hours for both criteria)

12 hours

Records of CE Credit participation must be kept for _________

4 years

What Scheduled 2 controlled substance can Optometrists prescribe?

Hydrocodone combination drugs (hydro/apap for example)

Maximum day supply of hydrocodone combination drugs written by an Optometrist

3 days (72 hours) and no refills

T/F: State Pharmacy Board Inspections requires a written warrant/notice for search before they can enter the pharmacy area.

False - they don't need a warrant

______________ establishes standards for child-resistant containers

Federal Poison Prevention Packaging Act

Board shall meet 2nd Tuesday and Wednesday in ________, ________, _________ of each year

Febraury, June, October

Qualifications for Pharmacy Tech for permit registration

HS Grad of hold GED,

Good moral character and temperate habits,

Must complete a criminal background check

T/F: Both Techs and Pharmacists can fill and verify prescriptions.

False - only pharmacists can verify prescriptions

T/F: The pharmacy to tech to intern ratio only applies to retail pharmacies

False - applies to hospital and Ambulatory care setting too

T/F: Pharmacists on probation can still continue practicing

True - restrictions due apply though

T/F: Optometrists can prescribe all medications in Schedule 2-5 and Non-controlled substances as long as it pertains to their practice

False - they can't do all Schedule 2 drugs... only hydrocodone combos

Pharmacist renewal fee is __________/year

$75

_______________ and ________________ and _______________________ must notify the ARSBOP of changes in employment within 5 days

Former employer; Current employer; and Licensed Pharmacist

Every applicant for licensure by examination in Arkansas must have ____________ hours of acceptable internship training

2000

Certified Preceptor requirements (5)

Licensed pharmacist >= 1 year,

actively engaged in pharmacy practice,

must be a member of at least one professional state organization,

site must have at least 1 preceptor that is a member of an appropritae national pharmaceutical organization,

pharmacy must hold a Class A rating

Applicants must score __________ or more to pass the jurisprudence exam

70%

Temporary pharmacist license shall expire within

180 days

T/F: Senior citizen discounts are considered a violation on altering prices to prescription drugs

False

1 Contact Hour = ________ CEU

0

Arkansas Tripartite Committee on Continuing Pharmacy Education consists of:

Executive Director of the board,

Dean/Deans of Colleges of Pharmacy approved by the ARSBOP located in Arkansas,

Executive VP of the Arkansas Pharmacists Association or representative

Requirements for Approved CE Sessions:

Speakers,

Panels,

Keynote speakers and topics will be accredited on an individual basis,

Structured:

- Discussions

- Workshops

- Demonstrations

- Q&A

- Sessions

Each CE program shall be a minimum of ________ in length

1 hour

When a pharmacy tech leaves the employment of a pharmacy, the pharmacist in charge shall notify the board in writing within __________

14 days

Pharmacist-In-Charge shall notify the board in writing within _______________ of any violation of rule of law conducted by the Pharmacy technician

10 days

Criteria for Schedule 1

High Abuse potential,

No accepted medical use,

Lacks accepted safety

Criteria for Schedule 2

High Abuse potential,

Currently accepted medical use,

Abuse of substance may lead to psychic or physical dependence

Purpose of PDMP

Enhance patient care with prescription monitoring information

Who is/are jointly responsible for the security and accountability of all controlled drugs stored in and ordered by the pharmacy

Permit holder and Pharmacist in Charge

Appropriate Tools for Prevention and Detection

Perpetual inventory,

Automated or limited-access online ordering,

Reports comparing drugs ordered vs dispensed and drugs manually ordered and adjusted,

Individual passwords for each employee to enter the pharmacy or access the computer

_____________ shall provide diversion prevention and detection tools and the _______________ will implement them

Permit Holder; Pharmacist in Charge

C2 Prescriptions may be dispensed up to _________ from date written

6 months

Prescriptions written for patient classified as terminally ill or a long-term care facility patient are valid for ______________ from date of issue

60 days

T/F: All C2 substances can be partially filled

False - only rx written for patients classified as terminally ill or long-term care facility patients

In the event of a theft, the permit holder SHALL contact:

Division of Pharmacy Services and Drug Control of the Department of Health,

DEA Diversion Field Office,

Board of Pharmacy

What form must be completed in the event of a theft?

DEA Form 106

Determine Schedule: Heroin

1

Determine Schedule: Cocaine

2

Determine Schedule: Oxycodone (Oxycontin)

2

Determine Schedule: Fentanyl (Duragesic)

2

Determine Schedule: Hydromorphone (Dilaudid)

2

Determine Schedule: Dronabinol (Marinol)

3

Determine Schedule: Oxandrolone (Oxandrin)

3

Determine Schedule: Alprazolam (Xanax)

4

Determine Schedule: Lorazepam (Ativan)

4

Determine Schedule: Butorphanol (Stadol)

4

Determine Schedule: Phentermine (Adipex-P)

4

Determine Schedule: Codeine preps 200mg/100mL

5

Determine Schedule: Pregabalin (Lyrica)

5

Codeine preps must be strength _________ for it to be considered a Schedule 5

200mg/100mL

Determine Schedule: Methamphetamine

2

T/F: Pharmacists have prescriptive authority in Arkansas

True - for board approved protocols

Which provider(s) can prescribe C2 medications without restrictions assuming they are DEA registered?

Medical Doctor,

Doctor of Osteopathic Medicine,

Podiatrist,

Veterinarian

What restrictions regarding C2 meds are set for Physician Assistants?

