Tn Mpje

Front 1

Who makes the rules & regulations?

Back 1

The Board of Pharmacy

Front 2

How many compliance officers & inspectors are in the state of Tennessee?

Back 2

5

Front 3

[1]: What is the makeup of the board:
- How many pharmacist?
- How many public members?

[2]: Who appointed the members of the board?

[3]: The board shall consist of at least 1 person that is ________ AND 1 person that is ________.

Back 3

[1]:
6 Pharmacists
1 Public Member

[2]: All members are appointed by the Governor.

[3]: The board shall consist of at least 1 person that is:
(a): ≥ sixty (60) years of age AND 1 person that is
(b): member of a racial minority

Front 4

What are the four (4) requirements that the public member must have in order to be appointed as a member of the TN board?

Back 4

Public member shall have been:
[1]: a resident of TN for at least 5 years &
[2]: currently resides in TN &
[3]: is a non-health care professional by education &
[4]: shall not own, or have any financial or other interest in, any health care facility or business.

Front 5

Of the Board member who are pharmacist:
[1]: Do they have to be actively practicing?
[2]: If so, how many years are required?

Back 5

[1]: Yes
[2]: Five (5) years of practice is required

Front 6

What is the term length:
- For public members of the board?
- For Pharmacist?

Back 6

BOTH are six (6) Years & is limited to a SINGLE term

Front 7

Is the MPJE required for the state of Tennessee? If not, what is?

Back 7

Yes

Front 8

Is a NAPLEX score transferable? If so, what is the time period?

Back 8

Yes;
the validity period for a NAPLEX score transfer is 1 year

Front 9

In regards to internship hours:
- How many hours of practical experience do you need?

Back 9

- 1,500 hours are required by Rule or Regulation

- Up to 1,100 hours may be acquired in conjunction with academic

- 400 hours may be obtained through nontraditional programs

- This goes into effect during the 1st academic professional year.

- No hours of practical experience is required in post-graduation.

Front 10

Does Tennessee require that preceptors be licensed or registered?

Back 10

No;
preceptors do NOT need to be licensed with the Board, BUT the "hospital pharmacy preceptor" has to be officially registered with University of Tennessee.

Front 11

Does Tennessee require that interns be licensed or registered?

Back 11

No

Front 12

How many interns can a preceptor supervise?

Back 12

1 intern

Front 13

Can a licensed be issued to a foreign educated pharmacists?

Back 13

Yes

Front 14

For foreign educated pharmacists:
[1]: Is an FPGEC certification required?
[2]: How many hours of practical experience are required?

Back 14

[1]: Yes
[2]: 1,500 hours are required;

[OUTSIDE of TN]:
When internship hours obtained outside of state, an ADDITIONAL 500 hours must be obtained in state within a period of six (6) consecutive months.

- Candidates may officially obtained internship hours AFTER they have applied for FPGEC [TN].

Front 15

Does a foreign graduate have to appear before the board before a license can be issued?

Back 15

No

Front 16

Which board or regulatory agency issues the pharmacist license?

Back 16

The Board of Pharmacy

Front 17

What is the minimum age requirement to become a licensed pharmacists?

Back 17

21 years old

Front 18

Can you be issued a temporary licensed in Tennessee?

Back 18

No

Front 19

What are the requirements for transferring a license from another state of Tennessee?

Back 19

An applicant initially "licensed" in ANOTHER STATE & who wishes to obtain a Tennessee license may, in the discretion of the board:

[1]:
transfer to TN the applicant's score on NAPLEX taken in another state
[2]:
If the applicant has been licensed for ≥ 12 MONTHS in ANOTHER STATE, then the applicant shall apply for a license in TN by RECIPROCITY.
[3]:
No license shall be issued to a score transfer applicant from a state which denies score transfer privileges to a pharmacist currently licensed & in good standing in TN.

Front 20

Is the MPJE licensure results from another state transferable to Tennessee?

Back 20

No,
the MPJE licensure results are NOT transferable from another state to Tennessee

Front 21

Is a board hearing required to transfer a pharmacist license from another state to Tennessee?

