Drug Enforcement Administration (DEA) has published its final rule rescheduling hydrocodone combination products from Schedule III to Schedule II in the Federal Register.

The change imposes Schedule II regulatory controls and sanctions on anyone handling hydrocodone combination products, effective October 6, 2014. DEA first published the proposed rules in March 2014, in response to a Food and Drug Administration recommendation.

DEA received almost 600 public comments regarding the proposed rules after they were published, with a small majority of the commenters supporting the change, a DEA press release notes.

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Drug Enforcement Administration (DEA) has published its final rule rescheduling hydrocodone combination products from Schedule III to Schedule II in the Federal Register.

The change imposes Schedule II regulatory controls and sanctions on anyone handling hydrocodone combination products, effective October 6, 2014. DEA first published the proposed rules in March 2014, in response to a Food and Drug Administration recommendation.

DEA received almost 600 public comments regarding the proposed rules after they were published, with a small majority of the commenters supporting the change, a DEA press release notes.

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Under the Utah State Pharmacy Law, a pharmacy technician may retrieve a new prescription drug order from a voicemail if he/she keeps voicemail order for a pharmacist to review later.

True or False

  Answer  

Under the Utah State Pharmacy Law, a pharmacy technician may retrieve a new prescription drug order from a voicemail if he/she keeps voicemail order for a pharmacist to review later.

Answer: True, [Utah Pharmacy Practice Act Rule R156-17b-601(1)(K)]. The pharmacy technician may retrieve a new prescription drug order from the voicemail if he/she keeps the voicemail order for a pharmacist to review it later.

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A pharmacy located in Utah that is authorized to provide pharmaceutical care for patients in an institutional setting and whose primary purpose is to provide a physical environment for patients to obtain health care services is classified as:

a. Class A Pharmacy
b. Class B Pharmacy
c. Class C Pharmacy
d. Class D Pharmacy

  Answer  

A pharmacy located in Utah that is authorized to provide pharmaceutical care for patients in an institutional setting and whose primary purpose is to provide a physical environment for patients to obtain health care services is classified as:

a. Class A Pharmacy
b. Class B Pharmacy
c. Class C Pharmacy
d. Class D Pharmacy

Answer: (b) Class B Pharmacy, [Utah Pharmacy Practice Act 58-17b-102 Definition: 11].

Class A Pharmacy: Means a pharmacy located in Utah that is authorized as a retail pharmacy to compound or dispense a drug or dispense a device to the public under a prescription order.

Class B Pharmacy: Means a pharmacy located in Utah that is authorized to provide pharmaceutical care for patients in an institutional setting and whose primary purpose is to provide a physical environment for patients to obtain health care services. It includes closed-door, hospital, clinic, nuclear, and branch pharmacies; and pharmaceutical administration and sterile product preparation facilities.

Class C Pharmacy: Means a pharmacy that engages in the manufacture, production, wholesale, or distribution of drugs or devices in Utah.

Class D pharmacy: Means a nonresident pharmacy.

Class E pharmacy: Means all other pharmacies.

Closed-door pharmacy: Means a pharmacy that provides pharmaceutical care to a defined and exclusive group of patients who have access to the services of the pharmacy because they are treated by or have an affiliation with a specific entity, including a health maintenance organization or an infusion company, but not including a hospital pharmacy, a retailer of goods to the general public, or the office of a practitioner.

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Where no pharmacist is present in the professional service area a pharmacy is not required to convert to a non−prescription or sundry outlet if the:

I. The pharmacist is absent for a time period of one half hour or less.

II. The pharmacist must be accessible for communication with the remaining pharmacy staff by phone, pager or other device.

III. The pharmacy must indicate that the pharmacist is not available in the professional service area and indicate the period of absence and the time of the pharmacist's return.

a. I only
b. I and II only
c. II and III only
d. All

  Answer  

Where no pharmacist is present in the professional service area a pharmacy is not required to convert to a non−prescription or sundry outlet if the:

I. The pharmacist is absent for a time period of one half hour or less.

II. The pharmacist must be accessible for communication with the remaining pharmacy staff by phone, pager or other device.

III. The pharmacy must indicate that the pharmacist is not available in the professional service area and indicate the period of absence and the time of the pharmacist's return.

a. I only
b. I and II only
c. II and III only
d. All

Answer: All, [Wisconsin Administrative Code Chapter-6 Phar-6.04(3)(c)].

(c). Where no pharmacist is present in the professional service area a pharmacy is not required to convert to a non−prescription or sundry outlet if the following requirements are met:

1. The pharmacist is absent for a time period of one half hour or less.

2. The pharmacist must be accessible for communication with the remaining pharmacy staff by phone, pager or other device.

3. The pharmacy must indicate that the pharmacist is not available in the professional service area and indicate the period of absence and the time of the pharmacist's return.

4. Pharmacy technicians may only perform duties allowed by s. Phar 7.015 (2).

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A hospital provides outpatient pharmacy services may use the same pharmacy license it used for the hospital inpatient pharmacy.

True or false

  Answer  

A hospital provides outpatient pharmacy services may use the same pharmacy license it used for the hospital inpatient pharmacy.

True or false

Answer: False, [Wiscosin Administrative Code Phar. 6.02(1m)].

a. A pharmacy license authorizes a pharmacy to operate only at the location designated on the license. Licenses may not be transferred to another location.

b. A hospital which has a pharmacy area providing outpatient pharmacy services which is physically separate from, and not contiguous to the area from which inpatient pharmacy services are provided, shall have a pharmacy license for the outpatient phamacy in addition to a license for the inpatient pharmacy.

