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Kentucky Pharmacy Law – MPJE questions with
answers
Who makes the rules and regulations? - CORRECT ANSWERS ✔✔Kentucky Board of Pharmacy How many compliance officers and inspectors are there in the state of Kentucky?
- CORRECT ANSWERS ✔✔1 Pharmacy Inspections and Investigations Coordinator and 5 Pharmacy and Drug Inspectors What is the make up of the board? - CORRECT ANSWERS ✔✔6 members appointed by the governor: 5 pharmacists and 1 public member Board members: Do they have to be actively practicing? How many years are required? - CORRECT ANSWERS ✔✔No, do not have to be actively practicing. 5 years minimum. What is term length for Board members? - CORRECT ANSWERS ✔✔Public members: 4 years, 2 terms max Pharmacists: 4 years, 2 terms max Is the MPJE required for Kentucky? - CORRECT ANSWERS ✔✔Yes Is a NAPLEX score transferable? What time period? - CORRECT ANSWERS ✔✔Yes, transferable for 90 days
How many hours of practical experience intern hours are required? - CORRECT ANSWERS ✔✔ 1500 Does Kentucky require the interns be licensed or registered? - CORRECT ANSWERS ✔✔Registered How long does intern REGISTRATION last? - CORRECT ANSWERS ✔✔ 6 years. Interns must submit an annual "Internship Report" to the board What are the requirements for Pharmacist to be a Preceptor? - CORRECT ANSWERS ✔✔License in good standing Licensed for at least 1 year Actively practicing at internship site Send request in writing May supervise 1 intern at a time maximimum Exception to 1:1 ratio if faculty member at a school or college of pharmacy approved by the board during an academic experience program Foreign Educated Pharmacist: Is a FPGEC certification required? How many hours of practical experience are required? - CORRECT ANSWERS ✔✔Yes 1500 hours after FPGEC certification Does a foreign graduate have to appear before the board before a license can be issued? - CORRECT ANSWERS ✔✔No What is the minimum age required to become a licensed pharmacist? - CORRECT ANSWERS ✔✔18 years old
What agency is in charge of disciplining a pharmacist? - CORRECT ANSWERS ✔✔The Board of Pharmacy What are the continuing education requirements for pharmacists? - CORRECT ANSWERS ✔✔15 contact hours or 1.5 CEU annually between January 1st and December 31st Does the state require a pharmacy technician to be licensed, registered, or certified? What are the renewal requirments? - CORRECT ANSWERS ✔✔Registered Certification = optional Annual renewal. Expires March 31st Are there any pharmacy technician training requirements? Examination requirements? Continuing education requirements? - CORRECT ANSWERS ✔✔No, certification not required Certification exams: Pharmacy Technician Certification Examinication (PTCE) and Examination for the certification of pharmacy technicians (ExCPT) CE = On the job training Are there any exemptions for technicians to be registered? - CORRECT ANSWERS ✔✔A person may assist in the practice of pharmacy without obtaining the registration of the person. Is in the employ of a son, daughter, spouse, parent, or legal guardian, or is participating in a work-study program through an accredited secondary or post-secondary educational institution.
What is the minimum age for a technician? - CORRECT ANSWERS ✔✔ 16 years old Does the state board have the power to suspend, deny, or revoke a pharmacy technician registration? - CORRECT ANSWERS ✔✔Yes What is the ratio of technician to pharmacists? - CORRECT ANSWERS ✔✔Not addressed for Kentucky Can a pharmacy technician enter a prescription into a computer? Accept a called in prescription? - CORRECT ANSWERS ✔✔Yes, tech may enter in computer order if PTCB certified. Uncertified techs require DIRECT supervision. Verbal orders: Technicians cannot accept any changes to prescriptions and / or if professional consultation is involved. Is a pharmacy technician permitted to work with compounding? - CORRECT ANSWERS ✔✔Yes, under DIRECT supervision of PIC. Does Kentucky issue a license to out of state wholesalers? - CORRECT ANSWERS ✔✔Yes If a technician chooses the option of certification, what program, what options are there in Kentucky? - CORRECT ANSWERS ✔✔Pharmacy Technician Certification Board or Institute for Certification Technicians (ICPT): National Certification Exam University of Tennessee: Nuclear Pharmacy Technician Training Program
