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CPJE Mostly Tested Questions with Answers.
Controlled substance e-prescribing audit by 3rd party happens years
- ANS-every 2 years or whenever system changes
Electronic transmission of a rx include both and
- ANS-image (fax) OR data (other electronic means)
This is not e-prescribing
C2 cannot be faxed unless
ANS-it is for a patient of long term care facility or patients in hospice. This is the only time C2 can
be faxed
DEA form 224
ANS-New Application for pharmacy: If a pharmacy does not have a DEA certificate of registration
then they are not permitted to handle any controlled substances.
DEA Form
- ANS-Renewal Application for Registration
How often should retail pharmacies, hospitals, clinics, practitioners or teaching institutions renew
their DEA application?
- ANS-every 3 years with form 224a
DEA Form 363
ANS-New Registration for Narcotic treatment programs
Is the pharmacist required to provide an oral consultation for inpatient of a health care facility, or to
an inmate of an adult correctional facility or a juvenile detention facility, except upon the patient's
discharge.
Any changes in the PIC, owners, or corporate officers shall be reported to the Board within
days - ANS-
When a pharmacist determines that a medication error has occurred, a pharmacist shall as soon as
possible: - ANS-(A) Communicate to the patient or the patient's agent the fact that a medication
error has occurred and the steps required to avoid injury or mitigate the error.
(B) Communicate to the prescriber the fact that a medication error has occurred.
Do you need to contact the DEA or BOP for med errors - ANS-NO
When shall an investigation of a "medication error" occur? - ANS-no later than 2 business days from
the date the medication error is discovered. All medication errors discovered shall be subject to a
quality assurance review.
Which of the following should a quality assurance record contain? - ANS-I. The date
II. The location
III. Participants
IV. The pertinent data relating to the medication error reviewed
V. Recommended changes to pharmacy policy, procedure, systems, or processes
Possession of a key to the pharmacy where dangerous drugs and controlled substances are stored
shall be restricted to - ANS-pharmacist
The pharmacy owner, the building owner or manager, or a family member of a pharmacist owner
(but not more than one of the aforementioned) may possess a key to the pharmacy that is
maintained in a tamper evident container for the purpose of - ANS-1) delivering the key to a
pharmacist or
(2) Altering the strength of a drug
(3) Combining components or active ingredients
(4) Preparing a drug product from chemicals or bulk drug substances
Compounding does NOT include - ANS-- prep of drug pursuant to manufacturer directions
tablet splitting
adding flavoring agents
The following classes of drugs may impair a person's ability to drive a motor vehicle or operate
machinery when taken alone or in combination with alcohol: - ANS-(1) Muscle relaxants
(2) Analgesics with central nervous system depressant effects
(3) Antipsychotic drugs including phenothiazines
(4) Antidepressants
(5)Antihistamines, motion sickness agents, antipruritics, antinauseants, anticonvulsants and
antihypertensive agents with central nervous system depressant effects
(6) All Schedule II, III, IV and V depressant or narcotic controlled substances
(7) Anticholinergic agents and other drugs which may impair vision
Sale of Dextromethorphan is Prohibited to - ANS-Those Under 18 Years of Age without
Prescription.
What controlled substance schedule is Methaqualone? - ANS-Methaqualone is a Schedule I
Controlled Substance.
Methaqualone is a synthetic, barbiturate-like, central nervous system depressant.
physician who suspects that his or her prescription pads have been lost or stolen should take the
following steps immediately: - ANS-Report to law enforcement (police) first with incident report
Report to CURES of DOJ (immediately or no later than 3 days)
Report to BOP
Report to medical board
Can prescriber prescribe for himself? - ANS-Yes for non-
controlled
No prescriber shall prescribe, administer, or furnish a
controlled substance for him / herself.
