Ontario Pharmacy Regulations Quiz

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What does the Narcotics Monitoring System (NMS) do?

Submits dispensing information about monitored drugs

What does the Narcotics Safety and Awareness Act, 2010 seek to improve?

Health and safety by 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 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 Monitoring System not permit health care providers to access at the point-of-care?

Patient records when a prescription is being written

What is required for the submission of monitored drug prescriptions to the NMS?

Prescriber’s registration number issued by the College

What is the main purpose of the Narcotics Safety and Awareness Act, 2010?

Promoting appropriate prescribing and dispensing practices

What are prescribers and dispensers unable to view according to the text?

Patient profile information

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?

Language fluency in English or French

Who can engage in the practice of pharmacy in Ontario as a pharmacist, pharmacy student, intern or pharmacy technician?

Canadian citizen or permanent resident of Canada

What are considered 'controlled acts' for pharmacy?

Dispensing and compounding of drugs

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

Who can the 'controlled acts' be delegated to?

Other persons under the supervision of a licensed pharmacist

What is a requirement regarding professional liability insurance for the issuance of a certificate of registration?

The applicant must provide evidence satisfactory to the Registrar that the applicant will have professional liability insurance

What are the 'controlled acts' of pharmacy shared with?

Physicians, dentists, and veterinarians

What type of information is required for submission to the 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?

Listed forms of patient ID

Under what circumstances are Ontarians required to provide personal ID to receive prescription narcotics and controlled drug medications?

Always

In which situation are prescriptions not required to be submitted to the Narcotics Monitoring System (NMS)?

In-patient hospital treatments

Can patient consent opt out of the Narcotics Safety and Awareness Act for information disclosure?

No, patient consent cannot opt out

What type of checks does the NMS perform in real-time to identify potential drug therapy concerns?

Drug Utilization Review (DUR) checks

What defines the scope of practice for pharmacists and the controlled acts related to pharmacy practice in Ontario?

The Pharmacy Act, 1991

What is included in the expanded scope of practice for pharmacists in Ontario?

Flu vaccination and renewal or adaptation of patient prescriptions

Who can use specific pharmacy-related titles in Ontario?

Only a registered member of the Ontario College of Pharmacists

How many classes of certificates of registration for pharmacy professionals are there in Ontario?

Four

Which act defines critical terms and concepts central to pharmacy practice in Ontario?

The Drug and Pharmacies Regulation Act (DPRA)

What is the purpose of the Health Network System in Ontario?

Processing claims under the ODB program and preventing misuse

What does the Drug Interchangeability and Dispensing Fee Act (DIDFA) ensure?

Quality of interchangeable drug products

What is the primary purpose of the Ontario Drug Benefit Formulary/Comparative Drug Index?

Includes drugs eligible for seniors, disability assistance, and welfare recipients

What does the unique 8-digit Drug Identification Number (DIN) identify?

Manufacturer, active ingredient(s), strength, route of administration, and pharmaceutical dosage form

What do the DPRA and RHPA outline regulations for?

Delegation and performance of controlled acts in pharmacy

What is the role of the Health Network System in Ontario?

Processing ODB claims and supporting proper and safe use of drugs through Drug Utilization Review (DUR)

How do DIDFA and the ODB Act work together?

Drugs listed in the ODB Formulary are interchangeable if they have more than one manufacturer and meet interchangeability requirements

What classification system does the Ontario Drug Benefit Formulary/Comparative Drug Index use?

Pharmacologic-therapeutic classification system

What is the purpose of the Drug Interchangeability and Dispensing Fee Act (DIDFA)?

Ensures the quality of interchangeable drug products and provides confirmation of their designation under Ontario legislation

What is the purpose of the Health Network System in Ontario?

Processing claims under the ODB program and preventing misuse

What is the main function of the RHPA in relation to pharmacy practice?

Outlines restrictions on the 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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