Law Other Ncs

Front 1

PA Prescribing
a)CDS
b)C2
c)C3-5 (2)
d)non-CDS

Back 1

a)must get mid-level DEA/OBN license and have a formulary w/ certain drug categories they can't prescribe

b)on-site only

c)30d supply only w/ no refills
c)even if Rx is less than 30d supply

d)30d supply w/ 2 refills for a NEW DIAGNOSIS
d)90d supply w/ established dx w/ refills up to 1 year

Front 2

APN Prescribing
a)consists of? (3)
b)parameters (3)

Back 2

a)Advanced Registered NP
a)Clinical Nurse specialists
a)certified nurse midwives

b)must be within specialty area
b)C3-5 limited to 7d supply (must have OBNDD/DEA registration)
b)subject to exclusive formulary

Front 3

Certified Registered Nurse Anesthetists
a)parameters (2)

Optometrists Prescribing (2)

Back 3

a)can order, obtain, admin drugs ONLY in perioperative and periobstetrical periods
a)can order C2-5 (w/ OBNDD/DEA registration) from inclusionary formulary

1)need mid-level DEA/OBN license to prescribe C3-5 for 7d supply (no refills w/o follow-up)
2)drugs must be for abnormalities of eye

Front 4

PA, APN, Optometrists... (2)

Back 4

1)may receive/distribute drug samples of drugs they may prescribe
2)may NOT write outpt C2's ever

Front 5

DEA 222 is for....
DEA 106 is for...

Back 5

C2 ordering/returning (white sent in, brown for your records, green to DEA)

reporting lost/stolen C2's

Front 6

Changing ownership/name/location of pharmacy (3)

Back 6

1)notify OBNDD/DEA within 14d in advance
2)CDS inventory done at date of transfer
3)no inventory if change of location/name but NOT ownership

Front 7

When does 9g pseudofed limit NOT apply?

And Rx for pseudofed can have how many refills?

Back 7

if it is a valid Rx

treat like non-CDS for refills

Front 8

Board of pharmacy consists of?

Length of terms

Back 8

6 persons
5 DPh (registered and good standing in OK, practicing for 5yrs)
1 lay person (OK resident for 5yr, not a DPh or related by blood/marriage within the 3rd degree to a DPh)

5yrs

Front 9

How many pharmacies can 1 pharmacist manage

Filled Rx label must contain: (6)

Back 9

ONE

1)name/address of pharmacy of origin
2)date of filling
3)name of pt
4)name of Dr
5)directions for admin
6)Rx number

Front 10

Rx as property of pt (2)

Back 10

1)can't refuse to supply reference copy in writing or by telephone

2)can't refuse to transfer

Front 11

Criteria for accepting unused Rx drugs (4)

Back 11

1)in sealed unit dose packaging
2)not expired
3)NO CDS accepted
4)other conditions if for medical assistance or drug product donation program

Front 12

Complaints to Board

Back 12

must be received 10d prior to next scheduled Board meeting

Front 13

Licenses/permits (annual) (12)

Back 13

1)pharmacist renewal
2)senior inactive pharmacist renewal (over 65, retired)
3)pharmacy license (hospital, retail, non-resident, charitable, hospital drug room)
4)IV permit
5)drug supplier permit
6)wholesaler permit
7)packager permit
8)menufacturer permit
9)medical gas supplier permit
10)medical gas distributor permit
11)technician permit
12)duplicates

Front 14

Pharmacists rules of professional conduct (11)

Back 14

1)compliance w/ laws
2)no subbing w/o authority of Dr or pt
3)professional conduct
4)no unprofessional promotion
5)professional fees paid
6)confidentiality
7)NO practice of medicine
8)NO secret arrangements
9)promote profession to young ppl of good moral character
10)make professional services available to allied professions, gov't
11)recognize state board as governing body

Front 15

Look at violations of professional conduct

How long is a intern license good for?

