Pharmacy Prescription and Dispensing Requirements

Questions and Answers

Under what circumstances can a pharmacy deliver a new or refilled prescription off premises without consent?

When the patient has a history of non-adherence to medication

When the prescription is for a controlled substance

Never, consent is always required (correct)

In cases where the patient is unable to provide consent

What happens to medications sent to patients without their consent?

They are destroyed in accordance with applicable law (correct)

They are donated to charity

They are given to another patient

They are returned to the pharmacy inventory

Who can furnish a copy of a prescription for a controlled substance?

The pharmacist who filled the prescription

Any licensed practitioner authorized to write such prescription (correct)

Only the prescribing practitioner

The patient or an authorized individual

What is required for an oral prescription for a controlled substance?

A written prescription in accordance with Article 33 of the Public Health Law Signup and view all the answers

Who can communicate an oral prescription or authorization for refill to a pharmacist?

Any employee of the prescribing practitioner Signup and view all the answers

What must a pharmacist do when receiving an oral authorization for a prescription refill?

Write the date, time, and name of the practitioner on the original prescription Signup and view all the answers

How long must records of prescriptions be maintained for?

At least 5 years Signup and view all the answers

What information must prescription records indicate?

Date of filling, doctor's name, patient's name and address, and pharmacist's initials Signup and view all the answers

What is the exception to the requirement for obtaining patient consent for off-premises delivery of prescriptions?

Long-term care pharmacy dispensing and delivery Signup and view all the answers

Who can furnish a copy of a prescription for a non-controlled substance?

The prescribing practitioner or a licensed practitioner Signup and view all the answers

What is the primary purpose of the prescriber's signature on a prescription?

To validate the prescription and designate approval of substitution by a pharmacist Signup and view all the answers

What must be imprinted on every prescription written in the state?

The words 'THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES 'd a w' IN THE BOX BELOW' in eight point upper case type Signup and view all the answers

What is the consequence if the prescriber writes 'd a w' in the box or inserts an electronic direction?

The pharmacist will not substitute with a generic product Signup and view all the answers

What is the size of the box where the prescriber writes 'd a w'?

Three-quarters inch in length and one-half inch in height Signup and view all the answers

Under what circumstances can a pharmacist dispense a brand name product without substituting with a generic product?

When a medical emergency situation exists Signup and view all the answers

What must the pharmacist do when dispensing a brand name product in a medical emergency situation?

Record the date, hour, and nature of the medical emergency on the back of the prescription Signup and view all the answers

What is the role of the prescriber in informing the patient about the prescribed product?

To inform the patient whether a brand name or its generic equivalent was prescribed Signup and view all the answers

What is the purpose of the box below the signature line on a prescription form?

To allow the prescriber to write 'd a w' or insert an electronic direction Signup and view all the answers

What happens when an interchangeable biological product is not available and a medical emergency situation exists?

The pharmacist may dispense the prescribed biological product at his regular price Signup and view all the answers

What is true about the regulation of prescription forms?

No state official or agency can modify the specified elements of the prescription form's contents Signup and view all the answers

When can a practitioner issue a prescription that is not electronic?

When there is temporary technological or electrical failure Signup and view all the answers

What happens to a waiver for electronic prescribing after the practitioner gains the capability to use electronic prescribing?

It terminates within a specified period of time Signup and view all the answers

Can an outsourcing facility distribute or dispense drugs to a person pursuant to a prescription without being registered as a pharmacy in this state?

No, it must be registered as a pharmacy in this state Signup and view all the answers

What must a practitioner indicate in the patient's health record when issuing a prescription under paragraph (b) of subdivision ten?

The prescription was issued other than electronically due to temporary technological or electrical failure Signup and view all the answers

Can a pharmacy that receives an electronic prescription transfer or forward it to another pharmacy?

Yes, at the request of the patient or authorized person Signup and view all the answers

What is the maximum supply of a controlled substance that can be prescribed when it would be impractical to issue an electronic prescription?

A five-day supply Signup and view all the answers

When can a practitioner issue a prescription that is not electronic to be dispensed by a pharmacy located outside the state?

As set forth in regulation Signup and view all the answers

What must a practitioner do upon gaining the capability to use electronic prescribing while under a waiver?

Notify the department of health in writing promptly Signup and view all the answers

What is the purpose of the waiver process established in regulation?

