Missouri Pharmacy Law – Flashcards
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Rx Label
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(1) The date filled; (2) The sequential number; (3) The patient's name; (4) The prescriber's directions for usage; (5) The prescriber's name; (6) The NAME and ADDRESS of the pharmacy; (7) The exact name and dosage of the drug dispensed; (8) "Refill" with a blank line or squares following or the words "No Refill"; (9) When a generic substitution is dispensed, the name of the manufacturer or an abbreviation thereof shall appear on the label or in the pharmacist's records as required in section
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Record keeping
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Original or order of each drug which has been compounded or dispensed at such pharmacy For at least 5 years Prescription file on readable microfilm for records maintained over 3 years.
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Class A license
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Community/ambulatory pharmacy
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Class B license
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Hospital outpatient pharmacy
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Class C license
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Long-term care pharmacy
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Class D license
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Nonsterile compounding pharmacy
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Class E license
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Radio pharmaceuticals
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Class F license
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Renal dialysis
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Class G license
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Medical gas; pharmacies providing oxygen and other prescription gases for therapeutic use
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Class I license
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Consultant services
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Class H license
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Sterile products compounding
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Class J license
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shared services; pharmacy services including; filling, DUR, claims adjudication, outsourcing centralized rx processing, refill authorization, therapeutic intervention
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Class K license
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Internet pharmacy; if >90% of new rx is internet based
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Class L license
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Veterinary pharmacy
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Legend drug
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AKA prescription drug under federal food and cosmetic act (includes dosage form and active ingredient) "Caution: federal law prohibits dispensing without prescription" or "caution: federal law restricts the drug to use by or on the order of licensed practitioners" or "Rx only" DOES NOT include clinical trial drugs
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Pharmacy Technicians Requirement
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-All techinicans must register with the board. -Board keeps list of all technicians who found guilty, or has entered a plea of guilty or nolo contendere, of a violation of state or federal drug laws. -No hospital or licensed pharamcy may employ someone on that list -must renew within 30 days of expiration
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Temporary License
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may be granted to residency and fellowships
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Physician self or family prescribing
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Physician may NOT prescribe himself a controlled substance. May prescribe himself a non-control; however frowned upon. May right family member any prescription as long as family member is considered one of physicians normal patients
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Physician assistant limits
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-PA may not write for controlls -Only can prescribe under the scope of practice of supervising physician -Has to include PA name AND supervising physican name -only prescribe a 72 hour starter pack
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Pharmacist license application requirements
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-Names and age [at least 21 yo] -Place of study in pharmacy school -Time spent [one year] practicing pharmacy -Complete pharmacy examination -Prepare oath stating all information given to board is correct
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Generic substitution
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same: -active chemical compound -strength -quantity -dosage form
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Disciplinary action on pharmacist
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Probation not to exceed 5 years Suspension not exceed 3 years
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Renewal of license
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-Must renew within 30 days of expiration date -If two years frome expiration: treated as never been licensed -Exception: active duty -Proof of 15 CE in 12 month period [renew every two years]
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Missouri board members
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7 members [not connected with school of pharmacy] -6 licensed pharmacist [one which works for hospital, LTC or immediate care facility] -1 is voting public member -position held for 5 years -Appointed by governor and approved by senate
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Pharmacy Definition
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-any location where the practice o pharmacy occurs -such activities are offered or provided by a pharmacist or another acting under the supervision and authority of a pharmacist"
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Days Out-of-business notication to board
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15 days after termination date
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May return to stock if
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1) Rx was never sold 2) Rx maintained in manufacturers labeled storage in the orginal dispensed container [must not be poured back into orginal stock container]
