Law > QUESTIONS & ANSWERS > MPJE Michigan, Questions and answers, 2022/2023. 100% verified. Rated A (All)
MPJE Michigan, Questions and answers, 2022/2023. 100% verified. Rated A What changes in pharmacy ownership or operations have to be reported to the state? - ✔✔-Provide state board of pharmacy... with WRITTEN notification of a change in any partners, stockholders, officers, or member of board of directors (of Pharmacy). -Must notify within 30 days of the change. -Pharmacy licenses are not transferrable between owners. What information is required for a pharmacy license? (entity) - ✔✔-Each new location pharmacy is to be operated -Pictures of inside/outside w/ descriptions -Self inspection -Fee How long is a pharmacy (entity) license valid? - ✔✔-2 years and terminated on June 30th -CS license generally ~3 years What are the qualifications needed for a pharmacist license? - ✔✔-18 or older -Good moral character -No disciplinary actions by any other state Board of Pharm -Degree from Pharmacy School -Fingerprints from State PD/FBI -Criminal Background check -Passed NAPLEX/MPJE (in <5 tries) How is a lapsed pharmacist license renewed if lapsed for <3 years? - ✔✔-If not renewed within 60 days of June 30th, the license will lapse. -Submit a completed app with fee -Proof of completed CE that are earned within the 2 year period. How is a lapsed pharmacist license renewed if lapsed for 3-8 years? - ✔✔-New application w/ fee -30 hours of CE completed in past 2 years -Passing MPJE -200 hours within 6 months under personal charge of pharmacist and verification from the personal charge pharmacist How is a lapsed pharmacist license renewed if lapsed for >8 years? - ✔✔-New application w/ fee -30 hours of CE in past 2 years -Passing MPJE -400 hours within past 6 months under personal charge of pharmacist and verification from the personal charge pharmacist -Passing NAPLEX within 5 tries. If not has to go back to pharmacy school. What is a drug control license and who needs one? - ✔✔-Prescribers who wish to dispense drugs directly to a patient need a drug control license (except Veterinarians or if dispensing occurs in ER) -Must keep record of these drugs in patients chart for 5 years What information must appear on the drug container of a medication a PRESCRIBER dispenses? - ✔✔Name/address of location, pt name/MRN, date, prescriber, directions, strength, quantity, expiration Are Michigan Board of Pharmacy meetings open to the public? - ✔✔Yes, anyone is allowed to come but a request must be made to the secretary/chairsperson. What are CE requirements for pharmacists? - ✔✔-30 hours of CE every 2 years. -10 hours live presentations -No more than 12 credits day -Cannot do CE's for next renewal period before this one is up. T/F All CE must be approved by ACPE for credit. - ✔✔True What are legal requirements for preceptors? - ✔✔-Approved by Board to direct training of intern in a pharmacy -Be engaged in pharmacy practice for 1 year before becoming a preceptor -No more than 2 interns at once -Do training affidavits What are pharmacy internship requirements? - ✔✔-APPE/IPPE -Limited License=Limited Pharmacist License=Intern License -Must be started P1 year -Enrolled in Pharmacy School -Valid no more than 1 year after graduation -Must complete no fewer than 1,600 hours (work and board approved rotations) -MAX of 40 hours rotations per week -MAX of 16 hours of work during school -400 hours of unconventional internship program (random pharma summer internship) -Work experience does not have to be in state of MI and can be in Canada -Notify board to cancel license within 30 days of dismissal from pharmD program Do drugs sold in MI have to be marked with special numbers? - ✔✔All prescription only drugs must be marked/imprinted with a symbol, number, company name, words, letter marking, NDC or any combo of these identifiers. For SOLID ORAL dosage forms only. There is an exception for pills too small to have prints on them. Violation can lead to jail and $25k fine What is a harmful drug? - ✔✔A drug intended to be used by human beings that is HARMFUL because: -Toxicity -Habit forming nature -Potential ADRs Must be Rx only!!! What is a deleterious drug? - ✔✔A drug other than a proprietary medicine that is likely to be destructive to an adult human in quantities of 3.88 grams or less* What is Michigan's law regarding use of child-resistant packaging? - ✔✔-Unless requested by patient -Doesn't have to be in writing but should have it for evidence purposes What is a prescription under Michigan law? - ✔✔-An order for drugs/devices written and signed or transmitted by other means (telephone, electronically) by a prescriber to be filled/dispensed. -Prescribing applies to all drugs (OTC to) How are prescriptions communicated from a prescriber to a pharmacy/pharmacist? - ✔✔-Handwritten