General Pharmacy Practice
General Pharmacy Practice 2
Universal Practice Practice Standards
UNIT DOSE, ALTERNATIVE PACKAGING, AND EMERGENCY BOXES
Controlled Substances
100

A professionally competent, legally qualified pharmacist in charge in each pharmacy

Pharmacist in Charge (PIC)
100
The number of times a Schedule III, IV, and V prescription can be transferred 
Once 
100
In providing pharmaceutical care, the pharmacist shall strive to ______, ______, and ______ drug therapy problems. 
In providing pharmaceutical care, the pharmacist shall strive to identify, resolve and prevent drug therapy problems. 
100
Expiration dating for nonsterile drugs repackagedby the pharmacy into single unit, unit dose, or unit of issue packages shall meet the following conditions (4):

a. Not exceed 90 days from the date of repackaging except as provided in paragraph 22.1(4)“c.”
b. Not exceed the manufacturer’s original expiration date.
c. May exceed 90 daysfrom the date of repackaging provided that each of the following conditions
is met:
(1) The container is classified according to USP General Chapter 671 as being Class A or Class B for oral solid dosage forms or is a tight container for liquid dosage forms.
(2) The container is light resistant when the manufacturer has labeled the product “sensitive to light.”
(3) The expiration date is not greater than 12 months.
d. Drugs or dosage forms having known stability problems are assigned an expiration date of less than 90 days or are not repackaged as determined by policies developed by the pharmacy

100
What DEA form is needed to order schedule I or II drugs? 
DEA form 222
200
Each pharmacy must maintain one of these and it must contain up to date information in each of the 8 required categories
Reference Library
200
Which of the following are required on a prescription label: 

a. serial number (unique identification number of the prescription) 
b. the date the prescription was written 
c. the name of the prescribing practitioner 
d. name, telephone number, and address of the pharmacy 
e. a,b,d 
f. a,c,d 
g. all of the above

F. 

a. serial number 
c. the name of the prescribing practitioner 
d. name, telephone number, and address of the pharmacy 

200
If a drug needs to be refrigerated, at what temperature range must the refrigerator be maintained?
2-8 degrees Celsius (36-46 degrees Fahrenheit)
200
Under what circumstance can a previously dispensed controlled substance be returned for reuse? 
If it is for the same patient. 
200
True or false: the CII perpetual inventory log may be maintained in a manual or electronic record format.

True. Any electronic record shall provide for hard-copy printout of all transactions recorded in the perpetual inventory record for any specified period of time and shall state the current inventory quantities of each drug at the time the record is printed.

300
8 categories needed in a reference library

1. references that includes Iowa Pharmacy Laws

2. A patient information reference that includes information on patient counseling

3. A reference on drug interactions.

4. A general information reference.

5. A drug equivalency reference. 6. A reference on natural or herbal medicines.

7. The readily accessible telephone number of a poison control center that serves the area.

8. Additional references as may be necessary for the pharmacist to adequately meet the needs of the patients served.

300
True or False: The name of the patient must be on a prescription label
True, except as provided in 657--subrule 8.19(7) or 657--subrule 8.19(8)
300
Prior to the employment of any person to provide in-home services a pharmacy must submit to the department of public safety the results of a ______ and a ______

Prior to the employment of any person to provide in-home services a pharmacy must submit to the department of public safety a criminal history check and abuse history check. 

300
True or False: a patient med pak can be reused

True for nonliquid oral products and: 

a. A patient med pak is reused only for the same patient; and

b. No more than a one-month supply is dispensed at one time.

300
How long does a pharmacy have to report a theft to the DEA? 
14 days 
400

True or False: In the absence of a pharmacist (lunch break), a designated pharmacy technician or support person can dispense previously verified medications.

False
400
What are the exceptions to rule 657--6.10(c): the name of the patient must be on the prescription label 
* 8.19(7) epinephrine auto-injectors 

* 8.19(8) opioid antagonists 

400
While performing a prospective drug use review, a pharmacist should be attempting to identify: 
a. overutilization or underutilization

b. therapeutic duplication 
c. drug-disease contraindications 
d. drug-drug interactions 
e. all of the above

E. all of the above 
400
What must be contained on the label of an emergency/first dose drug supply? 

Shall be labeled clearly and shall unmistakably indicate that it is an emergency/first dose drug supply. Such label shall also contain a listing of the name, strength, and quantity of each drug contained therein and an expiration date of the supply based upon the earliest expiration date of any drug contained in the supply.


400

True or False: A prescriber’s agent may prepare a prescription for the review, authorization, and manual or electronic signature of the prescriber and may transmit an electronic prescription to a pharmacy.

False.  Only the prescriber may transmit an electronic prescription for a controlled substance to the pharmacy
500

When transferring a prescription to another pharmacy, the following 4 pieces of information are needed:

(1) The name, address, and, for a controlled substance, the DEA registration number of the pharmacy to which such prescription is transferred (2) The name of the pharmacist or pharmacist-intern receiving the prescription drug order information (3) The name of the pharmacist or pharmacist-intern transferring the prescription drug order information (4) The date of the transfer.

500
How long must a pharmacy retain a patient record (patient information including DOB, address, allergies, etc)?
Two years from the date of the last entry in the patient record 
500
A reportable program event is a preventable medication error resulting in the incorrect dispensing of a prescribed drug received by or administered to the patient.  What are 4 or the 6 categories of reportable program events?
1. an incorrect drug

2. an incorrect drug strength 
3. an incorrect dosage form 
4. a drug received by the wrong patient 
5. inadequate or incorrect packaging, labelling or directions 
6. any incident related to a prescription dispensed to a patient that results in or has the potential to result in serious harm to the patient 

500
How should the emergency/first dose drug supply be stored? 

The emergency/first dose drug supply shall be stored in an area suitable to prevent unauthorized access and to ensure a proper environment for preservation of drugs contained therein as required in official compendia. The provider pharmacist is responsible for establishing procedures to maintain the security of the emergency/first dose drug supply.

500
What are the three components that define an "emergency situation" when an oral or facsimile transmission of a prescription for a Schedule II control substance is permitted? 

a. Immediate administration of the controlled substance is necessary for proper treatment of the intended ultimate user.
b. No appropriate alternative treatment is available, including administration of a drug that is not a Schedule II controlled substance.
c. It is not reasonably possible for the prescribing practitioner to provide a manually signed written prescription to be presented to the pharmacy before the pharmacy dispenses the controlled substance, or the prescribing practitioner is unable to provide a DEA-compliant electronic prescription to the pharmacy before the pharmacy dispenses the controlled substance.