MPJE NYS, Questions and answers. Latest updates. 2022/2023. Rated A

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MPJE NYS, Questions and answers. Latest updates. 2022/2023. Rated A CMEA: (Pseudophed) things to list Record Kept for 2 years - ✔✔Product: Name, Quantity, Form Purchaser: Name, Signature,... Address Sale: Date and Time Not required: seller infomation CMEA Log Req not needed for: - ✔✔60mg tablet 2 x 30mg Tabs Control 2 Drugs - ✔✔Opium Opiates (including Codeine alone) Hydrocodone (ZoHydro, Hysingla, Lortab, Lorcet, Hycodan, Hycomine) Oxycodone (percodan, percocet, tyloc, oxycontin) Oxymorphine (Numorphan) Methadone (Dolophine) Meperidine (Demerol) Tapentadol (Nucynta) Cocaine Dextro-Amphetamine (Dexadrine) Methamphetamine (Desoxyn) Lisdexamfetamine (Vyvanse) Amobarbital (Amytal, Amy's) Pentobarbital (Nembutal, Yellow Jackets) Secobarbital (Seconal, Red Devils) Amo+Secobarbital (Tuinal) Nabilone (Cesamet) Phenylacetone Ethylestrenol (Maxibolin) Fluoxymesterone (Halotestin) Nadrolone Phenoproprionate (Androlone, Durabolin) Oxymesterone (Oranabol) Oysmetholone (Anadrol) Stanzolol (Winstrol) Delatestryl, Depotestosterone ending in -one/lone Medicaid Rules: 1. Days expired from date written 2. # number refills, number months 3. record kept for # years 4. Can non-CS Rx's be transferred, Phoned/Faxed? 5. Codes: Transfer; E-Rx; Verbal;Written;Out-of-State 6. Dispense Brand Rx Requirments - ✔✔1. 60 days 2. 5 refills/6months 3. 6 years 4. Yes, if CS then no 5. Transfer (8 T's); E-Rx (8 E's); Verbal (8 9's); Written (serial #); Out-of-State (8 Z's) 6. MD must state DAW and "Brand Medically Necessary" Reporting Requirements: 1. Fire/Flood 2. Ownership 3. Stockholder 4. SP 5. Name/Address 6. Auction 7. Closing 8. renovation 9. temporary closing - ✔✔1. within 48 hrs 2. 6 weeks notice 3. within 30 days 4. within 7 days 5. 30 days advance 6. 7 days prior 7. 14 days in advance 8. prior to 9. Prior to (& before reopening) Drug Price List 1. # most frequently precibed 2. pharmacy updates how frequently 3. BOP updates how frequently 4. Convey info with Mailoder - ✔✔1. 150 2. weekly to reflect retail price 3. Yearly 4. Notice placed on every prescription Record Keeping 1. HIPPA 2. Medicaid 3. Medicare D 4. Vaccine 5. Inventory 6. 222 - ✔✔1. 6 years 2. 6 years 3. 10 years 4. Patient lifetime 5. 5 years 6. 5 years DEA 222- 3 Copies goes to who? - ✔✔Pharmacy Copy 3 Supplier Copy 1 DEA Copy 2 -Supplier sends there copy to the DEA at the end of the month Pharmacies that transfer CS: don't need to licensed as distributor if - ✔✔not >5% CS transactions (if you exceed this ● Dual registration as Dispenser and Distributing) can't distribute CS to PR (only allowed between pharmacies) 1. Who can have samples of CS? 2. coupons for CS are governed by what act? - ✔✔1. Researchers 2. PDMA Physicians, NP's, and LPA's and the # of Addiction Patients - ✔✔not to exceed 30 patients after 1 year- up to 100 patients after 2 years- up to 275 patients must register every 2 years with the department CS Prescription Records are retrieved by: - ✔✔Name: Patient or MD Drug name Date Dispensed Partial filling C2: cant partial fill C2! unless... - ✔✔a. 30 DS- Only in Terminally ill/ RHCF (60 days from date written) or b. OOS- 72 hours C2 Rx Pharmacist Endorsement - ✔✔Front of Rx: Signature Fill Date (or Refill Date) Rx # Quantity Dispensed if Partial Fill: then back of Rx -Date/Quantity of Partial -Quantity remaining -Signature Emergency Oral no over script in 72 hours? - ✔✔notify BNE in 7 days of the dispensing notify DEA (only if C2) Cover script must have exact info: except zip and sex Oral C2 Rx DS for C2-5 - ✔✔a. C2,3,5- 5 DS (different for Hospice) b. C4- 30d or 100 dose units (whichever less); ex. can fill oral Rx for tramadol #100 tabs QID If prescriber indicated on Rx don't label drug, what do you do? - ✔✔use the NDC of the drug same goes for compounded API All Rx Label must contain: 1. Critical Elements 2. Important Elements - ✔✔1. Patient Name; Directions; Drug Name/Strength 2. Pharmacy Info; Patient Address; MD Name, Date filled; Rx # How many doses of a CS can an intuitional dispenser dispense when a patient will exceed 3 hours - ✔✔1 dose How many doses can an ED dispense? - ✔✔24 hour supply Must meet CS labeling requirments CS oral orders in institutions must be signed in what time frame? - ✔✔48 hours (same for NH) Institutional: prn CS order if frequency/times not mention, what is the quantity to be administered and when does the order expire? - ✔✔med only give as 1 time dose expires in 72 hours whichever comes first; 1 dose/72hr Institutional: standing orders are good for how long until they need to be rewritten? - ✔✔7 days 30 days for: stabilized patient with (convulsive, chonic spasticity, ADHD, Hopsice/RHCF, Prison) NH: is good for 60 days Institution: LPA orders CS needs to be countersigned? - ✔✔Yes, by 24 hours Institutional dispensing: can we fill? 1. multple nonCS on 1 rx form? 2. multiple CS on 1 rx form? - ✔✔1. yes 2. no Safe guarding CS in community vs hospital pharmacies: - ✔✔Community: C2-5 locked up or dispersed with non-CS Hospital: C1-2 is in vault -reserves on main stock are kept in safe/vault -if facility