Pharmacy Law and Ethics - PA Law

the State Board of Pharmacy includes two ________ __________ with no history or training in pharmacy

public representatives

the executive secretary must be a(n) __________ _________ and the Board Counsel must be a(n) ___________

licensed pharmacist; attorney

members of the board of pharmacy are appointed by the _________ with approval by majority of the Senate

governor

pharmacists of the state board must hold a RPh license for a minimum of _______ years to sit on the board

5

the term of appointment for the state board is ______ years

6

is claiming you are superior to another pharmacist considered grossly unprofessional conduct and warrant a penalty from the state board?

yes

in order to apply for a pharmacist license, you must be at least ______ years old

21

pharmacists obtain ________ and pharmacies obtain _________

licenses; permits

pharmacist licenses are renewable every ____ years

2

every ______-numbered year pharmacists renew their licenses

even

what is the prior for renewal for a pharmacist license?

October 1 - September 30

a change in your address as a pharmacist must be reported to the board within ______ days

10

a change in your name as a pharmacist must be reported within _____ days

10

________ credit hours must be earned over the renewal period for pharmacists

30

what are the three special topics that are required for CE credits?

- child abuse recognition and reporting

- pain management, addiction, or opioid dispensing

- ACPE topic designator "Patient safety"

pharmacists authorized to administer injectables must secure at least _____ CE credits relative to the topic

2

_________ is the process whereby a pharmacist license is transferred from one state to another

reciprocation

the intern license is valid for up to a _____ year period

6

a minimum of ________ intern hours is required

1500

an intern may not claim more than ______ hours per week

50

preceptors must be ____ ______ employees and must be licensed in ________

full-time; PA

preceptors may not be registered for more than _____ interns at a time

2

a __________ application/permit is required for ________ pharmacy

separate; each

___________ pharmacies are those pharmacies within healthcare facilities that are accredited

institutional

_________ pharmacies are exempted from getting separate permits

satellite

satellite pharmacies are also called ________ pharmacies

decentralized

a pharmacist may be pharmacist-manager of ______ licensed pharmacy/pharmacies at a time

1

designation of "drugstore", "pharmacy", "apothecary", "medicine" cannot be used if not a ________ _________

licensed pharmacy

pharmacists are allowed to go on a lunch break and the pharmacy may remain open as long as what?

the pharmacist remains within the building

what are the three items a pharmacy must display?

DEA registration, PA pharmacy permit, pharmacist and intern licenses

_________ pharmacies are required to register with the PA board of pharmacy prior to shipping medication into the Commonwealth

nonresident

pharmacy permits are renewable every ______ years

2

pharmacy permits are renewed on ________-numbered years

odd

what is the period for renewal for a pharmacy permit?

September 1 - August 31

a permanent removal of a license/permit

revocation

a new application for a license may be submitted ______ years after revocation unless there was a felony conviction which requires ______ years

5; 10

a temporary removal of a license/permit

suspension

when a pharmacist license is suspended, all ______ requirements during the period are met in order to regain license

CE

the minimum size of the prescription area must be at least ______ feet

250

a pharmacy operating as a _______ ________ center need not conform to the minimum space

central processing

if the pharmacy stocks schedule ______ substances, these substances shall be stored in a securely locked, substantially constructed cabinet or safe

I

the pharmacy must be equipped with a _______ within the prescription area to be used solely pharmaceutical purposes

sink

a ________ ______ may not be placed in the prescription area or so situated in the pharmacy that its viewing screen may be seen when looking at it from within the prescription area

television set

the minimum at cost inventory is ________

$5000

pharmacies operating as ________ ______ _______ are exempted from inventory requirements

central processing centers

what are the two references important to have in the pharmacy?

Pharmacy Act and Board of Pharmacy Regulations and Federal and State Statutes and Regulations Pertaining to Pharmacy

________ and ________ ______ must be inaccessible to unauthorized personnel

drugs; medical devices

no ________ are allowed in the prescription area

animals

Act _______ expanded the scope of practice by allowing: managing drug therapy in an institutional setting and drug administration of injectables, biologicals, and immunization

102

Act ______ expanded the scope of practice by expanding managing drug therapy to community settings by providing for collaborative drug therapy management

29

formulary selection is done by what committee?

P&T committees

pharmacists have authority to administer __________ ________, __________, and _____________

injectable medications; biologicals; immunizations

a _________ DUR constitutes a patient profile review that is conducted prior to dispensing a prescription

prospective

a __________ DUR constitutes a patient profile review that is conducted after prescriptions have been dispensed

retrospective

what are three things an intern cannot do?

