Telepharmacy Regulations Quiz

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Questions and Answers

What is prohibited for an unlicensed person regarding a pharmacist's license?

Displaying the license in a public area

Having a licensed pharmacist’s name on a prescription

Claiming to be a pharmacist without a license (correct)

Using the license to practice pharmacy (correct)

What must happen if the telepharmacy technology malfunctions?

No distribution of CSP may occur until the pharmacist verifies the technician's work or technology is restored (correct)

A licensed pharmacist must immediately arrive on-site to take over all processes

The director of the pharmacy must get involved only if there are complaints

The distribution of compounded sterile products (CSP) must continue with a technician's oversight

How often must hospitals using telepharmacy conduct quality assurance evaluations?

Biannually

Monthly

At least once per calendar quarter (correct)

Every six months

Under what condition is advertising the price of a legend drug at retail acceptable?

If the period for the advertised price is clearly stated Signup and view all the answers

Who is responsible for ensuring compliance with telepharmacy regulations in a hospital?

The hospital's director of pharmacy Signup and view all the answers

What information is not required to be included in records for compliance packaging?

Patient’s ID number Signup and view all the answers

How long must records of compliance packaging and redispensing be retained?

3 years Signup and view all the answers

Which of the following must be documented when returning original compliance packaging?

The name of the pharmacist who accepted the return Signup and view all the answers

What factor is essential for the disposal of drugs according to the procedures outlined?

Lawfully available means for destruction Signup and view all the answers

Which statement about the opioid warning label is correct?

It can only be placed on the compliance packaging once. Signup and view all the answers

What must a prescription record document when a drug is substituted?

The brand name or generic name and manufacturer of the drug Signup and view all the answers

Under what condition may a pharmacist substitute a generic drug or interchangeable biologic product according to the regulations?

If the generic product is therapeutically equivalent and meets strength and dosage requirements Signup and view all the answers

What must be included on the signage posted in the pharmacy regarding drug substitution?

The pharmacy may substitute a less expensive drug unless the patient disapproves Signup and view all the answers

When can a pharmacist NOT substitute a medication?

The prescription specifies 'Brand Medically Necessary' or 'No Substitution' Signup and view all the answers

What special procedures must be followed for epilepsy/seizure medications when substituting?

The pharmacist must inform both the patient and prescriber and obtain consent Signup and view all the answers

What happens if the pharmacist cannot obtain consent from a prescriber for an epilepsy/seizure medication?

The pharmacist can use professional judgment to refill it as an emergency Signup and view all the answers

When cannot generic substitution typically occur regarding Medicaid reimbursement?

When the drug is on the preferred dispensing list Signup and view all the answers

What must be indicated on a telephoned prescription for it to allow no substitution?

The time the prescription was received and the name of the person giving authorization Signup and view all the answers

Under what conditions can a pharmacist delegate the authority to administer COVID or influenza tests to an advanced pharmacy technician (APhT)?

If the APhT completes DCP-required training and administers the test under direct supervision of the pharmacist. Signup and view all the answers

What is the minimum age requirement for a patient being tested for HIV by a hospital-employed pharmacist?

18 years old, or 12-17 with consent of a parent or proof of emancipation. Signup and view all the answers

What must a pharmacist do after administering a test for COVID or influenza?

Provide results to the patient, their primary care provider, and report to the health director and DPH. Signup and view all the answers

Which of the following is NOT a requirement for a retail pharmacy-employed pharmacist to administer HIV-related tests?

The patient must be at least 21 years old. Signup and view all the answers

How long must a pharmacist maintain records of the test results for COVID, influenza, or HIV-related tests?

Three years. Signup and view all the answers

What legal claim did the plaintiffs make regarding the refusal to fill prescriptions for COVID-19 treatments?

Violation of common law right to self-determination Signup and view all the answers

What was one of the outcomes of the case regarding the refusal to fill the prescription for emergency contraception?

The jury awarded damages for emotional distress Signup and view all the answers

According to Minnesota regulations, what is a pharmacist's obligation when refusing to fill a legitimate prescription for emergency contraception?

To provide immediate access to alternative dispensation Signup and view all the answers

What was the plaintiffs' allegation against the pharmacists who refused to fill their prescriptions for COVID-19 medications?

Intentional infliction of emotional distress Signup and view all the answers

What was the argument made by the pharmacist regarding the emergency contraception prescription?

It was considered an abortifacient based on personal beliefs Signup and view all the answers

What potential legal consequence is discussed if a pharmacist makes a recommendation that is not accepted by the prescriber and an adverse outcome occurs?