has no pharmacy: CS are in locked cabinet (C2-4 are separated from C5) Institutional: Where are CS placed on floor - ✔✔>72 hr supply: C2-4 double key cabinet and C5 locked separate C3-5 < 72 hr supply: in patient med cart locked (not for allowed for NH) DEA form 41 - ✔✔destruction of CS from your inventory or in collection receptacle not: drug wastage (ex. extra drug in vial) Community Pharmacy: disposal of C2 and C3-5 - ✔✔C2: send back to supplier or Mnf using 222 (need DEA approval and notify BNE 30 days within DEA approval) C3-5 written record (transaction date, CS/Quantity, Pharmacy info, Reverse distributor info) Community: you can destroy CS on site if you get approval from who and in what time frame? what do you need to report? - ✔✔Written permission from BNE 2 week prior destruction date. Report must include: inventory of CS, method of destruction, date/time/location of destruction, the destructor and witness what is apart of CS inventory record? - ✔✔1. taken during open or closing? 2. CS Name, Quantity, Size of package, number of packaged, total in stock exact count needed if >1000 Theft of loss of CS what DEA form? - ✔✔notify DEA within 24 hours of discovery (even if recovered) dea form 106 Phase 2 optometrists are allowed to prescribe which drugs? - ✔✔Beta Blockers alpha agonists cholinergics (pilocarpine) prostaglandin (travatan/xalatan/lumigan) carbonic anhydrase inhibitors (diamox/alphagan) DAW must be stated for oral rx or cant fill. true or false? - ✔✔true. must state if brand or generic substitution or shall not be filled. What must the transfering pharmacist record? - ✔✔1. recipient pharmacy info: name/address/p# 2. RPH's: both tranferring and recieving 3. transfer date Pharmacist transferring a refill must ○ 1) record authorized refill, 2) name/address/p# of receiving pharmacy, 3) name of RPH (both), 4) date of transfer What must the pharmacist receiving the rx record? - ✔✔1. transferring Pharmacy info 2. RPH's: both tranferring and recieving 3 prescription # 4. number fills 5. drug/rx info Pharmacist receiving refills: ○ 1) Rx data (everything) 2) state refill transfer, 3) rx #, date written, date filled, 4) RPH (both), 5) name/address/p# of receiving pharmacy, 6) states refill transfer patient 19+ must give consent to what registry for vaccines - ✔✔NYSIIS and CIRS if they don't give consent, then you send data to Health Provider Network which sends to NYSDOH and patients PCP ● Immunization reporting: report to DOH NYSIIS for <19yo (need consent otherwise) within 14 days ○ Must also send report to CIR for <19yo, which is also sent to NYSIIS Exceptions to the PPA safety packaging: - ✔✔ntg sl dosepacks betamethaone <12.6mg ISDN chewable and sl cholestyramine pancrealipase sucrase oc, conj est in dispenser pack medroxyprogesterone NH: what is the expiration date for repackaging meds? - ✔✔expiration of 12 months or 50% of time remaining to exp (whichever less) NH: can an unliscened person repackage meds? - ✔✔yes NH: what are the requirements for repacked blister packs? - ✔✔date of repackaging + lot# and exp date not > 90 days from time of packaging log is maintained prior to receipt of Rx NH: can you reuse unused mnf single dose units? - ✔✔yes, if within expiration date NH: exp of comingled/customized med package? - ✔✔expiration of 60 days, no CS drugs, detailed log & complex label knowing is aiding/abetting Unauthorized/Unlicensed practice is crime? - ✔✔class e felony? Unauthorized use of professional title (saying your a pharmacist, but not practicing as a pharmacist) is what crime? - ✔✔Class A misdemeanor can prescriber charge for dispensing? and under what circumstance can they dispense? - ✔✔yes! but no more than 72 hour supply unless: 1. Locations: ER, clinic in "post-secondary institution, veterinarian, > 10 miles from nearest pharmacy 2. Samples, Medical emergency, protocol (AIDs/Oncology), Compounded reconstituted, allergenic extract 1. how many total ce? 2. how many live? 3. how many hr for med error reduction? 4. how long do you keep these records? - ✔✔1. 45 hrs 2. 23 hrs 3. 3 hrs 4. 6 years non residential mailorders dont need to be registered if they follow which sales limitations? - ✔✔<600 rx/year what is temperature of the fridge? - ✔✔2-8c or 36-46F what pharmacy can waive space requiements? - ✔✔ns or dialysis facilties Hospitals can have 1 registration for separate location. true or false? - ✔✔true how is the DEA # relate to providers name? - ✔✔Federal DEA #: 2 letters (second letter related to name) + 7 digits what are the prefixed for practioners, mid level, and distributors? - ✔✔Practitioners (A,B,F); Mid Level (M); Distributor (P, R) who dont need to register with the dea? - ✔✔Pharmacists/Fed-ex don't need to register with the DEA Community pharmacies and institutions register with DEA; pharmacists act as agents what reciept records are sufficient for CS? - ✔✔Receipt records: C2 (222/CSOS-CS ordering system); C3-5 (Invoices) Retain records of control substance sales for 5 years when is checking CS inventory required? - ✔✔Checking full CS Inventory: May 1 of odd number years or within 2 years of last one [Show More]

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