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MPJE NY 2024 Exam | with 100% Verified Solutions |Rated A+
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MPJE NY 2024 Exam | with 100% Verified Solutions |Rated A+
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MPJE NY 2024 Exam | with 100%Verified Solutions |Rated A+
Package inserts? - ✔✔OC's, IU devices, estrogen containing products, progestational drug products . In
COMMUNITY pharmacy - need inserts EVERYTIME product refilled. In INSTITUTION - req only on intial
dispensing and Q 30 days.
OTC Labels - KNOW THIS - ✔✔1) Product name
2) Name and addy of manu or distributor
3) list of active or other ing (not amt?)
4) amt of contents (strength of ACTIVE ing)
5) adequate warnings
6) adequate directions for use
CMEA - ✔✔3.6g daily limit //
9g monthly limit //
7.5g monthly limit if MAIL SERVICE //
Must maintain: product name, quantity, name and addy, date and time, must ask for photo ID.
Doesnt apply to 60mg or less.
Can prescriber dispense? - ✔✔Prescriber cannot charge pt for more than 72 hrs of meds
dispensed EXCEPT=======
Prescriber working in hospital / dispense at no charge / greater than 10 miles from pharmacy /
dispense in institutional clinic / licensed under Art 135 (vets) of this title / dispense under medical
emergency / dispense drug reconstituted by prescriber / dispense allergic extracts // dispense drugs
covered under oncology or AIDS protocol
,All prescription blanks MUST CONTAIN - ✔✔1) ONE SIGNATURE LINE //
2) Statement under lien: rx will be filled generically unless prescriber writes daw in box below //
3) that box
4) Words DISPENSE AS WRITTEN under box
5) profession
6) Imprinted name of prescriber
Substitution - ✔✔1) Rx written by brand name,
2) DAW box empty,
3) drug is therapeutically equivalent,
4) less expensive.
****If OOS, give brand at generic price.
***If emergency, give brand at regular price and record on back: date/hour/nature of emergency.
Emergency - ✔✔1) Alleviate severe pain.
2) Threaten disability.
3) Take life if not treated.
Dosage forms not interchangeable - ✔✔EC tabs
CR products
Injectable susp
suppositories
different delivery systems for aerosol and nebulizer drugs
Orange book - ✔✔A_ = no bioeq problems//
B_= docuemented bioequivalence problems!! ///
BX = insufficient data ///
O = oil solns // T = topical, C = tabs, caps, D = active ing and dose form, E = delayed release oral, N =
aerosol neb delivery system, R = suppository or enema, S = standard deficiencies
,RPH doesnt have to sub if: - ✔✔1) RPH dispense brand at generic price.
2) Medical emergencies when generic not available.
3) no equivalent exists.
Sub issues - ✔✔Pt can't request brand if DAW not written = RPH must calls MD to get auth... NYS
Generic sub law doesn't apply to RX's written and filled out of state or vitamins. Applies to
NURSING HOMES.
EPIC (Elderly pharmaceutical insurance coverage) - ✔✔-Changed lower half of rx blank, prescriber not
liable for poor prod, must inform PT that Rx is generic, and indicate in order order - brand or generic?
/////// Dispensing = cannot waive or reduce copay, quantity limited to 30 days or 100 dosage
units, must be filled in NYS. Claim higher fee, must make emergency delivery at no cost to
consumer!
EPIC Higher Fee - ✔✔24 hour emergency rx service, medical emergency delivery service at no charge
to patient (5 miles), pt drug profiles maintained for all pts, direct pt consultation with every Rx.
NYS Medicaid Mandatory Generic Program - ✔✔Encourage prescribers to give A rated generics. If
want to give BRAND< must call 24 hour prior authorization call line and answer questions for reason.
MUST WRITE ON THE FACE OF RX:
1) Prior auth #
2) DAW in box
3) Words: Brand necessary or brand medically necessary in handwriting.
-------RPH must call number and validate. GOOD for 6 MONTHS.
Exempt products from mandatory Medicaid Program - ✔✔Coumadin // Gengraf, sandimmune, neoral
// clozaril, tegretol, dilantin, zarontin // lanoxin, levothyroxine
Poison - ✔✔Drug, chemical, or preparation likely to be DESTRUCTIVE to adult human life in quantity of
60 GRAINS OR LESS....
Schedule A = arsenic, atropine, chloral hydrate, strychnine, hydrocyanic acid....
Schedule B = belladonna, ergot, digitalis, chloroform, mineral and oxalic acids
, Poison label - ✔✔Name of article, word POISON, name and address of seller. ALL IN
RED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!`
Poison Register - what required? - ✔✔1) Date of sale.
2) Name or address of purchaser.
3) Name and quantity of substance.
4) Purpose of purchase.
5) Name of dispenser.
Must keep records for 5 years.
Drug Prices - ✔✔1) Retail price list in all pharmacies reg by NYS, must provide to any person
upon request.
2) Posted sign near cmpding and dispensing, waiting area, etc
3) Contain 150 most freq prescribed drugs
4) Not unit price list
5) Price must be price charges
6) Prices updated every week
7) Must state = consult your RPH for te selection of the most economical drug product available to
fill your MD's RX.
8) Hospitals not exempt from this.
9) Pharmacy may change current selling at any time.
Unprofessional conduct with advertising - ✔✔False /
Intimidation /
Testimonials /
Professional superiority /
Unsubstantiated claims /
Guarantees /
Offer bonuses //
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