NC MPJE Review
- 18 years or older
- Photo ID, signature upon sale
- submit sale to nPLEx - ✔✔Requirements for purchasing pseudoephedrine OTC?
- controlled substance
- biologics, unless donated by manufacturer or wholesaler
- compounded drugs or parenteral admixtures
- any item requiring refrigerated storage unless donated by manufacturer, wholesaler,
or pharmacy who has stored the drug correctly - ✔✔When can a pharmacist NOT
accept a donated item under the Drug, Supplies, and Medical Device Repository
Program?
- disclosure to or request by a provider for treatment
- disclosure to the individual or individual's personal representative who is the subject
- use or disclosure pursuant to an authorization by the patient
%
- disclosure that is required by law - ✔✔What are the exceptions to using the
"minimum necessary" amount if PHI?
- In original, unopened, sealed, tamper-evident packaging
- Determined safe for use
- drug is not expired
- not altered or misbranded - ✔✔When may a pharmacist accept a donated item
under the Drug, Supplies, and Medical Device Repository Program?
- Inpatient admin
- wholesale distributor
- dispensed directly to end user and not for >48h supply
- samples of CV non-narcotic, non-anoretic substances
- when gabapentin is a component of formulation that is dispensed in <100mg doses -
✔✔When is reporting a controlled substance to CSRS NOT required by dispenser?
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- May partially fill for up to 60 days after the written date of the prescription
- Pharmacist must write "Terminally ill" or "LTCF patient" on prescription
-For each, must record date, quantity dispensed/remaining, ID of pharmacist (can be in
writing or in EHR) - ✔✔What are the requirements for a partially-filled CII prescription
if it is for a patient in hospice/LTCF?
- Must be certified by NABP under Digital Pharmacy Accreditation Program
- provide NCBOP names of stakeholder/bosses
- If dispensing controlled substances, must notify DEA within 30 days and apply for
DEA registration, give monthly reports to DEA regarding amount of each controlled
substance in certain circumstances - ✔✔What regulations must be followed by a
internet pharmacy in NC?
- Must separate compounding of hazardous and non-hazardous drugs in different
rooms
- Both must be compounded in within a containment primary engineering control (ie
%
ventilated cabinet) inside of a secondary engineering control (ie clean room) -
✔✔What are the compounding requirements according to USP 800 for hazardous and
non-hazardous drugs?
- Name of drug product
- Pharmacological category
- Name/address of manufacturer/packer/distributor
- Net quantity
- Expiration date
- Warnings
- Directions
- Other information such as inactive ingredients
- Drug Facts label - ✔✔What must appear on OTC labeling?
- Nonaqueous formulations: 6 months or the expiration date of drug product being
used, whichever is first
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- Water-containing oral formulation: 14 days or expiration date of drug being used
whichever is first
- Water-containing topical/dermal/semisolid: 30 days or expiration date of drug being
used whichever is first - ✔✔What are the BUD's for nonsterile compounded products
that do not contain an "in-use" time?
- obtaining meds from an outside source
- PM is controlled/supervised from a source other than the healthcare facility
- dispensing drugs to patients - ✔✔When are separate registrations required for
different pharmacy locations owned by the same healthcare facility (ie satellite
pharmacies, outside clinics, etc)?
- Per patient request (can make blanket request for all meds)
- Per physician request (CANNOT make blanket requests)
- Rx is for SL NTG or chewable IMDUR
- Rx is for institutionalized patient
%
- Rx is held in pharmacy - ✔✔When do pharmacists NOT have to dispense Rx meds
in child-resistant containers?
- Rx contains signature on DAW line (Dispense as Written)
- DAW is handwritten on prescription
-For verbals, states to DAW - ✔✔When are pharmacists NOT allowed to substitute
brand name for generic drugs?
- Total quantity dispensed cannot exceed original prescriber amount
- Total amount of the prescription may be filled no later than 30 days after the
WRITTEN DATE of the prescription - ✔✔What are the requirements for a
partially-filled CII prescription if a prescriber/patient requests the partial fill?
-passed to protect children from accidental poisonings with household substances
-enforced by the consumer product safety commission (CPSC)***
-pharmacist must dispense most drugs using child-resistant containers - ✔✔What is
the Poison Prevention Packaging Act?
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· Healthcare facility with only Auxiliary medication inventories
· Healthcare facility with only Automated dispensing devices
· Facilities where medications are dispensed by an NP/PA
· County health dept providing local health services where only RN dispense
medications or for other dispensing activities
· Free or charitable pharmacy
· Critical access hospital pharmacy - ✔✔What qualifies as a limited service
pharmacy?
· the specific hours that a pharmacist is on duty in the pharmacy (excludes health care
facilities)
· every pharmacist-manager license
· every permit
· every current renewal - ✔✔What are pharmacies legally supposed to post in a
location conspicuous to the public?
%
(1st+3rd+5th) + 2(2nd+4th+6th) = XY
Y = last digit of DEA # - ✔✔How do you verify a DEA number?
(ie getting a license if already licensed in another state)
Take and pass MPJE, complete NABP license transfer application, complete NCBOP
form and submit CRC
If >2 years but <5 years of not practicing pharmacy --> obtain 15h CE per year not
active, additional 500 intern hours under NC RPh
If >5 years not practicing pharmacy --> 1500 intern hours + pass NAPLEX and NC
MPJE - ✔✔Requirements for pharmacist licensing by reciprocity
>500: Must notify media and DHHS no later than 60 days after discovery
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