FSDLE: Virginia Law Part 4: Dispensing and Distribution, Questions and answers. 100% verified. 2022/2023

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FSDLE: Virginia Law Part 4: Dispensing and Distribution, Questions and answers. 100% verified. 2022/2023 Define repackaged drug - ✔✔A repackaged drug is a drug that is removed from the manufa... cturer's original package and placed in different packaging Define safety closure container - ✔✔A safety closure container is a container that meets the requirements of the Poison Prevention Packaging Act of 1970: Out of a group of 200 children age 41-52 months, 85% cannot open the package in 5 minutes After a demonstration of how to open the package, and 5 more minutes, 80% of the children still cannot open it 90% of adults can open and close it Define special packaging - ✔✔Special packaging is packaging that is designed to be difficult for children under 5 years of age to open Define compounding - ✔✔Compounding is combining two or more ingredients by a pharmacist in theses cases: pursuant to a prescription in expectation of receiving a valid prescription based on observed prescribing practices for a practitioner to dispense in the course of professional practice for research, teaching, or chemical analysis A drug or device is something intended for what - ✔✔Diagnosis, cure, mitigation, treatment, or prevention of disease in humans or animals, or to affect the structure of any function of the body A drug is also an article recognized in which publications? - ✔✔The official United States Pharmacopeia National Formulary The official Homeopathic Pharmacopeia of the United States A supplement to one of these pharmacopoeia Define dispense - ✔✔dispensing is delivering a drug to an ultimate user, research facility, or practitioner pursuant to a lawful order of a practitioner. If a doctor gives medications to patients to take with them from the office, that is dispensing. Transporting drugs from the doctor Arlington's office to the Falls Church office is not dispensing Define administer - ✔✔administering is the direct application of a controlled substance to the body of a patient or research subject by a practitioner or his or her agent, or by the patient under the direction of the practitioner Define label - ✔✔A label is a written, printed, or graphic matter on a drug's immediate container. If something is required to be on the label, it must be visible on or through the outside container Define labeling - ✔✔The drug label, plus materials accompanying the drug What are the requirements for a SII prescription? - ✔✔Written, not oral Signed and dated on the day written- postdated prescriptions are not allowed The name and address of the patient must be on the prescription The name, address, and DEA number of the practitioner must be on the prescription Can you accept a SII prescription for an animal? - ✔✔Yes, the same rules apply as for human SII prescriptions What information must be contained on a SII prescription for an animal? - ✔✔The name and address of the owner and the SPECIES of the animal Can you ever accept an oral prescription for a SII drug in a community pharmacy - ✔✔Yes, but only in emergencies. The prescriber must provide the pharmacy with the original signed written prescription within 7 days after authorizing the emergency prescription The pharmacist attaches the signed prescription to the oral emergency prescription. If the prescriber does not provide the signed prescription, the pharmacist must notify the DEA Can you accept an oral order for a SII drug in a hospital? - ✔✔In the hospital, a pharmacist or nurse can take an oral order for a SII drug, but it must be signed by the prescriber within 72 hours What needs to be on the label of a SII prescription? - ✔✔Prescription serial number or name of the drug Date of initial filling Pharmacy or pharmacist name and address Patient name and address or owner information and species, if an animal prescription Name of prescriber unless pursuant to a chart order in the hospital Directions for use What are the requirements for SIII-VI prescriptions? - ✔✔Written or oral- a written prescription requires a signature, oral does not Signed and dated on the day written- post dated prescriptions are not allowed Name and address of the patient Name and address of the owner and the species of the animal if an animal prescription Name and address of the practitioner The prescriber's DEA number is NOT required The patient need a refill for a SVI drug and the prescriber is not available. What can you do? - ✔✔A SVI drug may be refilled without authorization from the prescriber if the pharmacist has made a reasonable effort to contact him or her, and the patient's health would be in imminent danger without the drug The pharmacist must inform the patient that the refill is being made without authorization and inform the prescriber of the refill On the back of the prescription, the pharmacist must note the date and quantity of the refill, the prescriber's unavailability and the rationale for the refill Do you really need to have the prescriber address on a SVI prescription? - ✔✔If the information is readily retrievable within the pharmacy, it does not need to be on a SVI prescription Can a nurse call in a prescription for the doctor? - ✔✔Yes, for SIII-SVI drugs. The pharmacist should write down the full name of the nurse transmitting the prescription Can you get a refill on SII drugs? - ✔✔No refills on SII drugs How many refills are allowed on SIII-IV drugs? - ✔✔5 refills in 6 months What about partial fills? - ✔✔Partial fills are OK-- this means that if the prescription is for Clonazepam 0.5 mg po daily #30 with 5 refills, the patient can get 15 tabs at a time every 2 weeks for the whole 6 months. The patient cannot get any more after the 6 months are up, even if they did not use all of the refills When can you do a partial fill of a SII drug? - ✔✔If the pharmacy cannot supply the full quantity, a partial fill of a SII drug is allowed. The rest must be dispensed within 72 hours. If it cannot be dispensed, the pharmacist must notify the physician. No more can be dispensed after the 72 hours without a new prescription Can a pharmacy dispense partial fills to patients in a long term care facility? - ✔✔Yes a pharmacy can dispense partial fills to patients in a long term care facility. They can do so up to 60 days. The long term care facility must keep a record of the date of the partial dispensing, quantity