Pennsylvania MPJE Chapter 3- PA laws pt 2

functions that must be preformed by a pharmacist

review every rx

provide direct and immediate supervision to interns and techs

ensure the label meets all requirements

cousnesling of patients

T/F interns can cousnel

FALSE

pharmacy tech tasks

filling (continers, count type/print labels, maintain records, assist in reconstituting)

entry (enter the order and patient info)

compounding (sterile and nonsterile)

CANNOT Be delegated

accept or transcribe an oral order or telephone rx

enter the pharmacy without the pharmd

preform any act with in the practice of pharmacy that requires professional judgement

preform a duty untul the tech has been trained as specified in written protocol

• manager is required to create and maintain a written protocol for each pharmacy tech

• must specify each duty

• must date and sign the protocol

• must make availible to the board

  • a change in pharmacy manager requires the new one to review and sign the protocols

pharmacy technician data entry (2020 update)

may conduct data entry including rx entry drug order or paitent info

• must have documented policy

• must be traiened

• pharmacist must be readily aviailbile

• no part of the data entry includes any direct interaction with rx medications

  • Allows for data entry without direct supervision (remote)

t/f an intern can recieve a verbal rx

true IF pharmd is directly supervising 2 t

ask that interns cannot do

patient counseling and final verification

non controlled medications can be refilled for how long

1 year if refills were authorized by the prescriber

c2 may nit be filled more than _____- months from the sate of the rx

6 months and no refills

c3-5 may not be refill beyond how much ?

5 times in the 6 month period from the date of the rx

PDMP definition of an early refill for controls

when the patient requests a refil prior to the sate when they eliiglible for insurance coverage for the rx OR with more than 15% of an earlier discpensed medication would remain when taken in compliancw with the directions

one time emergency refill rule

up to a 72h supplu or a one time 30 day supply if it cannot be spilt (aka insulin)

cannot be a controlled substance

essential to the maintinence of life

interuption would be bad

the pharmacist enters on the back of the origial rx or other retrievable record the date and qty of the refill and signs it

within 72h the pharmacist must notify the prescriber

requirements of retail pharmacy label

name anddress and phone number and dea of the pharmacy

name of the patient

full directions name of the prescriber

serial number of the rx

date the rx was originally filled and date of filling

the trade or brand name of the drug

• strregth

• dosage form

• qty

• if generic drug is dispensed- the generic name and the maunfactureer name or abbreviation

• manufacturer exp date if exp <1 year

  • on controlled substances the “caution” statement ALL C2-5!!!!!

drug order label requirements if not in unit dose packaging

patient name

drug name

drug stregth

dosage instructions

lot number

if the drug order is an parentral or enteral or TPN the label must include

patient name

ingredients

• name

• stregth

• qty

• diluent

• exp date

Initails of the pharmacist

labeling of prepackaged products

name of the drug

if generic the manufactureer

the stregth

the expiration

labeling of EPT meds

instead of name just put EPT

rx files kept in the pharmacy must include

name and address of the pt

name and address of the prescriber

date the rx was issued

name and qty dispensed

directions for use

cautions communiicated

the date the rx was compoinded and dispensed and the name ir initals of the pharmd

only exceptions to the patient name rule on a label

the EPT and radiopharmaceudicals (must get within 72h)

for rx that have reills each refill must have a record showing

date of refill

name of initals of the pharmd

qty

original rx shoul dbe kept for

2 years

in an institution C2 records should be kept

for 2 yeats

transfers of rx between pharmacies is permissible if

lawfully refillable

drug is not a c2

the pharmacist transferring the rx cancels the original rx in thier records and indicated where it was sent

• name of pharmacy

• the date of transfer

  • and name or initals of phamrd transfering

the pharmacist recieving the rx recors the following

date of issuance

date of the orginal filling

original number of refills authorized

complete refill record from the original rz and number of valid refills remaining

PA law restricts transfers of

c2 rx even for inital fills

common database

a pharmacist may transfer arx without all the documentation requirements if the have the same computer system

must begin what when filling a rx for a new patient

a patient profile t

the following must be included in a ptient profile

name

address

phone number

age or DOB

gneder

allergies /meds/devices

pharmacist comments

** pharmd is not required to obtain info for the patient profile if the patienr or caregiver refuses to provide - but you must document that you tried ho

how long to maintain a patient profile

2 years

Prospective drug review

required before filling delivering or sending a a new rx or drug order and should include

• therapeutic duplications

• ddi

• incorrect dosage or duration

• drug allergies

  • and clinical abuse or misuse

when a PDR is not required

ED

radiopharmaceudicals

a medical practictioner gives the drug

naloxone to those in jail

an offer to counsel SHALL be made

to each patient or caregicer when the pharmacist fills delivers or sends a retail or outpatient rx

PA does not have mandatory patient counseling but it does require

the offer to counseld for new rx

counseling inpatient

not required where other professionals (nurses) are giving the drug

sale of needles

allowed to be made only by the pharmacist or by one delegated uder direct supervison (intern or tech)

an rx is not requires to buy

needles, no age or qty limits

a schedule a or b posion cannot be sold to

less than 16 yo and must be documented in a posion book

central fill pharmacy

a pharmacy engaing in centralized rx processing by filling and refilling rx which includes the prepaeration and packaging of the medication ce

central processing center

operated under the direction of the pharmacist that processes the information related to the practice of pharmacy and that engages but does not DISPENSE

what pharmacy is responsible for counseling

the delivering pharmacy

computer records for pharmacies must be

immediaetly retrivable (last 12 months)

3 work days to retrevie 24 months

transfer all patient information to hard copy in 3 days

how often do AMS need to be inspected

monthly

cercumstances when medication may be returned and reused

original container

original manufcature bottle

full refund

only non-controls

how to return to stock

do not add back to stock bottle

use first

only dispense to patients up to 6 months from the date they were first preped

must consult who before denying to fill a script

the patient and or the prescriber

advertisments for drugs with prices must display

the exact prince including discounts/deals

cannot mail what meds

reconstituted abx

mailed rx should be sent via

first class mail or common carrier

oral rx- must do what immedietly

reduced to writting

can be faxed

non controls and 3-5s

c2s ONLY if for home infusion LTCF or hospice

CPA- that pharmacist cannot also

dispense meds

CPA is good for

2 years

CLIA is

point of care test

pharm poc tests

covid, flu, rsv, step

what drugs cannot be subed?

NTI- narrow

if biologic is subed to notify the prescriber within

72 h

for bio and and normal refills

they should be identical products unless otherwise requested

hospitals must have

PT commitee

^{in hosptal the drug dispensed records should be}

in the pharmacy

urgent oral orders by md must be signed

in 24h