Pharmacy Remote Services Quiz

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Questions and Answers

What is the primary responsibility of the Originating Pharmacy regarding prescriptions received from the Central Fill Pharmacy?

To provide patient counseling after delivery

To ensure the pharmacy technician signs for receipt

To verify the prescription's authenticity before sending

To have an RPh or other designated staff sign for receipt (correct)

Which statement correctly describes the obligations of the Central Fill Pharmacy?

It is responsible for patient counseling regarding all prescriptions.

It must verify the patient's history before filling prescriptions.

It cannot provide patient notification about central fill services. (correct)

It must inform patients of their right to opt into central fill services.

What is required for a pharmacy to operate as the Primary Dispensing Pharmacy in Georgia?

It must be licensed and physically located in Georgia. (correct)

It must have a partnership with a Central Fill Pharmacy.

It must only utilize remote entry services for filling prescriptions.

It must employ at least two pharmacists during business hours.

Which of the following must occur before a prescription is sent to a Central Fill Pharmacy?

The Originating Pharmacy must notify patients about the possibility of central fill. Signup and view all the answers

What aspect of patient information must the Primary Dispensing Pharmacy obtain during remote prescription processing?

Patient biographical information and medication history Signup and view all the answers

Which role is NOT explicitly mentioned in the responsibilities of the Originating Pharmacy?

Pharmacy technician monitoring controlled substances Signup and view all the answers

During remote prescription processing, which individual must be present at the Primary Dispensing Pharmacy during business hours?

The primary dispensing pharmacist Signup and view all the answers

Which one is true related to patient counseling at the central fill setting? SAA

Pharmacist on duty at the originating pharmacy on duty at the time of dispensing or dispensing pharmacist responsible to provide patient counseling Signup and view all the answers

Under what circumstance can patients decide to not use central fill services?

If they express a desire to opt out prior to sending the prescription Signup and view all the answers

What is a requirement for retail pharmacies utilizing central fill services?

They need to have documented policies and procedures on file. Signup and view all the answers

Which of the following must be included in the records of all transmissions going out from the originating pharmacy to the central fill pharmacy?

Minimum required patient information and Rx order requirements. Signup and view all the answers

What must an originating pharmacy have before sending prescriptions to a central fill pharmacy?

Minimum required patient information and Rx order requirements. Signup and view all the answers

What is NOT a component that must be included in the policies and procedures for central fill operations?

A detailed list of all medications available at the central fill. Signup and view all the answers

Which of the following roles is primarily responsible for drug dispensing under a nurse protocol?

The licensed nurse operating under established protocols. Signup and view all the answers

In a central fill pharmacy operation, who must share the dispensing responsibility?

The originating pharmacy and the central fill pharmacy through a contractual agreement. Signup and view all the answers

What type of information must the pharmacies maintain for the central fill process?

Records identifying names, initials, ID codes, and activities of each pharmacist. Signup and view all the answers

What registration is required for a central fill pharmacy to legally operate?

DEA registration. Signup and view all the answers

What is specifically excluded from the responsibilities of a secondary remote entry pharmacist?

Compounding medications Signup and view all the answers

Which of the following records must be maintained for a minimum of two years as part of record keeping protocols?

Rx processing records Signup and view all the answers

What is the primary responsibility of the pharmacist-in-charge in a retail pharmacy providing home health care?

Overseeing supportive personnel Signup and view all the answers

Which requirement is essential for patient notification of remote order processing?

Signage indicating remote processing Signup and view all the answers

How must prescription drug orders be maintained by outpatient clinic pharmacies?

Filed using a two- or three-file system Signup and view all the answers

What specific aspect of record keeping is regulated for secondary remote entry pharmacists?

Identification of involved personnel Signup and view all the answers

Which activity cannot be performed by a secondary remote entry pharmacist regarding patient care?

Providing patient counseling Signup and view all the answers

What type of products must specifically be prepared in a class 100 clean room according to physical requirements?

Compounded Sterile Parenteral Products Signup and view all the answers

What vital documentation requirement applies when drugs are dispensed under a nurse protocol or job description?

Signed agreement between nurse and physician Signup and view all the answers

What is required regarding labeling when practitioners dispense drugs?

