What bureau regulates controlled substance distribution in Missouri? - ANSWER
The Missouri Bureau of Narcotics and Dangerous Drugs (BNDD)
The Missouri Department of Health and Senior Services (DHSS) has regulatory
jurisdiction over pharmacies that are __________. - ANSWER Located within the
"licensed premises" of hospitals (except for Class-B hospital pharmacies).
What additional services can pharmacists perform in Missouri if properly certified and
board notified if required? - ANSWER Administering medication by prescription
order
Immunizing by protocol
Medication therapy services
T/F: After a name change, you must request a new license with updated name. -
ANSWER F
Address and employment changes must be reported to the board within __ days -
ANSWER 15
Name change requirements - ANSWER Written notice to the board
Legal documentation
Pharmacists must renew their license by - ANSWER October 31st of every even
numbered year
How many CEs per renewal term for pharmacist licensure - ANSWER 30
Proof of CE must be maintained in the licensee's records for - ANSWER 2 renewal
cyckes
What specific CE requirements are there regarding different specialties of
pharmacy? - ANSWER 4 hours of CE for pharmacists who dispense and counsel
on clotting factors, 2 hours for immunization, and 6 hours for MTM
What adverse actions must be reported to the board and within how many days? -
ANSWER Actions taken by other states
Any surrender of a license or authorization
Any exclusion to participate in a state/federally funded program for fraud or abuse
Pharmacists who do not wish to practice pharmacy, but keep their license without
doing CE can apply for _______ status at the time of ______. - ANSWER Inactive
Status; Renewal
For a pharmacist to go from inactive to active licensure, what must a pharmacist do?
- ANSWER Catch up on all CE during period of inactivity and apply to the board.
, Pharmacists supervising techs/interns must be readily and immediately available in
which pharmacy settings? - ANSWER All except for FLQR (F: Renal dialysis, L:
veterinary, Q: charitable, R: remote dispensing sites)
What does readily and immediately available mean? - ANSWER On the same
physical premise or use technology that complies with Missouri law.
Describe what verification a technician or intern can perform? - ANSWER Non-
controlled substances using technology assisted verification systems as long as a
pharmacist verifies order entry.
When a pharmacist is not readily available/supervising, techs/interns can... -
ANSWER Accept written/electronic prescriptions, but cannot take verbal orders or
perform any other tasks.
What type of notification is required if there is no pharmacist present? - ANSWER
No Pharmacist on Duty at least two inches in height.
If the pharmacy is being remotely supervised, how must the public be notified? -
ANSWER No pharmacist on duty sign
Technology assisted supervision is not allowed when techs/interns are... - ANSWER
Administering meds/vaccines, compounding, preparing, or dispensing medication.
Technology assisted- supervision requirements - ANSWER Two-way
communication by audio, completion of employer approved training and compliance
kept for 2 years, 5-year audit trail of all activity.
Pharmacist prescriptive authority - ANSWER NRT
Naloxone, Naltrexone
HIV PEP
Emergency medication supply if unable to obtain refill authorizations
Pharmacists may accept a hard copy prescription where? - ANSWER Only on
pharmacy premises.
If a pharmacist can't accept a prescription off-site, can a tech? - ANSWER No, but
remote data sentry techs can enter data remotely if following the law
What is a class I permit? - ANSWER A consultant pharmacy permit
A Missouri pharmacy permit is not required for a pharmacist when - ANSWER They
are only providing consulting services
A pharmacist located in another state can perform pharmacy services if - ANSWER
They are a missouri licensed pharmacist or are working for a missouri licensed
pharmacy.
Can pharmacists perform lab testing? - ANSWER Yes, due to absent statutory
direction. However pharmacists can't "diagnose"
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