Nevada State Pharmacy Law – Flashcards
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The state board of pharmacy consists of how many members?
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7
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The state board of pharmacy members are appointed by who?
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govenor
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pharmacists on the state board must have at least how many years of experience
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5
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members of the state board of pharmacy are appointed for what length of terms
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3 years
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how many consecutive terms can a board member serve
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3
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an applicant to become a registered pharmacist must pass the MPJE with what minimum score
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75
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an applicant to become a registered pharmacist must complete at least how many intern hours
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1500
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application for licensure is good for how long
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1 year
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a temporary license in NV if granted is good for how long
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6 months
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Every registered pharmacist, intern, and technician must give written notice to the executive secretary if they move within how long
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10 days
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when does a pharmacist's certificate of registration expire
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October 31 of odd years
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when do intern and technician certificates of registration expire
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October 31 of even years
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T/F: If a pharmacist volutarily surrenders his license due to a disciplinary matter in another state, he can practice in NV
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F
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If a technician applying for NV license is coming from a state that does not offer registration an applicant must accumulate _____ experience hours in that state, ____hours in this state, and ________.
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1500, 350, written statement of competency from the pharmacy manager
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A tech in training has how long to accumulate the required hours
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24 months
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Under direct supervision of a pharmacist a tech may/may not, enter information into the computer system including information in a new prescription
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may
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Under direct supervision of a pharmacist a tech may/may not, compound prescriptions
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may
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Under direct supervision of a pharmacist a tech may/may not, take a new prescription by telephone
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may not
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the legal technician to supervisor ratio is
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3 to 1
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which two persons are responsible for the technician in-service training
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pharmacy manager and owner
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how many hours of law training does a tech require every two year
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1
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how many total hours of in-service training should a tech receive every two years
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12 hours
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In order for a pharmacist to supervise a forth tech in training he must have at least how much experience in his program, but less than how much experience in practical training
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9 months, 240 hours
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T/F There are circumstances in which an intern can receive payment working at the same pharmacy in which he works to receive credit for internship from his college.
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T
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T/F: An intern can perform most every task that a pharmacist can to include verification of entered prescriptions
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F
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If a preceptor wishes to terminate an internship must do what
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provide written notice with specific reasons to the school
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Two things that a school must provide an intern are
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a scope of duties, a form to evaluate his internship
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Some PAs may prescribe CS and Rx, and others can do what in addition
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dispense
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A PA must pass a law exam and also_______ before practicing
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be registered to a supervising physician
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A PA must notify the board in writing if he changes the location of his practice or if he changes his supervising physician within how long
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10 days
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The days supply that a PA has the authority to prescribe/dispense cannot exceed
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356 days
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One limitation of a PA's power to prescribe is he may not be able to
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order on the chart of a hospital patient
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T/F Pharmacists and Interns must follow a written protocol by a physician in order to administer immunizations
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T
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What American Heart Association certification must a pharmacist maintain in order to give immunizations
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BCLS
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The dead-line for immunization CE is on which date and how often
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October 31, annually
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where must controlled substances of demised patients be kept in a skilled nursing facility until destruction
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secured in a locked compartment
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The form provided by the DEA to document destruction of controlled substances is
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DEA 41
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In a pharmacy controlled substances must be destroyed at least how often
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once a year
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How often must a pharmacy in a correctional institution register with the DEA?
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biennially
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IN addition to the managing pharmacist the registration form in a medical facility must also be signed by whom
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chief executive officer
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A full time pharmacist is required in a hospital with _____ beds or more, or in a correctional institution with _____ inmates or more
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100, 1500
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T/F a part time consultant pharmacist can met the legal requirement for a correctional institute with 1000 inmates
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T
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T/F formal written contract is not necessary between a consultant pharmacist and a medical facility.