Directions for use and expiration date Signup and view all the answers

Which of the following statements about home health care services in retail pharmacies is correct?

Certain sterile products must be compounded in clean rooms. Signup and view all the answers

Which of the following does NOT fall under the duties of a pharmacist-in-charge?

Direct marketing of pharmacy services Signup and view all the answers

What type of inspections must outpatient clinic pharmacies undergo, and how often do they occur?

GDNA inspections every two years Signup and view all the answers

What specific information must be included in the records of all transmissions going from the Central Fill pharmacy to the Originating Pharmacy?

Name, address, phone number, and GA Pharmacy license number of the Originating Pharmacy Signup and view all the answers

Which item is NOT required to be on the label affixed to the container by the Central Fill pharmacy?

Patient's insurance information Signup and view all the answers

What is a common misconception about the information required on the face of a prescription sent to a Central Fill pharmacy?

It must include both the Central Fill pharmacy's and the Originating Pharmacy's contact information Signup and view all the answers

Which of the following statements accurately describes the requirements for Central Fill pharmacy records?

Records must include the phone number and DEA registration of the originating pharmacy if controlled substances are involved. Signup and view all the answers

Which aspect of the Central Fill pharmacy's operations is often misunderstood?

The specific data elements required for the Central Fill pharmacy to operate legally Signup and view all the answers

Which document is essential for pharmacies providing central fill services to maintain confidentiality and integrity of patient health information?

Policies and Procedures Manual Signup and view all the answers

What is a necessary characteristic of the contractual relationship between an originating pharmacy and a central fill pharmacy?

Common ownership or shared dispensing responsibility. Signup and view all the answers

What is NOT a requirement for minimum patient information that must be present before sending a prescription to a central fill pharmacy?

Previous medication history Signup and view all the answers

Which of the following is NOT part of the policies and procedures required for pharmacies using central fill services?

List of medications available for central fill Signup and view all the answers

What must be included in records of all transmissions going out from the originating pharmacy to the central fill pharmacy?

Date and time of transmission Signup and view all the answers

Which aspect of the central fill process is crucial for maintaining FDA regulations?

Proper labeling of medications filled Signup and view all the answers

What is a fundamental requirement for a Central Fill Pharmacy in terms of operation?

Must have its own retail license and DEA registration. Signup and view all the answers

In the context of the central fill process, what responsibility does the originating pharmacy have regarding patient prescriptions?

To validate the drug's interaction history with the patient. Signup and view all the answers

What must the Originating Pharmacy do to verify the receipt of controlled substances?

Ensure the RPh on duty checks the delivery against the order. Signup and view all the answers

Which of the following must NOT be part of the notification to patients regarding central fill service?

Provide information about the location of the Central Fill Pharmacy. Signup and view all the answers

When employing a secondary remote entry pharmacist, which of these is crucial for compliance?

They must be licensed in the primary dispensing pharmacy's state. Signup and view all the answers

Which aspect of patient information must the Primary Dispensing Pharmacy obtain?

Patient medication history and drug allergies. Signup and view all the answers

What is a requirement for a pharmacy to operate as a Central Fill Pharmacy?

It must hold a valid pharmacy license in their operating state. Signup and view all the answers

What documentation is essential for the Originating Pharmacy when sending prescriptions to a Central Fill Pharmacy?

A record of the date of receipt and method of delivery. Signup and view all the answers

What must be true for remote prescription drug order processing under the defined regulations?

Someone must be available to dispense medications at all times. Signup and view all the answers

Which of the following is NOT a responsibility of the Central Fill Pharmacy?

Dispensing medications to patients directly. Signup and view all the answers

Which responsibility is totally excluded from the role of a secondary remote entry pharmacist?

Patient counseling services Signup and view all the answers

What must all records related to remote prescription processing do?

Identify each pharmacist/pharmacy technician involved Signup and view all the answers

What is a specific patient notification requirement for remote order processing?

Patients must be informed that their Rxs may be processed offsite Signup and view all the answers

What requirement is specifically stated for the physical environment in a retail pharmacy providing home health care services?

