49 Questions
Who can engage in the practice of pharmacy in Ontario as a pharmacist, pharmacy student, intern or pharmacy technician?
Canadian citizens or permanent residents of Canada
What are considered as 'controlled acts' for pharmacy?
Dispensing and compounding of drugs
Who can perform the 'controlled acts' for pharmacy?
Authorized practitioners who are regulated health profession members
What is a requirement for issuance of a certificate of registration in any class for pharmacy technicians?
Language fluency in English or French
What must the applicant's past and present conduct afford reasonable grounds for?
The belief that the applicant will practise pharmacy with decency, honesty, and integrity
What must the applicant provide evidence of to the Registrar for issuance of a certificate of registration?
Professional liability insurance as required by the by-laws
What is a requirement for issuance of a certificate of registration in any class for engaging in the practice of pharmacy?
Sufficient knowledge, skill and judgement to engage in the practice of pharmacy authorized by the certificate of registration
Who can the 'controlled acts' for pharmacy be delegated to?
Other persons under the supervision of a licensed pharmacist
What is the purpose of the Narcotics Monitoring System (NMS)?
To submit dispensing information about monitored drugs
What does the Narcotics Safety and Awareness Act, 2010 seek to achieve?
Promote appropriate prescribing and dispensing practices for narcotics
What information must prescribers record on each prescription for a monitored drug?
Patient's identification number and prescriber registration number
Who is unable to access patient profile information through the Narcotics Monitoring System?
Prescribers, dispensers, and other health-care providers
What does the Narcotics Monitoring System enable retrospective reviews of?
Prescribing and dispensing activities for monitored drugs
What is the purpose of the Medication System initiative currently under development through e-Health Ontario?
To provide point-of-care access to patient information
What is required for the submission of monitored drug prescriptions to the NMS?
Prescriber’s registration number and prescriber's ID reference
When did The Narcotics Safety and Awareness Act, 2010 come into effect?
November 1st, 2011
What information is required for submission to Ontario's Narcotics Monitoring System (NMS)?
Drug details, patient information, pharmacist and pharmacy IDs
Which forms of patient ID are approved for obtaining prescription narcotics in Ontario?
Listed approved forms
When are Ontarians required to provide personal ID to receive prescription narcotics and controlled drug medications?
Always
What is an exception to the requirement of submitting prescriptions to Ontario's NMS?
Prescriptions for in-patient hospital treatments
Can patient consent opt out of the Narcotics Safety and Awareness Act for information disclosure?
No, never
What does the Narcotics Monitoring System (NMS) perform in real-time?
Drug Utilization Review (DUR) checks
What does the expanded scope of practice for pharmacists in Ontario include?
Flu vaccination and renewal of patient prescriptions
Who can use specific pharmacy-related titles in Ontario?
Only registered members of the Ontario College of Pharmacists
What does the Pharmacy Act, 1991 define?
Scope of practice for pharmacists and controlled acts related to pharmacy practice
What classes of certificates of registration for pharmacy professionals are there in Ontario?
Pharmacist, registered pharmacy student, intern, pharmacy technician
What is the maximum age for seniors to receive funding for shingles vaccine under the ODB?
70
How many drugs have been added to the ODB Formulary since 2009?
Around 1000
What is the purpose of Off-Formulary Interchangeability?
To allow the use of less expensive but equally effective generic drugs
What must a patient do if they wish to obtain the brand name drug when a prescription for an interchangeable product is presented to the pharmacist?
The patient must pay the difference in price between the generic and the brand name drug
What is the requirement for issuance of a certificate of registration in any class for pharmacy technicians?
Completion of a pharmacy technician program
What information must be included on the itemized receipt for all prescriptions?
The cost of the medication, the professional fee, and the total price
Who establishes the professional fee for each pharmacy?
The individual pharmacy
What is the responsibility of the pharmacist when a prescription is presented for an interchangeable product?
The pharmacist must inform the patient that an interchangeable product is available
What is the requirement for the submission of monitored drug prescriptions to the Narcotics Monitoring System (NMS)?
All prescriptions must be submitted
What is the purpose of the Medication System initiative currently under development through e-Health Ontario?
To provide a comprehensive electronic health record system
What must the applicant's past and present conduct afford reasonable grounds for to obtain a certificate of registration?
Trustworthiness
Who can pharmacists delegate tasks to, according to the RHPA?
Only pharmacy technicians
What does the Health Network System in Ontario facilitate?
ODB claims processing
What does the DIDFA ensure regarding interchangeable drug products?
