Wa Mpje Washington Law Pharmacy

Front 1

What is the maximum day supply for a "Med-Pack"?

Back 1

31

Front 2

How must schedule III drugs be stored in a LTCF?

Back 2

Schedule III drugs must be kept separate from legend drugs, but may be kept with schedule II drugs.

Front 3

Who is allowed to make changes on label of LTCF label?

Back 3

RPh only. No other person in the facility.

Front 4

How must discontinued CIII-V drugs be destroyed in a LTCF?

Back 4

Destroyed in the presence of a witness within 90 days with accurate records maintained. Sealed unit dose packages may be returned tot he pharmacy for credit.

Front 5

How must discontinued CII drugs be destroyed in a LTCF?

Back 5

Must be destroyed within 30 days by either of the following:-2 of following: pharmacist/Director of nursing or RN designee/Registered nurse employee of the facility-Destroyed at the NH by BOP designee if requested-By another mthod if unit drugs are involved and specified conditions met

Front 6

What kind of rules does the WABOP apply to jail pharmacies?

Back 6

Community pharmacy rules

Front 7

Who is responsible for the oversight of use of Automated Drug Distribution Devices (ADDD) in facilities?

Back 7

Pharmacist

Front 8

What are the physical requirements of a parenteral room?

Back 8

-adequate space, light, and restricted entry-capable of containing laminar flow hood-class 100 environmental conditions (annual cert...maintain reports for 2 years)-filters cleaned regularly with replacement date documented-sink with hot/cold running water-disposal of sharps-fridge/freezer

Front 9

What additional training to pharmacists and pharmacy techs need to compound in the parenteral room?

Back 9

Aseptic technique and quality assurance training

Front 10

What additional requirements does the compounding of antineoplastic agents require?

Back 10

-compounding must take place in vertical laminar flow hood-protective apparel is required-safety containment techniques must be used-disposal of waste must conform to state, local, and federal requirements -written procedures for handling spills-prepared doses dispensed/shipped to avoid rupture-documentation of employee training

Front 11

Can any licensed pharmacy operate a nuclear pharmacy?

Back 11

Nuclear pharmacies (Facility must also be segregated)

Front 12

What are qualifications to become a nuclear pharmacist?

Back 12

-meets standards of the state radiation control agency-license to practice pharmacy in WA-certification of at least 6 months on the job training-completed nuclear training program-received letter from board that recognized as nuclear pharmacist

Front 13

How do you close a pharmacy in WA?

Back 13

-Adequate notification of patients (at least 15 days)-Submit notice in writing to board 15 days prior to closure-Within 15 days after closing, the following documents must be provided to the BOP (pharmacy license, written statement containing confirmation of transferred legend drugs, list of CS and where transferred, confirmation that DEA registration and all unused DEA forms returned to DEA, confirmation that pharmacy labels and blanks destroyed, and confirmation that signs/symbols indicating presence of a pharmacy removed)

Front 14

Who is responsible or administering the FDCA?

Back 14

FDA (Food and Drug Administration)

Front 15

Which federal OTC drugs require a RX in WA?

Back 15

Ephedrine and Theophylline

Front 16

Are pharmacies allowed to sell poisons without a poisons distributor license?

Back 16

Yes, but must keep a registry

Front 17

Is it legal for a pharmacist to sell needles to a known IV drug user?

Back 17

Yes. Pharmacists may legally sell syringes/needles to IV drugs users. It is lawful for any person over 18 to possess sterile hypodermic syringes and needles for the purpose of reducing blood borne disease; however, they can still be convicted by trace amounts of illegal drugs in needles.

Front 18

Which OTC drugs require a child resistant container?

Back 18

ASA, APAP, NSAIDS, Iron, Diphenhydramine, Fluoride, Lidocaine, Loperamide, Minoxidil, Methacrylic acid, Methyl Salicylate, Ethylene Glycol, Menthol alcohol, Mouthwash (>3g ethanol), Hydrocarbons, NaOH, KOH, H2SO4, previous legend drugs, and all OTC CS.

Front 19

Labeling requirements for hospital parenteral product:

Back 19

pt name, pt location, prescriber, drug name, drug concentration or strength, exp. date, exp. time, RPh initials, preparer initials

Front 20

Labeling requirements for hospital inpatient product

Back 20

drug name, drug concentration or strength, exp. date, storage instructions, and auxiliary labels

Front 21

Labeling requirements for non-hospital parenteral

Back 21

Has to follow ambulatory care label plus parenteral product requirements

Front 22

Can Canadian prescribers issue presciptions for legend drugs and controlled substances?

Back 22

Yes to legend drugs and no to controlled substances unless also licensed in the US and registered with the DEA

Front 23

Does WA allow out of state RX to be filled? From who?