dispensed, remaining quantity authorized to be dispensed, and the identification of the dispensing pharmacist. Can a long term care facility maintain computerized records of current SII prescription? - ✔✔Yes a long term care facility can maintain computerized records of current SII prescriptions, if the system allows immediate/real time updates every time a partial is dispensed, and can produce output showing the original prescription number, date of issue, identification of prescribing practitioner, identification of patient, identification of the long term care facility, identification of drug authorized, and a listing of partial dispensing under each prescription Can a terminally ill patient get partial fills of a SII drug? - ✔✔Yes a terminal ill patient can get partial fills of a SII drug up to 60 days The practitioner must classify the patient as terminally ill, and the pharmacist verifies and records this on the prescription. Prior to each subsequent partial fill, the pharmacist must determine that is necessary. The pharmacy must maintain a record of the date, quantity dispensed, remaining quantity authorized to be dispensed, and the identity of the dispensing pharmacist How long is a prescription for a SVI drug valid? - ✔✔A prescription for a SVI drug is valid for one year after the date of issue. This means that you cannot give refills for more than one year after the date of issue unless the prescriber specifically authorized dispensing or refilling for a longer period (up to 2 years) What information does the pharmacist have to record when dispensing a prescription? - ✔✔The date of dispensing and the dispensing pharmacist initials. Electronic records are acceptable Is the pharmacy required to keep hard copies of all prescription? What if the prescriptions are oral? - ✔✔Yes a pharmacy is required to keep hard copies of all prescription. Oral prescription must be reduced to writing. The records are filed chronologically and are kept for 2 YEARS Can you keep all the prescription together? - ✔✔No, SII prescriptions must be stored separately Can the pharmacy store SIII-V prescription with the SVI ones? - ✔✔Yes SIII-V prescriptions can be stored with SVI, however the SIII-V prescriptions need to be readily retreivable. There are two ways to accomplish this The SIII-V prescriptions have a red letter C at least 1 inch high stamped in the lower right corner, OR The pharmacy uses an electronic data processing system that allows identification by prescription number and retrieval or original documents by prescriber's name, patient's name, drug dispensed, and date filled Does an order on a chart need to contain all the same information as a written prescription? - ✔✔No an order for a chart does not need to contain all the same information as a written prescription under the following conditions: The information is contained in other readily retrievable records of the pharmacy The pharmacy's policy and procedure manual sets out where this information is maintained and how to retreive it The minimum requirement for chart orders are consistent with state and federal law and accepted standard of care How are chart orders filed? - ✔✔Chart orders are filed chronologically and may be filed using another method if dispensing data can be produced showing a complete audit trail for any requested drug for a specified time period Chart orders are readily retrievable upon request the filing method is clearly documented in a current policy and procedure manual How is a chart order filed if it contains both an order for a SII drug and orders for drugs in other schedules? - ✔✔If the drug is floor stock, no additional filing is necessary If the drug is dispensed from the pharmacy, the original order is filed with records of SII drugs and a copy of the order is placed in the file for other schedules Is the pharmacy required to keep hard copies of prescriptions? - ✔✔Yes, the pharmacy is required to keep hard copies of prescriptions. For SVI prescription, an electronic image is sufficient if it is legible and can be made available within 48 hours The pharmacy also does not need a hard copy if the prescription is an electronic automated transmission from the prescriber- in that case, the automated transmission is the hard copy How long must a pharmacy computer system be able to store information? - ✔✔A pharmacy computer system must be able to store/maintain two years worth of information A pharmacy keeps its prescription records in an automated data processing system. Is the pharmacy required to print anything out? - ✔✔Yes, the pharmacy must make a daily printout summarizing all transactions that occurred during the day. The printout is signed by each pharmacist who dispensed prescriptions that day A log book may be used in lieu of a printout What kind of packaging can a drug be dispensed it? - ✔✔USP-NF approved packaging Well closed container compliance packaging when requested by the patient or for use in hospitals or long term care facilities If a patient request non- special packaging (non-child resistant) does the pharmacy have to document this? - ✔✔Yes a record of this must be kept for 2 years What does the Code of Virginia require to appear on the prescription label? Drug name, strength Brand and generic names unless administered in a hospital or long term care facility by a licensed person Number of dosage units, or if liquid, the number of milliliters dispensed What does the Code of Federal Regulations require to appear on a prescription label? - ✔✔For SII-IV drugs, Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed This statement is nor required to appear on the label of a controlled substance dispensed for use in clinical trials Before dispensing a new prescription, what does a pharmacist have to do? - ✔✔Before dispensing a new prescription, a pharmacist has to perform a prospective drug review. For refills, prospective drug reviews only need to be done when the pharmacist deems necessary, based on clinical judgement When dispensing a new prescription, the pharmacist has to offer to do what? - ✔✔When dispensing a new prescription, the pharmacist has to offer to counsel. For refills, the offer to counsel only need to be made when the pharmacist deems necessary, based on clinical judgement How can the offer to counsel be made? - ✔✔The pharmacist offer to counsel a patient can be made Face to face By a sign By a notation on the bag By telephone [Show More]

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