Back 21

No

Front 22

How often must a pharmacist renew their license?

Back 22

Biennially

Front 23

What are the continuing pharmacist education [CE] requirements in the state of Tennessee?

Back 23

Every person licensed as a pharmacist shall complete during each TWO (2) year license renewal at least:

[1]:
Thirty (30) contact hours of continuing education [CE]

[2]:
Of the required 30 contact hours, a minimum of fifteen (15) contact hours shall be acquired through "LIVE" contact programs, as determined by the ACPE designation

Front 24

What agency is in charge of disciplining a pharmacist?

Back 24

The Board of Pharmacy

Front 25

Does a pharmacy technician have to be:
[a]: Licensed?
[b]: Registered?
[c]: Certified?

Back 25

[a]: Licensed ⇒ No
[b]: Registered ⇒ Yes
[c]: Certified ⇒ No

Front 26

If a pharmacy technician has to be registered, then how often do they have to renew their registration?

Back 26

Every 2 years

Front 27

Are there any pharmacy technician training requirements?

Back 27

By the pharmacist

Front 28

What is the pharmacy technician continuing education requirements?

Back 28

- Pharmacy technicians don't need CEs.

- However, if a tech is certified through PTCB, then they need 20 CE every 2 years to be able to renew their certification.

Front 29

Is a pharmacy technician required to pass an examination?

Back 29

No

Front 30

Does the state board have the power to suspend, deny, or revoke a pharmacy technician's license?

Back 30

Yes

Front 31

What is the ratio of pharmacy technicians to pharmacists:
[1]: In a pharmacy?
[2]: In an Institutional setting?

Back 31

- 2:1 in ALL setting

- May be increased to a maximum of 4:1 by the PIC based on public safety considerations BUT only if the additional techs are certified.

- However, the PIC may request in writing a modification on the ratio from the Board. Such request must be approved prior to being implemented.

- Pharmacy Interns do NOT apply to the tech to pharmacist ratio

Front 32

Can a pharmacy technician in TN:
[1]: Accept a called in prescription from the doctor's office?
[2]: Enter a prescription into the computer?

Back 32

[1]: Yes;
Only a Certified Tech may receive NEW oral prescriptions & TRANSFER copies from other pharmacies

[2]: Yes;
pharmacist must verify, check, and/or is responsible for allowed activities

Front 33

Can a pharmacy technician call the doctor's office for REFILL authorization?

Back 33

Yes;
pharmacist must verify, check, and/or is responsible for allowed activities

Front 34

Is a pharmacy technician permitted to work with compounding?

Back 34

Yes;
pharmacist must verify, check, and/or is responsible for allowed activities

Front 35

How many pharmacy licensing categories are there for the state of Tennessee?

Back 35

Seven (7)

Front 36

Does a non-resident pharmacy providing prescription drugs in the state of Tennessee have to be licensed or registered?

Back 36

Yes;
the Pharmacist-in-charge [PIC] of the non-resident pharmacy must ALSO be licensed in TN.

Front 37

[1]: What state agency is responsible for issuing a license to a wholesale distributor?

[2]: How often does it have to be renewed?

Back 37

[1]:
The Board of Pharmacy

[2]:
Every two (2) Years;
Renewal date is the date license initially issued.

Front 38

Does Tennessee issue a license to out-of-state wholesalers?

Back 38

Yes

Front 39

Does Tennessee require a license for wholesaler distributors of:
[1]: Prescription medical devices?
[2]: Non-Prescription medical devices?
[3]: Non-Prescription drugs?

Back 39

[1]: Prescription medical devices?
⇛ Yes

[2]: Non-Prescription medical devices?
⇛ No

[3]: Non-Prescription drugs?
⇛ No

Front 40

[1]: What is VAWD?

[2]: Does Tennessee recognized the VAWD?

Back 40

[1]: Verified Accredited Wholesale Distributors [VAWD]:
- a program designed to protect the public from counterfeit drugs entering the US drug supply

[2]: No

Front 41

In addition to Federal Law:
[1]: Does TN have its own Food, Drug, & Cosmetic Act?
[2]: Dangerous Drug Law?
[3]: Controlled Substance Act?

