Dates, Times, Licensure, Renewals
Regarding adjudicative proceedings, board shall give written notice to decisions to parties ________ days after date of decision by first class mail, postage prepaid.
7 DAYS
If a controlled drug is habit forming, what statement needs to be on the label when dispensed to the patient?
"Warning May Be Habit Forming"
True or False: A pharmacist can fill a valid prescription for an off-label use.
answer: true
How many members comprise the New Hampshire Board of Pharmacy, who is it compromised of, and what is their term length?
L2 Ph 103.01 Composition
The New Hampshire board of pharmacy is composed of 7 board members, appointed by the governor and council for a term of 5 years, limited to no more than 2 consecutive terms. At least one member shall be a hospital pharmacist, and one member shall be a public member.
7 members
6 pharmacists
■ At least 1 hospital pharmacist
■ Must have been licensed for 10 years, practiced pharmacy for 5 years in NH
○ 1 public member
■ No financial interest in pharmacy
● 5 year terms
● 2 consecutive term limit
What is a collaborative pharmacy practice agreement?
It is a written and signed agreement between a pharmacist and attending practitioner that allows for collaborative pharmacy practice specifically for medication therapy management.
L1. 318:1 XXVII.
How many pharmacy audits can be conducted annually?
A pharmacy can be subject to no more than 2 audits in one calendar year, unless fraud or misrepresentation is reasonably suspected.
L1. RSA 318:62 Pharmacy Rights During Audit (VII)
How often should a compounder perform routine surface microbiological and fungal environmental monitoring?
every week
Every month
every 6 months
every year
3. every 6 months
What has to be included on pet prescriptions per state statute?
Owner name, address, DOB (DOES NOT need to be included on the auxiliary label, that would just be the pet's info)
Administrative rules carry the same weight legally as a statue and cannot be waived
answer: False
What are the key elements of a practitioner-patient relationship?
L1.RSA 318-B:1 Definitions (cont.)
A practitioner-patient relationship requires an in-person exam, patient history, diagnosis, appropriate treatment plan, and documentation of all prescribed medications including name and dosage
Regarding adjudicative proceedings, board shall give written notice to party at least ______ days prior to scheduled hearing date by first class mail, postage prepaid, personal service upon a party or party's agent.
30 DAYS
What are the three different levels of compounding? Describe each and provide an example.
Simple = reconstitution or manipulation of commercial product (antibiotics)
Moderate = involves calculations/procedures (mixing two creams)
Complex = requires specialized training, equipment, training, environment, procedures (extemporaneous compounding)
For an interim supply how much can be dispensed of a maintenance medication?
24 hour supply
72 hour supply
34 day supply
90 day supply
4. answer: 90-day supply
________ may add, delete, or reschedule all controlled substances, by rule, after hearing and consulting with pharmacy board
Commissioner (with help from DHHS in regards to abuse potential)
What break policy requirements exist for pharmacists? (looking for 3 things)
Pharmacists cannot work more than 8 hours without a 30-minute rest break, breaks should be scheduled consistently each day, and the permit holder must develop a written break policy available for inspection.
L3 Ph 703.01
When there is a public welfare emergency requiring emergency action against licensee, how many days does the board have to commence an adjudicative hearing after suspension of license?
30 days after suspension of license
True or False: When a compounder prepares more than 50 dosage units for non-patient specific preparations the compounder shall be registered as a drug manufacturer.
answer: true
true or false: If a practitioners office is closed with no practitioner on call, the pharmacist cannot refill an interim supply.
Answer: False
What triggers the rule making process? HINT: (there are 4)
New statutes
Expiring rules
Board moves to address changes due to market changes
Stakeholder requests rule change
A pharmacist, pharmacy intern, licensed advanced pharmacy technician, or certified pharmacy technician as authorized by RSA 318:16-b who seeks to engage in the administration of vaccines shall meet the requirements of:
Hint: 4 for pharmacist, 5 for everyone else.
1) relative to education or experience
2) relative to professional liability insurance coverage
3) relative to completion of continuing education.
4) hold current basic or higher certification in (CPR)
5) under supervision of licensed pharmacist licensed to give vaccines.
L3. Qualifications Ph 1303.01 Qualifications.
3.
4.
5.
How frequently must controlled substance inventories be conducted and who is required to perform them?
Practitioners including physicians, podiatrists, dentists, veterinarians, optometrists, advanced practice registered nurses, manufacturers, wholesalers, pharmacies, clinics, hospitals, laboratories, and any other person required by federal law to conduct biennial controlled substance inventories , shall do so in accordance with 21 U.S.C. section 1304.11(c) inventory requirements every odd-numbered year.
L1. RSA 318-B:12 Records to be Kept; Confidentiality
For high risk compounding how often is a three glove fingertip test performed?
Only once
Every day
Initially then every week
Initially then every 6 months
Initially then every year
4.initially then every 6 months
(SELECT ALL THAT APPLY) In order to fill a prescription in a collaborative pharmacy practice agreement the pharmacist:
1. Shall hold an unrestricted and current license to practice as a pharmacist in New Hampshire.
2. Must submit a quarterly report of all prescriptions filled under the collaborative agreement to the Board of Pharmacy.
3. Have at least $1,000,000 of professional liability insurance coverage.
4. Must have completed a minimum of 20 hours of collaborative practice training.
L1. 318:16-a Standards for Collaborative Pharmacy Practice
1. Shall hold an unrestricted and current license to practice as a pharmacist in New Hampshire.
3. Have at least $1,000,000 of professional liability insurance coverage.
True or False: Administrative rules require public commentary.
True
L1. Administrative Rules
What must a pharmacist verify during prospective drug review? Please list 7 things
L3. (704.02)
(1) Over-utilization or under-utilization;
(2) Therapeutic duplication;
(3) Drug-disease contraindication;
(4) Drug-drug interactions;
(5) Incorrect drug dosage or duration of drug treatment;
(6) Drug-allergy interactions; and
(7) Clinical abuse or misuse.