A class II vertical flow biological safety cabinet if chemotherapy is prepared Signup and view all the answers

According to pharmacy regulations, what must follow the dispensing of drugs under a nurse protocol?

A written document signed by a pharmacist and practitioner Signup and view all the answers

What aspect of controlled substance accountability includes proof of use forms?

Documentation of each administration Signup and view all the answers

Which of the following is necessary for the labeling of a prescription drug order?

The expiration date of the drug Signup and view all the answers

What specific record must be maintained for at least two years in outpatient clinic pharmacies?

Reports of suspected adverse drug reactions Signup and view all the answers

What is required for the filing system of prescription drug orders?

Compliance with both written and verbal order specifications Signup and view all the answers

How often must outpatient clinics undergo inspections by GDNA?

At least once every two years Signup and view all the answers

Which of the following must occur for records of prescription orders?

Must keep biennial controlled substance inventories Signup and view all the answers

What documentation is imperative when a pharmacist dispenses medications from outside sources?

Exact identification and practitioner’s prescription Signup and view all the answers

What is required to demonstrate quality control in pharmacy operations?

Conducting ongoing quality control programs must be documented Signup and view all the answers

What is NOT included in the definitions for outpatient clinic pharmacies?

Inpatient pharmacy licensing Signup and view all the answers

Which of the following must be included on the label affixed to a container by Central Fill Pharmacy?

Date of fill/refill Signup and view all the answers

The Central Fill Pharmacy must include the name and address of the Originating Pharmacy in their records of transmission.

True Signup and view all the answers

What information is required from the Originating Pharmacy when transmitting a prescription to a Central Fill Pharmacy?

Name, address, phone, GA Pharmacy license number, DEA number (if controlled). Signup and view all the answers

The Central Fill Pharmacy must include its unique identifier on the label affixed to the __________.

container/vial Signup and view all the answers

Match the following items with their corresponding requirements in a Central Fill operation:

Originating Pharmacy = Transmits prescription to Central Fill Central Fill Pharmacy = Fills prescription and labels container Prescription label = Includes patient name and Rx number Transmission receipt = Must include the originating pharmacy details Signup and view all the answers

What is a requirement for the Originating Pharmacy before sending prescriptions to a Central Fill Pharmacy?

They must notify patients that their prescription may be sent to Central Fill. Signup and view all the answers

The Central Fill Pharmacy is responsible for patient counseling.

False Signup and view all the answers

What must the Originating Pharmacy do to verify the receipt of controlled substances?

The pharmacist on duty must verify the receipt. Signup and view all the answers

Patients have the right to __________ from central fill services.

opt out Signup and view all the answers

Match the following roles with their responsibilities in the central filling process:

Originating Pharmacy = Responsible for patient counseling Central Fill Pharmacy = Cannot provide patient counseling Primary Dispensing Pharmacy = Must be licensed and physically present Secondary Remote Entry Pharmacist = Assists in processing orders remotely Signup and view all the answers

What technology do originating and central fill pharmacies need to share?

Common electronic files or secure access technology Signup and view all the answers

The Primary Dispensing Pharmacy can operate without physically being located in Georgia.

False Signup and view all the answers

What documentation must the Originating Pharmacy maintain for all prescriptions received from the Central Fill Pharmacy?

The date of receipt, method of delivery, and the name of the employee accepting the prescription. Signup and view all the answers

What must be obtained by the originating pharmacy before sending a prescription to the central fill pharmacy?

Minimum required patient information and Rx order requirements Signup and view all the answers

A Central Fill Pharmacy can operate without having a retail license.

False Signup and view all the answers

What kind of contractual relationship is necessary between the originating pharmacy and the central fill pharmacy?

Common owner or shared dispensing responsibility Signup and view all the answers

The _____ must maintain guidelines to protect the confidentiality and integrity of PHI.

Central Fill Pharmacy Signup and view all the answers

Match the following pharmacies with their definitions:

Originating Pharmacy = The pharmacy that first receives and processes the prescription Central Fill Pharmacy = The pharmacy that fills prescriptions for the originating pharmacy Dispensing Pharmacy = The pharmacy that dispenses the final medication to the patient Signup and view all the answers

Which of the following is NOT a requirement for policies and procedures for pharmacies using central fill services?

