2. Which of the following can prescribe legend drugs:
O.D., Nurse Practitioner, Clinical Nurse Specialist, Physician’s Assistant, Midwife, Nurse Midwife, Chiropractor, Naturopath, Clinical Psychologist, Physical Therapist, Respiratory Therapist, Pharmacist? May any of them purchase legend drugs for use in their practice?
4. How long are prescriptions for legend drugs valid
from the date issued?
5. Is there a maximum number of refills allowed for
legend drugs? What is it?
6. How long are prescriptions for each of the
following valid: C-2s, C-3s, C-4s, C-5s?
7. Is there a maximum number of refills allowed for
C-5s? What is it? Are the number of refills for C-3s and C-4s the same as federal or less?
8. Which of the following must be on the label of an
outpatient prescription: Pt. address, Quantity, Expiration Date, Lot number, Name of drug, RPh initials, Technician initials, Pharmacy telephone number? Other items?
9. Can the prescribed brand name be placed on the
label when a generic is dispensed? If so, what wording is required?
10. How does a pharmacist determine whether a
particular generic drug is suitable as a substitute for a brand name drug? 11. Must generic savings be passed on to patients? If so, what proportion, and how determined?
12. How can a prescriber indicate that substitution is
or is not permitted?
13. Do patients have the option of demanding the
brand name when substitution is permitted? How about patients whose prescriptions are paid for by public funds?
14. What documentation is required of the pharmacist
when product interchange is performed?
15. Under what conditions, if any, is therapeutic
substitution allowed?
16. What minimum sets of references, products, or
equipment are required in all community pharmacies?
17. Do pharmacy hours have to be posted? Where?
18. Can the store be open but the pharmacy
department closed? Under what requirements?
19. Do pharmacist licenses have to be on display? The
original or official copy? Is a photocopy ok? Can you obscure your address on the copy displayed to the public?
20. Are there any required notices that must be
displayed to the public?
20a. Is a separate patient counseling area required?
21. Is OBRA counseling required for Medicaid only or
all patients?
22. How must the offer to counsel be made?
23. Does the offer to counsel need to be documented?
Does the refusal of the offer need to be documented? How?
24. Is counseling required on new prescriptions, refills,
or both?
25. Can printed materials satisfy the counseling
requirement? Under what circumstances?
26. What about prescriptions that are delivered or
mailed to the patient?
27. Are there any special requirements for mail order
pharmacies?
28. Under what circumstances may a pharmacist fill
prescriptions written in another state?
29. Is there any provision for dispensing an emergency
refill supply of legend drugs when there are no refills left and the prescriber cannot be contacted? What is allowed/required?
30. Are patient profiles required for all patients?
31. What information is required on the profile?
32. What use of the profile is required? Review prior to
dispensing new Rx’s? Review prior to refills?
33. What is expected to be looked for during profile
review?
34. Can a patient refuse to give certain information for
the profile? If so, must the refusal be documented, and how?
35. What are the requirements for use of computers to
process prescriptions?
36. What must be done if the computer system goes
down?
37. Is there any requirement for a daily printout of
prescriptions that were entered into the computer? Who must sign the printout?
38. Can a pharmacist legally repackage another
pharmacy’s prescription? Under what circumstances?
39. Can legend drug prescriptions be FAXed? Under
what circumstances and requirements?
40. Can legend drug prescriptions be transferred
electronically (ie, by computer)? Under what circumstances and requirements?
41. Under what circumstances are FAXed CSA
prescriptions allowed?
42. Can refills of legend drugs be transferred from one
pharmacy to another? Can they be transferred back?
43. Can an intern transfer refills?
44. Must information regarding the transfer of legend
drugs be recorded on the hard copy of the original prescription, or can it merely be recorded in the computer?
45. What information must be recorded by the
transferring pharmacy?
46. What information must be placed on the original
copy of the transferred prescription by the receiving pharmacy?
47. Is it possible for pharmacies under a common
ownership to share a single patient/prescription database? If so, what are the rules for prescription transfers?
48. How long must the pharmacy maintain the
following records: original prescriptions, refill records, drug purchase records, patient profiles? Are any of these different for CSAs? If any of these can be maintained on computer, how long do they need to be maintained "on-line?"
49. Must every pharmacy have a pharmacist-in-charge?
50. Are there any special requirements to be
pharmacist-in-charge?
51. May a person be pharmacist-in-charge for more
than one pharmacy?
52. When must the Board of Pharmacy be notified of
any of the following? Change of pharmacist-in- charge, change of pharmacy address, closing or sale of a pharmacy, change of pharmacy telephone number, change of an individual pharmacist’s address, change of an intern’s address, change of a technician’s address, change of a person’s name?
53. What must be on the label of a unit-dose or single-
dose package of a legend drug dispensed for a patient in a hospital or nursing home?
54. What must be on the label of a multiple-dose
container dispensed for a patient in a hospital? In a nursing home?
55. What is required on the label of a parenteral
solution dispensed for a patient in a hospital?
56. What is required on the label of a parenteral
solution dispensed to a patient for home infusion therapy?
57. What is required on the label of a
radiopharmaceutical agent?
58. What are special requirements, if any, to be a
nuclear pharmacist?
59. Can transfers of refill information be faxed
between pharmacies?
60. How rapidly must a pharmacy respond to a
patient’s request to amend the information in his or her medication record?
61. May a pharmacy transmit a patient’s prescription
claim information electronically to a third party payor without the patient having provided written consent to the payor or the pharmacy?
62. When must a pharmacy provide a copy of its Notice
of Privacy Practices to a patient or other person requesting one?
63. How can changes in the NOPP be communicated to
patients?
64. Can a non-custodial parent act on behalf of a
minor to authorize disclosure of information in the patient medication record?
65. What is the maximum amount of pseudoephedrine
that can be sold OTC to an individual in a given day?
66. May pharmacists administer drugs? By which
route(s)?
67. What are the requirements for immunizations
administered by pharmacists?
68. To what extent are collaborative practice
agreements allowed? 69. What is the status of carisoprodol? Tramadol?
70. Under what circumstances may a pharmacist
refuse to fill a lawful prescription?
71. What is the maximum ratio of technicians to
pharmacists? Of interns to pharmacists?
72. What are the requirements for storage and
accountability for controlled substances in a hospital?
73. What are the requirements for storage and
accountability for controlled substances in a long- term care facility?
74. Are tech-check-tech programs allowed? Under what
circumstances?
75. What is the ratio of pharmacists to technicians?
Does it differ by setting?
76. Can techs fill IVs? Can techs fill or check drug dispensing machines?
77. What are the requirements for remote processing