Back 41

[1]: Yes
[2]: Yes
[3]: Yes

Front 42

Does Tennessee have any rules & regulations on:
- Prescription medical devices?
- Medical Oxygen?

Back 42

Prescription medical devices ☛ No

Medical Oxygen ☛ YES

Front 43

In regards to Tennessee rules & regulations on OTC sale of Pseudoephedrine:
[1]: Where should it be kept in the pharmacy?
[2]: Max sales?

Back 43

[1]: Must be behind the counter or in a locked cabinet

[2]:
3.6 gm/day
9 gm/month

Front 44

Tennessee requires retailers selling PSE over-the-counter to utilize which real-time data system?

Back 44

National Precursor Log Exchange [NAPLx]

Front 45

Will Tennessee allow prescriptions from an out-of-state prescriber for:
- Non-Controlled Legend Drugs?
- Controlled Drugs?

Back 45

Non-Controlled Legend Drugs? ☛ YES

Controlled Drugs? ☛ YES

Front 46

Is a prescription needed to buy syringes & needles?

Back 46

No;
Shall be sold ONLY on proof of medical need by a pharmacist or an intern or tech under direct supervision of a pharmacist

Front 47

Is the sale of syringes or needles restricted to only a pharmacy?

Back 47

Yes;
must be stored in an area not accessible to the public.

Front 48

What is the time limit for the state of Tennessee for controlled drug prescription refills?

Back 48

If any medical or prescription order contains a statement that it may be refilled, a specified number of times within or during any particular period, such order shall be refilled in strict conformity with such statement.

[C-II] ☛ must be filled within 1 year from date issued & no refills

[C-III & IV] ☛ must be filled within 6 months from date issued & up to 5 refills

[C-V]:
[1]: Partial Filling ☛ within six (6) months from date issued, not to exceed total quantity
[2]: Filling ☛ within one (1) year from issue of New Rx;
[3]: Refills ☛ no rule on refills

Front 49

Can you buy a Schedule V drug over the counter?

Back 49

Yes

Front 50

Does Tennessee allow pre-printed prescription forms to a non-controlled prescription?

Back 50

Yes;
but the prescriber's signature may NOT be printed.

Front 51

Is an expiration date required on a prescription vial label in a community practice?

Back 51

Yes

Front 52

How long do prescription records have to be kept?

Back 52

Two (2) years from the date of last dispensing.

Front 53

Are there any special requirements for prescription pads?

Back 53

Prescriptions for MEDICAID clients must be written on Tamper-Resistant prescription pads.

To be considered Tamper-Resistant, it must has at least ONE of the following characteristics:

- One or more industry-recognized features designed to prevent:
[1]: unauthorized copying of a completed or blank prescription form
[2]: the erasure or modification of information written on the prescription
[3]: the use of counterfeit prescription forms

Front 54

Are there any special regulations regarding prescriptions sent by fax?

Back 54

The facsimile can be considered an "original" for filling, but it integrity cannot be maintained a photocopy should be made.

Transmission of a prescription must be to a pharmacy of the patient's choice.

A facsimile device or supplies can NOT be provided to a prescriber.

Front 55

Is a faxed prescription permitted:
- From an in-state prescriber to the pharmacy?
- From an out-of-state prescriber to pharmacy?

Back 55

- Yes
- Yes

Front 56

Is a faxed prescription transfer permitted:
- From an in-state prescriber to the pharmacy?
- From an out-of-state prescriber to pharmacy?

Back 56

- Yes
- Yes

Front 57

Does Tennessee recognize electronic signatures for non-controlled drug prescriptions that are faxed?

Back 57

Yes;
"Electronic Signature" - is defined as the process that secures the user authentication (proof of claimed identify, such as by biometrics, fingerprints, retinal scans, hand written signature verification, etc.) at the time the signature is generated & creates the logical manifestation of a signature.

Front 58

Can a Tennessee pharmacy accept electronic prescriptions for controlled drugs?

Back 58

Yes,
once the DEA regulations of an audit on the prescriber & pharmacy applications (computer software) are deemed met.