Back 23

Yes from physicians (MD and DO), dentists (DMD, DDS), Podiatrists (PodD, DPM), Veterinarians (DVM), Nurse Practitioners (ARNP), Certified Osteopathic Physician Asst (OA or IO), Certified Physician Asst (PA-C), Physician Asst (PA)

Front 24

Which mid-level practitioners are out of state RX NOT allowed?

Back 24

Nurse Anesthetists (CRNA), Optometrists (OD), Naturopaths (ND), Pharmacists (RPh, PharmD), and Physical Therapists (RPT or Dr. PT) and Occupational Therapists (OT, and Dr. OT)

Front 25

Are there any restrictions on prescriptions written by ARNP?

Back 25

No, not if within scope of practice

Front 26

Which professions may administer drugs ordered by authorized prescribers?

Back 26

Cardiovascular Invasive Specialists, Registered Dental Asst, Dental Hygienists, Emergency Medical Technicians (EMT), Health Care Assistant, Intermediate Life Support Technician (ILS), Licensed midwives, Licensed Practical Nurses (LPN), Nursing Assistant (CNA or NA)

Front 27

How many members make up the Washington BOP and how many of those members must be pharmacists?

Back 27

7 members and (5 members must be pharmacists)

Front 28

How many years must a pharmacist be licensed before eligible to sit on board?

Back 28

5 years

Front 29

How many years may a board member serve?

Back 29

Serve 4 year terms and may be re-appointed for 2nd term

Front 30

What is the purpose of the WA board of pharmacy?

Back 30

Protect the public

Front 31

Must one notify the board if they change their name or address?

Back 31

Yes

Front 32

When does pharmacist license expire?

Back 32

Annually on licensee's birthday. If not renewed on time, can't practice legally until renewal and penalty fee paid.

Front 33

How many CE's are required per year?

Back 33

15 or 1.5CEU (1 hr = 0.1CEU)

Front 34

Which CE are WA board approved?

Back 34

All ACPE approved = WA approved so either ACPE or WA approved CE

Front 35

Describe the incentive a pharmacist may claim pertaining to CE?

Back 35

A pharmacist may claim an incentive of 0.15CEU/hr of a qualified patient education program (up to max of 1.2 CEU)

Front 36

When do newly licensed and graduated pharmacists need to submit CE for their first license renewal?

Back 36

As long as within 12 months of graduation, newly graduated pharmacist does not need to submit CE hours

Front 37

When are temporary pharmacy license permits available?

Back 37

Only available for license transfer (reciprocity) and must have unrestricted license in another state, meets all other qualifications for licensure, must have completed MPJE for WA, can't serve as responsible pharmacists manager, permit expires in 180 days, $65 + temp request + fingerprint card.

Front 38

What does an inactive pharmacy license entail?

Back 38

Can go inactive where you can't practice + still have to pay annual license fee but can reactivate with no penalty

Front 39

What does a retired pharmacist license entail?

Back 39

Must practice more than 25 consecutive years. Can't practice but discounted annual fee of $25 and can continue receiving mailings from the board + can reactivate for no penalty fee.

Front 40

Describe the process of reactivating a pharmacy license with the board?

Back 40

< 3 years: pay fee and show evidence of completing CE requirements> 3 years: if active in another state, provided evidence of active status + retake MPJE for WA> 3 years but < 5 years: if not active in another state, must take MPJE + serve 300 hours of internship or pass practical exam> 3 years and > 5 years: if not active in another state, take MPJE + complete 300 hours of intership

Front 41

Describe the license renewal fees in WA:

Back 41

$145 = license fee; $190 license renewal fee; $100 late penalty

Front 42

When can a pharmacist practice in WA but not be licensed in WA?

Back 42

-Veterans Affairs-Public Health Service-Indian Health Service-Federal Prisons-Military

Front 43

When can interns begin practicing and when do hours count toward certification hours?

Back 43

An intern may begin practicing as soon as certified by the board, but hours do not count until completed first term of program (semester or quarter).

Front 44

When must intern hour reports be submitted?

Back 44

Submit training reports within 30 days after leaving site with no intention of returning.

Front 45

What are preceptor requirements in the state of WA?

Back 45

-must complete a board approved training every 5 years-must be licensed and actively practicing pharmacy for 12 months prior to becoming a preceptor-experiential training manual + exam + preceptor application form

Front 46

How many students may a preceptor precept at one time?

Back 46

1 preceptor to 1 intern engaged in dispensing (may supervise more than 1 intern during a given time period if 1 is compounding/counseling etc.) Wording is: "Preceptors who are ultimately responsible for the quality of patient care must not oversee more interns than can be safely supervised."

Front 47

How many intern hours are necessary for licensure? Any specific requirements of those hours?

Back 47

1500 hours; up to 1200 can come from PharmD program; remaining 300 can be earned after 1st semester of 1st year

Front 48

When much intern license be renewed? How much?