They meet quality standards
What does the Ontario Drug Benefit Formulary/Comparative Drug Index include?
Drugs eligible for different groups
What does the unique 8-digit DIN for drugs identify?
Drug manufacturer and details
What do the DPRA and RHPA outline restrictions and regulations for?
Delegation and performance of controlled acts in pharmacy
What does the Drug Interchangeability and Dispensing Fee Act (DIDFA) work in tandem with?
ODB Act and ODB Formulary
What classification system does the Ontario Drug Benefit Formulary/Comparative Drug Index use?
Pharmacologic-therapeutic classification
What does the Health Network System in Ontario link pharmacies and some doctors directly to?
The Ministry of Health
What is the purpose of the Drug Utilization Review (DUR) facilitated by the Health Network System?
To support proper and safe use of drugs
What does the Drug and Pharmacies Regulation Act (DPRA) define?
Critical terms and concepts central to pharmacy practice
What does the RHPA outline restrictions on?
Delegation of controlled acts in pharmacy
Study Notes
Ontario's Narcotics Monitoring System and Pharmacy Regulations
- The Narcotics Monitoring System (NMS) collects information on monitored drug prescriptions in Ontario.
- Required information for submission to NMS includes drug details, patient information, pharmacist and pharmacy IDs.
- Approved forms of patient ID for obtaining prescription narcotics in Ontario are listed.
- Ontarians are required to provide personal ID to receive prescription narcotics and controlled drug medications.
- Exceptions to the requirement of submitting prescriptions to NMS include in-patient hospital treatments.
- Patient consent cannot opt out of the Narcotics Safety and Awareness Act for information disclosure.
- The NMS performs real-time Drug Utilization Review (DUR) checks to identify potential drug therapy concerns.
- Various DUR checks are performed by the NMS based on the analysis of dispensing records.
- The Pharmacy Act, 1991 defines the scope of practice for pharmacists and the controlled acts related to pharmacy practice.
- The expanded scope of practice for pharmacists includes flu vaccination and renewal or adaptation of patient prescriptions.
- Only a registered member of the Ontario College of Pharmacists can use specific pharmacy-related titles.
- The four classes of certificates of registration for pharmacy professionals in Ontario include pharmacist, registered pharmacy student, intern, and...
Pharmacy Regulations and Systems in Ontario
- The RHPA outlines restrictions on the delegation of controlled acts in pharmacy, allowing certain health professionals to perform these acts.
- Pharmacists can delegate tasks to pharmacy technicians or assistants, as long as it is clinically appropriate and in the patient's best interests.
- The Drug and Pharmacies Regulation Act (DPRA) defines critical terms and concepts central to pharmacy practice, such as 'drug', 'prescription', 'prescriber', 'pharmacy', 'pharmacist', and 'registered pharmacy technician'.
- The Health Network System is a province-wide computed system in Ontario that links pharmacies and some doctors directly to the Ministry, used for processing claims under the ODB program and preventing misuse.
- The Health Network System facilitates ODB claims processing by validating patient eligibility and calculating prescription costs, supporting proper and safe use of drugs through Drug Utilization Review (DUR).
- The Drug Interchangeability and Dispensing Fee Act (DIDFA) ensures the quality of interchangeable drug products and provides confirmation of their designation under Ontario legislation.
- DIDFA and the ODB Act work in tandem, with drugs listed in the ODB Formulary being interchangeable if they have more than one manufacturer and meet interchangeability requirements.
- The Ontario Drug Benefit Formulary/Comparative Drug Index uses a pharmacologic-therapeutic classification system and includes drugs eligible for seniors, disability assistance, and welfare recipients.
- All drugs have a unique 8-digit Drug Identification Number (DIN) that identifies the manufacturer, active ingredient(s), strength, route of administration, and pharmaceutical dosage form.
- The DPRA and RHPA outline restrictions and regulations for the delegation and performance of controlled acts in pharmacy.
- The Health Network System in Ontario is used for processing ODB claims and supporting the proper and safe use of drugs through Drug Utilization Review (DUR).
- The DIDFA ensures the quality and interchangeability of drug products, working in tandem with the ODB Act and the ODB Formulary in Ontario.
Test your knowledge of Ontario's pharmacy regulations and narcotics monitoring system with this quiz. Explore key concepts such as the Narcotics Monitoring System, Drug and Pharmacies Regulation Act, Health Network System, and Drug Utilization Review. See how well you understand the laws and procedures governing pharmacy practice in Ontario.
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