Federal: 3.6 grams per day, 7.2 grams per month via mail order, 9 grams per month at retail Are out of state prescription allowed for non-controlled legend drugs? Controlled drugs from an out of state prescriber? - CORRECT ANSWERS ✔✔Non-controls: yes Controls: yes When does a written rx for a CII expire? CIII-V? Non-control? - CORRECT ANSWERS ✔✔C2: 60 days from date written, no refills allowed C3 thru 5: 6 months from written date, 5 refills allowed Non-control: 1 year from date written Emergency verbal C2s allowed for whom? Qty limits? Who can call in? Hardcopy requirements? - CORRECT ANSWERS ✔✔Patients: under hospice or long-term care that require immediate administration Qty limits: "emergency period" dispense amount adequate to treat patient during the period in which immediate administration is necessary Only Physician can call in verbal to pharmacist Hardcopy: deliver within 7 days "Authorization for Emergency dispensing" and date of oral order either in person, via mail, or electronically Pharmacist shall make a reasonable effort... Central fill pharmacies cannot fill emergency C2s Are C5 prescription OTCs allowed? - CORRECT ANSWERS ✔✔Yes. 8 ounces max 48 dosage units of any controlled substance containing opium per 48 hours Buyer 18 years and up with ID
Bound book of sales required Only pharmacist can sell Who can write CIIs? - CORRECT ANSWERS ✔✔Nurse Practitioners- prescribe only Optometrists (hydrocodone products only)- prescribe only Medical or Osteopathic physicians Dentists Chiropodists and podiatrists Veterinarians Patient counseling- what is required? - CORRECT ANSWERS ✔✔New rxs: OFFER to counsel required Refills: use professional discretion Refusal: document and maintain x 1 year Does Kentucky have a Prescription Monitoring Program? - CORRECT ANSWERS ✔✔Yes, the PDMP is operated by the "Commissioner." Commissioner means the voting representative appointed by each member state pursuant to Article VI Emergency kits - who determines content of kits? - CORRECT ANSWERS ✔✔Content of the kit is determined by the:
- pharmacist
- director for nursing (DON)
- medical director of the facility
- Dispense drugs for the emergency pursuant to a PROTOCOL What is the max days supply a APRN or PA can prescribe for acute pain - CORRECT ANSWERS ✔✔3 days for acute pain When can a PA or APRN prescribe more than 3 days for a C2? - CORRECT ANSWERS ✔✔If in their professional judgement more than 3 days is needed, must document on prescription and medical record. Chronic pain, cancer pain, hospice or end of life, narcotic tx program, pain after major surgery or significant trauma as defined by the Board and Office of Drug Control Policy, dispensed or directly administered in inpatient setting, scenarios authorized by licensing board No Max Qty C2 for... - CORRECT ANSWERS ✔✔MD, DO, DVM, DPM C2 limits for DMD and DDS - CORRECT ANSWERS ✔✔Sufficient amount to treat the patient, but no max specified C2 limits for APRN - CORRECT ANSWERS ✔✔3 day supply. exceptions for hydrocodone combination products 30 days. exceptions for ADD/ ADHD drugs if certified in mental health max 30 days C2 limits for OD - CORRECT ANSWERS ✔✔72 hours of hydrocodone combination products, ODs cannot prescribe any other C2s C2 limits for PA - CORRECT ANSWERS ✔✔72 hour for acute pain only. Cannot prescribe any controlled substance in Kentucky APRN C3 - CORRECT ANSWERS ✔✔30 day supply, no RF
C4-5 APRN - CORRECT ANSWERS ✔✔6 month max except 30 days and no refills for Diazepam, Clonazepam, Alprazolam, Lorazepam, Carisoprodol Are out of state APRN control rxs valid? - CORRECT ANSWERS ✔✔Only within limits for the state of Kentucky Are out of state PA control rxs valid? - CORRECT ANSWERS ✔✔No Aprn and buprenorphine - CORRECT ANSWERS ✔✔Data waiver X dea number up to 30 patients after 24 hrs of training. Including Butrans patches and Belbuca film and buprenorphine/naloxone combination products for an off label use such as pain APRN wrote a C2 prescription for 7 days for acute pain. Can you fill it? - CORRECT ANSWERS ✔✔The need must be documented on the prescription if it more than a 3 days supply for acute pain. APRN wrote a C2 prescription for NORCO 60 days for a patient on hospice. Can you fill it? - CORRECT ANSWERS ✔✔APRN can only prescribe for 30 day supply. Other than the 3 day limit for acute pain and the exemptions listed above, APRN 3 day supply with exceptions for ADD/ADHD drug if certified in mental health 30 days, KRS 314.011(8) and hydrocodone combination products 30 days. -- I would call and notify APRN for QTY limits and document on hardcopy. What is required on a C2 fax? - CORRECT ANSWERS ✔✔Prior to transmission, the practitioner or practitioner's agent shall write or stamp "FAXED" on the
What schedule is phenobarbital in KY? - CORRECT ANSWERS ✔✔Phenobarbital is a CIII controlled substance What schedule is pentazocine in KY? - CORRECT ANSWERS ✔✔Pentazocine is a CIII in KY Can an intern perform a control prescription transfer? - CORRECT ANSWERS ✔✔Not in KY Can an intern transfer an non-controlled substance in KY? - CORRECT ANSWERS ✔✔Yes Patient counseling should include - CORRECT ANSWERS ✔✔1. the name and description of the drug or device.
