Ultimate Rhode Island MPJE guide |\ |\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
LA and XR opioids, including methadone, are used for:
|\ |\ |\ |\ |\ |\ |\ |\
chronic pain only; not acute |\ |\ |\ |\
How many doses of an opioid can someone under 18yrs old be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescribed?
20 doses |\
How many MMEs of an opioid can someone under 18 yrs old
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
receive?
No limit, but doc must record rationale for prescribing more than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
30MME per day for a minor. |\ |\ |\ |\ |\
Who is considered a practitioner?
|\ |\ |\ |\
APRN (advanced practicing RN), PA, physician, dentist, scientific
|\ |\ |\ |\ |\ |\ |\ |\
investigator if can prescribe/dispense/administer controlled meds |\ |\ |\ |\ |\ |\
in professional practice or research.
|\ |\ |\ |\
"Initial prescription" in regards to opioids
|\ |\ |\ |\ |\
Not having received opioids in 30 days. Even if given inpatient;
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
once discharge and prescribed after going home if before
|\ |\ |\ |\ |\ |\ |\ |\ |\
hospital stay had not been prescribed in 30 days.
|\ |\ |\ |\ |\ |\ |\ |\
Initial prescription for acute pain cannot exceed _______ MME total
|\ |\ |\ |\ |\ |\ |\ |\ |\
dose per day of opioids and for a max of ______ doses.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
30 MME; 20 doses
|\ |\ |\
Hospice care life expectancy |\ |\ |\
<6 months |\
,"Chronic pain" |\
.>90 days; excludes pain requiring palliative care
|\ |\ |\ |\ |\ |\
Co-prescribe naloxone when: |\ |\
1) Patient receiving more than 50 MME (morphine miligram
|\ |\ |\ |\ |\ |\ |\ |\ |\
equivalents) of opioids per day. |\ |\ |\ |\
2)Any dose of opioid prescribed and along with benzodiazepine
|\ |\ |\ |\ |\ |\ |\ |\ |\
prescription in the past 30 days (must note medical necessity in |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chart).
3) Prior history of opioid abuse disorder or overdose
|\ |\ |\ |\ |\ |\ |\ |\
Who has to fill out PDMP and how often?
|\ |\ |\ |\ |\ |\ |\ |\
Any pharmacy that fills controlled substances must report within
|\ |\ |\ |\ |\ |\ |\ |\ |\
24hrs; with the exception of inpatient pharmacy (outpatient still
|\ |\ |\ |\ |\ |\ |\ |\ |\
needs to report). |\ |\
Bulk and active ingredients must be __________ or __________
|\ |\ |\ |\ |\ |\ |\ |\ |\
certified.
USP or NF |\ |\
On a non-prescription opium containing med; a pharmacist can
|\ |\ |\ |\ |\ |\ |\ |\ |\
dispense up to ______oz or ________doses in ______hr period, if
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient over 18 yrs old. |\ |\ |\ |\
8oz (240cc); 48 doses in 48 hr period
|\ |\ |\ |\ |\ |\ |\
On CII-CV non-prescription other than opium, pharmacist can
|\ |\ |\ |\ |\ |\ |\ |\
dispense up to ______oz or _______doses in _____hr period for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient 18 or over. |\ |\ |\
4oz(120cc); 24 dose in 48hr period |\ |\ |\ |\ |\
A bound record book kept for dispensing non-rx opioids contains
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following information: |\
1) Name and address of purchaser
|\ |\ |\ |\ |\
2) Name and quantity of drug
|\ |\ |\ |\ |\
3) Name or Initials of dispensing RPh
|\ |\ |\ |\ |\ |\
,Who must fill out zero fill report in PDMP?
|\ |\ |\ |\ |\ |\ |\ |\
Any pharmacy that dispenses controlled substances but is not
|\ |\ |\ |\ |\ |\ |\ |\ |\
dispensing any for the day; except institutional pharmacies (ie: |\ |\ |\ |\ |\ |\ |\ |\ |\
hospital).
How long is a variance for a rule or regulation good for?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1 year
|\
When complaint is filed against person, how long do they have to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
respond and who do they respond?
|\ |\ |\ |\ |\ |\
They must respond to Board in writing within 21 days of receiving
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
notice of complaint.
|\ |\ |\
If RPh declines to dispense a drug or device due to ethical, moral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or religious beliefs what must be done?
|\ |\ |\ |\ |\ |\ |\
RPh must have already notified pharmacy owner in writing of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
drugs or device that they object to and owner must be able to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provide reasonable accommodations without causing undue
|\ |\ |\ |\ |\ |\
hardship. Must have protocol set up for patient to get timely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
access to denied product. |\ |\ |\
Pharmacy license can be revoked if prescriber: |\ |\ |\ |\ |\ |\
1) Has financial interest that exceeds 10% of ownership
|\ |\ |\ |\ |\ |\ |\ |\
2) Or Prescriber for more than 40% of prescriptions in a 3mo.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
period.
