PA MPJE Questions and Answers (2022/2023) Already Passed

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PA MPJE Questions and Answers (2022/2023) Already Passed Codeine Limitation for Schedule III ✔✔Not more than 18 mg/mL Not more than 90 mg per dosage unit Codeine Limitation for Schedule V ✔�... ��Not more than 2 mg/mL and must have additional nonnarcotic API Emergency C2 prescription hard copy must be delivered in ✔✔72 hours (7 days for federal, PA more strict) May dispense partial fill C2 for LTCF patients for up to ✔✔60 days Partial Filling for C3-5 ✔✔No dispensing beyond 6 months Where and how long inventory records must be maintained ✔✔2 years at the inventory location How far in advance must you notify DEA of plants to use central recordkeeping? ✔✔14 days C2 order form ✔✔DEA 222 How long must DEA Form 222 order records be kept on file for inspection? ✔✔2 years How far in advance must online pharmacies register with the DEA? ✔✔30 days in advance (also contact state BOP 30 days in advance) How often must pharmacies register with the DEA ✔✔Every 3 years (manufacturers and distributors are annually) Threshold of C2 sales over which a pharmacy must register as a distributor ✔✔> 5% Form pharmacies fill out to apply with DEA ✔✔DEA 224 What form do you fill out to request to destroy CS? ✔✔DEA form 41 (reverse distributor fills this out after destroying) How soon must you notify DEA of CS theft or loss? ✔✔1 business day of discovery in writing What form do you fill out for confirmed CS theft or loss ✔✔DEA 106 How many times may controlled substances be transfered? ✔✔1 time (unless pharmacy shares a real time on-line database) How many refills allowed on C3-5 medications? ✔✔5 refills over a period of 6 months Short term detox is how long? ✔✔30 days or less Long term detox is how long? ✔✔Longer than 30 days but less than 180 Sales of pseudoephedrine per day? ✔✔3.6 g of base (146 tablets of Sudafed 30 mg) Sales of pseudoephedrine per month? ✔✔9 g of base How much pseudoephedrine can a mail order pharmacy sell to an individual in a month? ✔✔7.5 g of base How long must Pseudoephedrine sale records be kept ✔✔2 years Multiple prescriptions are allowed for C2 for how many days? ✔✔Total of 90 day supply How soon must pharmacies record CS prescriptions in PDMP? ✔✔1 business day of dispensing Max days supply of opioids for minors? ✔✔7 days (72 hours if authorized adult not parent) unless medically necessary to prescribe more Max days supply of opioids for patients in ER or urgent care? ✔✔7 days unless medically necessary to supply more How many hours of opioid CE biennally? ✔✔2 hours How many hours of opioid CE for initial license? ✔✔2 hours in education of pain management or ID of addiction and 2 hours of prescribing or dispensing opioids (4 hours total) Durham-Humphrey Amendment of 1951 ✔✔-Created OTC and RX distinction -Allowed the authorization of oral prescriptions and refilling Kefauver-Harris Amendment of 1962 ✔✔-Drugs have to be safe and effective -Triggered by thalidomide -Established GMP's and increased inspection authority of FDA Federal Anti-Tampering Act ✔✔-Enacted after Tylenol capsules with cyanide -Requires all OTC products to be in tamper-evident packaging Poison Prevention Packaging Act ✔✔-Requires child-resistant caps -Cap is a failure if a child can open more than 8 units or obtain a toxic amount of drug Prescription Drug Marketing Act ✔✔-Regulates handling of prescription drug samples -Bans trade, sale, or purchase of drug samples PA requires pharmacies to be licensed as wholesalers if more than what % of their sales are to licensed practitioners? ✔✔> 5% Waxman Hatch Act ✔✔Made it easier for generic drugs to get FDA approval How long does pharmacy have to comply with patient request to see records? ✔✔30 days How long does pharmacy have to comply with patient request to amend records? ✔✔60 days How long must pharmacy keep record of HIPAA disclosures? ✔✔6 years How often must compounding proficiency be demonstrated? ✔✔1 year When must pharmacists notify BOP of address change? ✔✔10 days When must new permit be filed for changes in name, ownership, controlling interest? ✔✔30 days How long after closing does pharmacy have to contact board to dispose of files and drugs? ✔✔30 days Permit must notify board of loss of pharmacist manager and name of new one in how many days? ✔✔15 days (may request extension for additional 30 days) How long is waiver that pharmacist manager cannot serve as manager for more than 1 pharmacy? ✔✔60 days (in addition to 15 from loss of manager) How much inventory must pharmacies keep? ✔✔$5,000 How long are prescription records kept? ✔✔2 years (from last fill) How far in advance must you notify board before starting substantial renovations? ✔✔30 days If more than 2 pharmacist are on duty, how long must prescription counter be? ✔✔15 feet Non-CS prescriptions may be refilled for how long? ✔✔1 year How long must patient profiles be kept at a pharmacy? ✔✔2 years from last entry Max number of interns a pharmacist may precept? ✔✔2 How often does state BOP renew pharmacy permits? ✔✔Every 2 years on odd-number years How often are pharmacist licenses renewed? ✔✔Every 2 years on even-number years How many CE hours must a pharmacist complete each renewal period? ✔✔30 contact hours CE requirements during each renewal period ✔✔2 hours must be in patient safety 2 hours in administering injectables (if applicable) 2 hours in child abuse reporting 2 hours in opioids Medications for re-dispensing without lot numbers or expiration dates may be dispensed for how long? ✔✔6 months Computerized record systems must immediately retrieve prescription data for how many months? ✔✔12 months Computerized record systems must retrieve in 3 days prescription days for how many months? ✔✔24 months Medications in an AMS are inspected ✔✔Monthly How often are AMS policies reviewed? ✔✔Annually How often are AMS checked for accuracy? ✔✔6 months When must pharmacist notify providers of interventions under DTM protocols? ✔✔Within 72 hours How much must liability insurance be to administer meds or perform DTM in PA? ✔✔1 million How soon must pharmacists notify PCP after administration of an injectable? ✔✔48 hours Pharmacists administering injectables under a protocol or collaborative agreement must notify provider in how long? ✔✔72 hours How long must records for administering injectables be kept? ✔✔2 years Pharmacists must notify provider of an AE to an injectable when? ✔✔in 24 hours Expiration date for drugs in cancer repository program? ✔✔Must not expire within 6 months Handling fee for cancer repository program must not exceed how much of medical dispensing fee? ✔✔250% Pharmacists applying for initial license must have how many hours of child abuse CE? ✔✔3 hours Age limit for OTC dextromethorphan sales? ✔✔18 years old CRNP CS prescribing limits ✔✔30 days for C2 90 days for C3-5 PA CS prescribing limits ✔✔C2 for 72 hours initially, and 30 days for continued therapy C3-5 regular 5 refill in 6 months Treatment initiated by optometrists must not exceed ✔✔6 weeks Midwife CS prescribing ✔✔C2 limited to 72 hours C3-5 limited to 30 days supply Emergency refill limits ✔✔72 hours supply must notify provider with 72 hours as well How many years is a BOP term? ✔✔6 years (max of 2 terms) How many institutional pharmacists on board ✔✔1 How many chain pharmacists on board ✔✔2 How many independent pharmacies on board ✔✔2 How many members of public on board ✔✔2 Age limit for purchase of poison ✔✔16 years old Non-resident pharmacies must report change in location or pharmacist in charge in how many days? ✔✔30 days Medical records for LTCF resident must be retained for how many years after death? ✔✔7 years Physician telephone and oral orders must be dated and countersigned by prescribing practitioner within how long? ✔✔48 hours Physicians must countersign orders from PAs and CRNPs in how many days? ✔✔7 days Hospital oral orders must be countersigned in how long? ✔✔24 hours CS prescription requirements ✔✔- Prescriber name and address - Patient name and address - Date issued - Drug name, strength and dosage form - Quantity - Directions for use - Refills, if any - DEA # of prescriber (cannot be pre-printed) - manually signed (C2) - full name of transmitter (C3-C5) Allowable changes to a CS prescription (C3-5) ✔✔Add patient's address or change patient's address upon verification Change or add dosage form, drug strength, drug quantity, or directions for use after consulting with prescriber (must note on prescription and record) Form to register with DEA as a narcotic treatment program ✔✔DEA form 363 Registering as a narcotic treatment program ✔✔-Approved and certified by SAMHSA -Approved and certified by state methadone authority -Register with DEA via form 363 -Accreditation by independent SAMHSA-approved organization Physician Requirements to prescribe Buprenorphine ✔✔-DEA number starting with X -Certification in Addiction medicine or 8 hours of specified CE -Initially treat 30 patients -100 patients after 1 year -275 patients after 1 year of 100 patients -Must have capacity to refer for ancillary services (ie psychotherapy) CS Prescription Label Requirements ✔✔Name and address of pharmacy Phone number and DEA number of pharmacy Serial # and date of initial dispensing Directions for use and cautionary statements Trade or brand name of drug, strength, dosage form, quantity dispensed (manufacturer name or abbreviation if generic dispensed) Labeling requirements for CS prescription label is waived for institutional patients if: ✔✔-NMT 7 days supply for C2 -C3-5 34 day supply or 100 unit doses whichever is less -Drug is not in possession of ultimate user prior to administration Ephedrine HCl conversion ✔✔25 mg Ephedrine HCl = 20.57 mg base Pseudoephedrine HCl conversion ✔✔30 mg pseudoephedrine HCl = 24.65 mg base 146 tablets of Sudafed 30 mg Pseudoephedrine SO4 conversion ✔✔30 mg pseudoephedrine SO4 = 23.22 mg base Pharmacists must submit what info to ABC MAP ✔✔-Name of prescriber, DEA and NPI number -Date prescription was written and filled -Name, DOB, gender, and address of patient -NDC of drug dispensed, quantity, and days supply -Number of refills authorized and refill number -DEA and NPI of pharmacy -Payment method patient used Required to check PDMP if ✔✔-Dispensing opioid or BZD to new patient -If patient pays cash when they have insurance -If patient requests an early refill -Patient is getting opioids or BZDs from multiple prescribers Situations that may be adulteration and misbranding ✔✔Strength, quality, or purity of drug is affected Package insert must accompany ✔✔Oral contraceptives Estrogens (not progestin only products) BUD for nonaqueous formulations ✔✔Not later than the time remaining until the earliest expiration date of any API or 6 months, whichever is earlier BUD for water-containing oral formulations ✔✔Not later than 14 days when stored at controlled cold temperatures BUD for water-containing topical/dermal and mucosal liquid and semisolid formulations ✔✔Not later than 30 days [Show More]

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