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A series of questions and answers related to pharmacy law, specifically focusing on the requirements for pharmacists in massachusetts. It covers topics such as licensure, reciprocity, continuing education, and pharmacy operations. The questions address key aspects of pharmacy practice, including regulations, security, and professional responsibilities. This material is useful for pharmacy students preparing for exams or pharmacists seeking to refresh their knowledge of state laws and regulations. It offers a concise review of essential legal concepts and practical considerations for pharmacy professionals, aiding in exam preparation and professional development. The content is structured to facilitate quick review and comprehension of critical legal requirements.
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What two exams do pharmacists take? - Answer NAPLEX and MPJE
What is reciprocity? - Answer Getting a license in another state from having license in good standing in another jurisdiction
Age to take NAPLEX or MPJE? - Answer 18 at time of exam or above
What are the requirements to be a Pharmacist? - Response Graduate from ACPE accredited/Board approved college of pharmacy; 1500 hours of experience as an intern under the supervision of a board approved pharmacist preceptor; good moral character with virtues of a person generally recognized as good to public health, safety and welfare Also, pass the boards with 75%
Does your pharmacist license work in more than 1 state? - Answer Nope, you need 1 license for each state. You can gain them through reciprocity though.
Is the NAPLEX scaled? - Answer yes
Is the MPJE scaled? - Answer Nope
What happens if you lose your license in one state to the licenses you gain through reciprocity? - Answer You may lose all your other licenses too even if you did nothing wrong in those states.
What is the NABP and what do they do? National Association of Boards of Pharmacy. They act as an agent of the board and conduct preliminary evaluation of an pharmacist applicant's qualifications. NABP does approval for personal registration by reciprocity.
When do pharmacist registrations expire? 12/31 of each even number year. Remember, employee is EVEN
How would one reinstate a pharmacist license 0-60 days after its expiration? - Answer You can likely just reinstate it
What happens when a license is renewed 2 years past expiration? - Answer It becomes much more cumbersome. May have to retake naplex, MPJE, or Ces
When do store licenses expire? - Answer 12/31 every odd year. Easily remembered as stOre ODD
How many hours of continuing education does a pharmacist need per year? - Answer A minimum of 15 contact hours each year of the two year renewal cycle.
How many of these 15 hours are in pharmacy law? - Answer At least 2 hours.
How many hours max of CE can be homestudy? - Answer 10 hours. The other 5 hours MUST BE LIVE SESSIONS
How many hrs of CE credit can you get in 1 day in MA? - Ans 8 hrs max
Can MA pharmacists get free gifts at pharmacy CE conventions? -Ans nope. The pharmacists from other states can tho
What does the CE 333-000-95-009-L01 mean? -Ans Since there is an L at the
Mike graduates 2006. Mike then takes a year off, in may 2007, Mike passes NAPLEX and MPJE. Will he still have to take CES? - Answer Yes, because it is a different calendar year. The only year you're exempt from is the year you graduate from pharmacy school. No other exceptions! Even if you graduate on December 31st.you'll need Ces for the
Prescription monitoring program checks on what? -Answer To ensure all the registered pharmacies under the Board report the quantity of CII to C5s dispensed and that ID is presented. The ID does not have to be the patient's.
Can a MA physician or anyone with prescriptive authority open a pharmacy? - Answer Nope. The state doesn't want ownership by people with RX authority to own pharmacies because of the possibility that all the RX will be sent to the prescriber's own pharmacy.
Who calibrates scales and weights? - Answer Department of Weights and Measures
Besides Board inspection of a pharmacy, what must also occur before final approval? -Answer Proper equipment to run the pharmacy, such as Graduated cylinder, fridge, thermometers
What reference sources you have to have in a pharmacy? - Current version with quarterly updates of a Compendia. The orange book, Additional List, Exception List. Also the United States Pharmacopoeia remembered its a GOOD READ. Bound book for recording sales of alcoholic beverages-even if you do not sell alcohol.
Minimum area required for pharmacy? - 300 sq feet minimum with a sign saying Patient Consultation Area
Requirements for the Patient Consultation Area? - Answer Need to provide adequate privacy for confidential visual and auditory patient counseling. The consultation area shall be accessible by a patient from outside the pharmacy. Can't be this special room in the pharmacy for example.
Minimum font size of the name of the pharmacist Manager of Record? - Answer The sign shall have a font not less than 1 inch high.
Give the names of other things needed in a pharmacy: -Answer Licences, Controlled substance registration, clean and sanitary conditions, equipment, copy of recent publication news, licences, sufficient type and quantity of medicinal chemicals and preparations, sign indicating that there is a pharmacy
How should hours of operation be displayed in a pharmacy? - Answer By a notice visible to customers
What would be done if there was a robbery or major loss of controlled substances? - Answer DEA 106 must be filed
How many hours is a pharmacist allowed to work? -Answer 12 hours unless special situation arises where it may be best for the patient if you stay a little longer
Where do schedules 2 through 5 have to be kept? -Answer DISPERSED within prescription area or safe/locked cabinet
C6 to be kept where? -Answer In a place that has the capability of impeding easy theft
What are the security features required in the pharmacy? -Answer Working alarm in pharmacy department, floor to ceiling barrier, manager of record and pharmacist on duty responsible for pharmacy security, all incoming drug order shipments containing controlled substances to be sent to pharmacy or pharmacy department to locked area if the pharmacy is closed
Who is responsible for the security of controlled substances in the pharmacy? - Answer The pharmacist manager of record.