Number of medications filled per week Signup and view all the answers

The Originating Pharmacy must send records of all transmissions going out without any required information.

False Signup and view all the answers

What type of regulations must a Central Fill Pharmacy adhere to to ensure compliance?

FDA regulations Signup and view all the answers

What is the role of a secondary remote entry pharmacist?

Supervising pharmacy activities Signup and view all the answers

Patient counseling is the responsibility of the secondary remote entry pharmacist.

False Signup and view all the answers

What minimum duration must records be kept for remote processing tasks?

2 years Signup and view all the answers

The process of ____ allows pharmacies to handle prescriptions remotely without direct patient contact.

remote prescription processing Signup and view all the answers

Match the following components with their corresponding requirements:

Patient Profile = Record keeping requirement Labeling = Drug information display requirement Controlled Substance Inventory = Biennial check requirement Quality Control = Ongoing monitoring requirement Signup and view all the answers

Which of the following is NOT a physical requirement for retail pharmacies providing home health care services?

Volatile storage unit Signup and view all the answers

Prescription orders can only be written and not verbal.

False Signup and view all the answers

Who is responsible for patient notifications regarding remote order processing?

The pharmacy must notify patients. Signup and view all the answers

Pharmacy inventories and training manuals are included in required ____ records.

records Signup and view all the answers

Match each role with their associated responsibilities:

Pharmacist-in-charge = Supervision of pharmacy operations Supportive Personnel = Assisting in various pharmacy duties Secretarial Personnel = Handling administrative tasks Primary Dispensing Pharmacist = Providing patient counseling Signup and view all the answers

What must signage indicate regarding remote order processing?

Remote Order Processing Utilized Here Signup and view all the answers

Records of the remote processing must include identification of all pharmacists involved.

True Signup and view all the answers

What type of products must be prepared in a class 100 clean room?

Sterile products Signup and view all the answers

The ______ must verify the receipt of medications in a pharmacy.

Pharmacist-in-charge Signup and view all the answers

Which is a requirement for invoices of Schedule III, IV, or V substances?

Must be stamped with red ink Signup and view all the answers

Study Notes

Secondary Remote Entry Pharmacist

Supervise pharmacy activities except for compounding, preparation, dispensing, and counseling
Responsibilities include Rx data entry verification and drug regimen review
Records must be kept for 2 years and identify each RPh/PhT involved in remote processing

Retail Pharmacy Requirements for Remote Prescription Drug Order Processing

Signage at least 3" high is required notifying patients of remote order processing

Retail Pharmacies Providing Home Health Care Services

Compounded sterile parenteral products must be prepared in a class 100 clean room
Pharmacists in charge, supportive personnel, and secretarial personnel are required
Physical requirements include laminar airflow hood, sink with hot and cold running water, equipment for light/dark field examination, appropriate disposal containers, refrigerator/freezer with thermometer, disposable needles and syringes, disinfectant cleaning solutions and handwashing agents, disposable lint-free paper towels, appropriate filtration equipment, disposable masks, and sterile gloves
Prescription orders can be written or verbal and must be filed using a defined system
A patient profile, labeling, and delivery service must be included in the prescription order

Records Required for Retail Pharmacies Providing Home Health Care

Patient profile, prescription records, pharmacy inventories, biennial controlled substance inventory, policy and procedure manuals, and training manuals are required

Patient Care Guidelines for Retail Pharmacies Providing Home Health Care

Patient counseling, patient monitoring, and the pharmacist-patient relationship are important for patient care

Quality Control for Retail Pharmacies Providing Home Health Care

Hood certification, end product sampling, bulk compounding, and expiration dates must be documented and monitored
Ongoing quality control programs must monitor personnel performance, equipment, and facilities

Outpatient Clinic Pharmacies

Outpatient clinic pharmacies are not authorized to dispense refills on prescription drug orders
Outpatient clinic pharmacies can apply for a retail pharmacy license

Personnel Requirements for Outpatient Clinic Pharmacies

Pharmacist in charge and secretarial and clerical personnel are required

Absence of a Pharmacist Requirements

After-hours cabinets, pharmacy access, and emergency kits are required

Physical Requirements for Outpatient Clinic Pharmacies

Space, reference materials, poison control, equipment, CII storage, and unattended areas are required

