Louisiana Law Exam 2025 Prep

What do you have to do to become PIC?

Complete appropriate form

Notify BOP within 30 days of departure of previous PIC

Who is eligible to be a PIC?

Pharmacist with active LA license and at least 2 years of active pharmacy practice experience

T/F: In general a PIC may only supervise 1 pharmacy at a time unless BOP approves in writing

True

How often does a PIC need to be present?

No less than 20 hours per week or 50% of business hours if the pharmacy is not open at least 20 hours per week

Control Inventory: When becoming PIC what needs to be done?

Take full inventory (2-5) upon first taking over the role as PIC: Sign and Date

A pharmacist must notify the BOP in writing within ______ days of a change in mailing address or employment.

10

What is the max ratio of Interns + certified techs + tech candidates to pharmacists at any one time?

4:1

Max ratio of pharmacy tech candidates to pharmacists?

2:1

Max ratio of intern to pharmacists?

1:1

Exception is unless on rotation with college of pharmacy then it is 3:1

When is a pharmacy tech license renewal date?

Yearly between May 1 and June 30

Pharmacy tech CE requirements?

10 hours every year; 1 hour on injectable meds if injecting vaccines and 1 hour on sterile compounding if applicable

Pharmacy technicians CANDIDATES may not: (6)

Receive verbal initial Rx orders

Give/recieve transefers of prescription orders

Interpret Rx orders (Can translate)

Compound high risk sterile products

Counsel patients

Administer medications

Pharmacy technicians may not: (3)

Release verbal Rx order for processing until it is initialed by supervising pharmacist

Interpret prescriptions (may translate)

Counsel patients

How many hours do interns need to be eligilbe for licensure in LA and what is the limit per week?

1740 with a limit of 50 hours per week

Pharmacy interns have what limitations as compared to pharmacists?

They can do all duties of a pharmacist while under a pharmacist supervision EXCEPT providing oversight of techs and performing final verification

When do you renew a pharmacist license?

Yearly between November 1 and December 31

What happens if you forget to renew a pharmacist license?

If you do not renew by 12/31 of each year the license is expired, null and void.

You would then have to submit an application, complete with supporting documentation for reinstatement to the board.

CE requirements for a pharmacist?

15 hours every year

3 hours must be live ( if no live they must do a total of 20 hours of CE that year)

1 hour of injectable/vaccitnations and 1 hour of sterile compounding if applicable.

How many days does the board have to give you for a violation hearing?

30 days

Any prescriber that prescribes a controlled substance must have their own ______ included on the Rx

DEA number

A written Rx my contain a max of ______ active drug orders

4

APRN's can prescribe what controls?

C2-5 but CANNOT prescribe for:

chronic/intractable pain

obesity

Oneself, spouse, child or family member

Optometrist can prescribe what controls?

C2-5 but limited to a 7 day supply

Can prescribe another 7 days pursuant to a follow up exam

PAs can prescribe what controls?

C2-5 and can only prescribe to the extent of their supervising physician

Medical psychologists can prescribe what controls?

No narcotics

Dentists can prescribe what controls?

C2-5

Veterinarians can prescribe what controls?

C2-5

A pharmacist may dispense no more than a _______ day supply of a CII or opioid prescription written by a prescriber outside of LA.

10 Days

If a pharmacist receives a script for a CII or opioid prescription written by a provider out of LA and it is for more than 10 days what do you do?

May dispense up to 10 days - remainder should be canceled, cannot dispense more of such drug from out of state prescriber within 60 days

How many days do you have to wait to fill a CII from a prescriber outside the state of LA after filling a CII?

60 days

When does the 10 day max fill of a CII followed by a 60 day waiting period from prescriber outside of LA not apply?

When you can see other states PMPM or if a prescription indicates a diagnosis of cancer or terminal illness.

A pharmacist can enter into a CPA with a physician for what medications?

Non controlled substances and must be reported to the BOP annually

How long are non controlled substance scripts good for?

1 year after issue date: PRN refills are permitted

What things need to be on a noncontrolled script?