- dosage form, dosage, route of administration, and duration of drug therapy.
- special direction and precautions for preparation, administration, and use by the patient.
- common severe side or adverse effects or interactions and therapeutic contraindications that may occur with the therapy.
- techniques for self-monitoring of drug therapy.
- proper storage of medication.
- refill information.
- action to be taken in the event of a missed dose.
A certified pharmacy technician of a pharmacist may perform the following functions: - CORRECT ANSWERS ✔✔(I). Certify for delivery unit dose mobile transport systems that have been refilled by another technician; (II). Within a nuclear pharmacy, receive diagnostic orders; and (III). (a) Initiate or receive a telephonic communication from a practitioner or practitioner's agent concerning refill authorization, after he clearly identifies himself as a certified pharmacy technician; (b). If a practitioner or practitioner's agent communicates information that does not relate to the refill authorization: I. A technician shall immediately inform the pharmacist; and II. The pharmacist shall receive the communication. A technician who has not been certified by PTCB or NHA may perform the functions specified by Section 2 of this administrative regulation under the immediate supervision of a pharmacist. A pharmacist should offer patient counseling - CORRECT ANSWERS ✔✔a. On new prescription drug orders, b. On refill prescriptions, as professional discretion dictates, c. Once yearly on maintenance drugs as professional discretion dictates (maintenance medications are defined as any medication the patient has taken for one year or longer). If Pharmacist is certified, Naloxone can be dispensed and should include - CORRECT ANSWERS ✔✔Verbal and Written materials: (1). Risk factors of opioid overdose; (2). Strategies to prevent opioid overdose; (3). Signs of opioid overdose; (4). Steps in responding to an overdose;
(a). Known diseases; (b). Known allergies; (c). Reactions and conditions relating to:
- Prescription medications; and
- Nonprescription medications; (d). Current prescription regimen; and (e). Current nonprescription regimen; (6). Lab tests ordered, including results of lab tests; (7). Assessment of patient outcomes; (8). Notes relating to the care and course of therapy of the patient; and (9). Documentation of patient consent to receive care under the collaborative care agreement. If the prescription is written for an animal, which shall be required on the prescription? - CORRECT ANSWERS ✔✔1. species of animal
- the full name of the owner
- address of the owner
- If for controlled substance, note SSN as 000-00- For the State of Kentucky, only following mid-level practitioners can either prescribe or administer or both, schedule controlled substances. - CORRECT ANSWERS ✔✔1. AS (Animal Shelters): Can prescribe and administer Schedule II and III controlled substances. Line 1 requires Animal Shelter's name and Line 2 requires ET'S Name.
- NP (Nurse Practitioner): Can prescribe Schedule II to V controlled substances (prescribe only).
- PA (Physician's assistant): Cannot prescribe any controlled substance.
- OD (Optometrists): Can prescribe and administer, Schedule III, IV and V controlled substances. Prescribe Only Schedule II Hydrocodone containing products. Annual Renewal of Licenses / Certification - CORRECT ANSWERS ✔✔1. Pharmacist w/ 15 CE or 1.5 CEU between Jan 1- Dec 31 annually due Feb 28
- Technician Registration due March 31
- Pharmacy License/Permit due June 30
- Manufacturer Permit
- Wholesale distributor license due Sep 30
- Laminar Flow Hood ISO Class 5 w/ P&P annual review Control length of record retention: Prescribers includes substances received, administered, dispensed, or professionally used otherwise than by prescriptions. RPh records what's received and disposed. MFG / wholesalers: what's compounded, mixed, cultivated, grown, produced, prepared. - CORRECT ANSWERS ✔✔Practitioner: 5 years Pharmacist: 5 years Manufacturers and Wholesalers: 2 years
