Colorado Law Mpje

Front 1

1. How many board members?

2. Who appoints?

3. Term lengths?

Back 1

1.
5 pharmacists - must have at least 5 years experience in CO and actively engaged in practicing pharmacy

2 public members w no financial interest in pharmacy

2.
The governor

3.
No more than 2 consecutive terms
Terms are 4 years

Front 2

1.
How often does the board hold meetings?

2.
Are meetings public?

Back 2

1.
At least once every 4 months

2.
Board meetings are open to the public but the board may conduct a portion of the meeting as an executive session closed to the public.

Front 3

How much CE is required to renew a CO license?

Extensions?

Back 3

24 hours within the preceding two years
Prior to renewal date of October 31 of odd numbered years.

The board may grant 6 month extensions

The board may renew the license without requiring a pharmacist to complete any CE if the pharmacist obtains a license w/in one year of graduation

If a pharmacist fails to complete the CE requirements there license becomes inactive. To activate they must continue to pay fees and compelete 24 hr CE

Front 4

PIC

What happens if a PIC quits?

Back 4

Pharmacy must find a new manager.

Within 30 days after termination the pharmacy must apply to transfer the registration to a new PIC and pay the registration fee.

The PIC must report to the board immediately that he is no longer the PIC. The PIC is responsible until the cessation of employment is reported.

IF a PIC is fired, the pharmacy owner must also notify the board

Front 5

How many internship hours are required by the board?

Back 5

1500 hours

Front 6

How long must a pharmacist practice before being approved as a preceptor?

How many interns can they oversee?

Back 6

Pharmacist in good standing for 2 consecutive years

Can oversee 2 interns at the same work time

Front 7

How long does an intern registration last?

Back 7

two years

Front 8

What must a foreign pharmacist do in order to practice in CO?

Back 8

Pass the FPGEC with 1500 hours of practical experiance following certification

Front 9

Does a foreign graduate have to appear before the board to get licensed?

Back 9

NO

Front 10

What board or regulatory agency issues pharmacist license?

Back 10

CO State Board of Pharmacy

Front 11

Minimum age requirement to be pharmacist?

Back 11

not addressed

Front 12

What score to pass CO MPJE?

How long to wait if one fails the test?

Back 12

75 or above

wait 30 days

Front 13

How often must a pharmacist renew their license?

Back 13

Biennially; every odd year

Front 14

How many years must a pharmacist practice to be exempt from paying fees?

Back 14

50 years or more

Front 15

Does a pharmacy tech have to be licensed? Registered? Certified?

How many people can a pharmacist supervise?

Does this number include the clerk?

Back 15

Not required

up to three persons who are either: pharmacy interns or technicians. No more than two may be pharmacy interns.

If three pharmacy technicians are on duty at least one must be:
-Certified by a nationally recognized certification board
-Possess a degree from an accredited pharmacy technician training program
-Completed 500 hours experiential training in the pharmacy

The supervision ratio does not include any other ancillary staff who are not performing pharmacy duties.

Front 16

What are the pharmacy technician CE requirements?

Back 16

20 hours per renewal of PTCB lisence

Front 17

Is a pharmacy tech required to pass an examination?

Back 17

no

Front 18

Can a pharmacy tech in CO accepted a called Rx from a physician office?

Enter an Rx into the computer?

Back 18

Can not accept Rx over the phone

Can enter Rx into computer

Front 19

Can a tech call a physicians office for refills?

Back 19

Yes, however, must let the pharmacist take over if there are any changes to Rx

Front 20

Can a tech compound Rx?

Back 20

yes, but must be checked by pharmacist

Front 21

Does a non-resident pharmacy shipping Rx into CO need to be licensed or registered?

Back 21

Yes

Front 22

What state agency is responsible for issuing a license to a whole sale distributor?

How often does it have to be renewed?

Back 22

CO Board of Pharmacy

Every 1 year

Front 23

What are the pseudoephedrine limits for purchase?

Back 23

3.6 grams in 24 hours

Front 24

Will CO allow out of state Rx?

Back 24

yes, for control substances too

Front 25

Is an Rx required for needles and syringes?

Back 25

NO

Front 26

What is the time limit for CO on rx refills?

Back 26

1 year non-controlled
6 months for C3 C4 and C5

CAN NOT BUY C5 OTC

Front 27

How long to Rx records have to be kept?

Back 27

2 years from date of receipt, or from the last dispensing transaction date

Front 28

What requirements for Rx pads?

Back 28

Federal law mandates they be tamper resistant.

Cannot reference a Rx drug outlet.

Front 29

Can you fax schedual II Rx?

Back 29

no

Front 30

Is counseling required for medicaid patients?

