MPJE florida law overview, prescriptive authority, board of pharmacy, definitions, licensure: Chapter 3

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187 Terms

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What things can physician assistants not prescribe in FLorida?

1. psych CS for children younger than 18, more than 14 day supply

2. general, spinal, or epidural anesthetics

3. radiographic contrast materials

4. C-2 more than 7 day supply

(listed online sunshine 458.347 (4)(f)1

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Can PAs prescribe in a pain clinic?

NO, neither can APRNs

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Can a PA write orders in a hospital?

YES

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What is the stipulation for APRN prescribing?

they can only prescribe drugs based on a written protocol with a physician

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What can optometrists prescribe?

ocular pharm agents from an approved formulary for the diagnosis and treatment of ocular conditions without use of surgery or other invasive techniques

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Can optomotrists prescribe oral drugs?

only after completing certain training

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What cycloplegic and mydriatics can an optometrist prescribe?

1. Atropine sulfate 1% 9solution & ointment)

2. phenylephrine HCl 2.5%

3. cyclopentolate HCl 1%

4. scopolamine HBr 0.25%

5. homatropine HBr5 %

6. tropicamide 1%

7. hydroxyamphetaminee HBr 1%(in combo only)

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What can optometrists prescribe?

Cycloplegic and mydriatics: 1. Atropine sulfate 1% 9solution & ointment), 2. phenylephrine HCl 2.5%, 3. cyclopentolate HCl 1%, 4. scopolamine HBr 0.25%, 5. homatropine HBr5 %, 6. tropicamide 1%, 7. hydroxyamphetaminee HBr 1%(in combo only)

Local Anesthetics: 1. tetracaine 0.5%, 2. proparacaine HCl 0.5%, 3. benoxinate HCl 0.4% (incombo w/fluorescien), 4. Lidocain HCl opthalmic gel or solution 4%

Diagnostic products: 1. fluorescein paper strips 9mg/strip, 2. Lissamine green 1.5 mg/strip, 3. Rose bengal 1.3 mg/strip, 4. Phenol red thread, 5. Schirmer test strips, 6. Hypromellose opthalmic demulcent solution 2.5%

Antibacterial: 1. erythromycin 0.5%, 2. bacitracin500 units/g (ointment, alone &combo), 3. polymyxin 10,000units/g (combo only), 4. neomycin3.5mg/g (combo only), 5. gentamicin0.3% (solution & oint), 6. tobramycin 0.3% solution & oint in combo, 7. gramcidin 0.025 mg/ml (combo only), 8. ciprofloxacin HCl 0.3% solution&ointment, 9. trimethoprim 1 mg/ml (combo only), 10. ofloxacin 0.3%, 11. levofloxacin 1.5%, 12. gatifloxacin 0.5%, 13. moxifloxacin 0.5%, 14. sodium sulfacetamide 10% (alone or combo), 15. azithromycin 1%, 16. besifloxacin opthalmic suspension 0.6%

Antiinflamatory: 1. medrysone 1%, 2. prednisolone acetate 1% (alone&combo), 3. prednisolone sodium phosphate 1% (alone&combo), 4. flurometholone 0.25% suspesion & ointment alone&combo, 5. dexamethasone 1% (suspension/oint alone or combo), 0.4mg opthal insert, 6. Loteprednol etabonate opthalmic suspension 1.0%, & 0.5%(alone&combo for 0.5%), 7. fluorometholone acetate 0.1%

8. rimexolone 1%, 9. diclofenac sodium 0.1%, 10. ketorlac tromethamine 0.5%, 11. hydrocortisone 1%, 12. bromfenac 0.09%, 13. nepafenac 0.1%, 14. difluprednate opthamic emulsion 0.05%

Anti-histamines/Anti-allergy: 1. cromolyn sodium 0.4%, 2. lodoxamide tromethamine 0.1%, 3. olopatadine hcl 0.7%, 4. nedocromil sodium 2%, 5. azelastine HCl 0.05%, 6. pemirolast potassium 0.1%, 7. epinastine HCl 0.05%, 8. bepotastine besilate 1.5%, 9. alcaftadine0.25%, 10. Cetirizine opthalmic solution 0.24%

Anti-virals: 1. trifluridine 1%, 2. ganciclovir 0.15%, 3. povidone-iodine opthalmic solution 5%, 4. Acyclovir 3%

Anti-glaucoma: A.BB: 1. betaxolol HCl 0.5%, 2.levobunolol HCl 0.5%, 3. meti

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What local anesthetics can an optometrist prescribe?

