Mpje Federal/alabama Law Study Questions

Front 1

When a State and Federal law offer two differing guidelines on the same point, which law applies?

Back 1

The STRICTER law always applies.

Front 2

Controlled substances fall under _____ categories(or schedules). Which ones have accepted medical use?

Back 2

They fall under 5 schedules.
C-I has NO accepted use, C-II through C-V are accepted.

Front 3

The DEA allows for use of C-I substances in what area?

Back 3

Research. Must be registered with the DEA as such.

Front 4

Name the Schedule: Heroin

Back 4

C-I

Front 5

Name the Schedule:
Fentanyl Analogs

Back 5

C-I

Front 6

Name the Schedule: LSD

Back 6

C-I

Front 7

Name the Schedule: Marijuana

Back 7

C-I

Front 8

Name the Schedule: MDMA

Back 8

C-I (Ecstasy)

Front 9

Name the Schedule:
Methaqualone

Back 9

C-I

Front 10

Name the Schedule: GHB

Back 10

C-I

Front 11

Name the Schedule:
Methcathinone

Back 11

C-I

Front 12

Name the Schedule: Morphine

Back 12

C-II

Front 13

Name the Schedule: Codeine

Back 13

C-II

Front 14

Name the Schedule: Hydrocodone

Back 14

C-II

Front 15

Name the Schedule: Opium

Back 15

C-II

Front 16

Name the Schedule:
Hydromorphone

Back 16

C-II

Front 17

Name the Schedule: Methadone

Back 17

C-II

Front 18

Name the Schedule: Meperidine

Back 18

C-II

Front 19

Name the Schedule: Oxycodone

Back 19

C-II

Front 20

Name the Schedule: Fentanyl

Back 20

C-II

Front 21

Name the Schedule: Amphetamine

Back 21

C-II

Front 22

Name the Schedule:
Methamphetamine

Back 22

C-II

Front 23

Name the Schedule:
Methylphenidate

Back 23

C-II

Front 24

Name the Schedule: Cocaine

Back 24

C-II

Front 25

Name the Schedule: Amobarbital

Back 25

C-II

Front 26

Name the Schedule: Glutethimide

Back 26

C-II

Front 27

Name the Schedule:
Pentobarbital

Back 27

C-II

Front 28

Name the Schedule: Secobarbital

Back 28

C-II

Front 29

Name the Schedule: Vicodin

Back 29

C-III
(<15mg hydrocodone/dosage unit)

Front 30

Name the Schedule: Lorcet

Back 30

C-III
(<15mg hydrocodone/dosage unit)

Front 31

Name the Schedule: Tussionex

Back 31

C-III
(<15mg hydrocodone/dosage unit)

Front 32

Name the Schedule:
Codeine w/Acetaminophen

Back 32

C-III
(<90mg codeine/dosage unit)

Front 33

Name the Schedule:
Codeine w/Aspirin

Back 33

C-III
(<90mg codeine/dosage unit)

Front 34

Name the Schedule:
Codeine w/Ibuprofen

Back 34

C-III
(<90mg codeine/dosage unit)