No liability if properly documented Signup and view all the answers

In which scenario might a pharmacist claim protection from liability during dispensing?

When working within a collaborative practice Signup and view all the answers

What kind of distress was awarded to the patient in the case regarding emergency contraception?

Emotional distress Signup and view all the answers

What must be done with a copy of the patient-specific protocol administered by the pharmacist?

It must be filed in the patient’s medical record. Signup and view all the answers

Which of the following statements is true regarding the continuation of care when a pharmacist discontinues a medication?

The pharmacist must inform the prescribing practitioner within 24 hours. Signup and view all the answers

Under what conditions can a pharmacist administer vaccines to minors aged 12-17?

With the consent of the minor's parent, guardian, or proof of emancipation. Signup and view all the answers

What qualifications must a pharmacy technician have to administer vaccinations?

Must be registered and certified and trained at the pharmacy. Signup and view all the answers

Which entity's guidelines must the training program for vaccination administration adhere to?

Centers for Disease Control and Prevention. Signup and view all the answers

What specific information must the written protocol for pharmacist vaccination administration include?

The types of vaccines to be administered. Signup and view all the answers

What is a requirement for a pharmacy technician to become an 'advanced pharmacy technician' (APhT) for vaccine administration?

Must receive delegation of authority from a supervising pharmacist. Signup and view all the answers

What must a pharmacist do to ensure the safe administration of vaccines?

Review the patient’s vaccination history. Signup and view all the answers

What is required if a pharmacist is not qualified to administer vaccines?

They cannot oversee other vaccinators. Signup and view all the answers

What is the implication of the federal PREP Act in relation to state vaccination provisions?

It overrides state vaccination provisions until December 31, 2024. Signup and view all the answers

Study Notes

Week 14 - Part 2 - Prescription Records, Labels, and Packaging Requirements

Federal vs. State Rules: Federal rules may supersede state rules regarding electronic transmission of prescriptions. There may be additional state requirements regarding prescription information.
Unfilled CS Prescriptions: Unfilled controlled substance (CS) prescriptions can be relayed electronically or via fax between pharmacies (but electronic is preferred).
DEA Electronic Transmission ONLY: The Drug Enforcement Administration (DEA) regulations regarding electronic transmission for CS prescriptions are stricter than some states' laws. State regulations that permit faxing may or may not be superseded by DEA regulations.
Pharmacy Practice in Connecticut: A license is required, and the license must be available for review. The practice of pharmacy without a license is prohibited.
Hospital Use of Telepharmacy: Connecticut hospitals may allow pharmacist supervision of technicians in dispensing products via technology.
Telepharmacy Malfunctions: If telepharmacy technology malfunctions, a pharmacist must either confirm the technical steps taken or personally review the dispensed product.

Week 15 - Substitution of Drugs and Biological Products

Generic Drug or IBP Substitution: A pharmacist can substitute a less expensive generic drug or IBP if the product is therapeutically equivalent, and the cost is lower to the patient. No substitution if there is a specific request from the patient to avoid substitution.
Telephoned/oral orders: Requirements for “Brand Medically Necessary (BMN)” or "no substitution" order must be written on electronic/telephoned orders or in an authorized person's handwriting in the electronic record.
Special Epilepsy/Seizures Procedures: Special substitution procedures may apply to epilepsy and seizure medications.

Additional Notes

Advertising Prescription Drugs: Pharmacists must disclose prices of legend drugs upon request.
Drugs for Termination of Pregnancy: Pharmacies that distribute drugs for termination of pregnancy must provide a list of nearby pharmacies to the patient if they do not stock that drug.
Emergency Refills: Refills for non-controlled drugs may be dispensed without the prescriber's authorization, under certain circumstances, within a 72-hour supply. However, the pharmacist must promptly notify the prescriber about these refills later. This does not apply to vacations.
90-Day Refills for Non-Controlled Drugs: A pharmacist may authorize a refill for 90 days of a drug, provided the dosage is not restricted according to the prescribing doctor. A copy of the additional notice should be sent to the prescriber. The drug must be non-controlled.
Adding Flavoring Agents: A pharmacist may add flavoring agents if directed to by the patient/patient's agent/physician where permitted.

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Description

Test your knowledge on telepharmacy regulations, including compliance requirements, quality assurance evaluations, and advertising standards. This quiz covers various aspects important for practicing pharmacy in a telepharmacy setting. Dive in to ensure you're well-informed about the standards and responsibilities involved.