Hydrocodone combo products, Opioid for <= 5 days, Stimulant (if physician authorized)

Dentists can prescribe C3 opioids up to a maximum of ________

7 days

T/F: PAs and APRNs can prescribe opioids if a valid DEA registration and Physician authority was associated with them

True - they can prescribe opioids through appropriate DEA registration and Physician collaborative practice agreement

Which Medical Provider can ONLY prescribe Hydrocodone Combination Products?

Optometrist

What type of C2 products can PAs and APRNs prescribe if conducted with collaborative agreement with a physician and DEA registration is valid?

Opioid (5 day max) and Stimulants

T/F: Pharmacists can prescribe C5 prescription and non-prescription substances if DEA approved

False - cannot do prescription C5 drugs; only DEA approved non-rx C5s

Optometrists can prescribe C3s and C2s Opioids for a maximum of

72 hours

Determine if Valid or not: An APRN at a chronic pain clinic prescribes their patient Warfarin for anticoagulation therapy.

Not Valid - APRN can only prescribe within scope of practice

Determine if Valid or Not: A Physician Assistant prescribes a 10-day supply of Oxycodone for a patient's post-surgical pain.

Not valid - max 5 days

Determine if Valid or Not: A Certified Nurse APRN writes a prescription for Adderall XR for ADHD in a patient, but the initial prescription had already been started by a physician within the last 6 months. The strength, dosing, and quantity are the same as the initial prescription.

Valid - APRNs may prescribe stimulants if the prescription was initiated by a physician, the patient was evaluated within 6 months, and it is for the same condition

Determine if Valid or Not: An Optometrist prescribes Latanoprost eye drops for a patient with open-angle glaucoma.

Valid - Optometrists can prescribe ophthalmic agents within their scope

Determine if Valid or Not: A Dentist prescribes Hydrocodone/Acetaminophen (Norco) for 14 days after a tooth extraction.

Not Valid - Dentists may only prescribe a 7-day supply of Schedule II or III opioids

Determine if Valid or Not: A Pharmacist, under statewide protocol, initiates therapy with oral contraceptives for a 25-year-old female patient.

Valid - Pharmacists can prescribe oral contraceptives under protocol, but must follow counseling, informed consent, and referral requirements

Determine if Valid or Not: A Veterinarian prescribes a 30-day supply of Oxycodone for a dog after surgery. The dog's owner states that their dog has never had an opioid before.

Not Valid - Veterinarians can prescribe a max of 10 days for opioids involving inital dosing (re-eval required for continuation)

Determine if Valid or Not: An APRN in a family medicine clinic prescribes Hydrocodone for acute back pain, limited to 5 days. (Assume all other requirements regarding prescriptive authority for APRNs was met)

Valid - APRNs can prescribe C2 opioids for max of 5 days

Determine if Valid or Not: An Optometrist prescribes Morphine for a patient with eye pain after trauma.

Not Valid - optometrists cannot prescribe Morphine or long-term opioids (can prescribe Hydrocodone combos for max of 72hrs)

A pharmacist may treat the following conditions within the framework of a statewide written protocol in a point-of-care setting:

Influenza,

Pharyngitis caused by Strep A,

Sars Coronavirus,

or other health conditions adopted into practice

A pharmacist shall only initiate therapy and administer or dispense, or both, oral contraceptives under a statewide protocol to an individual who is _________ years or older

18

T/F: A prescriber can prescribe a C2 substance for his/her own family if a valid reason was indicated

False - cannot prescribe C2 for his/her own family (considered Malpractice)

No product containing ephedrine, pseudoephedrine, or phenylpropanolamine may be sold or transferred to any person under __________ years of age, unless the person is purchasing an exempt product

18

Requirements for Pharmacists regarding Emergency Prescriptions (5)

Assess emergency situation need,

Limit to 72hr supply,

Prescription written by pharmacist must include the statement "Authorization for Emergency Dispensing",

Pharmacist shall attach written RX to oral emergency RX,

Notify the local DEA office if a prescriber does not deliver a written RX within 7 days

Prescribing practitioner MUST provide written prescription for the emergency quantity prescribed to the pharmacy within _________ after authorization

7 days

When is Partial filling a C2 Ok?

pharmacist in unable to supply full qty but can fill the remaining portion within 72hrs,

RX was issued for a long-term care facility pt or pt with terminal illness

Multiple prescriptions issued cannot total more than _________

90 days

T/F: Writing prescriptions for a later written date is ok for prescription refills as long as the physician does not provide the patient with more than 90 days supply of perscriptions each visit.

False - cannot post-date prescriptions

T/F: Pharmacists are NOT responsible for lack of co-prescribing by prescribers

True

Mandated the co-prescribing of an opioid antagonist (naloxone/nalmefene) under certain conditions by PRESCRIBERS:

Opioid dose prescribed or dispensed is >= 50 MME/day,

A benzodiazepine has been prescribed or dispensed for the patient in the past,

patient has a history of opioid use disorder or drug overdose

T/F: Narcan is available OTC

True

Deliver a completed DEA Form-106 to each of the agencies listed above within ___________ of the occurrence of said loss or the discovery of said loss.

7 days

T/F: If the investigation of the controlled substance theft or loss determines no theft or loss occurred, a DEA form 106 does not need to be completed

True

When a shipment of controlled substances fails to reach the intended destination, the ______________ is responsible for reporting/completing the DEA form 106.

supplier

If the recipient signs & takes custody of a shipment that is missing the intended controlled substances, the _____________ is responsible for reporting/completing the DEA form 106.

recipient

Name of the Audit tool available on Board of Pharmacy website to assist with the investigation of controlled substance thefts/losses

Shrink Report Tool