Front 35

Name the Schedule:
Anabolic Steroids

Back 35

C-III

Front 36

Name the Schedule:
Benzphetamine

Back 36

C-III

Front 37

Name the Schedule:
Phendimetrazine

Back 37

C-III

Front 38

Name the Schedule:
Compound/Suppository Amobarbital

Back 38

C-III

Front 39

Name the Schedule:
Compound/Suppository Secobarbital

Back 39

C-III

Front 40

Name the Schedule:
Compound/Suppository Pentobarbital

Back 40

C-III

Front 41

Name the Schedule:
Compound/Suppository Dronabinol

Back 41

C-III

Front 42

Name the Schedule:
Compound/Suppository Ketamine & Buprenorphine

Back 42

C-III

Front 43

Name the Schedule:
Propoxyphene

Back 43

C-IV

Front 44

Name the Schedule: Butorphanol

Back 44

C-IV

Front 45

Name the Schedule: Pentazocine

Back 45

C-IV

Front 46

Name the Schedule: Alprazolam

Back 46

C-IV

Front 47

Name the Schedule: Clonazepam

Back 47

C-IV

Front 48

Name the Schedule: Clorazepate

Back 48

C-IV

Front 49

Name the Schedule: Diazepam

Back 49

C-IV

Front 50

Name the Schedule: Flurazepam

Back 50

C-IV

Front 51

Name the Schedule: Halazepam

Back 51

C-IV

Front 52

Name the Schedule: Lorazepam

Back 52

C-IV

Front 53

Name the Schedule: Midazolam

Back 53

C-IV

Front 54

Name the Schedule: Oxazepam

Back 54

C-IV

Front 55

Name the Schedule: Prazepam

Back 55

C-IV

Front 56

Name the Schedule: Temazepam

Back 56

C-IV

Front 57

Name the Schedule: Triazolam

Back 57

C-IV

Front 58

Name the Schedule: Quazepam

Back 58

C-IV

Front 59

Name the Schedule: Barbital

Back 59

C-IV

Front 60

Name the Schedule:
Phenobarbital

Back 60

C-IV

Front 61

Name the Schedule:
Chloral Hydrate

Back 61

C-IV

Front 62

Name the Schedule:
Ethchlorvynol

Back 62

C-IV

Front 63

Name the Schedule:
Chlordiazepoxide

Back 63

C-IV

Front 64

Name the Schedule: Ethinamate

Back 64

C-IV

Front 65

Name the Schedule: Meprobamate

Back 65

C-IV

Front 66

Name the Schedule: Paraldehyde

Back 66

C-IV

Front 67

Name the Schedule: Methohexital

Back 67

C-IV

Front 68

Name the Schedule: Phentermine

Back 68

C-IV

Front 69

Name the Schedule:
Diethylpropion

Back 69

C-IV

Front 70

Name the Schedule: Pemoline

Back 70

C-IV

Front 71

Name the Schedule: Mazindol

Back 71

C-IV

Front 72

Name the Schedule: Sibutramine

Back 72

C-IV

Front 73

Name the Schedule:
Robitussin AC

Back 73

C-V

Front 74

Name the Schedule:
Phenergan w/Codeine

Back 74

C-V

Front 75

What amount of codeine may a liquid C-V drug contain?

Back 75

No more than 200mg Codeine per 100 ml or g.

Front 76

What form is used to obtain DEA registration for a pharmacy?

Back 76

DEA Form 224

Front 77

Pharmacy registrations with the DEA must be renewed how often?

Back 77

Every 3 years.

Front 78

DEA renewal forms for a pharmacy are normally received around ___ days before the expiration date.

Back 78

Approximately 45 days. The pharmacy should call the local DEA office if not received within 30 days of expiration.

Front 79

Any person engaged in wholesale distribution of List 1 chemicals must register as a Chemical Distributor using what form?

Back 79

DEA Form 510

Front 80

Any pharmacy engaged in co-op buying of controlled substances must...

Back 80

Register as a distributor with the DEA. (Including Security and Recordkeeping Requirements)

Front 81

When a pharmacy moves or otherwise obtains a new address, what must the pharmacy do? (2 Things)

Back 81

1. Notify the DEA before move date.
2. Written request for modified registration form.

Front 82

What form is used to renew a single pharmacy's DEA registration?

Back 82

DEA Form 224a

Front 83

What form is used to renew a chain pharmacy's DEA registration?

Back 83

DEA Form 224b

Front 84

When may the US Attorney General suspend or revoke a DEA registration? (5 Things)

Back 84

1. Falsified Data
2. Felony Conviction(CS or List 1 related)
3. State License Loss or Suspension
4. Public Interest
5. Exclusion from Medicare/Medicaid Program

Front 85

What must a pharmacy do when going out of business or transferring ownership? (4 Things)

Back 85

1. Notify the DEA in writing beforehand.
2. Send DEA certificate and unused 222 Forms (VOIDed)
3. Indicate to DEA where control inventories and records will be kept. (2 yrs)
4. Indicate how controls were transferred/destroyed.

Front 86

A registrant transferring a pharmacy business to another registrant needs to let the DEA know how soon?

Back 86

At least 14 days before the proposed date of transfer.

Front 87

A registrant transferring a pharmacy business to another registrant needs to give the DEA what information? (4 Things)

Back 87

1. Name/Address/Registration of the former operator.
2. Name/Address/Registration of the new operator.
3. Location (old or new?). If new, give the address.
4. Date of control transfer.

Front 88

How soon must a complete control inventory be taken of an acquired pharmacy?

Back 88

The DAY the controls are transferred.

Front 89

Records involving the transfer or destruction of controls must be kept readily available for how long?

Back 89

2 Years

Front 90

To transfer C-II substances, what must take place?

Back 90

Receiver must issue a DEA Form 222 to the transferring party.

Front 91

What must a transfer of C-III to C-V drugs contain?

Back 91

Drug name, dosage form, strength, quantity, and date transferred. Also, the names, addresses, and DEA registrations of both parties.

Front 92

How often may retail pharmacies request DEA permission to destroy outdated, damaged, or unwanted controls?

Back 92

Once per calendar year.

