CPJE: Pharmacy – Accurate Answers To All
Questions
Save
Terms in this set (166)
Who are independent prescribing Physician (MD/DO)
authorities? Dentist, Podiatrist, Vet - limited to scope of practice
Optometrist
Naturopathic Doctors
Registered Pharmacists
What can an optometrist prescribe? Must be certified with BoO - have letter "T" on
license #
Limited to scope of practice:
NC, CII-IV, Codeine containing products
Max 3 day supply for codeine or hydrocodone
containing products
What can a naturopathic doctor Must have furnishing # - have "NDF" on license #
prescribe? Epinephrine for anaphylaxis
Natural and synthetic hormones (must have DEA #)
Substances available w/o Rx: Vitamins, minerals, aa,
glutathione, botanicals, homeopathic meds,
electrolytes
What can a RPh furnish? EC, self-admin HC
Travel medicine recommended by CDC, not req
diagnosis
Routine immunization rec by CDC ≥3 yo
Naloxone
Rx nicotine replacement products
PreP and PEP
What is the max PrEP a RPh can max 60 days every 2 years; future fills must be made
furnish? by PCP
,Who are dependent prescribing Can prescribe NCs and CII-CV
authorities? Certified Nurse Midwife (CNM)
Nurse Practitioner (NP)
Physician Assistant (PA)
Also: RPh can practice under a physician
Dependent NDs: Can prescribe NCs and CIII-CV
Can prescribers self-prescribe? yes, only non-controlled
Can prescribers prescribe to family Yes, both non-controlled and controlled as long as
members? there is a valid physician/pt relationship, legit medical
purpose and good faith exam
How long is a Rx form a deceased Valid until all refills are gone
prescriber valid? Controlled: no more than 6 mo from date written
Non-controlled: no more than 1 year from date
written
RPh to encourage pt to look for a new dr ASAP
If new doctor takes over practice, pt should get new
Rx from this prescriber
Can RPh dispense Rx from prescriber Yes, if prescriber has license equivalent to that
licensed in another state? required in CA; RPh can confirm prescriber's license
and authorization to prescribe
Can RPh fill a Rx from another No, unless its is in the DoC or US territories (PR,
country? Virgin Islands, Guam, American Samoa)
What are the requirements for a valid Pt name & address
Rx? Drug name, qty, directions for use
Date of issue
Prescriber info (name, business address/#, license
classification, DEA #)
Condition or purpose of drug (if requested by pt)
Prescriber signature
, How long does a prescriber have to 48 hours to physically or electronically countersign
countersign a verbal order? order
How long do non-controlled chart 3 years
orders need to be kept at the
hospital?
How long do controlled chart orders 7 years
need to be kept at the hospital?
When can a prescription be non- (RPh not required if Rx meets exception)
electronic? Rx form Vet; issued in hospital ED and pt is homeless,
out-of-state, or preferred pharmacy closed; Rx
dispensed out of CA, tech/electronic failure
What are the Medi-Cal prescription Security features include:
form requirements? 1. prevention of unauthorized copying of complete
or blank form (watermarks, "void if copied")
2. prevent erasure or modification of info written by
prescriber (qty check-off boxes, pre-preprinted text
"Rx is void if more than __ Rxs on paper")
When is it permissible to dispense a 1. Rx is not CS or psych drug
90 ds when initial Rx specifies 30 ds 2. pt completed initial 30 ds with no negative effects
or pt prev got a 90 ds
3. total qty dispensed does not exceed amt
authorized on Rx
4. RPh notifies prescriber of larger quantity
dispensed
When can a pharmacist NOT dispense 1. Prescriber states "No change in quantity" on Rx
a 90 ds? 2.Prescriber indicates that the prescribed amt is
medically necessary
What is the max DS of HC a pharmacy 12 mo supply @ request of patient and with valid Rx
can dispense? - cannot exceed amt auth on the Rx
- Health plans required to provide coverage up to 12
