Florida Law

Florida Law
Richard Z Aramini, PharmD PGY-1 Pharmacy Practice Resident Bay Pines VA Healthcare Center

MPJE Basics Multistate Pharmacy Jurisprudence Examination 2 Hours: 90 Questions Score between 0-100; Need 75 to pass 84% Pharmacy Practice 13% Licensure, Registration, Certification 3% Regulatory Structure and Terms

Resources http://www.leg.state.fl.us/Statutes/index. http://www.floridaspharmacy.gov/

Important Topics Pharmacist vs Intern vs Technician Only a pharmacist can do final verification Validity of prescriptions Patient is going on vacation and needs his medications early Can I dispense this without a prescription? Dose awareness Schedule of drugs Rote memorization

What Schedule Is It? DronabinolCIII Thebacon CI Heroin CI Thebaine CII Androsterone CIII Thiofentanyl CI Ketamine CIII Alprazolam CIV Carisoprodol CIV Oxycodone CII

Quiz Time!

2 Points Who appoints the members of the Florida State Board of Pharmacy? Director of the Pharmacy Board Governor State House of Representatives Surgeon General

Governor http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=MWguRFduIdxonM&tbnid=07Do58ScPrjAcM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.ew.com%2Few%2Fgallery%2F0%2C%2C20477857%2C00.html&ei=2R54Uu7KN4nOyAGv3oDwDg&bvm=bv.55819444,d.aWc&psig=AFQjCNHmUUYVJu5Cg0EPothmGTK-5twAhw&ust=1383690324243140 Nine members to be appointed by the Governor and confirmed by the Senate [Florida Pharmacy Act 465.004(1)]. 7 must be licensed pharmacists Residents, practicing for at least 4 years 1 community, 1 institutional Two non-pharmacy people 4 year terms

2 Points What information is required on a prescription for a controlled substance? Practitioner’s name, address, and DEA registration number Manual signature of prescriber Dosage form of the prescribed drug A: 1 B: 1 & 2 C: 2 & 3 D: ALL

ALL OF THE ABOVE 1. Date of issue 2. Patient’s name and address 3. Practitioner’s name, address, and DEA # 4. Drug name 5. Drug strength 6. Dosage form 7. Quantity prescribed 8. Directions for use 9. Number of refills (if any) authorized 10. Manual signature of prescriber

4 Points Schedule II controlled prescriptions for patients in a LTCF or patients with a medical diagnosis documenting a terminal illness are valid for a period not to exceed: 30 days 60 days 90 days 120 days

60 days from issue date 21CFR1306.13(b) Memorize it

Which are TRUE about license display? I. The current license of each pharmacist engaged in the practice of the profession of pharmacy in any pharmacy shall be displayed in a conspicuous place in or near the prescription department. II. Pharmacists employed in secondary practice sites shall present a valid wallet license as evidence of licensure upon request. III. No pharmacist shall display, cause to be displayed or allow to be displayed, their license in any pharmacy where said pharmacist is not engaged in the practice of the profession. A: I B: I & II C: II & III D. ALL

All of the Above Additionally: A pharmacist and registered pharmacy intern must be clearly identified by a means such as an identification badge or monogrammed smock showing their name and if they are a pharmacist or a registered pharmacy intern. The current registration of each registered pharmacy technician shall be displayed, when applicable, in a conspicuous place in or near the prescription department, and in such a manner that can be easily read by patrons of said establishment. Registered pharmacy technicians employed in a secondary practice site shall present a valid wallet registration as evidence of registration upon request.