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F
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what quantity of drug may be removed by practitioners if a pharmacy is closed in a medical facility
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sufficient quantities for immediate therapeutic needs
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Can a licensed nurse remove drugs from a closed pharmacy in a correctional institution
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yes
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If drugs are removed from a pharmacy while the pharmacy was closed in a medical facility a pharmacist must verify the withdrawal within what time frame for a hospital and a prison
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hospital = 72 hours, prison = 96 hours
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If a facility employs a pharmacist consultant withdrawals must be verified within
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30 days
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A pharmacy shall maintain which records (7)
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1. DEA 222, 2. supplier's invoice, 3. supplier's credit memos, 4. biennial inventory, 5. DEA 106, 6. DEA 41, 6. CV register log
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A pharmacy wishing to use a centralized system for keeping records must submit _____ to DEA via ______ ______.
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written notification, certified mail
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A pharmacy must wait how long after submitting for authorization for centralized system of record keeping
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14 days
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at least how often must a immediate care/skilled nursing facility destroy outdated controlled substances
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once a month
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T/F: Flushing controlled substances down the toilet is an acceptable method of destruction in a skilled nursing facility
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T
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Who determines the quantity of each drug to be stocked in an immediate care facility
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pharmacy and therapeutics commmittee
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Quantities of stocked drugs at an intermediate care facility must not exceed how much per drug
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20 units
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An employed pharmacist of a surgical center must establish policies and procedures and must evaluate their effectiveness at least how often
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every month
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A consultant pharmacist must submit a written report to the Board reporting a surgical center for what (2)
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1. not compliant with the law, 2. a discrepancy of 5% or greater in quantity of a CS
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A doctor working in a hospital who calls a prescription into the pharmacy for entry on a chart must sign the order within how long
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48 hours
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T/F even a special bulletin issued by the board must be maintained on premises of the pharmacy for 2 years
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T
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The barrier separating the public section from the pharmacy section of a store must be how tall
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5'
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Under what circumstances may a repairman enter the prescription area
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pharmacist present at the same time
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One exception to the requirement for pharmacies to maintain an alarm on its premises would be
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a 24 hour store
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T/F Drugs purchased by a pharmacy may be drop shipped so long as thye are shipped to the pharmacy address registered with the board
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F
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A person in charge of a pharmacy must notify the board withing how long after terminating a registered employee with written notice
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10 days
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T/F: Law requires all pharmacy personnel to receive a meal break, but management can dictate when that break is taken
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T
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T/F: Regardless to how many pharmacists are on duty he may either stay on the premises or leave for his meal period
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T
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What can a pharmacy do to continue to receive prescriptions during a pharmacist's meal period (2)
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1. provide a secure receptacle, 2. provide an authorized receiving employee
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Pharmacy management may require a pharmacist to stay on premises during meal periods, but not obligate them to work.
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T
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T/F: A pharmacist's license includes the authority to prepare radioactive prescriptions
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F
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T/F: A pharmacist may now administer influenza, shingles, and rabies vaccines to the public
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F
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T/F: A pharmacy outside of Nevada providing patients with prescriptions inside of Nevada by mail order needing to make a substitution must follow provisions of Nevada law instead of the state in which the pharmacy is located
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F
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The toll free required by state law to be provided with mail order prescriptions must be available no less than how many hours per week
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40
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A laminar airflow hood must be certified every _____year(s), and records must be maintained every _____ year(s).
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1, 2
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A pharmacy preparing ______ solutions must do so in a vertical laminar airflow hood according to NAC 639.78
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cytotoxic
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A pharmacy furnishing ______ solutions must be available 24 hours a day.
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parenteral
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A requirement for a practitioner to dispense is ____, and a requirement for the prescription is ______
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certification with the board/fee, written
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T/F It is legal for a practitioner to investigate a patient who he suspects may abuse controlled substances
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T
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T/F: A practitioner need not include the symptom on the prescription unless otherwise requested by the patient 89
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T
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T/F: Controlled substances must never be given by electronic transmission/fax
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F
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T/F prescriptions received by fax must contain the practitioner's signature or equivalent
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T
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What is one piece of information not required by law to be on the prescription label, but is often present regardless.
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pharmacy phone number
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Do not use with alcohol or nonprescribed drugs without consulting the prescribing practitioner is required by ______law, but not by _______ law. (fed/state)
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state, federal
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If a doctor has a clerk call a prescription into a pharmacy and a technician takes the information, and the information was erroneous how many people are at fault?
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4
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If a doctor sends a prescription for Lortab refill PRN, how many times can it legally be refilled?