Front 93

What form is used to list drugs to be destroyed via DEA authorized disposal?

Back 93

DEA Form 41

Front 94

When obtaining permission to destroy controlled substances, what must the written letter contain?

Back 94

Proposed date and method of destruction, as well as names of at least 2 witnesses.

Front 95

How early must the DEA Form 41 and permission request be sent to the DEA prior to destruction of controls?

Back 95

At least 2 weeks before the proposed date.

Front 96

When may a pharmacy destroy controlled substances without prior permission?

Back 96

When an authorized member of state law enforcement or regulatory agency witnesses the destruction.

Front 97

How must controlled substances be stored in the pharmacy?

Back 97

Either in a locked cabinet or dispersed with regular stock to deter theft.

Front 98

What must a pharmacy do upon discovery of a theft?

Back 98

1. Contact the DEA by phone, fax, or written note.
2. Notify the police.
3. Complete DEA Form 106 to document controlled theft.

Front 99

What must a DEA Form 106 contain?

Back 99

1. Name/Address of Pharmacy.
2. DEA Registration Number.
3. Date of Theft.
4. Name/Phone Number of Police.
5. Theft Type.
6. List of Missing Controls.

Front 100

Whose responsibility is it to report an "in-transit" loss of controls?

Back 100

Before Delivery: Supplier
After Signed For: Pharmacist
(DEA Form 106)

Front 101

How is breakage/spillage of controlled substances reported?

Back 101

DEA Form 41

Front 102

The Controlled Substances Registrant Protection Act of 1984 (CSRPA) provides for Federal investigation of thefts/robberies if what condition is met?

Back 102

Either:
1. Replacement cost of controls is $500 or more.
2. Registrant or other person is killed or suffers significant body injury during theft.
3. Interstate or foreign commerce is involved in the crime.

Front 103

What penalties are set forth by the Controlled Substances Registrant Protection Act of 1984 (CSRPA) to those convicted?

Back 103

1. Burglary/Robbery: $25,000 max fine and/or 20 yrs. jail.
2. Use of a Weapon in the Crime: $35,000 max fine and/or 25 yrs. jail.
3. Resulting Death in the Crime: $50,000 max fine and/or life imprisonment.

Front 104

How must records of controls be stored?

Back 104

C-II: Separate from other records.
C-III to C-V: Separate or 'readily retrievable'.

Front 105

How often must a full controlled substance inventory be taken?

Back 105

Every 2 years.

Front 106

How can a pharmacy obtain additional forms for ordering C-II drugs?

Back 106

DEA Form 222a

Front 107

In an emergency, a C-II drug can be called or faxed in, provided...

Back 107

The Dr. provides a written and signed prescription within 7 days.

Front 108

The fax of a C-II can be kept as the 'hard-copy' when...

Back 108

1. Patient is on home infusion therapy.
2. Patient is in a LTCF.
3. Hospice patient.

Front 109

What has to appear on a prescription label?

Back 109

Pharmacy name and address, Rx Number, Date of Dispensing, Patient Name, Doctor Name, Directions and Warnings

Front 110

How are substances approved for the use of maintenance in detoxification obtained?

Back 110

DEA Form 363

Front 111

A doctor who isn't part of a registered narcotic treatment program can administer drugs for withdrawal under what conditions?

Back 111

1. Doctor is making arrangements for the patient to join a program.
2. Only one day's worth administered at a time.
3. Maximum of 3 days total.

Front 112

Practitioners interested in cooperating with medical missions and carrying controls must do what?

Back 112

1. Get DEA approval and host country approval.
2. Request this info at least 30 days ahead.

Front 113

The total number of dosage units of controlled substances distributed by a pharmacy may not exceed...

Back 113

5% of all controlled substances dispensed during a calendar year.

Front 114

According to Federal Law, what are the threshold amounts of pseudoephedrine, PPA, and ephedrine?

Back 114

Pseudoephedrine: 9 grams
PPA: 9 grams
Combo Ephedrine: 24 grams
Single Ephedrine: ANY
(above those amounts = 2yr record)

Front 115

How should suspicious purchases of List 1 chemicals be reported to the DEA?

Back 115

Orally: ASAP
Written: Within 15 days

Front 116

How is child-resistant packaging tested/approved?

Back 116

1. Children 3-5 years of age paired and given package. 5 minutes to open the package.
2. If no success, visual demo and 5 more minutes.
3. Passing grade if 20% or less of 200 kids open it.
4. Adults aged 50-70 have 5 minutes to open/close.
5. Passing if 90% of 100 open/close successfully.

Front 117

OBRA '90 made pharmacists responsible for what 3 things?

