LCTF
Nursing facilities
Nursing Home
Personal Care Home
Intermediate care facilities
personal care home << intermediate care facilities<< nursing facilities<< nursing home
Who can give vaccinations?
Who is all techs and interns under general supervision with
CPR training (Techs and Interns)
CE (techs)
Training on vax (techs and Interns)
How much does a tech registration cost, and how often (and when) does it renew?
What is $25 annually, march 31
What is the difference between adulterated and misbranded?
What is:
Adulterated: has damage/contamination/etc to the drug itself.
Misbranded: label is false or misleading
What is the Track and Trace Law?
What is Drug Supply Chain Security Act
- to track where the drug has been from manufacturer to pharmacy
How often does the pharmacist have to review the drug regimen of each resident?
What is once a month
What can an intern do and not do?
What is the cost to maintain a pharmacy permit?
(cost of application and cost of renewal fee)
What can these prices not exceed?
What is 150 for application, 125 for renewal, 250 for do not exceed
MOUD: Medications for Opioid Use Disorder (preferred)
MAD: Medication Assisted Therapy
Describe pharmacies roles in the dispensing of methadone
What is
not being able to dispense unless for pain. for OUD, must be at an opioid treatment program or hospital.
For requirements of dispensing in an LCTF, What is the difference between an Rx drug order and a medical order with respect to controlled substances?
medical order: more emergent situation, no controlled substances.
how old can a tech be? what about an intern?
16 tech
18 intern
To register a new pharmacy, the DEA form ___ must be completed online.
How much does this cost per x years?
What is 888/3years
Methadone is a _____
Buprenorphine is a ______
Naloxone is a _____
(type of binder to receptors)
What is
M = full opioid agonist
B = partial opioid agonist
N = antagonist
What does OBRA 90 mandate in KY?
patient records must be kept for all patients who have Rx dispensed at the pharmacy.
counseling must be offered to everyone, not just medicaid patients
Define a drug stock? What are the limits in personal care homes and all other LTCF?
Dose or doses from an Rx order that are sufficient until the next pharmacy business day or IV fluids that are used for replenishment.
Limits personal care: no more than 5 individual doses of 30 non controlled substances.
Limits all other LCTF: no more than 15 individual doses of each 150 non controlled substances
What is immediate supervision
- i can hear you and see you
What form is used in order to place a schedule 2 order?
What is DEA 222
Where can you find the substitution information for drugs like Atorvastatin and Keppra? How about for insulin or humira?
What is the orange book, what is the purple book
What reference materials are needed in pharmacies?
Material to meet the needs of the pharmacy and practice in a safe manner
- pharmacology
- drug interactions
- drug product composition
- state and federal laws and regulations
What is an emergency medication kit? What are the limits with control and non controlled?
an onsite manual or automated mechanism for delivering emergency medications.
Limits non controlled: 6 doses of 30 non controlled
Limits control: 6 doses of 10 different controlled, plus 2 multi dose packs in the smallest unit available
How many hours do interns need of internship credit before applying to get their pharmacist lisence
1500 hours
Intern requirements for registration
25$, last 6 years.
submit proof of acceptance or graduation by a pharmacy school
FDA classified drug products that are therapeutically equivalent if they meet criteria (substitution)
- safe and effective, meet standards of strength, etc.
What is a reference product?
What is a reference listed drug?
Product: the single BIOLOGICAL product licensed by the FDA against which a proposed biological product is evaluated
Drug: listed drug identified by the FDA as the drug upon which an applicant relies in seeking approval of its new drug application. (voltaren is the refernece to diclofenac)