4 Points A pharmacy must register as a distributor if it distributes, to another registrant, more than: how much of all controlled substances: 2% within 1 year 5% within 1 year 3% within 2 years 4% within 6 months

5% within 1 year A pharmacy registered to dispense controlled substances may distribute controlled substances even without being registered as a distributor provided that: I. The pharmacy or physician to which the controlled substance is distributed must be registered under the Act to dispense controlled substances. II. The distributing pharmacy must keep accurate record of distributing controlled substances including name, dosage form and quantity of the controlled substance distributed. It also requires the name, address and DEA registration number of the receiving pharmacy or physician. III. If the transferred controlled substance is either a Schedule I or II controlled drug, the transfer must be made on a DEA 222 order form. IV. The total number of controlled substances distributed by the pharmacy to another registrant must not exceed 5 % of all controlled substances dispensed by the pharmacy within a 12-month period

2 Points Which of the following is/are alternative form of counseling? Information leaflets Pictogram labels Video programs Choose all that apply

ALL OF THE ABOVE!! OBRA90 Alternative forms of patient information may be used to replace patient counseling in an emergency situation when verbal face-to-face counseling is not possible. Alternative forms of patient information may be used to supplement patient counseling when appropriate. Examples include written information leaflets, pictogram labels, video programs, etc.

2 Points In Florida, the inventory of controlled substances should be done every: Year Two years Three years Five years

Two Years Florida Comprehensive Drug Abuse Prevention and Control Act 893.07(1)(a) The inventory may be prepared on the regular physical inventory date which is nearest to, and does not vary by more than 6 months from, the biennial date. Records shall be kept for 2 years

2 Points How many hours of continuing education are required for pharmacists under Florida State Pharmacy Law per license renewal? 30 hours 15 hours 22 hours 50 hours

30 hours Florida Administrative Code 64B16-26.103(1)

Who may audit your CE hours? DEA Florida Board of Pharmacy Department of Health Choose all that apply

The Board and the DOH Florida Administrative Code 64B16-26.603 Each pharmacist shall retain documentation of participation in continuing education programs required for license renewal for not less than two years after the license is renewed for audit purposes if and when such audit is undertaken by the Department of Health and the Board of Pharmacy. Such documentation shall consist of statements of credit for lecture attendance, certification forms from instructors, or course completion slips from correspondence courses.

4 Points Prescriptions for animals much contain which of the following? Name of animal Species of animal Full name and address of owner of the animal Choose all that apply

Species and Owner Info Florida Comprehensive Drug Abuse Prevention and Control Act 893.04(1)(c) If the prescription is for an animal, the prescription shall state the species of animal for which the drug is prescribed and the full name and address of the owner of the animal.

2 Points In the event where you are unable to obtain authorization for a refill you may dispense an emergency refill for up to how long? 24 hours 48 hours 72 hours 96 hours

72 Hours 465.0275: Emergency prescription refill.—In the event a pharmacist receives a request for a prescription refill and the pharmacist is unable to readily obtain refill authorization from the prescriber, the pharmacist may dispense a one-time emergency refill of up to a 72-hour supply of the prescribed medication, with the exception of those areas or counties included in an emergency order or proclamation of a state of emergency declared by the Governor, in which the executive order may authorize the pharmacist to dispense up to a 30-day supply, providing that: (1) The prescription is not for a medicinal drug listed in Schedule II appearing in chapter 893. (2) The medication is essential to the maintenance of life or to the continuation of therapy in a chronic condition. (3) In the pharmacist’s professional judgment, the interruption of therapy might reasonably produce undesirable health consequences or may cause physical or mental discomfort. (4) The dispensing pharmacist creates a written order containing all of the prescription information required by this chapter and chapters 499 and 893 and signs that order. (5) The dispensing pharmacist notifies the prescriber of the emergency dispensing within a reasonable time after such dispensing.

6 Points You may dispense WHICH of the following without a prescription? 240 mg of codeine 240 mg of opium 5mg of hydrocodone 60 mg of ethyl morphine

240mg of Opium 893.08 Exceptions.— (1) The following may be distributed at retail without a prescription, but only by a registered pharmacist: … The total quantity of controlled substance listed in Schedule V which may be sold to any one purchaser within a given 48-hour period shall not exceed 120 milligrams of codeine 60 milligrams dihydrocodeine 30 milligrams of ethyl morphine 240 milligrams of opium.

And the winner is… Everyone! Because knowing the law is how you keep your license!

Florida Law

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