1. tetracaine 0.5%

2. proparacaine HCl 0.5%

3. benoxinate HCl 0.4% (incombo w/fluorescien)

4. Lidocain HCl opthalmic gel or solution 4%

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What Diagnostic products can an optometrist prescribe?

1. fluorescein paper strips 9mg/strip

2. Lissamine green 1.5 mg/strip

3. Rose bengal 1.3 mg/strip

4. Phenol red thread

5. Schirmer test strips

6. Hypromellose opthalmic demulcent solution 2.5%

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What Miscellaneous can an optometrist prescribe?

1. hydroxypropyl cellulose ophthalmic insert

2. dapiprazole 0.5%

3. cyclosporine emulsion& solution 0.1%

4. polyvinyl pyrrolidone 2%

5. bimatoprost 0.03%

6. natamycin opthal suspension 5%

7. lifitegrast opthal solution 5%

8. Cenergermin-bkbj 0.002%

9. Oxymetazoline HCl opthalmic solution 0.1%

10. Hyprochlorous acid 0.02%

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What Anti-inflammatory agents[NSAIDs/steriods] can an optometrist prescribe?

1. medrysone 1%

2. prednisolone acetate 1% (alone&combo)

3. prednisolone sodium phosphate 1% (alone&combo)

4. flurometholone 0.25% suspesion & ointment alone&combo

5. dexamethasone 1% (suspension/oint alone or combo), 0.4mg opthal insert

6. Loteprednol etabonate opthalmic suspension 1.0%

& 0.5%(alone&combo for 0.5%)

7. fluorometholone acetate 0.1%

8. rimexolone 1%

9. diclofenac sodium 0.1%

10. ketorlac tromethamine 0.5%

11. hydrocortisone 1%

12. bromfenac 0.09%

13. nepafenac 0.1%

14. difluprednate opthamic emulsion 0.05%

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What Anti-histamines/Anti-allergy can an optometrist prescribe?

1. cromolyn sodium 0.4%

2. lodoxamide tromethamine 0.1%

3. olopatadine hcl 0.7%

4. nedocromil sodium 2%

5. azelastine HCl 0.05%

6. pemirolast potassium 0.1%

7. epinastine HCl 0.05%

8. bepotastine besilate 1.5%

9. alcaftadine0.25%

10. Cetirizine opthalmic solution 0.24%

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What Anti-virals can an optometrist prescribe?

1. trifluridine1%

2. ganciclovir0.15%

3. povidone-iodine opthalmic solution 5%

4. Acyclovir 3%

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What antibacterial can an optometrist prescribe?

1. erythromycin 0.5%

2. bacitracin500 units/g (ointment, alone &combo)

3. polymyxin 10,000units/g (combo only)

4. neomycin3.5mg/g (combo only)

5. gentamicin0.3% (solution & oint)

6. tobramycin 0.3% solution & oint in combo

7. gramcidin 0.025 mg/ml (combo only)

8. ciprofloxacin HCl 0.3% solution&ointment

9. trimethoprim 1 mg/ml (combo only)

10. ofloxacin 0.3%

11. levofloxacin 1.5%

12. gatifloxacin 0.5%

13. moxifloxacin 0.5%

14. sodium sulfacetamide 10% (alone or combo)

15. azithromycin 1%

16. besifloxacin opthalmic suspension 0.6%

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What oral antibiotics can be prescribed by certified optometists?

(after completing additional training)

1.) amoxicillin/ augmentin

2.) azithro/erythromycin

3.) dicloxacillin

4.) doxy/tetracycline

5.) keflex

6.) minocycline

pg123

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What Anti-glaucoma can an optometrist prescribe?

A.BB

1. betaxolol HCl 0.5%

2.levobunolol HCl 0.5%

3. metipranolol HCl 0.3%

4. timolol maleate or hemihydrate 0.5%

5. carteolol 1%

B. Miotics,direct acting

1. carbachol 3%

2. pilocarpine HCl 4%

C. Prostaglandins

1. latanoprost 0.005%

2. bimatoprost 0.03%

3. travoprost 0.004%

4. tafluprost 0.0015%

5. unoprostone isoprophyl 0.15%

6. latanoprostene bunod opthal solution 0.024%

D. Alpha 2 adrenergic agonists:

1. brimonidine tartrate 0.2%

2. apraclonidine HCl 0.5%

E. Carbonic anhydrase inhibitors

1. brinzolamide 1%

2. dorzolamide 2% (alone or combo)

F. Rho kinase inhibitor

1. netarsudil 0.02%

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What oral analgesics can be prescribed by certified optometists?

