MPJE GA – Flashcard
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Rph Drug therpay certificate
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3 ce every yr in drug therapy modification post cert. with rph license
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Drugs destroyed by fire, flood
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within 3 days written notice to DIRECTOR of GDNA 3 days after this an inspection is to occur
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Loss or theft of controls
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Within 3 days report to DEA and GDNA DEA form 106
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Home health nurse
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Sterile water, sterile saline, dilute heparin
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Administer (narcotic treatment program)
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Give one single dose of pharmacy prepared narcotic controlled substance
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CSAT
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Center for subsance abuse treatment
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DHR
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GA dept of human resources
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Licensed medical personel (narc treatment prog)
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Emoployees of an opioid treatment program clinic
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Narcotic treatment program
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Licensed or auth by: GA DHR, SA MHSA and DEA
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SA MHSA
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Substance abuse and mental health services administration
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Opiod treatment clinic pharmacy
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Must be onsite Licensed every 2 years by June 30 odd year
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Wall certificate, etc
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Full time: post wall cert Part time: post pocket card PRN: have card on person
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Inventory of drugs narc treatment program
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no less than every week
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Remote automated dispensing system
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Pharmacy has to have policy procedure manual -serial # of machine -security method -filling /restocking process -documentation of inventory / removal of out dates -continuous improvement plan -pt confidentiality
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RAMS
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only stock 30 ds of meds all drugs inventoried q 30 days inventory discontinued / out dates id of all rphs , techs, interns only licensed nurse can remove meds TECHS cannont stock RAMS 2 seperate verifications med: bar code, wt, radio frequ,
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RAMS inspection
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inventory all drugs q 30 days inventory all controls q 7 days return bin emptied q 30 days by rph
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480-10-15 Requirements of prescription drug order
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Full name and address of pt Name address of Md and DEA Date of issuance Name, strength, dose form if needed Directions for use Refills If written= signature RX number once filled
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Patient counseling
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Record kept for 2 years of last entry RPH needs to personally offer to discuss rx
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Soma
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C4
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Ketamine
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C3
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Sodium Oxybate
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C3
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RPH / MD drug protocol period
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2 years
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Drug therapy modifications made_ store records
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10 years following hte date the protocol is terminated
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Remote prescription drug order processing
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Recieving the rx interpreting, analyzing, clarifying rx entering rx into system transferring rx info DUR allergy review
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Licensing of pharmacies that do remote drug order processing
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Must be licnesed as retail and physically be in GA Must have same owner or written contract for services
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Patient counseling can occur
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in person or by phone
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Drug therapy modification definition
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Adjustment of doseage / dose schedule or medications -meds need not be equivalent
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Remote prescription processing
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Must share a common electronic file or have technology which allows info to be shared - must show id of all involved -records retrievalbe for 2 years -patients must know roe is being used (sign posted / signature of pt) - if roe and dispensing do not share same owner then pt written consent is needed
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Certified pharm tech
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1. Registered tech that has passed a cert program OR 2. Registered tech that has passed employer program 3. Registered tech that has passed a nationally recognized...
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Pharmacy tech
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Must be registered as of August 1 2011 Be 17 years old High school /GED Background check renew biennially
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Ratio pharmacist to tech
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1:3 One tech must be certified Or 1 cert tech and 1 intern and 1 extern
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If registered tech leaves employment
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Board must be notified in 10 days
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Name tag
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Registered pharm tech must wear Name and title RPh is responsible for this
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Interns and externs can do
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Telephone orders, transfers, counseling, compounding (all rph functions if they are directly supervised)
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Release of rx records to authorities
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Md , pt, RPh, Board of pharmacy, law enforcementa authorized such as GDMA, DEA or Medicaid agent, subpoena, court order by judge
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Opiod treatment program pharmacy
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Must have onsite pharmacy
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PA (physcian assistant)
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Can write for CIII-CV without co signature of MD if -supervising MD gave authority -has DEA # -uses security paper and contains name address phone number of MD and PA patient name and address drug name strength and qty number of refills NPI # / DEA # If transmitted by fax: telephone number of PA for verbal confirmation date and time of transmission full name of person transmitting
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ARNP
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Can write for all except abortion drugs CIII-CV unless has cosignature of MD and has DEA #, security paper (SAME as PA)
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RX original is good for:
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ARNP 12 months unless: OC's hormone replacement and prenatals are 24 months
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Pseudophedrine sale
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CV, Md can prescribe RPh or intern can sell without rx: 4oz or 32 units / 48 hrs log kept: name address dob date of transaction units sold, intented use
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Componding in anticipation
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Okay to do before have rx. Can compound meds that are or are not commercially avialable. Can compound based on prescribing habits of Md
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Cytotoxic drugs
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Vertical flow CII biological saftey cabinet or appropriate barrier isolator
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Records of training for compouds
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Keep for 5 years
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Board certification programs
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Diabetes, dyslipidemia, asthma, anticoag
