Questions and Correct, Verified
Answers. Graded A+
Are pharmacists required to counsel on prescriptions that have been reassigned if there
are no changes on them? - ANSNo, but the pharmacist may use their discretion.
Are there any other requirements to administer immunizations besides being
immunization and CPR certified? - ANSThere are protocols that must be followed in
order to administer immunizations. A list of these requirements is found in OAR 855-
019-0280 and should be studied and implemented before administering vaccines.
Are there any requirements for purchasing bulk chemicals? - ANSBulk chemicals need
to be purchased from an outlet registered by the Board. The bulk chemicals must also
have a certificate of analysis and labeling that shows the date obtained and the BUD.
The BUD cannot be greater then 5 years from opening, unless tested to extend the
BUD by no more then 1 year.
Are there any specific requirements to be a PIC? - ANSYou must have at least 1 year
experience as a pharmacist or complete the PIC training course approved by the Board
within 30 days of becoming a PIC. You must also notify the Board within 15 days of
becoming a PIC or resigning as the PIC. You can not be a PIC of more than 2
pharmacies, unless there is written approval from the board.
Are there requirements on how frequently the compounding room must be cleaned? -
ANSAll work surfaces and floors must be cleaned at least daily in ISO 7 and 8 areas. All
other surfaces in these areas (shelving, walls, ceilings) must be cleaned monthly. The
cleaning solution should be a high-level disinfectant or you may alternate regularly
between medium-level disinfectants. These areas must be checked and certified by a
qualified person at least every 6 months and when alterations have been made to the
area.
Are there specific policies and procedures for the compounding pharmacy? - ANSIf a
pharmacy participates in compounding, the PIC must ensure that there are policies and
procedures that provide at least the following: an organized index, product formula
information, log book, conditions and surveillance of the compounding environment,
compounding procedures and requirements, training requirements for all staff, cleaning,
QA plan with a BUD (Beyond Use Date/expiration date), product labeling, shipping and
delivery procedures, pharmacist final verification, and safety procedures. IV admixtures
made for a specific patient does not need to comply with the worksheet or log book
requirements if it can still be tracked for recall purposes. The pharmacy must keep
records on site and organized for 3 years.
,Are there specific requirements for using hazardous drug materials? - ANSYou are
required to follow state and federal laws, there are no additional stipulations specified in
division 45. Contact the EPA (www.epa.gov/) and OSHA (www.osha.gov/) for further
information.
Are we allowed to compound anything the doctor prescribes? - ANSNo. You may not
compound products that are commercially available, unless the Board has given prior
approval to compound a commercially available product that is temporarily in short
supply/unavailable. For parenteral products a commercially available product may be
compounded if there are multiple companies that provide the mixture (ex. KCl premixed
IV bags) or if the premix IV admixture is commercially available as well as the premixed
IV bags (ex. Using a commercially available vial of medication to make an IV bag, even
though there is a commercially available premixed IV bag).
As the PIC what am I responsible for? - ANSThe PIC is responsible for the full operation
of the pharmacy. Some specific requirements are listed that the PIC must personally
complete, while other requirements the PIC is responsible for may be delegated to
qualified employees. A list of these requirements can be seen in OAR 855-019-0300.
At what age may a pharmacist administer a vaccination to a patient per current
protocol? - ANSThe patient must be at least 11 years old and it must be in accordance
with the protocol determined by the Oregon Health Authority. The pharmacist may also
vaccinate a patient outside of the State protocol if instructed to administer a vaccine
pursuant to a valid prescription
Can 2 TPI's work under the same preceptor and get intern hours for it? - ANSNo, only
one TPI would be able to claim the intern hours. The other student could work doing
only technician/clerk functions and would not receive any intern hours for the time
worked. See FAQ regarding Community and Interns
Can a charitable pharmacy accept controlled substances and/or OTC drugs for
donation? - ANSNo
Can a CII be transferred between pharmacies with interactive databases (i.e..
Walgreen's)? - ANSUnder no circumstance can a CII be transferred.
Can a CII prescription be changed from a capsule to a tablet or liquid form of the same
medication? - ANSYes, if you contact the prescriber and they authorize the change. If
the prescriber is not reasonably available for consultation and the prescribed drug does
not utilize a unique delivery system technoloy, an oral tablet, capsule or liquid form of
the prescribed drug so long as the form dispensed or administered has the same
strength, dose and dose schedule, and is therapuetically equivalent to the drug
prescribed. Per
Can a clerk take an oral authorization from a prescriber or a prescriber's agent for a
refill? - ANSNo.
, Can a fee be charged to a Medication Assistance Programs (MAPs) patient? - ANSYes.
Can a licensed pharmacist in another state practice as an intern in Oregon? - ANSNo,
unless the pharmacist is requesting to reciprocate to Oregon and requires additional
work experience hours. Even then, they still must apply for and receive an Oregon
intern license from the Board before working as an intern in Oregon. More work
experience is required if they haven't worked for at least 1 year (with a minimum of 1440
hrs) or completed the required internship hours (completed 1440 hrs within 1 year prior
to application). Note: hours completed outside of the United States can not be used
toward the required 1440 hrs.
Can a pharmacist change the date-to-fill after talking to the prescribing doctor on a CII?
- ANSThe date-to-fill is part of the directions written on the script therefore it would be
allowed to change after speaking with the prescribing doctor.
Can a pharmacist combine refills on a prescription to give a greater dispensed quantity?
- ANSNo, unless the pharmacist has received prescriber authorization to do so.
Can a pharmacist ever dispense a year supply of a CIII-V? - ANSYes, it depends on
how the prescriber wrote the prescription (i.e. if the prescriber wrote for "#365 1 tab
daily", the pharmacy could fill the whole prescription at one time for the full quantity).
Use professional judgment and fill in context.
Can a pharmacist fill a hand delivered prescription that has an electronic signature on
it? - ANSNo, hand delivered prescriptions must be manually signed by the prescriber or
their agent.
Can a pharmacist fill a prescription based solely on an internet questionnaire? - ANSNo,
the prescriber and patient must have a valid patient/prescriber relationship which
usually includes a physical exam. See 855-019-0210(2).
Can a pharmacist fill an EPT prescription for the patient without their name on it? -
ANSYes. The pharmacist is not required to obtain an EPT patient's or partner's name,
address or demographics.
Can a pharmacist refuse to fill a prescription? - ANSYes, but pharmacists should use
professional judgment including awareness of the position papers that the Board has
regarding moral and ethical objections and pain management. The pharmacist cannot
be a barrier to access.
Can a pharmacist supervise 2 interns at the same time in a Traditional Pharmacy-
practice Internship ? - ANSNo, in a Traditional Pharmacy-practice Internship the ratio is
one intern to each pharmacist or pharmacist preceptor regardless if one of the interns is
a school based placement. A traditional internship is characterized by an intern working
outside a school based program and is volunteering or being compensated for their