50 Questions
What is a requirement for issuance of a certificate of registration in any class for pharmacy technicians?
Being a Canadian citizen, permanent resident, or having appropriate authorization under the Immigration and Refugee Protection Act
Which activities are considered 'controlled acts' for pharmacy?
Dispensing and compounding of drugs
Who can perform the 'controlled acts' of dispensing and compounding?
Authorized practitioners who are regulated health profession members
What is a requirement for the belief that an applicant will practice pharmacy with decency, honesty, and integrity?
Past and present conduct must afford reasonable grounds for the belief
What is a requirement for issuance of a certificate of registration for pharmacy technicians?
Not being guilty of any offence in any jurisdiction
Who can the 'controlled acts' of pharmacy be delegated to?
Other persons under the supervision of a licensed pharmacist
What is a requirement for issuance of a certificate of registration for pharmacy technicians related to professional liability?
Providing evidence of professional liability insurance as required by the by-laws
What is a requirement for issuance of a certificate of registration for pharmacy technicians related to language fluency?
Language fluency in English or French
What does the Narcotics Monitoring System (NMS) enable?
Retrospective reviews of prescribing and dispensing activities
What is the primary purpose of The Narcotics Safety and Awareness Act, 2010?
Promoting appropriate prescribing and dispensing practices
What information must prescribers record on each prescription for a monitored drug?
Patient's identification number and prescriber registration number
What does the Narcotics Safety and Awareness Act, 2010 seek to reduce?
Abuse, misuse, and diversion of controlled substances
What is the main purpose of the Medication System initiative currently under development through e-Health Ontario?
Point-of-care access to patient information
What is the primary function of the Narcotics Monitoring System (NMS)?
Submits dispensing information about monitored drugs
What does the Narcotics Safety and Awareness Act, 2010 require prescribers and dispensers to comply with?
Requirements for appropriate prescribing and dispensing practices
What information is required for the submission of monitored drug prescriptions to the NMS?
Prescriber’s registration number and prescriber's ID reference
What information is required for submission to Ontario's Narcotics Monitoring System (NMS)?
Drug details, patient information, pharmacist and pharmacy IDs
Which of the following is an approved form of patient ID for obtaining prescription narcotics in Ontario?
Health card
Under what circumstances are Ontarians exempt from providing personal ID to receive prescription narcotics and controlled drug medications?
When obtaining medications during 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 information disclosure
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 Pharmacy Act, 1991 define?
Scope of practice for pharmacists
What is included in the expanded scope of practice for pharmacists in Ontario?
Flu vaccination and patient prescription renewal
Who can use specific pharmacy-related titles in Ontario?
Only registered members of the Ontario College of Pharmacists
How many classes of certificates of registration for pharmacy professionals are there in Ontario?
Four
Which of the following is not one of the four classes of certificates of registration for pharmacy professionals in Ontario?
Pharmacy technician
What type of checks are performed by the NMS based on the analysis of dispensing records?
Drug Utilization Review (DUR) checks
What is the purpose of the NMS in collecting information on monitored drug prescriptions in Ontario?
To identify potential drug therapy concerns
Which system is used for processing claims under the ODB program and preventing misuse?
The Health Network System
Which Act ensures the quality of interchangeable drug products and provides confirmation of their designation under Ontario legislation?
Drug Interchangeability and Dispensing Fee Act (DIDFA)
What does the Ontario Drug Benefit Formulary/Comparative Drug Index use for classification and which drugs does it include?
It uses a pharmacologic-therapeutic classification system and includes drugs eligible for seniors, disability assistance, and welfare recipients
What does the Drug Identification Number (DIN) identify for drugs?
It identifies the manufacturer, active ingredient(s), strength, route of administration, and pharmaceutical dosage form
Which system links pharmacies and some doctors directly to the Ministry in Ontario?
The Health Network System
Which legislation outlines restrictions on the delegation of controlled acts in pharmacy and allows certain health professionals to perform these acts?
The RHPA
What does the Drug and Pharmacies Regulation Act (DPRA) define?
It defines terms and concepts central to pharmacy practice, such as 'drug', 'prescription', 'prescriber', 'pharmacy', 'pharmacist', and 'registered pharmacy technician'
What does the Health Network System facilitate?
Facilitates ODB claims processing by validating patient eligibility and calculating prescription costs
What does the Drug Interchangeability and Dispensing Fee Act (DIDFA) ensure?
It ensures the quality and interchangeability of drug products
What does the RHPA allow pharmacists to do?
It allows pharmacists to delegate tasks to pharmacy technicians or assistants, as long as it is clinically appropriate and in the patient's best interests
What does the government pay for in terms of medication for ODB patients?
The least expensive brand of medication listed in the Drug Benefit Formulary
What is the Off-Formulary Interchangeability in the context of drugs?
Using less expensive but equally effective generic drugs in place of brand-names
What must a pharmacist do when presenting an interchangeable prescription to a patient with a private drug plan or a cash paying patient?
Inform the patient that an interchangeable product is available
What is required for a patient to obtain the brand name drug when a generic drug is available?
The patient MUST initial or sign the prescription order
What information must be included on an itemized receipt for all prescriptions?
The cost of the medication, the professional fee, and the total price
Who establishes the professional fee charged by each pharmacy?
Each pharmacy individually
What must be displayed in the dispensary of the pharmacy in full view of the patients?
Signs posting the dispensing fee and information to patients regarding interchangeable product selection
What does the Narcotics Safety and Awareness Act, 2010 require for patient consent regarding information disclosure?
Consent for disclosure of information
What is required for the belief that an applicant will practice pharmacy with decency, honesty, and integrity?
A certificate of registration
What is the primary purpose of The Narcotics Safety and Awareness Act, 2010?
To reduce the misuse and abuse of controlled substances
What is the primary function of the Narcotics Monitoring System (NMS)?
Collecting information on monitored drug prescriptions in Ontario
What is a requirement for issuance of a certificate of registration for pharmacy technicians related to language fluency?
Demonstrated language fluency
Study Notes
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 pharmacy regulations and systems in Ontario with this quiz. Explore topics such as delegation of controlled acts, Drug and Pharmacies Regulation Act, Health Network System, Drug Interchangeability and Dispensing Fee Act, and the Ontario Drug Benefit Formulary.
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