Other people?

Back 30

Yes, must counsel medicaid

No, not required for others

Front 31

Can a pharmacist start, stop, or change a drug therapy with a collaborative agreement?

Back 31

yes

Front 32

Can a prescriber have ownership in a pharmacy?

Back 32

Yes; however, a pharmacist may not work for a prescriber and the prescriber can own no more than 10% total interest in a pharmacy

Front 33

What qualifications must a pharmacist possess to administer vaccines?

Back 33

ACPE immunization delivery course for atleast 12 hours didactic training and 8 hours live hands on training

Hold Current CPR certification issued by AHA or American Red Cross

Front 34

Does Colorado have a drug repository/donation of drug program?

Back 34

Yes, Colorado Cancer Drug Repository Program

Front 35

What is the time limit on notifying the State Board regarding, name, adress and employment changes?

Back 35

Notify board of name or address change w/in 30 days

Front 36

What are the special regulations on emergency telephone Rxs for Class C2? What does the state define as "Emergency Period" for quantity?

Back 36

May dispense up to 72 hour supply of C2 w/ out a written Rx.

"Emergency Situation" defined as:
(I) Immediate dispensing of the C2 is necessary for proper treatment of the intended user
(II) No alternative Rx drug available
(III) Not reasonably possible for practitioner to provide a written Rx

Pharmacist must reduce Rx to written order with "Authorization for emergency dispensing" and the date, time of dispensing on the face of Rx.

The prescribing practitioner shall provide pharmacist w/in 72 hours of verbal Rx a hard copy. If delivered by mail must be post marked w/in 72 hours.

Both copies must be attached to each other.

Front 37

Any oddball laws?

Back 37

Need to pass both MPJE and NAPLEX

If you can't pass the failed exam within 24 months you have to retake both tests.

Front 38

How much is the inactive license renewal?

Back 38

$10 less than the active license

Front 39

Under what circumstances can the State Board of Pharmacy obtain medical records of an RPh who voluntarily checks into a drug treatment program?

Back 39

Can ask for a signed release or obtain a subpoena of all records

Colorado State Board of Pharmacy Peer Health Assistance Diversion Program:
- pharmacist is refereed to the program by the CO State Board
- A violation of the Pharmacy Practice Act
- Pharmacist is non-compliant w the PHarmacist Rehabilitation Contract

Front 40

What is the formula for Duke's Magic Mouthwash?

Back 40

Nystatin suspension 100,000 u/ml, 30 ml or 3 million units
hydrocortisone 60 mg
diphenydramine syrup qs 240 ml

Front 41

Does Colorado have a Drug Monitoring Program?

Back 41

all controlled substance dispensings must be reported twice a month from 1-15 must be reported during second half of month. Rx from 16- end of month reported during first half of month

Even if no dispensing then must report a 0

Front 42

What are the requirements for ARNP to Rx?

Back 42

Must be listed on Board of Nursing Advanced Practice Registry, and has a written collaborative agreement with a licensed physican, and who has been issued an RXN number by teh BON.

Patients must be w/in nurses area of practice

May practice independently w/out a supervising physician

Must have own DEA

Front 43

What can a dentist write for? DDS, DMD

Back 43

any drug necessary for proper practice of dentistry

Front 44

Optometrist?

Back 44

topical antimicrobials (EXCEPT ANTIVIARALS and oral antifungals)
topical oral anti-inflammatory agents
topical and oral nonscheduled analgesics
any controlled substance for ocular pain and inflammation except C2

Front 45

Physican Assistant?

Back 45

Must practice within scope of practice of supervising physician. Written Rx must be on supervising physicians rx pad (must contain the name, address and telephone number of both supervising physician and PA

Must have own DEA registration to Rx controls

Front 46

On refilled rx what must be recorded on back?

Back 46

date refilled and quantity (if different than original rx copy)
name of person who authorized refill
name, initials, license # of pharmacist

Information must be available for two years after last refill

Front 47

Transfering Rxs

Back 47

Orally
Pharmacist to pharmacist or intern or;
Intern to pharmacist

Front 48

Transferring Controls

Back 48

One-time transfers of controlled substances C3-5

Pharmacies electronically sharing a real-time, online dateabase may transfer up to the maximum refills permitted by law and the Rx authorization. If a new Rx number is created then can only be transferred once.

Front 49

Transfer information

Back 49

Name, lisence number, initials

name license number, initals, receiving pharmacist

name, address, phone number of receiving rx outlet

If controlled then also the DEA of the receiving pharmacy

RECEIVING pharmacy must write transfer on face of rx
date of initial dispensing
original number of refills, number of refills left
date of last refill
original rx number

Front 50

How soon after change of a pharmacist manager must a controlled substance inventory be completed?