Back 15

n/a

5yrs

Front 16

Preceptor requirements (4)

Back 16

1)complete an exam (renew license every 3yrs)
2)show interest in pharmacy as profession and instruct intern in all operations of training area
3)submit reports on intern over 240h or upon termination
4)NOT on probation (after 2yrs on probation can reapply to be preceptor)

Front 17

Prospec drug review done to ID what? (7)

Back 17

1)over/underutilization
2)duplication
3)drug-dz CI
4)drug-drug CI
5)incorrect drug dose/duration of tx
6)drug-allergy interactions
7)clinical abuse/misuse

Front 18

Records of immunizations must include (6)

Back 18

1)pt name (parent name if minor)
2)address of pt
3)Dr
4)immunization order
5)name, manufacturer, lot, exp date
6)date for cont. dose regimen if reqd

Front 19

Pharmacy emergency and pt requests non-CDS refill (3)

For CDS? (5)

Back 19

1)make effort to contact original Dr
2)if cant find Dr. can dispense 30d supply if in DPh judgment it is necessary for pt health/safety (ONE TIME ONLY)
3)make "Emergency" on Rx

1)try to call Dr
2)if cant call Dr, check w/ OBN and DEA to see if CDS for emergency pts has been approved
3)if approved by OBN/DEA and is seen necessary in DPh eyes can give 10d supply
4)pt must supply ID and vial to verify the person has been taking Rx
4)mark "Emergency"

Front 20

Pharmacy manager must... (8)

Back 20

1)supervise all employees
2)est policies/procedures for safekeeping drugs
3)proper record keeping for purchase, sale, delivery, possession, storage, safekeeping of drugs
4)proper display of all licenses
5)annual CDS inventory
6)maintenance of Rx files
7)maintain controls against Rx errors or misfills
8)notify board if intern, tech, PIC are fired for drug/pharmacy violation

Front 21

Physical requirements of Pharmacy (14)

Back 21

1)no less than 125 sq ft
2)sink w/ hot/cold water separate from restroom
3)balances w/ 1/10 gr to 1oz (unless proven otherwise to board)
4)graduates in metric/apothecary
5)spatulas
6)mortars/pestles
7)sterilization equipment
8)library
9)fridge that does not store any food products
10)exempt narcotic book
11)poison book
12)filing system (keep files for 5yrs)
13)containers for dispensing
14)labels for Rx's

Front 22

Lock-out pharmacy or Rx department requirements (like Hometown, pharmacy closes before store) (6)

Back 22

1)separate area w/ floor to ceiling partition
2)125 sq ft
3)run by pharmacist
4)minimum of 40h/5d/wk
5)posting of hours
6)all proper equipment

Front 23

Required reference books for pharmacy (12)

Back 23

1)LAW BOOK (MOST CURRENT)

At least 2 of the following:
1)USP/NF (3yrs or latest edition)
2)Merck Manual (3yrs or latest edition)
3)Remington (6yrs)
4)Toxicology reference (3rs)
5)Mosby's Drug Consult (2yrs)
6)F&C (2yrs)
7)ASHP (2yrs)
8)Montly Prescribing Reference (2yrs)
9)Drug Info Handbook (2yrs)
10)Micromedex (2yrs)
11)Computer references (micromedex, F&C, clinical pharmacology, natural medicines, trissel's)

Front 24

Non-resident pharmacy (pharmacy not in OK but doing business here) requirements (8)

Back 24

1)get non-resident pharmacy license
2)have good standing license in resident state
3)comply w/ OK Sec. of State requirements of good business
4)OK pharmacy laws apply to OK protion of practice
5)PIC and other pharmcists must be in good standing in resident state
6)be subject to State board of OK inspection (or OK board may request reports from resident state inspection)
7)C2's sent to OSTAR, keep all records for 5yrs
8)must offer counseling services

Front 25

Multiple CDS refills?

