Pharmacy Prescription and Dispensing Requirements
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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?

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

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

    <p>Any employee of the prescribing practitioner</p> Signup and view all the answers

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

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

    How long must records of prescriptions be maintained for?

    <p>At least 5 years</p> Signup and view all the answers

    What information must prescription records indicate?

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

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

    <p>Long-term care pharmacy dispensing and delivery</p> Signup and view all the answers

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

    <p>The prescribing practitioner or a licensed practitioner</p> Signup and view all the answers

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

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

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

    <p>The words 'THIS PRESCRIPTION WILL BE FILLED GENERICALLY UNLESS PRESCRIBER WRITES 'd a w' IN THE BOX BELOW' in eight point upper case type</p> 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?

    <p>The pharmacist will not substitute with a generic product</p> Signup and view all the answers

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

    <p>Three-quarters inch in length and one-half inch in height</p> Signup and view all the answers

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

    <p>When a medical emergency situation exists</p> Signup and view all the answers

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

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

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

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

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

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

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

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

    What is true about the regulation of prescription forms?

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

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

    <p>When there is temporary technological or electrical failure</p> Signup and view all the answers

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

    <p>It terminates within a specified period of time</p> 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?

    <p>No, it must be registered as a pharmacy in this state</p> 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?

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

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

    <p>Yes, at the request of the patient or authorized person</p> 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?

    <p>A five-day supply</p> 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?

    <p>As set forth in regulation</p> Signup and view all the answers

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

    <p>Notify the department of health in writing promptly</p> Signup and view all the answers

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

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

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

    <p>General hospitals</p> Signup and view all the answers

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

    <p>The imprinted name of the prescriber</p> Signup and view all the answers

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

    <p>A person disseminating prescription forms to an unlicensed individual</p> Signup and view all the answers

    What penalty is suggested for a violation of this subdivision?

    <p>Class B misdemeanor</p> Signup and view all the answers

    Under what condition can a pharmacist dispense a drug?

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

    What is a requirement for prescriptions issued in this state?

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

    Which of the following is true regarding drug prescriptions?

    <p>A prescription must contain only one specified drug</p> Signup and view all the answers

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

    <p>Imprinted name of the signing prescriber</p> Signup and view all the answers

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

    <p>Name of the patient's insurance provider</p> Signup and view all the answers

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

    <p>The provisions of the Federal Food, Drug and Cosmetic Act</p> Signup and view all the answers

    What does the text state regarding the refilling of prescriptions?

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

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

    <p>A registered nurse working in a hospital setting</p> Signup and view all the answers

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

    <p>A licensed pharmacist</p> Signup and view all the answers

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

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

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

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

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

    <p>To ensure that patients receive the correct dosage and medication</p> 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.

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