Back 48

On intern's birthday and $30.

Front 49

To what functions are pharmacy assistants limited to?

Back 49

Limited clerical and related functions

Front 50

Can interns supervise techs/ancillary service members?

Back 50

No, technicians carry out non-discretionary fx delegated to them by the pharmacist.

Front 51

Must a technicians be certified in the state of WA? Is CE a requirement?

Back 51

Yes, technicians must have either passed PTCE or ExCPT to become certified but does not have to maintain CPhT status, but 10CE hours/year is a requirement. (Must have a diploma/GED, 4 hours of HIV/AIDS prevention, and additional training for "specialized functions"

Front 52

What is the pharmacist/technician ratio?

Back 52

1 pharmacist to 1 technician in retail without a specific technician utilization plan. 1 pharmacist to 1 technician in inpatient pharmacy. Outpatient hospital pharmacies must abide to 1 pharmacist to 1 technician ratio as well unless specific board approved utilization plan exists.

Front 53

What are "specialized functions" functions for techs?

Back 53

-parenteral admixtures

-tech check tech programs (for unit dose med cassettes in hospital setting...no more than 48 hour supply placed in cassette at on time)

-stocking of automated drug distribution devices allowed by board

Front 54

May a pharmacist assistant retrieve drugs from the shelf?

Back 54

No, but can put back

Front 55

How many pharmacy assistants are pharmacists limited to?

Back 55

No limit

Front 56

What are age restrictions/educational preparation requirements of pharmacy assistants?

Back 56

No age/education prep requirements (>14yo, must notify board of change in address within 30 days, ID badges for everyone, must renew every 2 years on birthday)

Front 57

If a pharmacy has a pharmacist/tech utilization plan with the board? What is the ratio?

Back 57

1:3 tech/RPh

Front 58

How many times can you retake the NABLEX/MPJE?

Back 58

3 x in a 3 year period (after this...more training is required)

Front 59

If wanting to open a pharmacy, how far in advance must application form be submitted to the Board?

Back 59

30 days prior to regularly scheduled BOP meeting

Front 60

Which DEA form is required to open a pharmacy that sells Controlled Substances?

Back 60

DEA form 224

Front 61

According to WA law, how long must RX records be kept? What about CS records? What is the Medicaid requirement?

Back 61

WA has minimum of 2 years; Same 2 year requirement for CS; Medicaid has minimum of 6 years

Front 62

Can a RPM (responsible pharmacy manager) manage more than 1 location?

Back 62

Yes

Front 63

Can a pharmacy eliminate from stock particular products based on religious objection of the pharmacy owner?

Back 63

No, but it does permit pharmacies to attempt to accomodate individual employee pharmacists; must refer to nearest source for Plan B

Front 64

Name some issues in which a pharmacist can be disciplined:

Back 64

-Destroy an unfilled RX-Refuse to return unfilled lawful RXs-Violate a patients privacy-Discriminate against patients or their agent-Intimidate or harass a patient

Front 65

What is the minimum amount of depth required for each RPh/intern working at a given time?

Back 65

18 inch minimum depth and 3 ft bench space

Front 66

What kind of syrup is required in pharmacy at all times?

Back 66

Ipecac syrup

Front 67

What score must a pharmacy receive upon inspection to remain open or be subject to discipline?

Back 67

Class A (90-100)

Front 68

Can a pharmacy in another state deliver medications to patients in WA?

Back 68

Yes, must be registered with the board as a NRP (non-resident pharmacy)

Front 69

When can the WABOP discipline/fine a NRP is their home state board does not take action within this time frame?

Back 69

45 days

Front 70

Can a RX is WA legally contain directions "as directed"

Back 70

No

Front 71

In addition to the labeling requirement set by FDCA, what additional requirements must a WA label contain?

Back 71

-Name and strength of drug-Qty dispensed-Expiration date-Transfer caution label-Identity of pharmacist responsible for dispensing-Supplemented by oral/written information; includes auxiliary labels(FDCA mandates name and address of pharmacy, serial number, name of prescriber, name of patient, directions for use, date of filling, side effect statement)

Front 72

What is maximum day supply of custom packaging?

Back 72

31

Front 73

What is a pharmacist guilty of by failing to dispense a patient package insert or Medguide?

Back 73

misbranding

Front 74

If a pharmacist were to dispense an outdated drug, what would that pharmacist be guilty of?

Back 74

adulteration (Exp date: generally when 95% of drugs labeled potency is still available and no undesireable degradation has taken place)

Front 75

To be valid, what are the two elements of a RX?

Back 75

-Written for a specific patient-Written by an authorized prescriber

Front 76

For a pharmacist to have prescriptive authority, what must be on file with board?