1. enter or be in a pharmacy without a pharmacist on duty

2. independently counsel a patient

3. transfer prescriptions

what prescribing authority do optometrists have?

limited independent

for optometrists: which category may not prescribe or utilize drugs in the course of practice?

1st category

for optometrists: which category has a license bearing the letter L?

1st category

for optometrists: which category can use pharmaceutical agents in the course of examination for purposes of diagnoses but have no prescriber authority?

2nd category

for optometrists: which category has a license that bears the letter P?

2nd category

for optometrists: which category may prescribe and administer medications from a limited formulary as determined by the department of health?

3rd category

for optometrists: which category has a license with the letter T?

3rd category

for optometrists: which category is also known as Therapeutically Certified Optometrist?

3rd category

for optometrists: which category can treat glaucoma?

4th category

can PAs prescribe CIIs? if so, how?

72 hour supply and up to a 30 day supply for ongoing therapy

the supervising physician may not have primary responsibility for more than _____ PAs

4

what are the 5 categories a CRNP cannot prescribe from? (not including "further limitations")

gold compounds, heavy metal antagonists, radioactive agents, oxytocics, CIs

can CRNPs prescribe CIIs? if so, how?

30 day supply

can optometrists prescribe CIIs? if so, how?

no

can mid-wives prescribe CIIs? if so, how?

72 hour supply

_____________ ___________ __________ is considered the following: adjusting drug regimen; adjusting drug strength, frequency of administration or route; administration of drugs; ordering laboratory tests and ordering or performing other diagnostic tests necessary in the management of drug therapy; monitoring the patient's vital signs; and providing education and training to the patient which is related to management of drug therapy

drug therapy managment

a pharmacist may engage in drug therapy management upon having a ________ _________ with a licensed physician

collaborative agreement

a pharmacist must maintain liability coverage in the minimum amount of __________ per occurrence or claims made

$1,000,000

drug therapy management typically takes place in ________ settings

institutional

collaborative drug therapy management typically takes place in _________ settings

community

a pharmacist or intern is eligible to immunize upon successful completion of a course of education within ______ years prior to application

2

a pharmacist or intern is eligible to immunize if they have a current ______ certificate

CPR

what is the age limitations on general immunization administrations?

18+ years

what is the age limitation on influenza immunizations?

9+ years

immunization is authorized by ________ ________ or _________ _________

prescription order; written protocol

the pharmacy must notify the patient's prescriber within ______ hours of administration when giving an immunization under written protocol

72

if the prescriber is deceased or retired, _______ and ________ prescriptions are no longer valid

new; refill

the pharmacist may _________ the quantity on a prescription in accordance with 3rd party restrictions

decrease

__________ _______ ________ occur in institutional settings and is when drugs designated to be dangerous must be auto-stopped after reasonable time as determined by facility

automatic stop orders

CII can be prescribed _________ in the case of an emergency, but a hard-copy follow-up must be provided by prescriber within ______ hours

verbally; 72

for an automatic stop order, the prescriber must be notified within _______ hours prior to the dose being stopped and given the opportunity to continue medication

48

a prescription by means of an oral order, telephone, or otherwise, must be received and transcribed only by a __________ ________ or ________ _______

registered pharmacist; pharmacy intern

LTCF verbal orders must be noted on the patient record, signed and dated by the ________, and countersigned by the prescriber within ______ hours

receiver; 48

in acute care pharmacy, verbal orders must be noted on the patient record, signed, dated, and time noted by the receiver, and countersigned by the prescriber within _______ hours

24

the original prescription is required prior to dispensing a CII, unless what 3 exceptions?

narcotic for home infusion, long term care facility, hospice care program

a hard copy or readily retrievable image must be stored for least ______ years from the date of last refill or activity

2

the DEA requires that controlled substance hardcopies be available within ______ hours

48

computerized systems must provide for the information to be transferable within ______ working days

3

a pharmacy which is a part of a larger network of pharmacies that serve those pharmacies by serving to centrally fill and refill prescriptions, which includes preparation and packaging of medication

central fill pharmacy

delivering pharmacy must fulfill _________ counseling requirements

OBRA

a pharmacy which is part of a larger network of pharmacies that serves those pharmacies by only processing prescriptions, not by actually filling prescriptions

central processing center

________ _______ _______ are those systems which are used to store, package, dispense, or distribute prescriptions

automated medication systems

automated medication systems must have ______ policies and procedures to ensure accuracy, access, and patient confidentiality

written

the automated medication system policies must be reviewed _______

annually

automated medication systems must be tested for accuracy every ______ months or when changes are made

6