At the state level, the board of pharmacy may offer certain specialty pharmacist licenses such as

Nuclear pharmacist

Consultant pharmacist

Clinical Pharmacist ( mid level practitioner with prescriptive authority)

license is restricted for a specified period of time is

probation

license is inactivated may be reinstated after conditions are met

suspension

license is taken away by licensing agent

revocation

individual agrees to voluntarily gives up licensure under the pressure to avoid penalties or criminal charges

surrender

license that lapsed was suspended or revoked is returned to active status authorizing practice as defined by that license

reinstatement

The state board or regulatory agencies financially sponsor state rehabilitation programs. Only requires desire to seek help. an a leniency be granted to licensee who voluntarily enrolls in the program

yes leniency may be granted to a licensee

What are required as part of licensing application when opening, running and maintaining a pharmacy?

physical address of pharmacy

classification of pharmacy ( community, hospital, specialty)

name and license number of PIC

Application fee payable to licensing agency

NPI for the pharmacy

state require licensing agency or board of pharmacy to inspect pharmacy during application process and periodically thereafter T/F

T

After licensure pharmacy will have to renew the license usually annually or biennially by submission of a renewal application and fee

Do the following groups have to be licensed?

out of state or non resident pharmacies

wholesalers

manufactures/repackager

distributers

third party logistics

yes

After obtaining a state license or permit, a facility or prescriber must register with DEA. After initial approval, the DEA will send a registration renewal notice to registrant ______ days prior to expiration.

60

An out of state pharmacy can perform centralized or shared services for another pharmacy such as dispesnisng, DUR etc Should patients be notified?

Patients should be notified if another pharmacy fills their prescription

T/F All pharmacies that dispense controlled substances must have a valid DEA registration unless exempt meet PDMP requirements when applicable

T

Specialty pharmacies : NABP recongnizes what type of pharmacy as specilaties that usually requires board certification or other training

Nuclear and radiologic pharmacies

must be present all the times in the pharmacies

for radioactive material must have caution radioactive material on container

Pharmacy Inspection and space and equipment page 37

equipment

libraries

what are some of the documents can be kept int he pharmacy?

every state permit electronic with exception of few

current copy of state laws and regulation

drug information resource and references

if compounding then USP chp 797,

radiopharmaceutical for nuclear pharmacy

Pharmacy access by non pharmacist personnel should be kept at a minimum and entry of non- pharmacy staff will be at the discretion of pharmacist: T/F

True

Renaming, relocating, closing a pharmacy:

A change of business name, closure or relocation of pharmacy will require notification to the sate board within set limit such as _____ or within ____

immediately or within 30 days

the DEA will require change of address notice for registrant when schedule drugs are moving location such as with relocation

true

All pharmacies must publicly display or have readily available all licenses of the licensed personnel T/F

T

Patient records relating to prescriptions and pharmacy operations can be stored how?

In a hard copy or electronic format or in a combination of two

What are some of the records that must be kept by pharmacies include are

Patient profile ( with included information pt name, address, hone number, DOB, gender, drugs, any other information)

Dispensing record for each rx

receipt for all drugs purchased and received by the pharmacy

compounding log

DEA Form 222

Logbook for OTC sales of ephedrine or pseudoephedrine

Instituitional Pharmacy:

Is a licensed nurse authorized to restock automated dispensing systems with verification technology such as barcode scanning?

yes when a pharmacy is NOT physically attached

Absence of pharmacist in the hospital.

A supply of drugs should be located outside of the pharmacy such as night cabinets or ADSs.

True or False ; For emergencies, the PIC may grant pharmacy access for authorized individuals

True

each facility must designate authorized individuals who can access the locked cabinets and or the pharmacy

Emergency kits

What drugs in general can be contained in these kits?

controlle dan dnon controlled as long ass pharmacy supplying the controlled drugs can complies with state and federal regulations

Emergency kits

Pharmacist ( or designated person) has what responsibilities for Emergency kits

seal and store kits in a secure location that only allows for authorized access

expiration date must be the earliest expiration date of any drug within the

when kit expires pharmacist must replace expired drug and update expiration date

drug should be removed in pursuatant to chart order

True/False: It is not necessary for the pharmacist to be notified anytime when emergency kit is opened

False

must be notified. Pharmacy will then restock and reseal the emergency kit

what are the 3 required things required on emergency kit label

drug name strenght and quantity

expiration date of contents

NAT of supplying pharmacy ( name address telephone)

ADS in LTCF

Can ADS in LTCF contain both controlled and non controlled?

yes

FYI examples of ADS are pyxis , omnicell

Are drugs stored in the ADS considered LTCF stock or pharmacy stock?

pharmacy stock but before they are dispensed!

What other registration requirement does the pharmacy stocking meds in LTCF ADS need to have?

pharmacy needs a separate DEA registration

Telepharmacy

A patient brings Rx to remote sites staffed by technicians and nurses. What are the duties of the central pharmacist?

supervisies workflow over teleconferencing system

verifies prescription transmitted from rural site

Rx label and packaged are dispensed from ads at remote site

pharmacist counsels patient through real time video

page 42 skipped

skipped

Any drug that is not kept under proper storage conditions is considered

a) misbranded

b) adultered

adultered must be removed placed i separate area and disposed

finish page 44-49

b