Pennsylvania MPJE Chapter 3- PA laws pt 1

practitioners with independent authority

MD, DO, Dentists, Podiatrists, certified optometrists, vets

PA authority

dependent

PA must have what with their md to prescribe

written agreement

rx requirements for PA

name and license number on blank, supervision md, dea number, PA-c, surpervising dr cannot presign

C2 limits for PA

72 hour limit for initial

30 day for refill

MUST STATE ID IF INITIAL OR ONGOING

CRNP limits

dependent

CRNP requirements for prescribing

prescriptive authority from board of nursing

collab agreement with md

CRNP rx requirements

name

title

crnp certification

dea number

controlled substance requirements CRNP

limited to 30 day supply for c2

c3-5 up to 90 day

CRNP may not precribe controlled substances in a pain clinic

may prescribe emergency c2

nursing midwife requirements for rx

name title contact info CNM and dea number

CNM controlled requirements

C2- 72 h supply

c3-5 limited to 30 day supply (refills must be approved by md)

ONLY can provide psychotropics after consulting with MD

Cert. Optometrist limited formulary

Glaucoma meds

eye meds

topical nsaids

oral antivirals

steroids

T3- 72 h only

hydrcodocone/apap - 72 h only

tramadol

Can ONLY prescribe in their scope

vets, dentists, podiatrists

extream caution if

self prescrbing or family prescribing

deceased or retired dr

cannot fill OR refill meds

For office use RX

cannot be filled, but can sell a bottle to the office for their use

Goal on Board of Pharmacy

public health and safety and welfare

how many members of PBOP

9 members

• 5 members must be licensed pharmacists who are residents of fl, practicing for at least 5 years

• 2 members are consumers or public members

  • 2 members commissioner of profession and occcupational affairs and director of consumer protection in the AG office

PBOP pharmacist memembers must inclue

• 2 pharmacists in independent retail pharmacies

• 2 pharmacists retail chains

  • 1 pharmacist from acute care setting

appointment and terms of PBOP

appointed by govener

confirmed by senate

6 year terms - no moe than 2 consecutive terms

PBOP executive director

employee of the state (not the 9 memembers) DOES have to be a pharmacist

dispense

preperation of an rx drug in a suitable container labeled for admin or use by a patient

non-proprietary drug

a drug containing any qty of any controlled substance or any drug required by and federal of state law

Proprietary drug

sold without an RX- OTC

prescription

written or oral order issued by medcal preactitioner

emergency rx

a refill of a prescription that is essential- for which a refill has not been authorized and for which the phamracist notified the dr in 72 h p

harmacist

individual licensed to to engage in practice of pharmacy

practice of pharmacy

interpretation, evaluation, and implementation of medical orders

delivery or dispensing of rx drugs

participation in drug selection

drug administration

drug regimen review

drug research

compounding

proper storage

management of drug therapy under collaborative agreement

maintain proper records

patient counseling

drug therapy management

Management of drug therapy - collabrative practice or written protocol

adjust drug regimen

adjust drug strength frequency or route

admin of drugs

ordering lab tests

moitoring vitals

providing medication educatuin

minimum age of pharmacist in pa

21

intern hour requirements

1500

pharmd liscense renewal

every 2 years , expired 9/30

di

sciplinary action in another state must be reported on renewal application or

within 30 days of final outcom

CE requirements to renew

30 hours of ce

• 2 hours of patient safety

• 2 hours on pain management or opioids (4 for initial)

• 2 hours child abuse (3 for initial)

1 h CE = CEU

0.1

additional requirements for pharmacist lisenced to admin injections

2 hours of CE on the topic

application by exam CE for renewal

exempt from regular requirements but must complete child abuse and opioids

application by reciprosity CE for renewal

prorated CE- each quarter licensed will consist of 3 months and will require 3.75 CE hours

time to make up CE hours after a notice of deficency

6 months `

to admin injections you need

seperate voluntary license

who can get an inj license

pharmacist or intern

requirements for inject licnse

licensed in PA

PBOP approved course

obtain and maintatin cpr

how long is inj licese good

3 years

a pharmacist and intern must carry how much in liability for inj

1 million

less than 2 years inj lapse

retake 2 hours of ce

more than 2 years inj lapse

retake the course

age restriction for inj losence

8 + (5* for flu and covid) - need parental consent if <18

to admin an inj you need what ?