mo supply
Questions
Save
Terms in this set (166)
Who are independent prescribing Physician (MD/DO)
authorities? Dentist, Podiatrist, Vet - limited to scope of practice
Optometrist
Naturopathic Doctors
Registered Pharmacists
What can an optometrist prescribe? Must be certified with BoO - have letter "T" on
license #
Limited to scope of practice:
NC, CII-IV, Codeine containing products
Max 3 day supply for codeine or hydrocodone
containing products
What can a naturopathic doctor Must have furnishing # - have "NDF" on license #
prescribe? Epinephrine for anaphylaxis
Natural and synthetic hormones (must have DEA #)
Substances available w/o Rx: Vitamins, minerals, aa,
glutathione, botanicals, homeopathic meds,
electrolytes
What can a RPh furnish? EC, self-admin HC
Travel medicine recommended by CDC, not req
diagnosis
Routine immunization rec by CDC ≥3 yo
Naloxone
Rx nicotine replacement products
PreP and PEP
What is the max PrEP a RPh can max 60 days every 2 years; future fills must be made
furnish? by PCP
,Who are dependent prescribing Can prescribe NCs and CII-CV
authorities? Certified Nurse Midwife (CNM)
Nurse Practitioner (NP)
Physician Assistant (PA)
Also: RPh can practice under a physician
Dependent NDs: Can prescribe NCs and CIII-CV
Can prescribers self-prescribe? yes, only non-controlled
Can prescribers prescribe to family Yes, both non-controlled and controlled as long as
members? there is a valid physician/pt relationship, legit medical
purpose and good faith exam
How long is a Rx form a deceased Valid until all refills are gone
prescriber valid? Controlled: no more than 6 mo from date written
Non-controlled: no more than 1 year from date
written
RPh to encourage pt to look for a new dr ASAP
If new doctor takes over practice, pt should get new
Rx from this prescriber
Can RPh dispense Rx from prescriber Yes, if prescriber has license equivalent to that
licensed in another state? required in CA; RPh can confirm prescriber's license
and authorization to prescribe
Can RPh fill a Rx from another No, unless its is in the DoC or US territories (PR,
country? Virgin Islands, Guam, American Samoa)
What are the requirements for a valid Pt name & address
Rx? Drug name, qty, directions for use
Date of issue
Prescriber info (name, business address/#, license
classification, DEA #)
Condition or purpose of drug (if requested by pt)
Prescriber signature
, How long does a prescriber have to 48 hours to physically or electronically countersign
countersign a verbal order? order
How long do non-controlled chart 3 years
orders need to be kept at the
hospital?
How long do controlled chart orders 7 years
need to be kept at the hospital?
When can a prescription be non- (RPh not required if Rx meets exception)
electronic? Rx form Vet; issued in hospital ED and pt is homeless,
out-of-state, or preferred pharmacy closed; Rx
dispensed out of CA, tech/electronic failure
What are the Medi-Cal prescription Security features include:
form requirements? 1. prevention of unauthorized copying of complete
or blank form (watermarks, "void if copied")
2. prevent erasure or modification of info written by
prescriber (qty check-off boxes, pre-preprinted text
"Rx is void if more than __ Rxs on paper")
When is it permissible to dispense a 1. Rx is not CS or psych drug
90 ds when initial Rx specifies 30 ds 2. pt completed initial 30 ds with no negative effects
or pt prev got a 90 ds
3. total qty dispensed does not exceed amt
authorized on Rx
4. RPh notifies prescriber of larger quantity
dispensed
When can a pharmacist NOT dispense 1. Prescriber states "No change in quantity" on Rx
a 90 ds? 2.Prescriber indicates that the prescribed amt is
medically necessary
What is the max DS of HC a pharmacy 12 mo supply @ request of patient and with valid Rx
can dispense? - cannot exceed amt auth on the Rx
- Health plans required to provide coverage up to 12
mo supply
