Multistate Pharmacy Jurisprudence Examination (MPJE) MPJE NY COMPREHENSIVE STUDY GUIDE 2022 [A+]

Multistate Pharmacy Jurisprudence Examination (MPJE) MPJE NY COMPREHENSIVE STUDY GUIDE 2022 [A+] MPJE NY COMPREHENSIVE STUDY GUIDE 2022 [A+] Waiting period for MPJE after failing - --30 days Adjusting drug regimen ...

Multistate Pharmacy Jurisprudence Examination (MPJE) MPJE NY COMPREHENSIVE STUDY GUIDE 2022 [A+] MPJE NY COMPREHENSIVE STUDY GUIDE 2022 [A+] Waiting period for MPJE after failing - --30 days Adjusting drug regimen shall not... - --include substuting or selecting a different drug which differs from that initially prescribed by pt's physician unless substitution is authorized in order or protocol. RPH can make changes to pt's drug therapy - --IF authorized in protocol Ordering or performing route patient monitoring fxns - --may be necessary in drug therapy management. If MD disagrees with professional judgment of RPH - --Judgment of the MD shall prevail MD part of agreement/protocol authorizing collaborative drug therapy management must be - -- employed with same facility where RPH is employed/affiliated. Cannot use collab drug therapy management if - --pt or pt's rep consents IN WRITING to such management. Label - --Info on immediate container (must be on outside wrapper if exists) Labeling - --Includes all info ON or accompanying drug/device Misbranding - --Labeling = misleading or fails to reveal facts. Like misleading advertising. Device - --Instruments, apparatus, contrivances including: components, parts, accessories intended:---For use in diagnosis, cure, mitgation, tx, prevention of dx in man or animals; or ---To affect the structure or any fxn of the body of man or animals Administer - --A pt specific order or non-pt specific regimen prescribed or ordered by MD or NP who has practice site in the county. Electronic RX - --Created, recorded, or stored by electornic means, issued with electronic signature Original hard copy RX - --If created electronically must be transmitted from MD to RPH by FAX --> MUST BE MANUALLY SIGNED. Electronic Signature - --Electronic sound/symbol/process, attached to electornic RX, executed by person with intent to sign RX. Limited Permits - Pharmacy Interns - permits employments to pharm interns - ---Issued to student enrolled in last 2 years of registered program in pharmacy. -Intern may practice as RPH under supervision of RPH -Must be posted at site of employment -Expires 5 years from date of issue -May be renewed ONCE for a period not to exceed TWO YEARS with permission from BOP -Must be relinquished if not licensed within this time. Authorized prescribers - ---Physicians - MD, DO -Physician assistants (RPA) -Podiatrists (DPM) -Dentists (DMD, DDS) -Vets (DVM) -Optometrists (O.D) -Nurse Practitioners, Certified (CNP) -Mid-Wives (F)NDC - --XXXXX-XXXX-XX 1) Label code, assigned by FDA, the manufacturer. 2) Product code - strength, dosage form, and formulation 3) Package code - package size Anti-tampering act - --1) Tamper with interstate commerce with intent to injure person 2) Taint with intent to injure business 3) False info 4) Conspire to tamper Anti-Tampering - --Hx: Passed by congress in 1984 d/t deaths bc of OTC meds contaminated with cyanide. Tamper resistant package - has indicators or barriers to entry - if breached/missing - expect to show visible evidence that tampering occurred. 1) Distinctive by design, cant be duplicated. 2) Use 1 or more indicator or barrier to entry that employ a characteristic. OTC Labeling Tamper Resistant - --Must alert consumers of the specific tamper resistant feature of package. Drugs EXEMPT from PPA - --Pg 12 for list. Cannot reuse any part of CRC in NYS. May reuse glass if new safety closure used. CPSC - consumer product safety commission OTC drugs that require CRC - --1) APAP 2) ASA / Ibuprofen / ketoprofen / naproxen 3) Dibucaine 4) Diphenhydramine 5) Ethylene glycol > 10%6) Glue removers containing acetonitrile 7) Human rx drugs 8) Lidocaine 9) Loperamide 10) Methyl salicylate liq > 5% 11) Methyl alcohol 12) Mouthwash w/ 3g or more of ethanol per pckage 13) Perm wave neutralizers w/ Na bromate or K bromate 14) Petroleum distillates Can market one size container w/o cap if it states: for households without young children. If package not child resistant must state: - ---This package is for households w/o young kids -Package not child resistant CRC Waivers - ---Pt can do req for individual rx or do blanket waiver for all -MD can only do Non-CRP for one at a time, no blanke. ***MUST DOCUMENT WAIVER REQUESTS. MUST HAVE Tamper-resistant seals OTC - --All non-rx drug products -Contact lens, tabs -Cosmetic liquid oral hygiene products -Cosmetic vaginal products