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5
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A controlled substance prescription cannot be refilled after how long
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6 months
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A Rx for a dangerous drug will not be re-fillable after how long
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1 year
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A pharmacist can furnish a sufficient supply of a controlled substance for a sufficient time for a pt. to communicate with his doctor if (2)
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1. cannot contact the physician, 2. treating a chronic illness is deemed necessary
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T/F: A prescription may be rescinded by a pharmacist even after authorization is given, even if the prescription was given orally, and even if it is rescinded by a doctor other than the original prescriber who is acting in his behalf.
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T
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What two things must a copy of a prescription have besides all the information appearing on the original prescription
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1. "Copy, not refillable -- for reference purposes only", 2. name/initial of pharmacist
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For how many months must a pharmacy maintain a prescription on file
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24
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If a practitioner has prescribed a drug by brand name, but did not specifically specify that substitutions weren't allowed, and a cheaper version of a bioequivalent generic of the same strength is available what should a pharmacist do
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give generic
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What is required by law for a pharmacist to do to the patient before substituting a generic, but hardly ever done
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advise of intent to substitute/advise of right to refuse
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A patient may not request brand name over generic if
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paid by a governmental agency
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Are all of the following proper methods for a physician to request a brand name over a generic: oral communication to the pharmacist, handwriting "dispense as written" on the RX, and same verbiage on an electronic Rx
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yes
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Generic drug prescriptions do not apply to (4)
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1. hospital inpatients, 2. mail order, 3. violation of health care plan 4. ineligible for 3rd party reinbursement
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Can only pharmacists or pharmacists and interns do all of the following: take new orders, interpret Rx, interpret patient's charts, consult with a prescribing doctor.
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pharmacists and interns
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T/F: A pharmacist need not counsel nor provide written form of required counseling information if the drug is to be delivered to a licensed medical facility to be administered by an RN
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T
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T/F: All new prescriptions are required by law to be accompanied by counseling even if unwanted by the patient
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F
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T/F: A prescribed medication can be legally delivered directly to a patient, staff of the medical facility, or dropped off with a person at the patient's residence
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T
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T/F: A friend, neighbor or relative may not be compensated for picking up the prescription from a pharmacy on behalf of someone else.
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T
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T/F: If a computer system is approved by the board and the practitioner transmits the prescription to the pharmacy the pt. chooses he may use it to transmit all his controlled substances
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F
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A prescription for a CII drug may not be sent via fax unless (3)
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1. direct IV/SQ/IM administration, 2. LTCF, 3. hospice
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How many times can an CIII-CV be transferred
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1
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T/F: The state pharmacy board must be involved in the "going out of business" sell of a pharmacy.
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T
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T/F: If a CII has remaining refills it may be transferred once
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F
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Pharmacies receiving a transfered RX must write the word ____ on the face of the Rx, while the sending pharmacist must write the word ____ on the face of the Rx
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transfer, void
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T/F: Under certain circumstances such as outstanding bills, a pharmacy can refuse tranfer out of Rxs until paid
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F
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After a disaster/damage what must happpen before a pharmacy can be cleaned up
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board inspection
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A doctor in charge of what two facilities can dispense amount adequate to treat patients when a pharmacy is closed
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1. emergency room, 2. surgical center
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T/F If a prescription is written by a doctor in another state, and the pt. lives in a seperate state than the doctor, and it is requested to be dispensed in a manner other than directly to the pt. and to be paid for in cash a pharmacist should refuse to fill it
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T
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T/F:All of the following are reasons that a pharmacist may decline to fill a prescription: unlawful, harmful, fraudulent, against his religious beliefs, not a legitimate medical purpose
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F
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T/F: A pharmacist who declines to fill a Rx may either return the RX to the pt. or retain it at his discretion
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T
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T/F: Part of what compounding pharmacies do is to compound drugs that are no longer available due to being removed from the market
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F
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A compounding pharmacy can only sell compounded drugs to practitioners who will be administering the drug
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T
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Are advanced practitioners of Nursing allowed to prescribe under collaborating physician even if the Rx is for a 365 day supply
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yes
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Advanced practitioners of nursing may not prescribe controlled substances to exceed how many day's supply
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30