(after completing additional training)

The following analgesics or their generics or therapeutic equivalents, which may not be administered or prescribed for more than 72 hrs without consultation w/a Dr licensed under chapter 458 or 459 and who is skilled in diseases of the eye

1. tramadol hcl

2. Tylenol 300 mg w No.3 codeine phosphate 30 mg

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What antivirals can be prescribes by certified optometrists?

(after completing additional training)

1.) acyclovir

2.) famiciclovir

3.) valacyclovir

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What oral antiglaucoma agents can certified optometrists prescribe?

(after completing additional training)

1.) acetazolamide

2.) methazolamide

ONLY for 72 hours total

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What do out of state practitioners who practice telehealth have to do to perform for Florida patients?

register with the florida department of health

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What is the rule for prescribing weight loss drugs?

Rx/ order for any drug, synthetic compound, nutritional supplement, or herbal treatment for assisting weight loss MUST be in writing and signed by prescribing physician (for initial prescription, although unclear if only applies to initial or not)

they CANNOT be called in

Florida law is silent about electronic prescriptions or anything beyond the "initial" or first prescription (also before mandate of all prescriptions be eRx)

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When do you not have to send in an electronic Rx?

1.) prescriber/ dispenser are same entity

2.) Rx cannot be transmitted under most recently implemented version of national council for prescription drug programs SCRIPT standard

3.) practitioner has be issued a waiver by the department (NO MORE THAN 1 YEAR, have to renew) due to demonstrated economic hardship, tech limits, or another exceptional circumstance

4.) practitioner determines it is impractical for patient to get drug by electronic RX in timely manner and it would delay txtment of their medical condition

5.) practitioner prescribing under a research protocol

6.) Rx for drug that FDA requires Rx to have elements not on an escript

7.) Rx issued to someone is hospice or nursing home

8.) practitioner or patient determines it is in their best interest to price compare the drug at pharmacies, and this must be documented in the patient's record

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If a pharmacists issues an Rx themselves, can someone else fill it?

no, it has to also be dispensed by them

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Can you fill an Rx written outside of a physicians (DO or MD) specialty?

exercise caution, but they can legally prescribe a drug for ANY disease/ illness, so you can fill it if it is in good faith

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Rules for drugs prescribed by dentists, podiatrists, and vets

cannot prescribe outside of their scope

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Can prescribers prescribe for themselves?

they CANNOT prescribe CS for themselves, but there is no rule against self prescribing for prescribing for family members for non controls

however, in order to be legal, there has to be a valid practitioner-patient relationship and the Rx must be issued in usual course of professional practice- so prescribing for yourself or someone who doesn't have a patient chart or record would not be part of the usual course of practice and would therefore not be legal and considered grounds for discipline

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Can pharmacists get in trouble for dispensing a drug when the physician doesn't have a valid practitioner-patient reltionship?

only if they know or have reason to believe no valid relationship exists

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Can you keep filling a script when a practitioner dies?

their DEA registration technically ends, but this may be a place to issue and emergency fill since all refills or scripts would technically become invalid

florida law is technically silent on this

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Can physicians prescribes and can pharmacists fill Rxs for off-label indications?

Yes, but use professional judgement and consider liability implications

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Can you fill a script that says "for office use"?

No, scripts are required to be specific for patients unless for a naloxone standing order or compounded rx for office use

a pharmacist MAY sell an original manufacturer's bottle of a drug to a practitioner for use in their office

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What is the purpose of the florida board of pharmacy?

established by legislature to ensure every pharmacist practicing in the state and every pharmacy meet minimum requirements for safe practice

it is for public health, safety, and welfare and not to advocate for pharmacists or pharmacies

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What is the Florida board responsible for?

licensure, monitoring, and education of pharmacy professionals to assure competency and safety to practice in their service to the people of florida

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How many members are on the Florida board of pharmacy?

9 members

7 must be pharmacists who are resident of florida

2 must be consumer members

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Requirements for being a pharmacist who serves on the Florida board of pharmacy?

-eg have to be licensed (not the part about 2 community, 2 institutional etc)

must be a FL resident who has been engaged in the practice of pharmacy IN FLORIDA for at least 4 years

2 must be from community pharmacy

2 must be from institutional (Class II, modified class II, or class III)

remaining 3 can be from any setting

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Requirements for being a consumer member on the Florida board of pharmacy?

