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Various regulations and practices related to pharmacy operations in the state of california. It discusses topics such as the role of the pharmacist-in-charge (pic), the dispensing of dangerous drugs and controlled substances, the use of automated drug delivery systems (adds) in healthcare facilities, the transfer of prescriptions between pharmacies, and the controlled substance utilization review and evaluation system (cures) database. Insights into the legal requirements, responsibilities, and best practices for pharmacists and pharmacies in california to ensure the safe, orderly, and lawful provision of pharmacy services.
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Any pharmacist license that is not renewed within------------------------years following its expiration may not be renewed, restored, or reinstated and shall be cancelled Correct Answer-------3 years LANOXIN ---------- Correct Answer----Digoxin Taken once daily. Available in tablet, capsule, liquid, and injectable form. Best to take on empty stomach. AVOID high-bran/high-fiber foods if taking medicine with food. Typical dose: 125-250 mcg daily Preprinted multiple check-off Rx blanks can be used to prescribe Scheduled substances, except for Schedule II, T/F? ---------- Correct Answer
False No scheduled substance may be prescribed on a multiple check-off Rx blank If a pharmacy is changing PICs, they must contact the board within days of the change. If the pharmacy is unable, in the exercise of reasonable diligence, to identify a permanent PIC above period, they can provide the name of a pharmacist who is an employee, officer, or administrator of the pharmacy/entity owning the pharmacy and is actively involved in the daily management of said pharmacy to act as an interim PIC for a period not to exceed days. After the above period, if the newly proposed PIC is not accepted by the board, the pharmacy must propose another replacement within days of disapproval until a PIC is approved. ---------- Correct Answer 30 days to let the board know PIC is changed. 120 days of interim PIC while searching for new permanent PIC. Have to propose a new permanent PIC every 15 days afterwards if one is not accepted during the 120 day interim period. All of the following are true regarding compounding, except: a. For parenteral products, a commercially available product may be compounded if there are multiple companies that provide the mixture b. For parenteral products, a commercially available product may be compounded if the premix IV admixture is commercially available as wella s the premixed IV bags.
Correct Answer-----A and B only. According to California State Pharmacy Law, a pharmacy may repackage and furnish to a prescriber a reasonable quantity of dangerous drugs and dangerous devices for prescriber office use without obtaining a repackaging license. T/F?---------------------------------------------------------------------------Correct Answer-------True
What is Actiq, what is its indication? ---------- Correct Answer Oral transmucosal Fentanyl indicated ONLY for management of breakthrough cancer pain in patients 16 and older who are opioid tolerant. 200mcg/dose, up to 4 doses/day.
Unexplained anorexia, nausea, vomiting, dark urine, icterus, rash, persistent paresthesias of the hands/feet, persistent fatigue, weakness, fever for more than 3 days, and abdominal tendernerss (esp upper right quadrant) What is Flomax and what is it indicated for? ---------- Correct Answer -------------------------------------------------------------------------------------------Tamsulosin, alpha-1a blocker, for BPH. NOT for HTN. Specific for 1a receptors in prostate*** only Latanoprost Prostaglandin analogue for Open-angle glaucoma. 1 drop in affected eye ONCE daily in the evening. Protect from light, refrigerate unopened bottles, may keep opened bottle at room temperature for 6 weeks. May cause pigmentation changes in iris, eyelid and eyelashes, as well as growth of eyelashes. ---------- Correct Answer XALATAN Which of the following is indicated for the treatment of oropharyngeal candidiasis? a. Clotrimazole b. Itraconazole c. Amphoterecin d. Flucytosine ---------- Correct Answer- -Clotrimazole troche (MYCELEX) 5x a day for 2 weeks. What is Cytotec? What are its indications? What is the major side effect?