an order or a standing order

and order for an inj

prescriber patient the med the dose and the date

written protocols with a physician for inj are good for

2 years

inj written protocols must include

parties of the agreement

medication admin

route of admin

patients or patient

how to handle an emergency

recordkeeping / notification of admin

allowing termination from either party at any time

Records of inj requirements

2 years

patient name and address and DOB

date of inj and site

name dose and manufacture lot number and exp date if the product

PCP

admin pharmacist

informed consent

nature of adverse event

VIS statement

after an inj how long do you have to alert PCP

48 h

Adverse rxn to inj requires notification to the pcp within

24 h

Adverse rxn to inj requires notification to the dept of health within

72h

interns and techs are only allowed to given inj if

under direct supervision of the pharmd w/ authorization

Intern liscense is required if

completing ANY rotations in PA - even if from out of state

intern requirements

2 years of college and enrolled in ACPE accredited pharmacy school

pharmacy intern licesens is good for how long

6 years (military time excluded)

pharmacist can supervuse how maany interns at a time

2 unless approved otherwise n

number of intern hours required

1500

who doesnt need to enterinto a protocol with a dr for inj

interns - just need to be supervised by pharmd

PBOP tech rules

17+ (16 for trainee)

high school grad

PBOP approved training

biennially renewal on odd years

must have as name tag identifying role

tech traineees may be so for how long

2 years

Display of license

conspicuously displayed

ALL empolyees (ONLY CURRENT EMPOLYEES)

prior to advertising your pharmacy you need

to file an applicatoin for a pharmacy permit

requirements of a pharmacy application

full name and PA license number for pharmad

type of ownership

direct owner

principal officers

administrators

directors

anyone who hold 10% intrest

affidavit to follow the rules from PBOP

detailed floor plan of the pharmacy

a pharmacist can only be registered as what with one pharmacy

manager/pharmacist in charge

once a pharmacy application is approved the next step is

inspection

permit requirements to conduct a pharmacy

name and address of the pharmacy

name of current owner

name of current pharmacist manager

pharmacy that closes must do what with permit

instantly retuern to PBOP and provide information on the location of rx files and non proprietary drugs, after 30 days the files and drugs may not be sold transferred or disposed od unless prior permission. Must remove all signs idetifying as a phamracy

a change in pharmacy name requires

a new permit - file application with 30 days ‘

when pharmacist manager no longer hold that permission you must alery PBOP

within 15 days - new manager identified within 30 days (approved if no objections)

manager of another pharmacy can be the manager for how log

60 days

pharmacy manager is required to alert PBOP of fireing of phamrd or tech becuase of drug misconduct within

15 days

each pharmacy in PA requires a separete permit unless

satellite pharmacy

the rx area of the pharmacy can ONLY be open if

licesed pharmacist is on duty

breaks allowed for pharmacits

30 min - while pharmacy remains open

requirement for 30 min break

pharmacist remains in the store

accessible for emergency

patient cousneling

pharmacy permits are renewed how often

every 2 years (odd, before 9/1)

supply requirements of a pharmacy

5000 $ of Rx drugs minimum

e

quioment requiremetns of a a pharmac y

a refridgerator used soley for drugs with temp monitoring

2 years of rx files

current copies of the PA pharmacy act and PA state pharmacy rules and any other fedreral regulations

adequate refrence library

necessary equipment and supplies

pharmacies must display

pharmacy permit

disciplinary action by other states must be reported to PBOP within

30 days

plans for construction of a new pharmacy or location MAY be submitted to PBOP for approval

before procedding with construction

withing —————- days PBOP will notify the applicant of approval for construction

90 days

while alterations are being made to a pharmacy the practice of pharmacy must stop unless

they submit a plan 30 days prior and PBOP does not object

building standards for pharmacy

at least 250 sq ft

counter of 10 ft x 2 ft (5ft addtional for each pharmd)

if

if pharmacy is located in another building that is not the pharmacy what are the requirementd

securely sealed off the pharmacy

floor to ceiling barriers

securley locked

pharm hours must be posted at all ponts of public access

must have a plan in place of the phamarcy is closed and is accessed for an emergency (fire, police)

of a pharmacy carries C1 they must eb in

a locked safe or cabinet

pharmacy sink requiremetns

hot/cold ONLY used for pharm pourposes

tv in pharmacy

CANNOT be in the rx area or seen from the area

the rx area must be arranged so that the meds cannot

be accessed by an unlicesed person

options for C2 storage

securley locked ir dispersed throughout

requirements for intitutional pharmacy

do not require a special seperate permit

institution must be accredited, liscensed

instituitional pharmacy must be open how many hours a week

20 hours

cancer drug repository program

allows unused cancer drugs to be redispensed to cancer patents (donated) - drugs must be unopended sealed and tamper evident, exp date must be earlier than 6 months from the sate the drugs will be restocked. must be seperate from other stock. patient must be informed and sign to participoate

a pharmacy may charge a state set handleing fee for the cancer drug program if

no coverage for the med

not eligible for medicade

income limit

non resident pharmacy registration

required if operating outside pa but ships to PA

a nonresident pharmacy must report change of lication or pharmd in charge within

30 days to PBOP