on paper -Oral communication via telephone -Fax or facsimle -Electronic Prescription Uniform Prescription Requirement? - ✔✔-Name of patient -Name of drug, dose -Date prescribed -Directions for use -Name, address, and phone of prescriber (unless institutional) What is a signature for E-prescriptions? - ✔✔-The statue defines an "electronic signature" as an electric sound, symbol, or process with the intent to SIGN the record. Noncontrolled Federal Legend drug requirements for E-prescriptions? - ✔✔-Must comply with confidentiality safeguards (HIPPA) -Contain safeguards ensuring it is not changed/edited after being sent to the pharmacy -Name, address, phone of prescriber -Full name of patient -The electronic signature or other identifier that specifically identifies and authenticates the prescriber -The identity of the pharmacy intended to receive the transmission -cannot include DAW as default setting What needs to be on a Controlled Substance E-prescriptions? - ✔✔-Use signature or e-signature (Stamps are NOT valid) -Pre-printed/stamped/typed/written name, address and phone number of prescriber -Manually printed name of patient -Address of patient -Prescriber's DEA -Prescriber's signature -Quantity of the prescription drug prescribed (written AND numerical terms) -Date drug was prescribed Can a controlled substance (3-5) be transmitted by fax of a printed prescription and by electronic transmission of a printed form? - ✔✔yes only C3-5 not C2 Noncontrolled substance prescription may be transmitted electronically by a system that includes: - ✔✔-Combination of security measures -Electronic signature -Appropriate security measure -no substitute is allowed and DAW on the script not one or the other What is required when a PA or NP prescribe a controlled medication? - ✔✔-DEA number -Their name -Delegating/supervising physician name and DEA T/F. A prescription canNOT be used to obtain an office stock of controlled substance for dispensing/admin to patients. - ✔✔True....the doctor will have to do this through a distributer using a DEA222 form. What needs to be on oral Non-emergency federal legend controlled substance C3-5 prescriptions in community pharmacy? - ✔✔-Name, address and phone number of prescriber -Manually printed name of patient -Address of patient -Prescriber's DEA -Quantity of the prescription drug prescribed (written AND numerical terms) -Date drug was prescribed Oral orders of C2 orders in community pharmacy? - ✔✔-Only for terminal patients -Must be filled within 90 days of issued prescription -Only for hospice/terminal patients Refills for Controlled Substance Prescriptions? - ✔✔-C3-4 prescriptions can be refileld if authorized by the prescribers up to 5 times within 6 months from the DATE that the Rx was written. -C5 refills can be completed as authorized however long after the date the Rx was written (1 year is the conventional/reasonable thing to do). -C2 prescriptions CANNOT be refilled but the prescriber may authorize/write multiple prescriptions for 90 days...must have do not fill until X date. Do NOT post-date T/F: Prescribers can write more than one prescription on a C2 script. - ✔✔False Can doctors use preprinted blanks for scripts? - ✔✔Yes; aslong as they make sure they are circling the proper drug. C2's are not allowed to have more than one drug on the script. Nonemergency legend prescriptions in institutions (CS and Noncontrol) - ✔✔-Patients name -Prescriber's signature -Name/dose/frequency of admin -Date of medication order -Prescriber's name, address, and DEA (not required if pharmacy has a list of authorized prescribers)* Delegated prescribing in medical institutions requirements? - ✔✔-Printed name of delegatee -Delegatee and licensure designation -Delegatee DEA -Delegating prescriber/DEA -Delegating prescribes/delegatee signature Emergency CS prescriptions in institutions? - ✔✔-Oral order of the prescriber must be committed to a written or electronic order in the patient chart by nurse/assitant/pharmacist -Rx must contain the name of prescriber and name of nurse/assistant/orpharm -Order must be sent to pharmacy and prescriber must sign the original order at time of next visit/within 7 days. Emergency CS in Community pharmacies? - ✔✔-No special rules for Schedule 3-5 dispensing because you can do oral/e-scribe -For C2s: Prescriber must fill out a prescription form and forward the prescription to the dispensing pharmacy 7 days after the oral admin of the C2 -Script sent to pharmacy after 7 days must have "Authorization for Emergency Dispensing" written on it -Emergency exists when prescriber advises pharmacist of the user, appropriate alternative tx is not available, not reasonable for prescriber to write C2 script, quantity [Show More]
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