Drug Distribution Requirements for Outpatient Clinic Pharmacies

Identification, receipt of prescription drug orders, transaction records, labeling, and perpetual inventory are required

Accountability for Controlled Drugs in Outpatient Clinic Pharmacies

Proof of use forms must include drug name, strength, and dosage form, dose, name of prescriber, given and last name of patient, and date and time of administration
Documentation of destruction of all unused portions of controlled drugs must include two signatures
Proof of receipt of medication and the date medication was issued must be recorded

Records Required for Outpatient Clinic Pharmacies

Patient profile, proof of use forms, reports of suspected or known ADRs, inventories of night cabinets, E-Kits, standard ward inventory, pharmacy inventory, biennial controlled substance inventory, and alcohol and flammables reports are required

Medications from Outside Sources Brought in by Patients

Medications from outside sources cannot be administered unless precisely identified and pursuant to a practitioner’s prescription
If not administered, medication must be returned to an adult member of the patient’s immediate family or stored by the pharmacy and returned to the patient upon departure

Inspections for Outpatient Clinic Pharmacies

Inspections occur at least once a month to verify drugs are dispensed by licensed RPh only, personnel are properly supervised, proper storage of drug inventory, distribution and administration of controlled substances, and reference materials are readily available to ensure policies and procedures are being followed
Inspections by the GDNA occur at least once every two years and cover all aspects of management and operation of the outpatient clinic pharmacy to verify compliance

Practitioner Dispensing of Drugs

Practitioners dispensing drugs must comply with the same record-keeping, labeling, packaging, and storage requirements as pharmacies
Practitioners must file a notice of intent to dispense with the board
Prescription records and invoice requirements must be maintained per regulations

Dispensing of Drugs Under Authority of Job Description or Nurse Protocol

A dispensing procedure must be submitted to the board for review
Dispensing procedures must comply with the same record-keeping, labeling, packaging, and storage requirements as pharmacies

Central Filling Regulations

Originating and central fill pharmacies must share common electronic files or have appropriate technology to allow secure access
The originating pharmacy is responsible for PDMP compliance
The originating pharmacy must have an RPh/intern/extern or PhT sign for receipt of all prescriptions received from the central fill pharmacy with the date of receipt, method of delivery, and name of the employee accepting the prescription
The RPh on duty at the originating pharmacy must verify receipt of all controlled substances

Patient Counseling and Patient Notification in Central Filling

The originating pharmacy pharmacist is responsible for patient counseling
The central fill pharmacy cannot provide patient counseling
The originating pharmacy must notify patients that their prescription may be filled by a central fill pharmacy before sending the prescription
Patients have the right to "opt out" of central fill services
Notification can be through clearly visible and readable public signage

Retail Pharmacy Requirements for Remote Prescription Drug Order Processing

The primary dispensing pharmacy must be licensed in Georgia and physically located in Georgia
The primary dispensing pharmacy must have the same owner or have a written contract describing the scope of services, responsibilities, and accountabilities of each party
The primary dispensing pharmacist must be physically present during business hours
The primary dispensing pharmacist is responsible for obtaining and recording patient biographical information, medication history, drug allergies, etc.

Central Fill, Remote Order Entry, Retail with Home Health Care, Outpatient Clinic and Others

The central fill and the remote order entry prescription process involves the originating pharmacy, central fill pharmacy, and dispensing pharmacy
Retail pharmacies providing home health care services must provide a variety of services and maintain detailed documentation
Outpatient clinics are not authorized to dispense refills on prescription drug orders and can apply for retail pharmacy licenses
Practitioners dispensing drugs must comply with the same record-keeping, labeling, packaging, and storage requirements as pharmacies
Dispensing of drugs under the authority of job descriptions or nurse protocols, require a dispensing procedure which should be submitted to the board for review

Central Fill

Originating pharmacy sends prescription to central fill pharmacy
Central fill pharmacy fills the prescription
Dispensing pharmacy gives medication to patient
Central fill pharmacies must be authorized to fill prescriptions
Patient has right to "opt out" of central fill services
Originating pharmacy must notify patients of central fill services