Back 50

Within 72 hours, by the new manager. The inventory must be taken at the opening or closing of the business day. Record Date and Time of Inventory.

Front 51

Random.

Back 51

There shall be a minimum of 12 continuous square feet of
compounding/dispensing area, and a minimum of 6 continuous square feet of
compounding/dispensing area for each person engaged in
compounding/dispensing as defined. These counters and surfaces shall be kept
free and clear at all times for the purpose of compounding/dispensing. Any
computer workstation or other equipment for the preparation of prescription labels
and/or storage and retrieval of records shall be in addition to the minimum free
compounding/dispensing area.
(1) The free floor space behind all compounding/dispensing counters or work
surfaces shall be not less than 30 inches in width;
(2) The free floor space between shelving rows shall be not less than 24
inches;

Front 52

Refrigerator requirements?

Back 52

Drugs only
Thermometer in the refrigerator
Temp maintained between 2-8C or 36-46F
temp manually or electronically monitored each day
Records compiled of when fridge falls out of the temp ranges
keep records for 2 years

Front 53

Freezer requriements

Back 53

same as fridge
temp range -25 and 10C or -13 and 14F

Front 54

What reference material must a pharmacy have?

Back 54

-CRS Title 12, Article 42.5; the Pharmacists Businesses, and Pharmaceuticals Act

-Uniform Controlled Substance Act of 1992

-Board Rules

21 Code of Federal Regulations Part 1300 to End containing Drug Enforcement Administration rules relating to controlled substances;

-If compounding sterile products; Guide to Parenteral Admistures or Handbook on Injectable Drugs or other comparable references as determined by mangager

-if compounding cytoxic agents, Technical Manual Section VI: Chapter 2, Controlling Occupational Exposure to Hazardous Drugs or ASHP Technical Assistance Bulletin on Handling Cytotoxoic and hazardous Drugs

Front 55

Minimum hours of operation?

Back 55

must be open two designated days per week M-S and at least four continuous hours on each designated day

If open less than 32 hours per week, pharmacist manager shall submit to the Board a written statement of the designated days and hours when the dispensing/compounding area is open at least 30 days prior to the date the schedule will begin

Front 56

Can a pharmacist leave the building?

Back 56

Pharmacist can not leave the building if an employee is in the compounding dispensing area.

Must notify board w/in 10 days if this type of situation occurs

Front 57

When must written agreement for MTM be redone?

Back 57

Every year at minimum

Front 58

MTM requirements for pharmacist to partake in a MTM program.

Back 58

Any pharmacist engaged in drug therapy management shall meet the following qualifications:
a. Have and maintain an unrestricted license in good standing to practice pharmacy
in Colorado; and
b. Meet one of the following qualifications:
1. Proof of completion of a pharmacy residency accredited by the American
Society of Health Systems Pharmacists or the American Pharmacists
Association in the specialty being practiced; or
2. Completion of a certificate program accredited by the Accreditation
Council for Pharmacy Education in each area of practice, and 40 hours of
on-site supervised clinical practice and training in each area in which the
pharmacist is choosing to practice; or
3. Completion of at least 40 hours of ACPE approved continuing education
regarding clinical practice and 40 hours of on site supervised clinical
practice and training in the area in which the pharmacist is choosing to
practice; or
4. Current Board specialty certification from the Board of Pha

Front 59

How long must records of MTM be retained?

Back 59

minimum 7 years from date of last MTM or 7 years from pts 18th birthday

Electronic back up must be done every 24 hours

Previous 2 years records must be immediately available

Front 60

If involved in a legal case how soon must you notify the Board?

Back 60

W/in 72 hours of receiving service or process by other means of legal proceedings in colorado or anywhere else

Front 61

Drug kits for LTCF may contain how many drugs, of which, how many controlled?

Back 61

60 drugs and 12 may be controlled and no more than 30 doses

KITs must be tamper evident, paper or tape seals are unacceptable

Front 62

How long must DEA forms be retained?

Back 62

DEA-222s that have been executed in previous 2 years

All unexecuted DEA-222 shall be made available w/in 48 hours or two business days

Front 63

How are controlled substances supposed to be inventoried?

How long should inventory records be retained?

Back 63

C2s - exact count

C3-V and estimated count is ok unless the container contains more than 1000 tablets or capsules (then exact).

Keep Controlled inventory records for minimum 2 years

Front 64

How should Rx be filed?

Back 64

numerical sequence in order to be considered readily retrievable

Three different files
-only C2s
-only C3-5
-all non-controlled

Front 65

How long must vaccination information be retained?

Back 65

three years