Back 117

1. Prospective DUR
2. Patient Counseling
3. Proper Patient Records

Front 118

What information must be found on the newly revised OTC label, and in what order?

Back 118

1. Active Ingredient (and amount per unit)
2. Purpose
3. Uses
4. Warnings/Contraindications & Side Effects
5. Directions for Use
6. Inactive Ingredients

Front 119

What info must appear on a controlled substance prescription?

Back 119

1. Date of Issue
2. Patient Name/Address
3. MD Name/Address/DEA #
4. Drug Name, Strength, Form
5. Quantity of Drug
6. Directions for Use
7. Refills(if any)
8. MANUAL Signature

Front 120

What is allowed to be changed by the pharmacist on a C-II prescription?

Back 120

1. Patient Address
2. Drug Form or Strength
3. Drug Quantity
4. Directions
5. Issue Date
(ALL upon talking with the MD)

Front 121

When a pharmacist changes employment, they must notify the board how soon?

Back 121

In writing within 10 days.
(Name, License, Old/New Employer)

Front 122

Pharmacy permits are good for ___ years, and are due when?

Back 122

Good for 2 years, due on Oct. 31 of even numbered years.
($100-200 initially, $50-150 renewal/transfer)

Front 123

Pharmacist licenses are good for ___ years, and are due when?

Back 123

Good for 2 years, due on Oct. 31 of even numbered years.
($25-150 Renewal)

Front 124

What are the AL requirements for Pharmacist CE?

Back 124

15 hours per year, 3 of which must be 'live'.

Front 125

Prescription records must be kept for how long?

Back 125

Minimum 2 years, 5 is recommended.

Front 126

What are the AL requirements for Technician CE?

Back 126

3 hours per year, 1 of which must be 'live'.

Front 127

If a compounding component is transferred from the original container to another one, what must be on that container?

Back 127

1. Name and Supplier
2. Lot # and Expiration Date
3. Strength/Concentration

Front 128

What technical equipment must each pharmacy have on hand?

Back 128

1. Facts/Comparisons or similar updated resource.
2. Hot/Cold water in Rx Area
3. Rx balance with appropriate weights

Front 129

Consultant Pharmacists must register with the board how often?

Back 129

Annually

Front 130

What are the AL requirements for Consultant CE?

Back 130

6 'live' hours annually.

Front 131

Initial certification for Consultant Pharmacists is composed of what?

Back 131

1. 10 hour approved course.
2. Exam grade of at least 75

Front 132

What are the requirements to be an AL Preceptor?

Back 132

1. At least practiced for 2 years.
2. Attend a training seminar at least once every 3 years.

Front 133

What are the hourly requirements for a supervising pharmacist?

Back 133

A MINIMUM of 50% of the operating hours or 30 hours each week(whatever is less).

Front 134

A supervising pharmacist can also serve in that role in an institutional pharmacy if...

Back 134

The institutional pharmacy is open less than 15 hours a week.

Front 135

When a person becomes supervising pharmacist, what must they do?

Back 135

1. Notify the board within 10 days via form.
2. Full controlled inventory within 15 days.

Front 136

If the permit holder of a pharmacy is unable to maintain a supervising pharmacist, what do they do?

Back 136

Notify the board within 10 days of an action plan to get one. This will allow up to 90 days to operate without violation.

Front 137

Technician licenses are good for ___ years, and are due when?

Back 137

2 years, due on October 31 of ODD numbered years.
($60)

Front 138

What are the practical training requirements for a pharmacy student?

Back 138

1500 hours TOTAL.
400 TRADITIONAL after the 3rd Year.
15-40 hours/week are eligible.

Front 139

Pharmacists may supervise ___ technicians at a time.

Back 139

3, as long as one is CPhT.

Front 140

Pharmacists may supervise ___ externs at a time.

Back 140

3

Front 141

Parenteral pharmacists must complete a course of at least ___ hours.

Back 141

5

Front 142

Nuclear pharmacies renew their licenses how often?

Back 142

Yearly

Front 143

What are the CE requirements for a nuclear pharmacist?

Back 143

1 hour of related CE per year.

Front 144

What are the educational requirements for a nuclear pharmacist?

Back 144

Approved training that has no less than 200 hours of class and lab work.

Front 145

Dealers of precursor chemicals must register in AL how often?

Back 145

Yearly. ($250)

Front 146

Those who obtain precursor chemicals must pay how much, how often?

Back 146

Permit of $35, each time.

Front 147

Bottlers/Repackagers/Wholesalers must get a permit how often?

Back 147

Every 2 years. Due on October 31 of even numbered years.
($500 initial/renew)