How long must be inventory records be kept? And how long does
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
distributer have to produce these records when requested by |\ |\ |\ |\ |\ |\ |\ |\ |\
officials?
2 years; records must be produced within 2 working days
|\ |\ |\ |\ |\ |\ |\ |\ |\
Designated facility manager must not be convicted of: |\ |\ |\ |\ |\ |\ |\
Crime related to compounding RX drugs or product tampering
|\ |\ |\ |\ |\ |\ |\ |\
Where can Distributor or Wholesaler ship to?
|\ |\ |\ |\ |\ |\
, Only to address listed on purchasers license.
|\ |\ |\ |\ |\ |\
Manufacturers and Wholesales must report any changes within |\ |\ |\ |\ |\ |\ |\ |\
_____days.
10 days |\
What do you need to participate as a collaborative practice
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pharmacist?
1) PharmD + 2 yrs professional experience + accredited CE
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
certificate program in area of practice or |\ |\ |\ |\ |\ |\
2) BS + 3 yrs professional experience + 1 CE certificate program
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with 1 in area of practice
|\ |\ |\ |\ |\
3) Board Certification or residency; if not in area of collaborative
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
practice must complete certificate program in that area.
|\ |\ |\ |\ |\ |\ |\
How many additional CEs must collaborative practice pharmacist
|\ |\ |\ |\ |\ |\ |\ |\
complete annually? |\
5 CE credit hours (0.5 CEU) in practice area
|\ |\ |\ |\ |\ |\ |\ |\
How many CEs must a Tech II have annually and how long are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
they kept for? |\ |\
10 hrs of CE credits (1 CEU)
|\ |\ |\ |\ |\ |\
On what date does a pharmacy technician's license expire
|\ |\ |\ |\ |\ |\ |\ |\ |\
annually?
June 30th, records kept for 2yrs
|\ |\ |\ |\ |\
What 5 tasks can a Tech II not do?
|\ |\ |\ |\ |\ |\ |\ |\
1) Perform DUR
|\ |\
2)Clinical conflict resolution |\ |\
3)Treatment modification |\
4)Patient counceling |\
5)Dispensing product validation |\ |\
Are technicians allowed in pharmacy when pharmacist is in
|\ |\ |\ |\ |\ |\ |\ |\ |\
pharmacy (ie at lunch)? |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
LA and XR opioids, including methadone, are used for:
|\ |\ |\ |\ |\ |\ |\ |\
chronic pain only; not acute |\ |\ |\ |\
How many doses of an opioid can someone under 18yrs old be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescribed?
20 doses |\
How many MMEs of an opioid can someone under 18 yrs old
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
receive?
No limit, but doc must record rationale for prescribing more than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
30MME per day for a minor. |\ |\ |\ |\ |\
Who is considered a practitioner?
|\ |\ |\ |\
APRN (advanced practicing RN), PA, physician, dentist, scientific
|\ |\ |\ |\ |\ |\ |\ |\
investigator if can prescribe/dispense/administer controlled meds |\ |\ |\ |\ |\ |\
in professional practice or research.
|\ |\ |\ |\
"Initial prescription" in regards to opioids
|\ |\ |\ |\ |\
Not having received opioids in 30 days. Even if given inpatient;
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
once discharge and prescribed after going home if before
|\ |\ |\ |\ |\ |\ |\ |\ |\
hospital stay had not been prescribed in 30 days.
|\ |\ |\ |\ |\ |\ |\ |\
Initial prescription for acute pain cannot exceed _______ MME total
|\ |\ |\ |\ |\ |\ |\ |\ |\
dose per day of opioids and for a max of ______ doses.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
30 MME; 20 doses
|\ |\ |\
Hospice care life expectancy |\ |\ |\
<6 months |\
,"Chronic pain" |\
.>90 days; excludes pain requiring palliative care
|\ |\ |\ |\ |\ |\
Co-prescribe naloxone when: |\ |\
1) Patient receiving more than 50 MME (morphine miligram
|\ |\ |\ |\ |\ |\ |\ |\ |\
equivalents) of opioids per day. |\ |\ |\ |\
2)Any dose of opioid prescribed and along with benzodiazepine
|\ |\ |\ |\ |\ |\ |\ |\ |\
prescription in the past 30 days (must note medical necessity in |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
chart).
3) Prior history of opioid abuse disorder or overdose
|\ |\ |\ |\ |\ |\ |\ |\
Who has to fill out PDMP and how often?
|\ |\ |\ |\ |\ |\ |\ |\
Any pharmacy that fills controlled substances must report within
|\ |\ |\ |\ |\ |\ |\ |\ |\
24hrs; with the exception of inpatient pharmacy (outpatient still
|\ |\ |\ |\ |\ |\ |\ |\ |\
needs to report). |\ |\
Bulk and active ingredients must be __________ or __________
|\ |\ |\ |\ |\ |\ |\ |\ |\
certified.