Correct Answer-----Cytotec is Misoprostol, a synthetic prostaglandin E analog. It's used to reduce risk of NSAID-induced ulcers, as an abortafacient, and to induce labor. It is contraindicated in women with child-bearing potential unless the patient has high risk of gastric ulcers from NSAIDs. Diarrhea is a common SE with the drug. What is Orencia? How is it administered? What class of drugs should NOT
Anticonvulsant for partial onset SZs and neuropathic pain. Schedule V ---------- Correct Answer------------------------------------------VIMPAT Ezogabine (AKA Retigabine) Anticonvulsant for partial onset SZs. Schedule V ---------- Correct Answer---POTIGA Diphenoxylate/Atropine Anti-diarrheal Absolute CI: Jaundice, Pseudomembranous colitis diarrhea, Enterotoxin diarrhea, Antibiotic associated diarrhea ---------- Correct Answer --------------------------------------------------------------------------LOMOTIL A patient may be furnished dangerous drugs or devices in an office or place of practice of the prescriber only if the prescriber dispenses them to his/her own patient and has offered a written Rx to obtain said drugs from a pharmacy, and that the drugs/devices are necessary for the treatment of the patient. T/F? ---------- Correct Answer
True ONLY a prescriber can furnish dangerous drugs/devices to the patients. What is Amitiza? What are the indications for it? What are some of the common SEs? -- -------- Correct Answer-----Lubiprostone, a locally acting Cl-channel activator which enhances intestinal fluid secretion without altering NA/K concentrations in the serum. It's indicated for chronic idiopathic constipation in adults and IBS with constipation in women 18+ y/o Common SEs include Nausea and Diarrhea, and it should be taken in the AM and PM with food and water to reduce potential nausea symptoms. DO NOT BREAK OR CHEW Starting in January 01, 2016, the physical description of dispensed medication, including color/shape/ID code on the tablets/capsules must be on the container. T/F? --- ------- Correct Answer-----True VALTURNA ---------- Correct Answer----Aliskiren/Valsartan CILOXAN ---------- Correct Answer----Ciprofloxacin 0.3% ophthalmic solution
Instill 1-2 drops into conjunctival sac(s) of affected eye every 2 hours while awake for the first 2 days, then 1-2 drops every 4 hours while awake for the next 5 days. MESNEX UROMITEXAN ---------- Correct Answer----Mesna Adjuvant with cyclophosphamide or ifosfamide as prophylaxis for hemorrhagic cystitis.
Nandrolone 1 (Deca-Durabolin, Durabolin, Durabolin-50) Norethandrolone(Nilevar, Solevar) Opium combination product (Paregoric) Pentobarbital and noncontrolled active ingredients Pentobarbital suppository dosage form Phendimetrazine (Bontril) Secobarbital and noncontrolled active ingredients Secobarbital suppository dosage form Sodium oxybate (Xyrem) Testosterone (Android-T, Androlan, Depotest, Delatestryl) Thiopental (Pentothal) ---------- Correct Answer-A pharmacist, or a pharmacist's employee, shall give the current retail price for any drug sold at the pharmacy upon request from a consumer however that request is communicated to the pharmacist or employee. If a requester requests price information on more than FIVE prescription drugs and does not have valid prescriptions for all of the drugs for which price information is requested, a pharmacist may require the requester to meet any or all of the following requirements: (1).The request shall be in writing. (2).The pharmacist shall respond to the written request within a reasonable period of time. A reasonable period of time is deemed to be 10 days, or the time period stated in the written request, whichever is later. (3).A pharmacy may charge a reasonable fee for each price quotation as long as the requester is informed that there will be a fee charged. (4).No pharmacy shall be required to respond to more than three requests as described in this subdivision from any one person or entity in a six-month period. According to California State Pharmacy Law, no pharmacy shall be required to do any of the following:
1 (1).Provide the price of any controlled substance in response to a telephone request.
1 least quarterly.
1
No clinic dispensing drugs pursuant to this article shall be eligible for any professional dispensing fee that may be authorized under the Medi-Cal program. No Schedule II controlled substance (Schedule III, IV or V are allowed) shall be dispensed by the clinic. This limitation shall not be construed to prohibit a physician dispensing a Schedule II drug to the extent permitted by law. Pursuant to Business and Professions Code Section 4074, a pharmacist shall inform the patient or his or her representative of the harmful effects of certain drugs dispensed by prescription. The list for these certain drugs may include which of the following?
1
Which of the following statements are true about dispensing epinephrine auto-injectors under the California State Pharmacy Law?
1 administration to inpatients, if each compounded unit dose drug is barcoded to contain at least the information required by Section 4128.4.
He/she should forward DEA 222 copy 1 and copy 2 to the supplier. The supplier should keep copy 1 for his/her own records and forward copy 2 to the nearest DEA office located within area. In which of the following situations is a PDR not required?
administer it to a patient. The following are examples of situations in which a PDR is required: