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Board of pharmacy mission
to protect public health, welfare and safety with reguards to pharmacy practice
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Authority of the board of pharmacy
- to inspect licensed locations
- to issue injunction against unlicensed activity
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Practice of pharmacy
- interpretation and evaluation of rx/orders
- MTP
- dispensing/labeling/administration
- drug selection
- DUR
- immunizations with notification of intent or certificate issued by the board
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Pharmacy technician
- assists pharmacist
- must be registered with board
- must keep copy at location of work & display
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disqualification list
- if on the list, may not be employed by a pharmacy
- must report disciplinary action taken against pharmacy technicians to the board
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If board refuses license
- notify applicant
- applicant has right to file complaint with AHC
- board may file a complaint against licensee for substance abuse or criminal offence
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Prescription substitution lines
- two lines
- right side is DAW
- left side is substitution permitted
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prescription label
- date filled
- rx number
- patient's name
- directions for use
- prescriber's name
- name and address of pharmacy
- exact nae and dosage of drug dispensed
- refills
- mfg and generic substitution if occured
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Renewal of license/permit
- must renew 30 days before expires every 2 years
- must complete 30 hours of CE every 2 years
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if license not renewed
- Name removed from register
- Must pay delinquent fee and renewal fee
- If not renewed in 2 years person is treated as if never registered
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board may place a pharmacist on probation
not more than 5 years
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board may suspend a pharmacist license
not more than 3 years
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board my revoke a license
- for felony convitions related to practice
- board will conduct a hearing
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Revocation of a license
may be for 2-7 years before reinstatement
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If license not active for more than 2 years
- board may require applicant to attend CPE courses
- pass NAPLEX
- pass MPJE
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Display of license and permits
pharmacist license, store permit and renewals should be conspicuously displayed
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Definition of prescription/drug order
issued and signed by authroized prescriber under scope of practice
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telephone prescription
- transmitted to a pharmacist by phone by authroized prescriber
- promptly reduced to written or electronic medium by pharmacist
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all prescription orders for drugs and devices must be kept for
5 years
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Files over ___ years old my be stored on microfilm or electronic media storage
3 years
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members of the board of pharmacy
- 7 members
- 6 are licensed pharmacist
- 1 is a public member
- appointed by governor for 5 year term
- at least 1 pharmacist has to provide to a hospital, snf or icf on a full time basis
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any licensed person who is convicted will be guilty of
class A misdemeanor
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any person not licensed who violates the law and is conviced will be guilty of
class C felony
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Out of state prescriptions
pharmacist may fill rx written by practitioner licensed in another state
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management of pharmacy operation
must be under supervision of a pharmacist
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receiving drugs from an unlicensed distributor
- unlawful
- class A misdemeanor
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drug wholesale distributors in or out of state
must register with the board to do business in the state
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a pharmacy must licesnse as a distributor if
distribution constitutes 5% of the pharmacy's gross sales
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Pharmacist on duty
- must be present at all times
- if remote dispensing, RPH must be accessible at all times to respond to inquiries
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if pharmacist not on duty
- no rx compounded or dispensed
- signs must be posted that pharmacist is not on duty on all entrances and the rx counter with letter size at least 2 inches
- cannot sell already filled rx
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Required pharmacy equipment
- equipment in USP or remingtons needed for dispensing or compounding
- machine for numbering all rx
- printing equipment for labels
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required pharmacy documents
- latest reference manual covering pharmacology, doses and clinical effets and patient information
- current edition of statutes and rules
- refridgerator w/ freezer
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pharmacy conditions
- clean at all times
- hot and cold water supply
- appropriate sanitation of areas where drugs are stored and dispensed
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storage of medications
- must be stored at temp recommended by mfg
- must be stored separately from food and other items
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pharmacy security
- must deter thefor of drugs
- alarm system or locks
- may have registered off site storage
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pharmacist should notify board within ___ days of change of employment and when changing ____.
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when permit holder knows or should have known that an employee has violated rules
permit holder is subject to discipline
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pharmacy must report technician disciplinary action within
15 days
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notifications of technicion disciplinary action must include
- name and permit number of pharmacy
- name of person making notification
- name of technitian
- tech registration number
- date of action
- reason for action
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pharmacy shall maintain 3 separate files of prescrptions
- one for CII
- one for CIII0V
- one for non controlled rx
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must maintain invntories and records of all transactions with legend drugs for
- 2 years
- must be readily retrievable
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samples
pharmacies not allowed to have
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class I consultant pharmacies
- separate lockable room
- 3 year documentation requirements
- report breach of security of records or internet within 7 days
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written notice of termination of business must be submitted to the board within ___ after termination date
15 days
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notice of termination must include
- name, address and license number & effective closing date
- transfer of stock/inventory to...
- name of location where records have been transfered
- must be retrievable w/in 7 days
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on date of termination must
complete CS inventory
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Requires new permit
- transfer from sole proprietor
- if stock holder purchases 25% or more
- change of location
- must approve remodeling 30 days before changes made
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public complaint
- must be in writing and identify maker
- board communicates decision to maker
- closed record(not public)
- board may file complaint with AHC
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prescription hard copies must be filed by
label number or by unique identifier to be retrievable
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Pharmacy using an EDP system must
- have a bound logbook for the pharmacist to sign each day attesting that scripts were filled accurately
- must be maintained for 5 years
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EDP records are to be available online within
2 hours
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if EDP system is not working, another system must be used and the info must be entered into the EDP within
7 adys
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Transfers out of the pharmacy
must note so or be deactivated
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transfers back to the original pharmacy
treat as a new rx
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EDP system must be able to list drug utilization for any drug for at least ____ by ____, ____, ____ within ____ days of request
- the past 12 months
- drug name
- patient
- practitioner
- 3 days
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electornic transmission of prescription includes
both image and data prescriptions
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rx for non controlled substances are good for
1 year
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transfer of controlled substance mst be between
2 pharmacists
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PIC of hospital or ambulatory care reports disciplinary actions to
- facility CEO
- CEO reports to board
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patient counseling requirement
- minimum requirement is to offer counseling
- any pharmacy employee
- written offer when pt or caregiver not available
- offer required on all new and refill rx
- inpatients are exempt
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risk level 1 sterile compounding
compounded from sterile products
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risk level 2 sterile compounding
compounded from steril products with more manipulations
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risk level 3 sterile compounding
compounded from non steril products
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compounding records must be maintainted for
2 years
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a pharmacist administering drugs pursuant to an order sal notify the prescriber within ___ after administration.
72 hours
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