Back 76

-Written copy of approved protocol must be on file with pharmacy and BOP (must included the identity of pharmacist and practitioner, timer period of protocol, statement of activities the pharmacist is to follow, plan for communication or feedback to authorized prescriber, responsible or obtaining informed consent)

Front 77

What kind of paper must all prescriptions issued to patients in WA state conform to?

Back 77

Purchased from an approved vendor bearing a BOP "seal of approval"

Front 78

What are the time limits on RX is WA?

Back 78

-written no longer than 1 year prior-written no more than 6 mos if schedule III or IV

Front 79

What are required elements on a RX?

Back 79

-Date written, patient's address, directions for use, instructions regarding generic sub, Rx #, date of filling, pharmacists ID, NDC of drug product dispensed

Front 80

When may a pharmacist dispense "an emergency supply" of a legend drug?

Back 80

If the prescriber is not available and in the professional judgement of the pharmacist an emergency need for the medication has been demonstrated, the pharmacist may dispense enough medication to last until a prescriber can be contacted, but not to exceed 72 hour supply. The prescriber shall be promptly notified of the emergency refill but does not need permission. DOES NOT APPLY TO CONTROLLED SUBSTANCES!

Front 81

Can a MD have a nurse "okay all refills until I come back"?

Back 81

No

Front 82

When may legend drugs be partially filled?

Back 82

When patient interests require. (e.g. financial reasonss, when pt is worried about how ill tolerate, when pharmacist does not have sufficient medicine in stock). If possible, 3rd parties should not be billed until full qty dispensed.

Front 83

To who does "abandoned drugs" belong to?

Back 83

Belongs to the state.

Front 84

Are pharmacists allowed to fill a larger qty of legend drugs than what is dispensed?

Back 84

Yes, if sufficient refills are present, but nothing requires a pharmacist to refill in larger qty that what dispensed.

Front 85

When may a pharmacist dispense different strengths to achieve the prescribed dose?

Back 85

When patient interests require. (Exception: levothyroxine)

Front 86

Can a pharmacist give a Rx back to a patient that has already been filled?

Back 86

No, may photocopy and stamp "Copy" on front so other pharmacist will know it is not valid for filling.

Front 87

If transferring a Controlled Substance (III-V), what additional transfer steps must be done by the transferring pharmacist?

Back 87

-Locate original hard copy of transferred RX-Write VOID-Record name/address/DEA # of pharmacy on reverse along with name of pharmacist who received

Front 88

If transferring a Controlled Substance (III-V), what additional transfer steps must be done by the receiving pharmacist?

Back 88

-Include dates and locations of all previous refills-Valid # of refills remaining-DEA # of transferring pharmacy-Name/Address/Serial #/DEA # of pharmacy at which RX was originally filled (if different from transferring pharmacy)-CS may be transferred on a "one time" basis unless electronic database shared

Front 89

Can a MD make a blanket request on behalf of patient to dispense product in non child resistant package?

Back 89

No, but patient may. Request must be in writing.

Front 90

Is certification required for pharmacists to administer drugs?

Back 90

No

Front 91

Which non-HCP can administer drugs?

Back 91

-School personnel-Jail personnel-Ship Captains

Front 92

Who else can administer drugs besides pharmacists?

Back 92

-Anyone who can prescribe-nurses-student nurses under faculty oversight-nursing techs under direct supervision of a nurse (may not administer chemo, blood products, IV meds, scheduled drugs, or central lines)-Resp care practitioners (resp drugs)-health care assistants under practitioner supervision-licensed midwives-occupational therapists-dental hygienist-EMT-Optometrist-East Asian Medicine Practitioners

Front 93

To whom does WA law prohibit injection of a vaccine containing > 0.5mcg of mercury (present in thimerisol)/0.5mL dose? What is exception?

Back 93

-Pregnant patients and children under 3yo

-Exception: flu vaccines which may contain up to 1mcg/0.5mL and in emergencies

Front 94

Can pharmacies accept returns/exchanges of drugs (even drug recalls)?

Back 94

No. (Exception: unit dose packaging form hospitals and LTCF as well as DME equipment)

Front 95

Describe the levels of drug recalls:

Back 95

1: wholesaler level2: retail level3: consumer level (most serious)

Front 96

Describe the classes of recalls:

Back 96

1: most serious (cause health problems)2. temp/reversible health problems3. not likely to cause health problems4. market withdrawal

Front 97

What does USP ch 797 of USP 27 detail?

Back 97

-good practices for compounding of sterile products

Front 98

What does USP ch 795 of USP 27 detail?

Back 98

-standards of compounding non-sterile formulations

Front 99

What is the beyond use date for most aqueous containing formulations?

Back 99

14 days when stored at cold temps

Front 100

What is beyond use date of non aqueous liquids and solids? (Mfc)

Back 100

<25% of time remaining in products exp or 6 months whichever is earlier

Front 101

What is beyond use date of NF liquids and solids

Back 101

not > 6 months