-resident of Florida

-never been a licensed pharmacist

-may not be connected with pharmacy profession in any manner

-may not be connected in any manner with a drug manufacturer or wholesaler

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Is there an age requirement for the Florida board of pharmacy?

at least 1 member must be 60 years or older

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Who appoints Florida board of pharmacy members?

appointed by the governor and confirmed by florida senate

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How long can board members serve for?

appointed for 4 year terms, but can serve until a new member is appointed

they cannot serve more than 2 full terms, but they can remain until a new member has been appointed by the govenor

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Who runs the board of pharmacy?

an executive director, who is an employee of the DOH

they aren't a board member and don't have to be a pharmacist

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What is a consultant pharmacist?

pharmacist licensed by the department and certified as a consultant pursuant to 465.0125

this is a separate additional license on top of the normal pharmacists license

required to be a consultant pharmacist of record for a hospital (used to be required for CPAs, but is no longer)

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Institutional pharmacies must be under the direction of

a consultant pharmacist

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What is the definition of dispense and what must the pharmacist do to accompany it?

to transfer possession of 1 or more doses of a medicinal drug by a pharmacist to the ultimate consumer or their agent. As an element of dispensing the pharmacist MUST, before the physical transfer, interpret and assess the prescription order for potential ADRs, interactions, and appropriate dosage regimen

pharmacist SHALL certify that drug on Rx is ready for transfer

pharmacist SHALL provide counseling of proper usage, orally or in writing, if they deem it necessary

the sales transaction and delivery is not considered dispensing and administration is not considered dispensing

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Definition of medicinal drugs or 'drugs"

substances or preparations known as "prescription" or "legend" drugs

required by federal or state law to be dispensed only on a Rx but SHALL NOT include patents or proprietary preparations (otc drugs) as hereafter defined

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Definition of patent or proprietary preparations

-OTC drugs

-medicine in its unbroken, original package which is sold to the public by or under authority of manufacturer or primary distributor thereof and which is not misbranded under the provisions of the Florida FD&C act

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What is considered a pharmacy?

includes a community pharmacy, institutional pharmacy, nuclear pharmacy, special pharmacy, and internet pharmacy

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Definition of community pharmacy

includes every location where medicinal drugs are compounded, dispensed, stored, or sold or where prescriptions are filled or dispensed on an outpatient basis

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Definition of institutional pharmacy

includes every location in a hospital, clinic, nursing home, dispensary, sanitarium, extended care facility, or other facility hereinafter referred to as "healthcare institutions" where medicinal drugs are compounded, dispensed, stored, or sold

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Nuclear pharmacy definition

includes every location where radioactive drugs and chemicals within the classification of medicinal drugs are compounded, dispensed, stored, or sold

does not include hospitals licensed under chapter 395 or the nuclear medicine facilities of those hospitals

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Special pharmacy defintion

includes every locational where medicinal drugs are compounded, dispensed, stored, or sold if such locations are not otherwise defined in this section

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Internet pharmacy definition

includes locations not otherwise licensed or issued permit under this chapter, within or out of FLorida, which use the internet to communicate with or obtain info for consumers in Florida, and use this communication/ info to fill or refill Rxs or to dispense, distribute, or otherwise engage in the practice of pharmacy in Florida

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Rules for Florida pharmacist being on duty

pharmacy department cannot be open if a Florida licensed pharmacist is not on duty

pharmacist can leave the department to perform patient care or go to the bathroom

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What is the definition of practicing the profession of pharmacy?

includes compounding, dispensing, consulting concerning contents, therapeutic values, and uses of any medicinal drug

consulting concerning therapeutic values and interactions of patent/ proprietary (OTC) preparations

whether pursuant to prescriptions or in the absence

and conducting other pharmaceutical services (monitoring therapy and assisting patient in drug therapy management, reviewing drug therapy, making recommendations

If under a CPA, initiating, modifying, or discontinuing drug therapy for chronic health condition

administering vaccines to adults (now individuals 7 years or older)

testing/ screening for and treatment of minor, nonchronic health conditions

preparation of prepackaged products in a Class II institution

ordering/ evaluating lab/ clinical testing, conducting patient assessments, and modifying, discontinuing, or administering medicinal drugs by a consultant pharmacist

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What can a pharmacist NOT do according the the definition of practicing the profession of pharmacy?