Patient Name

Prescriber Name

Licensure Designation

Address

Phone number

Signature

Date of issue

Directions

Refill instructions

If refill instructions are absent, can the script be refilled if noncontrolled?

NO

All CS Rx's must be issued electronically (T/F?)

True but exceptions do exist. Pharmacist NOT required to verify exception

CS Rx's need to have what on them?

All the things NCS have but with the addition of DEA and patient address

Initial Rx for opioid for acute pain may not exceed ______ day supply

7 day supply

Exception is cancer or palliative care

Chronic pain opioid Rx may not exceed _____

120 MED (Morphine Equivalent Dosing)

How long after issuance does a CII expire?

90 days

How long after issuance does a CIII-IV expire?

6 months

How long after issuance does a CV expire?

1 year

T/F: CII Rx's may be faxed and used as original script?

False: only can be faxed if for LTCF patients, hospice patients or compounded products for direct administration in a patients home

CII scripts not in above categories can not serve as original. Must have original before dispensing

What are rules regarding emergency CII scripts?

Can be verbal in true emergency

Must not exceed quantity for needed emergency period

Must be written or electronic Rx delivered within 7 days

If mailed must be postmarked within 7 days

CII can contain refills in LA (T/F?)

False: 3-5 can contain up to 5 refills

CIII-V can contain up to ____ refills in LA?

5

CV can contain PRN refills (T/F?)

True

T/F: A prescriber may issue multiple CII Rx for a total of 90 day supply if each separate Rx has clear instructions for the earliest fill date and is within prescribers scope of practice

True

A prescriber may issue multiple CII Rx for a total of ____ day supply if each separate Rx has clear instructions for the earliest fill date and is within prescribers scope of practice

90

T/F: Pharmacist may enter into a collaborative drug therapy management (or Drug Therapy Management) agreement with a physician to manage disease specific therapy or one or more patients with a predetermined range of medications

True

Can collaborative drug therapy management (or Drug Therapy Management) include controlled substances?

Yes

After submitting application to BOP for Collaborative Drug Therapy Management, having patient consent to being seen by pharmacist, what is the last thing that needs to be done per LA law?

Rx must inform physician of patients update/status every three months

How often do you need to update the physician in a CDTM?

Every 3 months

Counseling facts:

Must be offered for NEW scripts

Rx and Interns can counsel

Inpatient doesn't need to counsel

If offer was made and denied: must document in patient profile

In general, retail pharmacies cannot accept returned drugs (T/F)

True: Charitable clinics, Prisons and pharmacies in "unused prescription medication" programs can accept returned drugs

T/F: Pharmacists have state wide standing order to dispense naloxone WITHOUT a prescription?

True

What needs to happen to be eligible to administer vaccines?

Pharmacist must complete training program

Pharmacist must have current BLS

Who can administer vaccines and injectable medications in a pharmacy (general)?

Pharmacist

Intern

Certified pharmacy tech

Can unfilled CII prescriptions be transferred in LA?

Yes

If original Rx was issued electronically, the script can then be transferred electronically only

CAN NOT DO VERBALLY

CIII, IV, V can be transferred how many times?

1 time only BUT if pharmacies sharing real time online database (chains) may transfer up to the max refills permitted by law and prescribers authorization

Time frame required to submit CS info to the PMP?

Next business day at miniumum

Can patients see their own PMP?

Not unless requested and granted by the BOP

Exception: patient is hospice/palliative care or in a facility (nursing home, hospital etc)

Provider may issue a verbal CII in a true emergency. In this case the quantity may not exceed quantity needed for the emergency and a written or electronic Rx must be delivered to the pharmacy within __________ days

7

Emergency supply of CS may be dispensed when a prescriber unavailable; limited to _____ day supply

30 day supply

How many day supply is initial opioid Rx for acute pain?

7 day supply unless authorized by prescriber

T/F: Pharmacist may decline to fill a Rx if reimbursement from PBM is less than acquisition cost

True

Customized Adherence Medication Package (CAMP) are what?

Drugs placed in the same "well" (individual bubble pouch).