Back 25

if pharmacies sharing electronic real-time database it can be transferred the # of refills

Front 26

Requirements for reverse side of invalidated Rx: (5)

Back 26

1)name/address of pharmacy
2)last name/# of accepting pharmacist
3)last name/# of transferring pharmacist
4)date of transfer
5)exchange DEA #'s if its a CDS

Front 27

Requirements for transferred in Rx: (7)

Back 27

1)write "transfer" on Rx
2)date of original and last fill
3)original Rx # and # of refills on original Rx
4)# of valid refills remaining
5)name/address of pharmacy that Rx came from
6)last name/# of Rx transferring out
7)DEA # exchange if its a CDS

Front 28

Pharmacists responsibility in a pharmacy (5)

Back 28

1)only a DPh shall be responsible for control/dist of drugs (lock up drugs, drugs not outside pharmacy if DPh not there)
2)use professional judgement (do NOT have to dispense if think its a fraud or not for legit purpose)
3)ensure there is a legit medical purpose from Dr
4)valid pt-Dr relationship (no internet based relationships)
5)valid Rx's sent out only

Front 29

Pt records shall contain (7)

Back 29

1)name of pt for who drug is intended
2)address/phone # of pt
3)pt age or DOB
4)comments on pt's therapy
5)list of all drugs gotten at pharmacy during past 6mon
6)reasonable effort to record allergies, drug rxns, disease states
7)maintain it for 2yrs

Front 30

Rx purchase records must be kept for...

Back 30

2yrs

Front 31

Tech requirements (5)

Back 31

1)high school or GED
2)good moral character
3)non-impaired (alcohol/drugs)
4)adequate education to perform assigned duties
5)atleast complete on-the-job training

Front 32

Look at technician tasks for hospital pharmacy

Back 32

n/a

Front 33

Hospital pharmacy requirements (5 of many)

Back 33

1)access to the pharmacy by 1 and only 1 supervisory nurse
2)oklahoma law book
3)drug recall procedures
4)dc drug order procedure
5)ADR program
6)monthly inspection by director of pharmacy

Front 34

Hospital label requirements (8)

Back 34

1)name/address of hospital pharmacy
2)date/ID serial #
3)name of pt
4)directions for use to pt
5)name of Dr
6)initials of dispensing DPh
7)precautionary info regarding CDS
8)name of drug, strength, # of units dispensed

Front 35

Director of pharmacy inspection of hospital pharmacy should look for: (7)

Back 35

1)drugs for internal use are stored separately from drug used externally
2)drugs requiring special storage are stored so
3)no outdated drugs
4)dist, admin, waste of CDS are documented/reported
5)emergency drugs are adequate and in proper supply
6)all necessary and reqd security and storage standards are met
7)wt and conversion tables and charts are available to all med personel

Front 36

IV pharmacy requirements (6)

Back 36

1)at least Class100 environmental conditions in critical spaces
2)sink w/ hot/cold water to use b4 compounding
3)disposal containers for needles/syringes
4)biohazard waste if using cytotoxic products
5)fridge/freezer w/ thermometer
6)cleaning solutions and handwashing agents (bactericidal)

Front 37

IV pharmacy reference guides (3)

Back 37

1)handbook of injectable drugs
2)king's guide to IV admixtures
3)procedures for handling cytotoxic drugs

Front 38

Can get oral C2 Rx IF: (in case of emergency) (5)

Back 38

1)amount dispensed is limited to amount adequate to tx the pt during emergency period
2)Rx shall be put in writing and have all C2 info except Dr signature
3)make effort to make sure person on phone is practitioner
4)make effort to determine the ID of person if person is not known to DPh
5)within 72h a C2 must be gotten to the pharmacy (after emergency authorization), if by mail it must be postmarked within 72h

Front 39

C2 partial fill (3)

Back 39

1)write on script how many were given initially
2)must get remaining portion within 72h, or the remaining quantity is invalid
3)LTCF can get partial fills ok (must note LTCF or "terminally ill" on Rx)

Front 40

Electronic reporting of pseudofed sales requires (requires VALID state driver's license or valid state ID card) (6)

Back 40

1)pharmacy ID
2)ID # (Pt's)
3)first/last name/address of pt
4)purchase Q in grams
5)initials of DPh authorizing
6)product name/form of PSE

Front 41

Closing a Pharmacy you must... (7)

Back 41

1)perform CDS inventory
2)return license, CDS inventory, date of closing and disposition of records and Rx only drugs
3)Rx only drugs can be sold to another pharmacy, returned or destroyed
4)DEA 222 reqd for C2 transfer, C3-5 must be invoiced
5)records still must be kept for 5yrs (can be sold or kept)
6)return DEA license and DEA222 to DEA
7)remove all signs