-altering a prescribers directions

-diagnosing or treating disease

-initiation drug therapy (without CPA)

-practice of medicine or osteopathic medicine unless permitted by law (in a CPA or testing/ screening for and treatment of minor, nonchronic health conditions)

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What can a consultant pharmacist do according to the definition of practicing pharmacy?

ordering/ evaluating lab/ clinical testing, conducting patient assessments, and modifying, discontinuing, or administering medicinal drugs by a consultant pharmacist

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Can pharmacists order labs?

consultant pharmacists can, and Doctors of Pharmacy degrees can do it in a home health agency

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What age can pharmacists give vaccines to?

individuals 7 years or older for flu vaccines (though the practicing pharmacy definition still says adults- anything other than flu is only for 18 and older )

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What is the definition of a prescription?

any order for drugs/ medicinal supplies written or transmitted by means of communication by a licensed practitioner authorized to prescribe and intended to be dispensed by a pharmacist

includes orally transmitted orders lawfully designated agents call in

includes Rxs written/ transmitted by an out of state practitioner but only if pharmacist determines that order is valid and necessary for treatment of a CHRONIC or RECURRENT illness

also includes pharmacist's order for a product from their formulary

can be written or kept in data processing system, as long as they can be printed upon lawful request

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What 4 things are required for pharmacist licensure by exam?

1.) complete application and pay exam fee

2.) be 18 years old

3.) be a recipient of a degree from an accredited school or college of pharmacy OR graduated from a school/ college outside of US and passed TOEFL, TSE, and FGEE, and have 500 hours of supervised work activity program

4.) must submit proof of completion of internship program approved by the board that shall not exceed 2,080 hours

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Minimum age to be a pharmacist

18 years

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If you graduate outside of the US, what do you have to do to be able to get a pharmacist license by exam?

pass the TOEFL, TSE, and FPGEE and have 500 hours of supervised work activity program

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Hours for internship program needed to sit for licensure and get pharmacist license

must submit proof of completion of internship program approved by the Board that CANNOT EXCEED 2,080 hours

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What score is required to become a licensed pharmacist by exam?

a 75 or higher on the NAPLEX

75 or higher of Florida MPJE (incorrectly says percent, it is now just reported as pass/fail)

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How long do you have to complete requirements after submitting you pharmacist exam licensure application?

1 year or you have to reapply

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If you have to reapply, can you reuse your successful exam scores?

only if they occurred within 3 years of reapplication

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What is licensure by endorsement?

like reciprocity

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What is required to become a licensed pharmacist by endorsement?

1,) meet age, internship, and education requirements

2.) passing NAPLEX score

3.) submit evidence of:

-being licensed and actively practicing pharmacy in another jurisdiction for at least 2 of the immediately preceding 5 years

OR

-submit evidence of successful completion of Board-approved post-grad training

OR

-Board-approved clinical competency examination within the year preceding application

OR

-completed internship requirements within the preceding 2 years

4.) passing MPJE score florida

5.) can reuse exam scores for reapplication only if they were within 3 years of reapplication

6.) If licensed in another state for more than 2 years, provide evidence of 30 hours of CE for 2 years preceding application

7.) not under investigating in any jurisdiction

8.) never had licensed suspended or revoked or currently subject to discipline in another sate

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What 3 things have to be done to renewal pharmacist license?

1.) submit renewal application (ONLINE)

2.) pay fee

3.) comply with CE requirements

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When do licenses renew?

every 2 years on September 30th of ODD years

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How do you get a lifetime license?

if you are licensed for 50 years or more, you are exempt from payment or renewal or delinquent fees

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What is delinquent status for a license?

if it is not renewed on time, it fall into delinquent status

-may be reinstating by submitting proof of required CE and paying reinstatement fee

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How long do you have to reinstate a delinquent license?

by the end of the 2 year licensure cycle, it become null and void

so if you miss 2 consecutive cycles (4 years)

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How many CE hours are required?

30 hours of Board approved courses during 24 months prior to expiration of license

1.) 2 hours about med erros

2.) 2 hours about validation of Rxs of CS

3.) 3 hours about vaccine/ epi administation if certified

4.) 10 hours must be live, video conferences, or interactive computer based applications

5.) 1 hour HIV/ AIDS for your INTIAL or FIRST renewal

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What 2 subjects MUST you complete CE about?

must complete 2 hours of both

1.)medication errors

and

2.) board-approved CE on validation of prescriptions for CS

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How many pharmacist CE hours must be live?

at least 10 hours MUST be from live seminars, video teleconferences, or interactive computer-based applications

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If you are qualified to give vaccines or EPI auto-injectors, how does that affect your CE?

must complete a 3 hour CE course on safe and effective administration of vaccines and epinephrine auto-injection

(also chp4 pg167

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HIV/AIDS CE requirement

1 hour course is required as part of initial renewal of a license

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For your first license renewal, what are the requirements if it is 12 months or longer after your initial licensure date?