Successful completion of the audits will result in "certification" of the prescribers & pharmacies.

Only after this certification is achieved by BOTH the individual prescriber & the pharmacy practice site, can a pharmacy accept electronically prescribed controlled substance prescriptions.

Front 59

Is patient counseling required for Medicaid & all other patients:
[1]: In retail pharmacy?
[2]: In outpatient or institutional pharmacy?

Back 59

[1]: Yes,
The pharmacist shall personally counsel the patient or caregiver "face-to-face" if the patient or caregiver is present.

If the patient or caregiver is not present, a pharmacist shall make a reasonable effort to counsel through alternative means.

[2]:
Patient counseling shall also be required for outpatients of hospitals or other institutional facilities dispensing medical & prescription orders & for patients when medications are dispensed on discharge from the hospital or other institutional facility.

Patient counseling is NOT be required for inpatient or institutional facility.

Front 60

Is patient counseling required when filling:
- New prescriptions?
- Refill prescriptions?

Back 60

New prescriptions ☛ YES

Refill prescriptions ☛ A pharmacist or a person designated by the pharmacist shall offer for the pharmacist to personally counsel the patient or caregiver. Counseling is NOT required unless requested by the patient or deemed necessary in the professional judgement of the pharmacist.

Front 61

Who has to perform the counseling?

Back 61

The pharmacist or pharmacy intern under the direct supervision of a pharmacist.

Front 62

Are patient profiles required?

Back 62

Yes

Front 63

Is a drug utilization review [DUR] required?

Back 63

Yes, PRIOR to dispensing each medical or prescription order.

Front 64

Who, in the state of TN, can write prescription?

Back 64

1. MD
2. Dentist
3. Podiatrist
4. Veterinarian
5. Physician Assistant [PA]
6. Advance Registered Nurse Practitioner
7. Clinical Nurse Specialist
8. Nurse Midwife
9. Nurse Practitioner [OB/GYN, Pediatric, & Psychiatric]
10. Optometrist (but only w/in scope of practice)

Front 65

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

Back 65

Yes

Front 66

Can a prescriber have ownership in a pharmacy?

Back 66

Yes

Front 67

Can pharmacist in the state of TN administer drugs or immunizations?

Back 67

Yes

Front 68

Are pharmacies allowed to used electronic reference materials?

Back 68

Yes

Front 69

Are pharmacies required to have any type of continuous quality improvement programs to keep track of & prevent quality related issues?

Back 69

No

Front 70

Does Tennessee have any regulations to help with a pharmacist's world?

Back 70

Yes;
A pharmacist is permitted one temporary absence for up to 1 hour per day.

Pharmacy must be closed off & a sign must be posted that reads ☛ "Pharmacist not on duty".

Front 71

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

Back 71

Yes ☛ "Nina Norman Prescription Drug Donation Act"

Nursing homes & hospice service programs can donate unused prescription medications [Controlled Substances Excluded] through charitable clinic pharmacies to TN residents who are indigent.

ONLY drugs in their original sealed & Tamper-Evident packaging should be accepted.

Front 72

Does TN allow the Return & Reuse of drugs?

Back 72

Yes

Front 73

Does TN have rule & regulations on how drugs are to be disposed of?

Back 73

YES;
Controlled Substances listed in any schedule shall be destroyed by a board approved agent or vendor.

Front 74

Does TN allow pharmacists to dispense emergency contraceptives?

Back 74

Federal law permits OTC sales of emergency contraceptives to anyone over 17 y/o.

Front 75

Are there any special time limits on Controlled Drugs?

Back 75

No special limits, they follow Federal law limits.

Front 76

Are there any unique laws requiring the actual control drug prescription blank? For example, unique Rx color or check boxes for quantity, or carbon copies to anyone?

Back 76

- Quantity must be written numerically & with roman numerals

- Only one Schedule II prescription per blank

Front 77

- Are there any special restrictions on emergency telephone Rxs for class C-II?
- Does the state define "Emergency Period" for quantity?

Back 77

"Emergency Period" is NOT defined, however, per TN Code Ann