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NEVADA MPJE Exam Questions And Answers 100% Pass
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NEVADA MPJE Exam Questions And Answers 100% Passpharmacy returns unused schedule II drugs back to supplier - Answer pharmacy- brown
DEA- green
supplier- blue
Paper DEA Form 222 vs Electronic CSOS - Answer - limit to 10 items per order vs no
limits
- schedule I, II vs. schedules I, II, III, IV, V and nonscheduled
- 1-7 business days vs 1-2 business days
- wet (handwritten) signature vs digital signature
- can be endorsed to another supplier vs cannot be endorsed
- must report order by end of month vs within 2 business days of filling order
DEA Number - 1st letter - Answer A/B/F/G - hospital/clinic/practitioner/teaching
institution/pharmacy
M - mid-level practitioner (nurse practitioners, physician assistants, optometrists, etc.)
P/R - manufacturer/distributor/researcher/analytical lab/importer/exporter/reverse
distributor/ narcotic treatment program
Checking validity of a DEA number - Answer 1. add the 1st, 3rd, and 5th digits together
2. Add the 2nd, 4th, and 6th digits together
3. Multiply the result of step 2 by 2
4. Add the results of step 1 and step 3 together. The last digit of this sum should match
the last digit of the prescriber's DEA number ("check digit")
Tamper Resistant Security Forms - Answer - In order for outpatient drugs to be covered
under federal Medicaid programs, all written prescriptions must have 3 tamper resistant
,security features. Must include the following:
- Prevents duplication
- Prevents the erasure or modification of written information
- Prevents use of counterfeit forms
Exceptions when a faxed prescription can be considered an original prescription for a
schedule II drug If the drug is being compounded for administration to a patient by the
parenteral, IV, IM, SC or intraspinal route. If med is going to a resident of a LTCF.
if patient is a resident in a Medicare-certified or state licensed hospice program.
prescriber shall note Rx is for hospice patient
Purpose of Prescription Drug Monitoring Programs PDMP - Answer primary purpose is
to support access to legitimate medical use of controlled substances and to identify and
deter or prevent drug abuse and diversion
Nevada PMP - Answer - a practitioner (other than a vet) before issuing an initial Rx for a
C2-5 and at least once every 90 days thereafter for the duration of the course of
treatment using the controlled substance, obtain a patient utilization report
- exception is to the treatment of a pt. diagnosed w/ cancer or sickle cell disease who is
receiving hospice or palliative care if it will cause unreasonably delay care of the pt.
Must obtain a patient utilization report as soon as practicable
- If failure to do so because system is unresponsive, practitioner must document the
attempt and failure
Partial Fills of Schedule II (NV) - Answer - if requested by a pt or the prescriber and the
total quantity dispensed in partial filling does not exceed the total quantity prescribed
- remaining portion must not be filled more than 30 days after the issue date
-for a "LTCF patient" or "terminally ill" - must record on Rx. Also must record on back of
Rx: date of partial filling, quantity dispensed, remaining quantity, and RPh initials. Valid
for 60 days after issue date
Comprehensive Addiction and Recovery Act of 2016 Answer Allows partial filling of
schedule II prescriptions if requested by the patient or prescriber. Remaining portion
,must be filled within 30 days
Emergency Filling of Schedule II Drugs (Oral Authorization) - Answer - normally must be
sent as written or electronic Rx
- allows orally authorized Rx's if the immediate administration of the drug is necessary to
avoid patient harm and if there is no reasonable alternative
- if pharmacist not familiar w/ prescriber, pharmacist must make a reasonable effort to
assure prescriber's identity [ie. call back]
- quantity dispensed must be minimum necessary amount until a Rx can be written or
electronically transmitted
- prescriber must provide an original Rx by the 72 hours following the fill date, must
include "authorization for emergency dispensing" and date of oral order
- if original Rx is not received, pharmacist must report to board
DEA-Required Warning Statement on Label - Answer - schedule II, III, IV, and V drugs
are required to have on the to have the following warning on the container when
dispensed: "Federal law prohibits the transfer of this drug to any person other than the
person for whom it was prescribed
Ryan Haight Online Pharmacy Consumer Protection Act - Answer - regulates online
pharmacies that sell controlled substances
- must register with DEA as a pharmacy
- notify DEA and state board of pharmacy in each state in which it intends to conduct
business 20 days before dispensing thru the internet
- DEA requires monthly report of each controlled substance dispensed
Transfer of Schedule III-V Rx's - Answer - schedule III, IV, and V refills are only allowed
one transfer by direct communication b/w two licensed pharmacists
Secure and Responsible Drug Disposal Act - Answer - allows manufacturers,
distributors, reverse distributors, narcotic treatment programs, hospitals/clinics w/ an
on site pharmacy, and retail pharmacies to register w/ the DEA to collect controlled
drugs from pts
, -an authorized collector can collect controlled and noncontrolled substances, which
can be co-mingled in a single collection receptacle
-unused/unwanted drugs from pts only
DEA Controlled Substances Inventory - Answer - a full inventory of all controlled
substances must be taken before initial opening or closing of a pharmacy, and biennially
(on any date within 2 years of the of the previous inventory) inventory records of
schedule II drugs must be kept in a separate location from all other controlled
substances
- a RPh who is hired or promoted to manage a pharmacy within 48 hrs conduct an
inventory
- inventory is counted at either the beginning or close of business
Controlled Substances requiring an exact count - Answer - sealed, unopened containers
of all controlled substances
- open containers of all schedule I and II drugs
- schedule III, IV, and V containers w/ > 1000 dosage units
* schedule III, IV, and V containers w/ < 1000 dosage units can be estimated
Combat Methamphetamine Epidemic Act (CMEA) - Answer - applies to
pseudoephedrine, ephedrine
- must be kept behind the counter or in a locked cabinet
- the only sale that does not require documentation is the purchase of a single dose
packet of pseudoephedrine that contains a max. of 60 mg
- for pseudoephedrine sales > 60 mg, customer to present photo ID issued by a state or
federal government
- purchaser to buy no more than maximum of 3.6 g pseudoephedrine and ephedrine/day
and 9 g in a 30 day period
-DEA requires logbook to be kept for at least 2 years
OTC Labeling: Sodium - Answer - sodium free < 5 mg
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