1.) have to complete 15 hours CE

2.) 5 hours must be live (video, or interactive)

3.) 2 hours of med errors

4.) 2 hours of CS

5.) 1 hour of HIV/ AIDS

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For your first license renewal, what are the requirements if it is less than 12 months from your initial license date?

must complete

1.) 1 hour HIV/ AIDS

2.) 2 hours med errors

3.) 2 hours CS

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Human trafficking CE

requires most healthcare professionals (including pharmacists) to completed a board approved 1 hour CE course on human trafficking by Jan 1, 2021 ( a one time requirement)

must address

1.) sex and labor trafficking

2.) how to ID victims

3.) how to report

4.) resources for victims

and requires posting a sign regarding human trafficking

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Can you get CE from going to a board meeting?

can obtain 5 hours of CE in Risk Management is you go to one full day of Board meeting where disciplinary hearings are conducted

can only get 10 total hours this way (doesn't count if you were required to appear before the Board)

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CE through volunteering

up to 5 hours may be obtained by performing volunteer services to indigent or underserved or areas of critical need

1 hour awarded for every 2 hours of volunteer work

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CE through completion of post-professional degree programs

if in a post-professional degree program from accredited colleges/ schools of pharmacy, can get 5 hours of CE per semester hour for courses completed during approval period

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CE through volunteer expert witness

if you provide expert witness opinions for cases review by department of health you SHALL receive 5 hours of CE in the Risk management category, can get up to 10 hours

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CE through presenting

if you are a presenter in a live seminar, live video conference, or through an interactive computer-based application

may receive 1 credit for each course hour presented, but not for doing the same presentation multiple times

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Getting CE in another state

if you get CE in another state that isn't ACPE approved (all CE in Florida must be ACPE approved) but is approved by their board, then the CE can apply to florida requirements

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What can the Tripartite CE committee do?

have authority to approve CE providers and approve courses submitted by providers

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Who comprises the Tripartite CE committee?

equal representation from board of pharmacy, each college and school of pharmacy in florida, and practicing pharmacists

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What CE courses does the Tripartite CE committee approve

courses from approved or non-approved providers for general CE and most specific Florida CE that may be required like

1.) initial consultant pharmacist certification

2.) consultant pharmacist recertification

3.) nuclear pharmacist recertification

4.) Med errors

5.) HIV/ AIDS

6.) lab tests

7.) laws/ rules (required board ordered CE in disciplinary cases)

8.) quality related events

9.) validation of prescriptions or CS

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CE courses for certification for CP and test and treat

must be approved by the board of pharmacy, board of medicine, and board of osteopathic medicine

not just the tripartite CE committee

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What format do discipline CE courses have to be?

Any format

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CE rules for a disciplinary laws and rules course

be at least 12 hours long and cover specific topics outlined in rule

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CE rules for a disciplinary quality related events course

at least 8 hours long and cover specific topic outlined in the rule

often after dispensing errors

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How do you track CE in Florida?

You MUST use an electronic system called CE broker, either a basic free one or paid

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How to report hours in CE broker

florida approved CE providers automatically report hours to CE broker, but you have to manually upload things from national providers and ACPE courses

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What is CPE monitor?

Online tracking service from NABP where ACPE approved providers report CE hours to CPE monitor

you can upload a transcript from CPE monitor to CE Broker before each license renewal

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Can you renew you license without your CE?

no you cannot without the required hours reported in CE broker

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What courses do you have to complete to become a consultant pharmacist?

In addition to holding an active license and being in good standing, you have to have courses for an approved consultant pharmacist course sponsored by an accredited college of pharmacy and approved by the Tripartite committee

previously you had to be a consultant pharmacist to enter a CPA, but that is no longer required

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How many hours is an approved consultant pharmacist course

no fewer than 20 hours

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What must be included in a consultant pharmacist course

1.) cognitive test that applicant must pass

include

1.) law

2.) policies and procedures

2.) administrative responsibilities

4.) professional responsibilities

5.) institutional environment

6.) nuclear pharmacy