Remote Order Entry

Primary dispensing pharmacy is physically located in Georgia and fulfills prescription
Secondary remote entry pharmacist performs tasks like Rx data entry, verification and drug regiment review
Primary dispensing pharmacist is responsible for patient counseling
Primary dispensing pharmacy must notify patients of remote order processing

Retail Pharmacy Providing Home Health Care Services

Pharmacist-In-Charge must be available during business hours
Pharmacist-In-Charge responsible for oversight of pharmacy operations, including dispensing, compounding, and counseling
Pharmacist-In-Charge is responsible for patient counseling
Retail pharmacy providing home health care must have a designated area for compounding sterile products
Retail pharmacy providing home health care must have policies and procedures in place for delivery services

Outpatient Clinic Pharmacies

Outpatient clinic pharmacies must be licensed in Georgia
Outpatient clinic pharmacies cannot dispense refills
Outpatient clinic pharmacies must have a physical location in Georgia
Outpatient clinic pharmacies must have a plan in place for dispensing medications after hours or when a pharmacist is not present
Outpatient clinic pharmacies must keep records of drug distribution and administration

Practitioner Dispensing of Drugs

Practitioner is required to file notice of intent to dispense with the Georgia Board of Pharmacy
Practitioner dispensing drugs is subject to the same regulations as a pharmacy regarding record-keeping, labeling, packaging, and storage

Dispensing Drugs Under Authority of Job Description or Nurse Protocol

Dispensing procedure must be mutually agreed upon by the RPh and practitioner
Dispensing procedure must be submitted to the Georgia Board of Pharmacy for review
Anyone dispensing drugs must comply with the same record-keeping, labeling, packaging, and storage requirements as pharmacies

Central Fill

Central Fill Pharmacy - Fills prescriptions but does not have a direct relationship with the patient.
Originating Pharmacy - The pharmacy that receives prescriptions from the patient, may or may not be the dispensing pharmacy.
Dispensing Pharmacy - The pharmacy that provides medication to the patient.
Licensing and Contracting - Central Fill Pharmacies must be licensed as a retail pharmacy, registered with the DEA, and have a contract with the originating pharmacy.
Policies and Procedures - All retail pharmacies (including central fill) must have established policies and procedures that are available to the Georgia Drug & Narcotic Agency (GDNA) upon request.
Prescription Transmission - All transmission records going out from the originating pharmacy to the central fill pharmacy must include specific information including:
- "Central Fill" on the face of the hard copy prescription.
- The name, address, and contact information of the central fill pharmacy.
- Number of refills already dispensed and how many remaining.
- Name of the originating pharmacy pharmacist transmitting the prescription.
- Date of transmittal.
- All transmission receipt records coming into the originating pharmacy must include the information required for outgoing transmissions.
- Name, address, and contact information of the originating pharmacy.
Labeling - Labels affixed to the medication container by the central fill pharmacy must include:
- Date of fill/refill.
- Originating pharmacy name, address, phone.
- Central Fill pharmacy's unique identifier.
- Rx Number (serial number of the prescription).
- Patient name.
- Prescriber's name.
- Supervising physician's name (if applicable).
- Expiration date of drug dispensed.
- Directions for use and other cautionary statements required.
Information Systems & Record Keeping - The originating and central fill pharmacies must have access to each other's electronic files or appropriate technology to ensure secure access.
Prescription Receipt - The originating pharmacy must have a pharmacist, intern, or extern sign for receipt of all prescriptions received from the central fill pharmacy.

Remote Order Entry

Remote Prescription Drug Order Process - A system where a pharmacist located at a secondary pharmacy, not necessarily the dispensing pharmacy, enters prescription information and verifies drug regiment details.
Primary Dispensing Pharmacy - A retail pharmacy physically located in Georgia that is responsible for patient counseling, dispensing, and compounding.
Secondary Remote Entry Pharmacist - A pharmacist employed by a retail pharmacy in Georgia that is responsible for entering prescription data and verifying drug regimen details.
Record Keeping - Common electronic files that allow for efficient information processing are required.
Patient Counseling - The primary dispensing pharmacy is solely responsible for patient counselling.