USP or NF |\ |\
On a non-prescription opium containing med; a pharmacist can
|\ |\ |\ |\ |\ |\ |\ |\ |\
dispense up to ______oz or ________doses in ______hr period, if
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient over 18 yrs old. |\ |\ |\ |\
8oz (240cc); 48 doses in 48 hr period
|\ |\ |\ |\ |\ |\ |\
On CII-CV non-prescription other than opium, pharmacist can
|\ |\ |\ |\ |\ |\ |\ |\
dispense up to ______oz or _______doses in _____hr period for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient 18 or over. |\ |\ |\
4oz(120cc); 24 dose in 48hr period |\ |\ |\ |\ |\
A bound record book kept for dispensing non-rx opioids contains
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following information: |\
1) Name and address of purchaser
|\ |\ |\ |\ |\
2) Name and quantity of drug
|\ |\ |\ |\ |\
3) Name or Initials of dispensing RPh
|\ |\ |\ |\ |\ |\
,Who must fill out zero fill report in PDMP?
|\ |\ |\ |\ |\ |\ |\ |\
Any pharmacy that dispenses controlled substances but is not
|\ |\ |\ |\ |\ |\ |\ |\ |\
dispensing any for the day; except institutional pharmacies (ie: |\ |\ |\ |\ |\ |\ |\ |\ |\
hospital).
How long is a variance for a rule or regulation good for?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1 year
|\
When complaint is filed against person, how long do they have to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
respond and who do they respond?
|\ |\ |\ |\ |\ |\
They must respond to Board in writing within 21 days of receiving
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
notice of complaint.
|\ |\ |\
If RPh declines to dispense a drug or device due to ethical, moral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
or religious beliefs what must be done?
|\ |\ |\ |\ |\ |\ |\
RPh must have already notified pharmacy owner in writing of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
drugs or device that they object to and owner must be able to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
provide reasonable accommodations without causing undue
|\ |\ |\ |\ |\ |\
hardship. Must have protocol set up for patient to get timely
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
access to denied product. |\ |\ |\
Pharmacy license can be revoked if prescriber: |\ |\ |\ |\ |\ |\
1) Has financial interest that exceeds 10% of ownership
|\ |\ |\ |\ |\ |\ |\ |\
2) Or Prescriber for more than 40% of prescriptions in a 3mo.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
period.
How long must be inventory records be kept? And how long does
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
distributer have to produce these records when requested by |\ |\ |\ |\ |\ |\ |\ |\ |\
officials?
2 years; records must be produced within 2 working days
|\ |\ |\ |\ |\ |\ |\ |\ |\
Designated facility manager must not be convicted of: |\ |\ |\ |\ |\ |\ |\
Crime related to compounding RX drugs or product tampering
|\ |\ |\ |\ |\ |\ |\ |\
Where can Distributor or Wholesaler ship to?
|\ |\ |\ |\ |\ |\
, Only to address listed on purchasers license.
|\ |\ |\ |\ |\ |\
Manufacturers and Wholesales must report any changes within |\ |\ |\ |\ |\ |\ |\ |\
_____days.
10 days |\
What do you need to participate as a collaborative practice
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pharmacist?
1) PharmD + 2 yrs professional experience + accredited CE
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
certificate program in area of practice or |\ |\ |\ |\ |\ |\
2) BS + 3 yrs professional experience + 1 CE certificate program
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with 1 in area of practice
|\ |\ |\ |\ |\
3) Board Certification or residency; if not in area of collaborative
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
practice must complete certificate program in that area.
|\ |\ |\ |\ |\ |\ |\
How many additional CEs must collaborative practice pharmacist
|\ |\ |\ |\ |\ |\ |\ |\
complete annually? |\
5 CE credit hours (0.5 CEU) in practice area
|\ |\ |\ |\ |\ |\ |\ |\
How many CEs must a Tech II have annually and how long are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
they kept for? |\ |\
10 hrs of CE credits (1 CEU)
|\ |\ |\ |\ |\ |\
On what date does a pharmacy technician's license expire
|\ |\ |\ |\ |\ |\ |\ |\ |\
annually?
June 30th, records kept for 2yrs
|\ |\ |\ |\ |\
What 5 tasks can a Tech II not do?
|\ |\ |\ |\ |\ |\ |\ |\
1) Perform DUR
|\ |\
2)Clinical conflict resolution |\ |\
3)Treatment modification |\
4)Patient counceling |\
5)Dispensing product validation |\ |\
Are technicians allowed in pharmacy when pharmacist is in
|\ |\ |\ |\ |\ |\ |\ |\ |\
pharmacy (ie at lunch)? |\ |\ |\
