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Pharmacy Law MPJE Exam: Federal Law | 249 Questions with 100% Correct Answers

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What did the Federal Controlled Substances Act do? Why was it implemented? - Legislators very concerned in the 1960s about legal and illegal drugs being abused They were given the opportunity to design an act/law Created the DEA to promulgate and enforce the law Created a closed system between: manufacturer, distributors, prescriber, dispenser, and patient. What did the Pure Food and Drug Act of 1906 do? - Prohibited the adulteration and misbranding of foods and drugs in interstate commerce; DID NOT have to be proven safe or effective; did not require the label to list ingredients, directions for use, or provide warnings What did the Food, Drug, and Cosmetic Act do? (started in 1938) - Provides for the comprehensive regulation of all drugs introduced into interstate (and most intrastate) commerce Under this act no new drug may be marketed and sold unless it has been proved SAFE ONLY for its intended use and approved by the FDA Labels must contain adequate directions for use and warnings about habit-forming properties of certain drugs Describe the FDCA - The purpose of the FDCA is to protect consumers from adulterated or misbranded foods, drugs, cosmetics, or devices; provided that no new drug could be marketed until proven safe for use under the conditions described on the label and approved by the FDA; also started the labeling requirements; applies to devices as well; all drugs before 1938 are exempt from the requirement that new drugs be proven safe If you get in trouble with the board of pharmacy can you get in trouble with the government too? What about the a lawsuit with a patient? - Yes, you can have an administrative lawsuit, a civil lawsuit, and a criminal lawsuit separately for the same offens

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Pharmacy Law MPJE Exam: Federal Law |
249 Questions with 100% Correct Answers
What did the Federal Controlled Substances Act do? Why was it implemented? Correct Answer:
Legislators very concerned in the 1960s about legal and illegal drugs being abused

They were given the opportunity to design an act/law

Created the DEA to promulgate and enforce the law

Created a closed system between: manufacturer, distributors, prescriber, dispenser, and patient.

What did the Pure Food and Drug Act of 1906 do? Correct Answer: Prohibited the adulteration and
misbranding of foods and drugs in interstate commerce; DID NOT have to be proven safe or effective;
did not require the label to list ingredients, directions for use, or provide warnings

What did the Food, Drug, and Cosmetic Act do? (started in 1938) Correct Answer: Provides for the
comprehensive regulation of all drugs introduced into interstate (and most intrastate) commerce

Under this act no new drug may be marketed and sold unless it has been proved SAFE ONLY for its
intended use and approved by the FDA

Labels must contain adequate directions for use and warnings about habit-forming properties of certain
drugs

Describe the FDCA Correct Answer: The purpose of the FDCA is to protect consumers from adulterated
or misbranded foods, drugs, cosmetics, or devices; provided that no new drug could be marketed until
proven safe for use under the conditions described on the label and approved by the FDA; also started
the labeling requirements; applies to devices as well; all drugs before 1938 are exempt from the
requirement that new drugs be proven safe

If you get in trouble with the board of pharmacy can you get in trouble with the government too? What
about the a lawsuit with a patient? Correct Answer: Yes, you can have an administrative lawsuit, a civil
lawsuit, and a criminal lawsuit separately for the same offense

What did the Durham-Humphrey Amendment of 1951 do? Correct Answer: Established 2 classes of
drugs; prescription and OTC

Allows refills on prescriptions and oral prescriptions

Per the Durham-Humphrey Amendment; what must be labeled on a prescription medication Correct
Answer: Caution: federal law prohibits dispensing without a Rx; they do not need adequate directions
for use like OTC (talking about the MANUFACTURERS label here; there is no take this medication x
amount of times daily on the manufacturer labeling)

What did the Kefauver-Harris Amendment of 1962 do? Correct Answer: Required all drugs to not only
be proven safe but also EFFECTIVE

,Transferred the regulation of drug advertising from the FTC to the FDA

The efficacy requirement made by the Kefauver-Harris Amendment included all drugs marketed during
what time period Correct Answer: 1938-1962; drugs produced before 1938 were just grandfathered in
and did not have to prove their efficacy

