50 Questions
Who can perform 'controlled acts' in pharmacy?
Only authorized practitioners who are regulated health profession members
What is a requirement for issuance of a certificate of registration in any class?
Being a Canadian citizen or permanent resident of Canada
What are considered 'controlled acts' for pharmacy?
Dispensing and compounding of drugs
What is a requirement related to the applicant's past and present conduct for issuance of a certificate of registration?
Must not have been guilty of any offence in any jurisdiction
What is a requirement regarding the applicant's physical or mental condition for issuance of a certificate of registration?
Must not suffer from a physical or mental condition that could affect ability to practice pharmacy safely
What is a 'controlled act' that can be delegated to other persons under the supervision of a licensed pharmacist?
Dispensing and compounding of drugs
What is a requirement related to language fluency for issuance of a certificate of registration?
Language fluency in English or French to communicate effectively
What is a requirement for the applicant's knowledge and skill for issuance of a certificate of registration?
Has sufficient knowledge, skill and judgement to engage in the practice of pharmacy authorized by the certificate
What does the Narcotics Monitoring System (NMS) enable?
Retrospective reviews of prescribing and dispensing activities for monitored drugs
What is part of the larger Medication System initiative currently under development through e-Health Ontario?
Point-of-care access to patient information
What does the Narcotics Safety and Awareness Act, 2010 seek to improve?
Health and safety of Ontarians by promoting appropriate prescribing and dispensing practices
What information must prescribers record on each prescription for a monitored drug?
The patient’s identification number and the prescriber registration number
What is required for the submission of monitored drug prescriptions to the NMS?
Prescriber’s registration number issued by the College of which s/he is a member
What does the Narcotics Monitoring System (NMS) not permit health care providers to access at the point-of-care?
Health patient records when a prescription is being written
What is the primary purpose of The Narcotics Safety and Awareness Act, 2010?
Promoting appropriate prescribing and dispensing practices for narcotics and other controlled substances
What does the NMS prohibit prescribers and dispensers from viewing?
Patient profile information
What is part of the larger Medication System initiative currently under development through e-Health Ontario?
Point-of-care access to patient information
What information is required for submission to Ontario's Narcotics Monitoring System (NMS)?
Drug details, patient information, pharmacist and pharmacy IDs
What is a requirement for obtaining prescription narcotics in Ontario?
Providing approved forms of patient ID
Under what circumstance are exceptions made to the requirement of submitting prescriptions to NMS?
In-patient hospital treatments
What does the Narcotics Safety and Awareness Act state about patient consent for information disclosure?
Patient consent cannot opt out of the Act
What type of checks does the NMS perform in real-time to identify potential drug therapy concerns?
Drug Utilization Review (DUR) checks
What does the expanded scope of practice for pharmacists in Ontario include?
Flu vaccination and renewal or adaptation of patient prescriptions
Who can use specific pharmacy-related titles according to the Pharmacy Act, 1991?
Only a registered member of the Ontario College of Pharmacists
What does the Pharmacy Act, 1991 define?
The scope of practice for pharmacists and the controlled acts related to pharmacy practice
What certificates of registration for pharmacy professionals are included in the Ontario system?
Pharmacist, registered pharmacy student, intern
What kind of information does Ontario's Narcotics Monitoring System collect?
Information on monitored drug prescriptions
What is the main purpose of the NMS's real-time Drug Utilization Review (DUR) checks?
To identify potential drug therapy concerns
What are the approved forms of patient ID for obtaining prescription narcotics in Ontario used for?
Verification and tracking of prescription narcotics
What is the main focus of the Off-Formulary Interchangeability concept in the ODB Formulary?
To allow substitution of less expensive but equally effective generic drugs for brand-name drugs
What is the requirement for cash paying clients who wish to obtain the brand name drug instead of the generic drug according to the Drug Interchangeability and Dispensing Fee Act (DIDFA)?
The patient must pay the difference in price between the generic and the brand name drug
What is the purpose of providing an itemized receipt for all prescriptions, including those eligible for payment by ODB or other insurers?
To ensure that the consumer obtains the information needed to make informed and economical drug purchases
What is the requirement regarding the professional fee charged by pharmacies according to the Pharmacy Act, 1991?
Each pharmacy establishes its own professional fee, which must be filed with the Registrar, OCP
What must the pharmacist do if a prescription is presented for an interchangeable product according to the Off-Formulary Interchangeable regulations?
The pharmacist must take responsible steps to inform the patient that an interchangeable product is available
What is the impact of the Off-Formulary Interchangeability concept on private drug plans for ODB eligible patients?
The drug plan may cover the extra charge for name-brand drugs if available
What is the requirement for patients who have a drug plan that only pays for generic drugs according to the Drug Interchangeability and Dispensing Fee Act (DIDFA)?
They will need to pay the difference out of their own pocket if they want the name brand drug
What is the purpose of the Off-Formulary Interchangeable concept in the ODB Formulary?
To allow substitution of less expensive but equally effective generic drugs for brand-name drugs
What is the requirement for pharmacists regarding the display of professional fee information in the dispensary?
The pharmacist must display the amount charged for each prescription and the services provided
What does the Drug and Pharmacies Regulation Act (DPRA) define?
Terms and concepts central to pharmacy practice
What is the primary purpose of the Health Network System in Ontario?
Processing claims under the ODB program
What is the role of the Drug Interchangeability and Dispensing Fee Act (DIDFA) in Ontario?
Ensures quality of interchangeable drug products
What does the Ontario Drug Benefit Formulary/Comparative Drug Index include?
Drugs eligible for specific groups
What is the purpose of the Drug Identification Number (DIN) for drugs in Ontario?
Identifies manufacturer and drug details
What do the DPRA and RHPA outline?
Restrictions and regulations for controlled acts in pharmacy
What does the Health Network System facilitate?
ODB claims processing and Drug Utilization Review (DUR)
What does the DIDFA and the ODB Act work in tandem to ensure?
Interchangeability of drugs listed in the ODB Formulary
What classification system does the Ontario Drug Benefit Formulary/Comparative Drug Index use?
Pharmacologic-therapeutic
What is the role of the DPRA and RHPA regarding controlled acts in pharmacy?
Outline restrictions and regulations
What is the main purpose of the Health Network System in Ontario?
Processing ODB claims and supporting drug safety
What is the purpose of the Drug Interchangeability and Dispensing Fee Act (DIDFA) in Ontario?
Ensures quality of interchangeable drug products
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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