Quillivant XR - ANS-Methylphenidate XR oral suspension
C
The prescription forms for controlled substances shall
be printed with the following features: - ANS-
(1)A latent, repetitive "void" pattern shall be printed across the entire front of the prescription
blank; if a prescription is scanned or photocopied, the word "void" shall appear in a pattern across
the entire front of the prescription.
(2)A watermark shall be printed on the backside of the prescription blank; the watermark shall
consist of the words "California Security Prescription."
(3) A chemical void protection that prevents alteration by chemical washing.
(4) A feature printed in thermochromic ink.
(5) An area of opaque writing so that the writing disappears if the prescription is lightened.
(6) A description of the security features included on each prescription form.
Any unit dose medication produced by a centralized hospital packaging pharmacy shall be barcoded
to be readable at the inpatient's bedside. Upon reading the barcode, the following information shall
be retrievable: - ANS-(a) The date the medication was prepared.
(b) The components used in the drug product.
(c) The lot number or control number.
(d) The expiration date.
(e) The National Drug Code Directory number.
(f) The name of the centralized hospital packaging pharmacy.
Can pharmacist furnish needles? - ANS-A pharmacist or physician may, without a prescription or a
permit, furnish hypodermic needles and syringes for human use.
Is it legal for a prescriber to use the main office address even though the patient was seen at a
different location? - ANS-No
multiple addresses for one prescriber may be listed on the form. The forms may include a check box
or some other means to identify the specific address where the patient was seen.
What is the max number hypodermic needles or syringes that can be sold to a patient older than 18
years old without a prescription? - ANS-No limit
What minimum font should a prescription label in California be? - ANS-minimum size of 12-point
sans serif font.
Which of the following physical description should be included on a prescription label? - ANS-Color
Shape
Identification code
A completed biennial pharmacy self āassessment is on file in the pharmacy and maintained for - ANS-
three years.
All drug acquisition and disposition records (complete accountability) are maintained for at least
THREE years. These records include: - ANS-Prescription records
Purchase Invoices for all prescription drugs
Biennial controlled substances inventory
Official Order Forms (DEA Form 222)
Power of Attorney for completion of DEA 222 forms
Theft and Loss Reports (DEA Form 106)
Record documenting return of drugs to wholesaler
or manufacturer
Record documenting transfers or sales to other
pharmacies, licensees and prescribers
DEA Controlled Substances Inventory should be completed every years -
ANS- biennially (every two years).
BUD for nonaqueous formulations - ANS-6 months (ointment, supp)
BUD for Aqueous oral formulations - ANS-14 days in the Fridge
BUD for aqueous topical formulation - ANS-30 days (gel/cream)
If a pharmacist believes that a drug is counterfeit, it should notify
the board within how many days?
If a manufacturer, wholesaler, third-party logistics provider, or pharmacy has reasonable cause to
believe that a dangerous drug or dangerous device in or having been in its possession is counterfeit
II. Gender of the patient
III. Date of birth of the patient
IV. The prescriber's category of licensure, license number, national provider identifier (NPI) number
V. Pharmacy prescription number
VI. Pharmacy license number, NPI number, and federal controlled substance registration number
A pharmacist also must complete hour of continuing education focused on
immunizations and vaccines every years. - ANS-one hour
every two years
How long after administering a vaccine must a pharmacist notify the patient's PCP? -
ANS-14 days
A pharmacist must report administered vaccine(s) to the California Immunization Registry (CAIR)
within - ANS-14 days
Which vaccines must be stored in the freezer? - ANS-Varivax, Zostavax, and ProQuad are vaccines
that should be stored in the FREEZER. Freezers should maintain temperatures between -50Ā° C and -
15Ā° C (-58Ā° F and +5Ā° F).
Within how many days of installing or DCing an automated drug delivery system shall a pharmacy
inform the board? - ANS-30 days
Pharmacy A is borrowing EXALGO ER from pharmacy B. Is the DEA 222 form needed? - ANS-No
DEA 222 is not needed for borrowing
Which of the following is the appropriate way of disposing Abstral? - ANS-Down the toilet
What controlled substance schedule is Dexedrine? - ANS-Dextroamphetamine (Dexedrine) used for
Narcolepsy is a CII.