What did the Orphan Drug Act of 1983 do? Correct Answer: Provided tax and exclusive licensing
incentives for manufacturers to develop agents for the treatment of rare disease or conditions (those
conditions that affect < 200,000 Americans)

What did the Drug Price Competition and Patent Term Restoration Act of 1984 do? Correct Answer:
Made generic drugs more readily available to the public and at the same time provided incentives for
manufacturers to develop new drugs

Eliminated the need for generic to prove safety and efficacy thus allowing new generics to get approved
more easily

What did the Prescription Drug Marketing Act of 1987 do? Correct Answer: Established sales restrictions
and recordkeeping requirements for prescription drug samples

Prohibits hospitals and other healthcare entities from selling drugs to other businesses (because the
hospitals were getting the drugs for a discount then reselling them)

Requires state licensing of wholesalers

Prohibits ANY SAMPLES for any reason in a retail pharmacy

Bans importation of prescription drugs except by manufacturers and for emergency use

Mandates record keeping requirements for drug samples for 3 years

What is the Prescription Drug User Fee Act of 1992 Correct Answer: Drug companies volunteered to pay
tax and the money was used to hire more FDA scientist in hopes to speed up NDA reviews; however the
price of drugs just went up to cover the fee being paid by the drug manufacturers

What did the Dietary Supplement Health and Education Act (DSHEA) of 1994 do? Correct Answer:
Provided laws on the regulation of dietary supplements; forced the FDA to treat these products more as
food than drugs

Define dietary supplement per the law Correct Answer: A product that is intended for *ORAL*
ingestion, intended to supplement the diet, and contains any one or more of the following: a vitamin,
mineral, herb or other botanical, an amino acid, dietary substance or use by humans to supplement the
diet by increasing the total dietary intake and a concentrate, metabolite, constituent, extract or
combination of the previous.

All dietary supplements must be claimed as Correct Answer: A dietary supplement; they CANNOT say
they are drugs or anything else on the labeling

, Dietary supplement manufacturers may not make these claims Correct Answer: Disease Claims

Dietary supplement manufacturers may only make these types of claims Correct Answer: Structure /
Function

The label can't say that it will cure or prevent but it can say "will support or maintain"

Dietary Supplements must have this on the labeling Correct Answer: "This statement has not been
evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease."

Who enforces drug advertising? Correct Answer: FDA

Who enforces dietary supplement advertising Correct Answer: FTC

Do dietary supplements have to be safe and/or effective? Correct Answer: No

How does a dietary supplement get pulled off the market? Correct Answer: The FDA cannot act until the
dietary supplement is proven to be dangerous; the products should not be adulterated or misbranded
(passed in 2007); however since little to no testing is conducted on these products it would be difficult
to tell if they are adulterated or misbranded

Can you put a bunch of publications regarding how awesome a dietary supplement is on the self with
the dietary supplement to get people to purchase the product? Correct Answer: No; here are the rules:

Dietary supplement publications must be reprinted in their ENTIRETY

You cannot have any information that is FALSE or MISLEADING

Must be present with other publications, if available, to present a balanced view

All publications must be PHYSICALLY SEPARATE from the product

What did the Food and Drug Modernization Act of 1997 do? Correct Answer: 1) Renewed the
Prescription Drug User Fee Act
2) Compounding by pharmacists was finally clarified
3) Manufacturer only has to do 1 clinical trial to supplement their NDA
4) Established inactive OTC ingredients requirement
5) Pharmacists can do nuclear compounding
6) Fast track approval process for drugs used for serious or life-threatening diseases (initial drugs for this
were HIV/AIDS medications)

What organization is the primary enforcer of the FDCA? Correct Answer: FDA

The FDA is a component of what organization? Correct Answer: DHHS

Is the USP a government agency? Correct Answer: No, it is an independent agency that sets purity
standards

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