Pam the manager of record was terminated. What would the pharmacy need to do to enable Chris to be the pharmacist Manager of Record. - Answer submit form to Board, do an inventory to get an accurate count of CIIs so that Chris doesn't get the burden of Pam's loss.
Who is responsible for checking with the Board to confirm a newly hired pharmacist has a current personal registration? If you pass NAPLEX, you may practice as a pharmacist. However, the pharmacist's employer or the pharmacist Manager of Record shall verify with the Board that the pharmacist's personal registration is verified.
How many years of education before being considered an intern? - Answer 2 years
Minimum age for trainee (pharmacy service associate)? - Answer 16 years of age. They can work for up to 500 hours before they need to take a state license exam. The only exception is that they can remain a trainee until age 18
3 Levels of Technicians? - Answer Trainee, Registered Tech, Certified Tech
Age to be a Registered Tech? - Answer 18
What test must be taken to become a certified tech? - Answer Two tests, the test to become a registered tech, followed by test for the CPHT certified tech
What type of name badges do registered technicians wear? - Answer A badge bearing their name and title "Pharmacy Technician"
Can technicians communicate to the patient or responsible person's "offer to counsel"?
Can techs request and accept authorizations for refills from the prescriber? - Yes, providing no information has changed from previous prescription
Who can transfer prescriptions? - Certified Techs, Interns, Pharmacists. Registered Techs and Trainees CAN'T DO THIS
What is it that no tech can do? A tech shall not dispense controlled substances; review of drug utilization; conduct clinical conflict resolution; contact prescribers regarding drug order clarification or therapy modification; patient counseling; verification of dispensing process; take new prescription drug orders
What is a Trainee's role?-Answer They are essentially register slaves. Nevertheless, the
trainees might be allowed to perform the duties of a tech while they undergo the training and the supervision as mentioned under 247 CMR, on condition that they act under the direct supervision of a pharmacist's- a pharmacy technician trainee is not allowed to take prescriptions over the telephone
What can a CPHT do? -Answer Certified technicians can obtain refill approvals from the prescriber, prescriber's agent, and with approval from the duty pharmacist, obtain new or missed prescriptions from the prescriber or agent, except where prohibited by federal and state law and regulations. (Can take prescription over phone)
Can cPHT take a schedule 3 over the phone? - Answer Nope. Only the intern and pharmacist can.
Can techs transfer C3 to C5? - Answer No they can only transfer schedule 6. 3-5 has to be done by the pharmacist or intern
What is the ratio of pharmacist to support personnel? -Answer 1 pharmacist to 2 support personell (no interns or CPHT) Also, 1 pharmacist to (1 CPHT or Intern) or 2 registered pharmacy techs 1:3 Also, 1 pharmacist to (2 CPHT or interns) or 2 registered pharmacy techs 1:
Do sales clerks count towards the ratio? - Answer No, as long as their not doing technician tasks and only doing trainee work such as register
When do pharmacy technician registrations expire? - Answer every 2 yrs on birth date
How many code of conducts in section 9? - Answer 19
Should a pharmacist follow all laws and regulations of the board? - Answer Yes. Conduct code 1
What is a pharmacist not to sell? Code 2 - Answer Drugs, devices, or other substances in a manner which is intended, either directly or indirectly, to circumvent the law
circumstances such as not having the proper equipment.
Can pharmacies use drug samples for redispensing? - Answer No.
Can you have a pharmacy fax machine in the front store? - Answer No. You need to keep patient confidentiality.
Pharmacist shall comply with the mandatory ______ provisions. Code 18 - Answer Counseling
When can RX be transferred? - Answer a) refills remain on the RX b) the rx authorizing the refill has not been transferred once already
How many times can C3-5 be transferred? -Answer Only one time unless its a chain with real time updating
What happens to the refills of transferring pharmacy? -Answer All remaining refills are canceled out
When do C6 expire in MA? -Answer They dont unless they have been transferred. After transfer. They expire in 1 year
For how long are original and transferred Rxs required to be kept? -Answer 2 years, 10 years medicare
When can pharmacists advertise? -Answer They may advertise just not in a misleading manner.
What are the requirements for dispensing and refilling RX? - Answer When a prescription drug has been distributed solely under a generic name, the dispensing pharmacist shall record on the prescription the name of the manufacturer or if the name of manufacturer's is not available, name of distributer.
A pharmacist who refills a RX for a controlled substance in CIII thru VI shall record on the RX what following things? - Answer The date of dispensing, amount of drug
dispensed, initials, serial number
How to verify doctors? - Answer Call. Also needs valid patient practitioner relationship.
A pharmacist shall maintain the patient's record for a period of not less than __ months from date of fill. - Ans 12 months
What if a Pharmacist identifies a drug-drug interaction? - Ans Call the MD, consultation with patient
Who can provide an offer to counsel? - Ans Any pharmacy personnel
Who can counsel? - Ans Pharmacist/Intern
What is the size of the sign that says "Dear Patients, you have a right to know about the proper use of your medications"? -Answer 11 in height and 14 inches in width shall be posted in a conspicuous place. The font size must be 1/2 in.
What if patient does not pick up the drug? - Answer Offer in writing to counsel. Counseling shall be available at all times when a pharmacy is open for business.
Who does the controlled substance registration, pharmacist or store? - Answer Store does.
When do wholesaler licenses expire? - Answer Beginning of Dec 1, meaning Nov 30th 11:59:59 pm
What if the person named on the controlled substance registration dies? - Answer Registration expires at time of death.