Any change in pharmacy ownership shall be reported to the board office and the pharmacy license of the former owner returned. A pharmacy license shall be granted to the new pharmacy.

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Which of the following information about the Ebola virus is/are TRUE?

I. There's no cure or vaccine for Ebola.

II. Ebola wreaks life-threatening havoc within the body by attacking multiple organ systems at the same time.

III. Experts stress that early and intense medical care can greatly improve a person's chances of survival.

a. I only
b. I and II only
c. II and III only
d. All

  Answer  

Which of the following information about the Ebola virus is/are TRUE?

I. There's no cure or vaccine for Ebola.

II. Ebola wreaks life-threatening havoc within the body by attacking multiple organ systems at the same time.

III. Experts stress that early and intense medical care can greatly improve a person's chances of survival.

a. I only
b. I and II only
c. II and III only
d. All

Answer: (d), All. The Ebola virus currently raging in West Africa has a well-earned reputation as one of the world's most deadly illnesses. But experts stress that early and intense medical care can greatly improve a person's chances of survival.

There's no cure or vaccine for Ebola, which wreaks life-threatening havoc within the body by attacking multiple organ systems at the same time.

Instead, doctors must fall back on the basics of "good meticulous intensive care," supporting the patient and targeting treatment toward the organs that are under attack by the virus.

The virus is particularly tough to combat because once it gets into the human body, it attacks so many different tissues. In contrast, most viruses tend to target one specific organ. For example, influenza goes after the respiratory system.

Ebola attacks every organ system, including the heart, lungs, brain, liver and kidneys. It even attacks a person's blood, thinning it and causing Ebola's trademark bleeding from multiple orifices.

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Who shall establish and maintain a PMP program to monitor the prescribing and dispensing of all Schedule II, III, IV and V controlled substances by prescribers in Delaware?

a. The Office of Controlled Substances
b. The Delaware State Pharmacy Board
c. Bureau of Narcotics and Dangerous Drugs
d. ISMP

  Answer  

Who shall establish and maintain a PMP program to monitor the prescribing and dispensing of all Schedule II, III, IV and V controlled substances by prescribers in Delaware?

a. The Office of Controlled Substances
b. The Delaware State Pharmacy Board
c. Bureau of Narcotics and Dangerous Drugs
d. ISMP

Answer: (a), The Office of Controlled Substances, [Uniform Controlled Substances Act 16-47-4798(c)].

The Office of Controlled Substances shall establish and maintain a PMP program to monitor the prescribing and dispensing of all Schedule II, III, IV and V controlled substances by prescribers in this State, and to research the prescribing and dispensing of drugs of concern. The PMP shall not interfere with the legal use of a controlled substance or drug of concern. The PMP shall be:

(1). Used to provide information to prescribers, dispensers, and patients to help avoid the illegal use of controlled substances;

(2). Used to assist law enforcement to investigate illegal activity related to the prescribing, dispensing and consumption of controlled substances or drugs of concern; and

(3). Designed to minimize inconvenience to patients and prescribing medical practitioners while effectuating the collection and storage of prescription monitoring information.

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Under the Delaware State Pharmacy Law, a business not licensed as a pharmacy may sell medical gases which require a prescription for purchase.

True or False

  Answer  

Under the Delaware State Pharmacy Law, a business not licensed as a pharmacy may sell medical gases which require a prescription for purchase.

True or False

Answer: True, [Title 24 Professions and Occupations Chapter 25-2523(5)].

(5). A business not licensed as a pharmacy to sell gases that are used for medicinal purposes and which require a prescription, provided that:

a. The business is registered with the Board;

b. The sale is authorized by a written order or by a verbal order reduced to writing from a practitioner;

c. The record of the written order or of the verbal order reduced to writing is maintained on the premises of the business for at least 2 years; and

d. The gas product is stored and dispensed according to requirements established by the Board.

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According to Maine State Pharmacy Law, a pharmacy technician may accept an original prescription drug order by telephone from a licensed physician.

Answer: True or False

  Answer  

According to Maine State Pharmacy Law, a pharmacy technician may accept an original prescription drug order by telephone from a licensed physician.

Answer: True, [Department of Professional and Financial Regulation 392 Chapter 7 section 5 (3)]. Under the very recent law, now a pharmacy technician MAY ACCEPT a NEW VERBAL prescription order from the licensed practitioner if he/she has been authorized by a licensed pharmacist on the duty to do so.

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All of the following vaccines can be stored in a refrigerator EXCEPT:

a. Influenza
b. Hep B
c. Rotavirus
d. HZV

Answer:

  Answer  

All of the following vaccines can be stored in a refrigerator EXCEPT:

a. Influenza
b. Hep B
c. Rotavirus
d. HZV

Answer: (d). CDC Vaccine Storage Recommendations List:

Vaccines Require To Be Stored In Referigerator (2 to 8 degrees C):

1. HepA
2. HepB
3. HepA-HepB
4. Hib (Haemophilus influenzae type b)
5. Hib-HepB
6. HPV (Human papilloma virus)
7. Influenza
8. Meningococcal-combinations
9. MMRa* (Measles, mumps, rubella)
10. Pneumococcal
11. Rotavirus
12. Any diphtheria/tetanus toxoid, pertussis combination

Vaccines Require To Be Stored In Freezer (-50 to -15 degrees C):

1. VAR Varicella
2. HZV (Herpes Zoster Vaccine)
3. MMRa (Measles, mumps, rubella)
4. MMRV (Measles, mumps, rubella, varicella)

* Can be stored in freezer or referigerator.

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