What controlled substance schedule is Methaqualone? - ANS-C
Remote dispensing pharmacy rx count? - ANS-< 225 per day
remote dispensing sites are staffed by - ANS-certified pharmacy technicians or pharmacists
remote dispensing sites cannot have pharmacy within miles; supervising pharmacy
within miles - ANS-10 miles
150 miles
Remote dispensing site
controlled receipts and storage shall be captured by video and kept for days - ANS-
days
contact BOP within days of bankruptcy - ANS-3 days
After pharmacy closes, transfer of drug notice given to the board within days - ANS-
days
If the pharmacy is closing or transfers its business to another owner, must notify DEA in writing at
lease days prior to closing or transfer - ANS-14 days
counterfeit drug report within days - ANS-
3 types of lawsuits toward rph - ANS-civil action
criminal action
administrative action
REMS program - ANS-risk evaluation and
mitigation strategy
- ensures the benefits of a drug outweigh the
risks
a1c
blood glucose
CLIA waived test requirement - ANS-1. Maintain CLIA certificate
- Register with CA department of public health
C2 - ANS-morphine
fentanyl
dilaudid
methadone
demerol
codeine
percodan/percocet
vicodin
hydrocodone
amphetamine
dextroamphetamine (dexedrine)
methylphenidate (ritalin)
dexmethylphenidate (focalin)
amobarbital (amytal)
pentobarbital (nembutal)
secobarbital (seconal)
c3 - ANS-TST/growth hormone
buprenorphrine (belbuca, buprenex, butrans)
buprenorphrine/naloxone (bunavail, suboxone, zubsolv)
ketamine (ketalar)
perampanel (fycompa)
Fiorinal
Fiorinal with codeine
C4 - ANS-BZD and sleep aid
phentermine (adipex, moaira)
diethylpropion
modafinil (provigil)
carisoprodol (soma)
tramadol
phenobarbital
eluxadoline (viberzi)
for IBS-D
C5 - ANS-weak codeine
lacosamide (vimpat)
pregabalin (lyrica)
Controls reporting system (CURES) is done weekly to DOJ (C2 to C4) - ANS-C2 to C3 < 48 hours -->
monthly
C4 < 48 hours --> no report
Report to DEA after CSOS transaction? days (C2) - ANS-2 days
Report to DEA after Form 222 transaction? days (C2) - ANS-end of the month
Schedule 3 to 5 for terminally ill patient must be on a - ANS-tamper resistant security rx
telephoned
faxed
**only C2 can be on non security pad
DEA Form 41 - ANS-Documents disposal and destruction of scheduled drugs
unit dose exp - ANS-1 year
when needle puncture in ISO class 5. What is the BUD? - ANS-6 hours
when needle puncture in ISO class 5 but not in ISO 7 What is the BUD? - ANS-12 hour
Who should be notified regarding a compounded drug recall (that was dispensed) - ANS-1. Recipient
pharmacy
- Prescriber
- Patient
- The board within 12 hours of recall
If a medication is given to patient from the portable container (home health or hospices), prescriber
must send a signed copy to pharmacy within days
Once the seal is broken, the container will return to the pharmacy after
days Unused container return to the pharmacy days - ANS-20 days for doctor's rx
7 days for used
60 days for unused
What goes down the toilet? - ANS-duragesic patch
oxycodone
demerol
methadone
morphine
percocet
daytrana
diastat
accudial
rectal gel
Pharmacy take back program for controlled meds. Pharmacy take back program must be registered
with & - ANS-DEA
BOP in writing within 30 days after installing or d/c a collection receptable
tamper of the bin --> report to BOP within 14 days
Rph must complete units of CE hours every 2 years
Certificates of CE must be retained for years - ANS-30 units
4 years