Must be compatible with each other, distinguishable from each other, none require dispensing in original container

CII can be partially filled for up to _____ days

30

60 for LTCF or terminal illness patients

CII scripts for LTCF or terminally ill patients can be partially filled for up to ______ days

60

30 days for all other CII scripts

If a pharmacy lacks enough CII the remainder must be filled within __________ of the first partial fill

72 hours as long as Rx isn't going to expire within the 72 hours

CIII and CIV may be partially dispensed for no more than ________ after the issue date

6 months

CV can be partially dispensed for no more than ________ after the issue date

1 year

T/F: If packaging an OTC med for dispensing pursuant to a prescription it then must be labeled with directions from the prescribers prescription which override the OTC product labeling

True

Pseudoephedrine max limit without Rx:

3.6g Daily

9g within 30 days

Min age to purchase dextromethorphan without a Rx?

18 years old

All pharmacy prescriptions as well as dispensing and transfer records must be kept for ______________. Must be able to produce hard copy within ________ of a request

2 Years

72 Hours

How should Rx files be kept (Not length)?

3 separate files:

C2

CII-CV

Non CS

Injectable and vaccination records must be kept for __________?

2 years

Who is in charge of drug selection and quantity of drug cabinets once institutional pharmacy is closed?

PIC

EDK rules?

For institutional facility without a pharmacy

Emergency Drug Kit must have separate registration

EDK registration renews June 30

Provider of kit must be a LA licensed pharmacy

EDK can only contain 8 unique controlled substances

EDK's can contain _________ unique controlled substances

8

When does EDK registration renewal happen

By JUNE 30

If pharmacist takes temporary absence/break what are rules about leaving prescription area open?

Certified pharmacy tech OR Intern must remain

Absence/break can NOT exceed 30 min at a time or 60 min in a 12 hour period

Absence notice must be posted at the pharmacy

T/F: If a pharmacy is closed due to state of emergency, PIC may permit storage of Rx drugs in a temporary secure area to allow for delivery to patients whether or not a pharmacist is actively on duty

True

T/F: If a pharmacist is absent from hospital pharmacy and a drug is needed that is not in after hours cabinet or emergency kit, an authorized nurse may enter pharmacy and retrieve it?

True: must leave copy of physician order in the container and have his or her signature of drug removal

When does a CS inventory have to take place

Annually

Departure of PIC

Arrival of new PIC

Upon discovery of substantial loss or theft

Permanent closure of pharmacy

Theft of any medications must be reported to the BOP within _________

1 day

If theft of CS must also notify the DEA (and BOP) within ___________ then complete DEA Form _____ and submit it to the DEA within ________ days

1 Day

Form 106

45 Days

FDA book that shows interchangeable biologics

Purple book

A prescriber should be notified through EHR or other method within _________________ of interchanging biologic product

5 days

Pharmacy license is renewed when?

Between Nov. 1 and Dec. 31 YEARLY

A pharmacy that did not renew by 12/31 will have their permit expired and be null and void

Application for new pharmacy permit must be filed within _______ days of purchasing a new pharmacy

15

A pharmacy must designate a new PIC within _________ days of PIC departure and must notify BOP with _________ days of PIC departure

10 days

30 days

Non resident pharmacy must notify BOP of permanent closure _________days prior to closing date

10

A LA prescriber must check the PMP at least every ______ for a patient being treated with an opioid continuously for years.

90

A LA pharmacy that is authorized to dispense marijuana for therapeutic use may dispense no more than __________________ every ___________.

2.5 ounces or 71 grams

14 days

A pharmacy must renew their DEA 224a form how often?

Every three years

Can you use the US postal service to mail controlled substances?

Yes

What do you need to do to mail controlled substances through the mail?

Inner package is appropriately sealed and has all appropriate into: name, address of pharmacy, practitioner, dispensing person etc.

Outer package free of markings and sealed appropriately

You can administer flu vaccine to any person ___________ years or older without a Rx or medical order?

What about for vaccines other than flu?

7 years for Flu

17 for vaccines other than flu