To provide an exception for economic hardship or technological limitations Signup and view all the answers

What types of facilities are exempt from the provisions of this subdivision concerning pharmacists?

General hospitals Signup and view all the answers

What must be included in a prescription form according to the stated requirements?

The imprinted name of the prescriber Signup and view all the answers

Which of the following actions would result in a violation of this subdivision?

A person disseminating prescription forms to an unlicensed individual Signup and view all the answers

What penalty is suggested for a violation of this subdivision?

Class B misdemeanor Signup and view all the answers

Under what condition can a pharmacist dispense a drug?

If it is not contrary to any other legal requirements Signup and view all the answers

What is a requirement for prescriptions issued in this state?

Each prescription must be printed on a patient-specific form Signup and view all the answers

Which of the following is true regarding drug prescriptions?

A prescription must contain only one specified drug Signup and view all the answers

What should not be included in the area reserved for the prescriber’s signature on a prescription form?

Imprinted name of the signing prescriber Signup and view all the answers

Which of the following is NOT a required label component for a prescription drug container?

Name of the patient's insurance provider Signup and view all the answers

What is the legal basis for requiring a prescription for certain drugs?

The provisions of the Federal Food, Drug and Cosmetic Act Signup and view all the answers

What does the text state regarding the refilling of prescriptions?

Refills are not permitted unless the prescription explicitly authorizes them and indicates the number of refills allowed. Signup and view all the answers

Which of the following individuals is NOT legally authorized to write a prescription for a controlled substance?

A registered nurse working in a hospital setting Signup and view all the answers

The text implies that the dispensing of prescription drugs is the sole responsibility of whom?

A licensed pharmacist Signup and view all the answers

What specific information must be recorded in the pharmacist's prescription files?

The name of the prescriber, the date of the prescription, and the number of refills allowed Signup and view all the answers

What does the text suggest about the dispensing of controlled substances?

They are subject to additional regulations beyond those for other prescription drugs. Signup and view all the answers

What is the purpose of the requirement that a prescription may not be refilled without explicit authorization?

To ensure that patients receive the correct dosage and medication Signup and view all the answers

Study Notes

Prescription and Dispensing Requirements

No drug requiring a prescription can be distributed or dispensed without a prescription written by a legally authorized person.
Such drugs must be compounded or dispensed by a licensed pharmacist.
Label requirements for dispensed drugs include:
- Name and address of the establishment
- Date compounded
- Prescription number
- Name of the prescriber
- Name and address of the patient
- Directions for use

Prescription Refills

Prescriptions may not be refilled unless authorized by the prescriber.
Refill instructions must be indicated on the original prescription.
Date of each refilling must be indicated on the original prescription.
Prescriptions for controlled substances have additional requirements.

Pharmacy Operations

Pharmacies may furnish drugs to other pharmacies that do not have the drug in stock to fill a prescription.
Pharmacies registered with the department may not deliver new or refilled prescriptions off-premises without patient consent.
Patients may request copies of their prescriptions, which are for informational purposes only.

Controlled Substances

Copies of prescriptions for controlled substances shall not be furnished to patients.
Oral prescriptions for controlled substances must be filled according to article thirty-three of the public health law.
Oral authorizations for refill of prescriptions for controlled substances may be made by a licensed practitioner.

Prescription Forms and Signatures

Every prescription written in this state must be on a form containing a line for the prescriber's signature.
The prescriber's signature validates the prescription.
Electronic prescriptions require an electronic signature.
Prescription forms must include a box for the prescriber to indicate "Dispense As Written."

Generic Drug Substitution

Unless prohibited by the prescriber, pharmacists may substitute generic drugs for brand-name drugs.
If a generic drug is not available, the pharmacist may dispense the brand-name drug if the patient is notified and agrees.

Emergency Situations

In medical emergency situations, pharmacists may dispense brand-name drugs if generic substitutes are not available.

Prescription Restrictions

No prescription forms may be used that authorize the dispensing of other drugs.
No drug shall be dispensed if the prescription form includes other drugs.

Prescription Transfer

Pharmacies may transfer electronic prescriptions to alternative pharmacies at the patient's request.

Waivers and Exemptions

Practitioners may be exempt from electronic prescribing requirements due to economic hardship, technological limitations, or other exceptional circumstances.
Waivers must be requested and approved through a process established by the commissioner of health.

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Description

Quiz on the rules and regulations for prescription drugs, including distribution, compounding, and labeling requirements. Also covers prescription refill procedures.