Retail Pharmacy Home Healthcare Services

Retail Pharmacy Providing Home Healthcare - A retail pharmacy that dispenses medications to patients in their homes.
Compounded, Sterile Parenteral Products - Medications that are prepared by mixing multiple ingredients (usually sterile) for administration in the home.
Physical Requirements - Specifically dedicated space, including a laminar airflow hood or a class 100 clean room, sink with hot and cold running water, equipment for light/dark field examination, appropriate disposal containers, class II vertical flow biological safety cabinet if chemotherapy is prepared, a refrigerator/freezer with a thermometer, disposable needles and syringes, disinfectant solutions and handwashing agents, disposable lint-free paper towels, appropriate filtration equipment, disposable masks and sterile gloves, references such as the Handbook on Injectable Drugs or King's Guide to Parenteral Admixtures.
Prescription Drug Orders - Prescription orders must be written or verbal, filed using an appropriate filing system. Orders for a new course of therapy must be reviewed in accordance with established written procedures and meet minimum requirements.
Quality Control - The home healthcare pharmacy must have documented, ongoing quality control programs that monitor:
- Personnel performance.
- Equipment.
- Facilities
- Hood certification
- End Product sampling
- Bulk compounding
- Expiration dates

Outpatient Clinic Pharmacies

Outpatient Clinic Pharmacy - A pharmacy located within an outpatient clinic setting.
Standard Ward Inventory - Medications kept in a dispensary within the clinic.
Outpatient Prescription - A prescription issued for a patient who will not stay overnight in the clinic.
Personnel - Each outpatient clinic pharmacy is required to have a pharmacist-in-charge and clerical personnel.
Physical Requirements - Adequate space, reference materials, a phone for poison control, appropriate equipment, separate storage for controlled substances, and designated areas for medication dispensing.
Drug Distribution - All medications dispensed must be clearly identified, signed for, and proper records maintained.
Accountability of Controlled Drugs - "Proof of Use" forms must be used for all dispensed controlled substances, including a specific drug name, strength, and dosage form, dose, name of prescriber, patient name, date, and time of administration.
Records Required - Patient profiles/charts, proof of use forms for controlled substances, reports of suspected/known adverse drug reactions, inventory records, and biennial controlled substance inventory.

Practitioner Dispensing of Drugs

Practitioner Dispensing - Prescribing practitioners, including physicians, dentists, podiatrists, and veterinarians, are allowed to dispense medications to their patients.
Notice of Intent to Dispense - Practitioners who intend to dispense must file a Notice of Intent with the board.
Prescription Records - Prescription records must be maintained for at least two years, including all relevant information such as patient name and address, medication name and strength, quantity, directions for use, date issued, prescribing practitioner signature, DEA number (if applicable), and a clear indication that medication was dispensed.
Invoice Requirements - Schedule II invoices must be kept separately from Schedule III, IV, or V invoices which must be stamped in red ink. Biennial controlled substance inventories must be maintained.
Labeling Requirements - The label of each medication dispensed must include the date of dispensing, serial number, patient name, prescribing practitioner's name, dispensing practitioner's name, address, and telephone number, drug name and strength, directions for use, and expiration date.

Dispensing of Drugs Under Authority of a Job Description or Nurse Protocol

Dispensing Procedure - A written document signed by a pharmacist and licensed practitioner establishing the parameters by which nurses or other authorized personnel may dispense medications in accordance with a nurse protocol or job description.
Job Description - A document signed by licensed practitioner that specifies the responsibilities and authority of a particular healthcare professional.
Nurse Protocol - A document mutually agreed upon and signed by a nurse and licensed physician where the physician delegates to the nurse the authority to perform certain medical acts.
Submission of Dispensing Procedure for Board Review - Pharmacists who sign a dispensing procedure must submit a copy to the board for their review.
Labeling Requirements - The medication label must include date filled, serial number, patient name, prescribing practitioner's name, facility name and address, drug name and strength, directions for use, and expiration date.

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Description

Test your knowledge on the requirements and responsibilities related to remote pharmacy services. This quiz covers topics such as supervision of pharmacy activities, record keeping, and the necessary physical facilities for home health care services. Gain insights on best practices for remote prescription processing.