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Pharmacy specialization certificate
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RPh and pass exam 10 hrs ce / 2 years (may apply to regular ce too)
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Dispense definition Controlled sub law
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Prescribe, amdinister, pack, label, compound or prepare a substance for delivery
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Codeine CIII limits
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1.8mg codeine/ 100ml or 90mg/ doseage unit
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Hydrocodone CIII limits
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300mg / 100ml or 15mg / doseage unit
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Dihyrdocodone CIII limits
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1.8gm/ 100ml or 90mg / doseage unit
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Ethylmorphine CIII limits
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300mg / 100ml or 15mg / doseage unit
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Steriods class
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CIII
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Marinol
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CIII
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Sell syringes
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Pharmacist, intern or extern
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Pharmacist license renewal
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Every 2 years remew on 6/30 of odd year
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Change in responsible RPh
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Notify board immediately
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Manufacturers permit expires
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Every 2 years on 6/30 of odd year
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Reverse distributor must keep records
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2 years
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Credit for expired drugs
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Must be given for full and partial bottles up to 6 months after exp. date
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GBI
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Georgia board of investigation
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Prision clinic pharmacy license renewal
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Every 2 years, June 30th odd years
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Prison clinic pharmacy night cabinets
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Prepackaged drugs Inventoried no less than once a week Only 1 person (RN, etc) per 8 hr shift can access Record drug removal on a form, leave container
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Emergency kit prison pharmacy
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Inventory q 90 days Kits sealed, pharmacy notified when used
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Prison clinic pharmacy CII's
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Stored in enclosed control room or safe or metal cabinet that is locked and cannot be moved, perpetual inventory
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Prison clinic pharmacy
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Inspected monthly by DOP
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Prison multi drug single dose container
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Single doseing packaged for patient w/ 2 or mor oral drugs
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Prison pharmacy multi drug single dose label
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Pt name Pharmacy name /address rx # phone # drug name / strength / description/ qty Directions Date dispensed Dr. name Beyond use date
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Repackaging drugs by another pharmacy records
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Keep records 2 years Need written permission from pt
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PIC of
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1 retail pharmacy or 1 LTC, HHC, etc. if same owners
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How long can RPh be away from pharmacy
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1 1/2 hrs at a time, total of 3 hours. Must be locked when away Must post sign in letters not less than 3" high
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Minimum square footage of pharmacy
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150ft squared
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What kind of pharmacy is PBM considered?
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Retail
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Rx copies
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RPh intern or extern. Does not say anything about rx requirements (last fill day, orig refills, etc) Need name of pharmacist name of pharmacy, phone # and date
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DEA form 41
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Destruction of controls can only be destroyed by DEA GDNA or reverse distributor
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Size of pharmacy drive thru window
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2x3 and no more that 2 drive thru lanes withthe lane farthest being no more that 24 ft from the window Drive thru must be inspected by board for approval unless prior to 1/06 (grandfathered)
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Return of drugs LTC
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If unit dose and paid for by Department of Medical Assistance Must have remained in facilty and stored properly Not expired and have 6 months dating left Only redispensed to pt's with same payor type
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Medically indigent person can receive donated drugs
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Donated drugs have to be stored seperatley in pharmacy Still needs valid rx, drugs need to stay in donated packaging and be labeled over in accordance to GA law
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Class 100 eniviorment / ISO Class 5
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Atmospheric enviorment of less than 100 particles 0.5microns or larger in diameter / cubic meter of air
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Labeling definition
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Process of preparing and affixing a label to drug container
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Patient counseling definition
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"oral" communication by RPh
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Prescription drug order
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Lawful order for drug or device...
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Sale of exempt CV pseudoephedrine
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Must stay behind counter Seller must take combat Meth training 2005
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Foreign applicants for Rph license must pass
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FPGEC foreign pharmacy grade equiv exam TOSE test of spoken english TOEFL test of english as foregin language NABP gives these tests
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Intern hours
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1500 minimum of 20 hrs/ week max 50 hrs / week For BS candidate 480 hours can be thru clinicals For PharmD 1000 hours can be thru clinicals
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Register as intern
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Be enrolled in college of pharmacy or graduate of pharmacy school
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Intern license is valid for how long
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5 years or until failed board 3 times
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Passing grades on NAPLEX LAW AND PRACTICAL
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75 ON EACH but score of less than 60 on any part of practical will invalidate practical score
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RPh license expires
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Must be renewed by 12/31 of even years Late renewed by Jan 31 with renewal fee + 50%
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Inactive RPh license
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Must be requested in writing of Board Does not need to do CE
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RPh CE's
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30 hrs / q 2 years If licensed in first 6 months of biennnium (jan to june)= 30 hrs If during june to july (year between)= 15 hours If last 6 months = 0 hours Keep Ce on file for 2 years
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Ce providers need to keep record of attendees
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5 years
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Continuing ed providers need board approval
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60 days before program
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Only way to get duplicate wall Rph certificate
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Lost, destroyed, name change