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Non-controlled substance drugs may be stored in the open matrix drawer if they are:

I. large bulky items such as intravenous infusion bags.
II. Nonlegend drugs that are safely arranged.
III. Legend drugs that are not look-alike products.

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

Answer:


Non-controlled substance drugs may be stored in the open matrix drawer if they are:

I. large bulky items such as intravenous infusion bags.
II. Nonlegend drugs that are safely arranged.
III. Legend drugs that are not look-alike products.

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

Answer: All, [Minnesota Administrative Rules Chapter 6800 Sec.6800.2600 SubPart 3(E)].

The Matrix Drawer is a high-capacity, low security drawer that is suitable for large quantities of non-controlled medications. The Double-Deep Matrix Drawer accommodates large quantities of medication or larger items such as large vials and premixed IV bags.

The use of an open matrix drawer that allows access to more than one drug at a time must be limited to noncontrolled substance drugs, unless the entire drawer contains only one controlled substance drug product. Noncontrolled substance drugs may be stored in the open matrix drawer if they are:

(1). large bulky items such as intravenous infusion bags;
(2). nonlegend drugs that are safely arranged;
(3). legend drugs that are not look-alike products; or
(4). drugs properly packaged and labeled for an individual patient.


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The Failure Mode and Effects Analysis (FMEA) process is a systematic method of identifying and preventing:

a. medication errors before they occur.
b. medication abuses before they occur.
c. product and process problems before they occur.
d. diversion of controlled substances before they occur.

Answer:


The Failure Mode and Effects Analysis (FMEA) process is a systematic method of identifying and preventing:

a. medication errors before they occur.
b. medication abuses before they occur.
c. product and process problems before they occur.
d. diversion of controlled substances before they occur.

Answer: The Failure Mode and Effects Analysis (FMEA) process is a "systematic method of identifying and preventing product and process problems before they occur." FMEA is the tool that has the potential to be an integral part of any risk assessment and, therefore, the risk management process. FMEAs focus on identifying and removing defects, enhancing safety, and increasing customer satisfaction.

Assessing Risk and Opportunities for Change (AROC) is designed to help community pharmacy personnel identify potential medication safety risks and prevent errors. Pharmacists can use these materials and tools to pinpoint specific areas of weakness in their medication delivery systems and to provide a starting point for successful organizational improvements.


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What type of container shall be used to transport radioactive materials?

a. D.O.T Type 1B
b. D.O.T Type 2A
c. D.O.T Type 4C
d. D.O.T Type 7A

Answer:


What type of container shall be used to transport radioactive materials?

a. D.O.T Type 1B
b. D.O.T Type 2A
c. D.O.T Type 4C
d. D.O.T Type 7A

Answer: D.O.T. Type 7A are approved transport containers for transporting radioactive materials.


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Every pharmacy technician registered by the Alabama State Board of Pharmacy shall, prior to registration, complete three (3) hours of continuing education annually, one hour of which shall be live presentation.

True or False


Every pharmacy technician registered by the Alabama State Board of Pharmacy shall, prior to registration, complete three (3) hours of continuing education annually, one hour of which shall be live presentation.

Answer: True, [Alabama Administrative Code 680-x-2-.14(10)(a)].
Every pharmacy technician registered by the Alabama State Board of Pharmacy shall, prior to registration, complete three (3) hours of continuing education annually, one hour of which shall be live presentation.


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Who may appoint the members of Advisory Committee for Hospital Pharmacies?

a. The Arkansas Pharmacy Board
b. The Arkansas Association of Hospital Pharmacists
c. Governor
d. Medication Administration Advisory Committee

Answer:


Who may appoint the members of Advisory Committee for Hospital Pharmacies?

a. The Arkansas Pharmacy Board
b. The Arkansas Association of Hospital Pharmacists
c. Governor
d. Medication Administration Advisory Committee

Answer:

The Arkansas Association of Hospital Pharmacists, [Arkansas Pharmacy Practice Act 17-92-603].

(a). There is created an Advisory Committee for Hospital Pharmacies to assist the Arkansas State Board of Pharmacy in the promulgation of rules, regulations, and standards for hospital pharmacies.
(b). The committee shall consist of five (5) members, each of whom shall be a licensed pharmacist.
(c). (1). The Arkansas Association of Hospital Pharmacists shall appoint the five (5) members of the committee.
(2). Each member shall serve for a term of three (3) years.


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Who tracks Medication Errors?

I. ISMP
II. MedMARX
III. U.S. Pharmacopeia

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

Answer:


Who tracks Medication Errors?

I. ISMP
II. MedMARX
III. U.S. Pharmacopeia

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

Answer:

Answer: All. Medication Errors are tracked by the following administrations:

1. The Food and Drug Administration: Accepts reports from consumers and health professionals about products regulated by the FDA, including drugs and medical devices, through MedWatch, the FDA's safety information and adverse event reporting program.

2. Institute for Safe Medication Practices: Accepts reports from consumers and health professionals related to medication. Publishes Safe Medicine, a consumer newsletter on medication errors.

3. U.S. Pharmacopeia: The Medication Errors Reporting (MER) Program, in cooperation with the Institute for Safe Medication Practices, is a voluntary national medication error reporting program.

4. MedMARX: USP's anonymous medication error reporting program used by hospitals. These data are not submitted to the FDA.

Citation: http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm


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Which of the following best describes DailyMed?

a. Provide the information on drugs being withdrawn by FDA.
b. Provide the information about the most economical manufacturer of particular drug.
c. Provide the information about the drugs used to treat rare disease.
d. Provide up to date resource of medication content and labeling.

Answer:


Which of the following best describes DailyMed?

a. Provide the information on drugs being withdrawn by FDA.
b. Provide the information about the most economical manufacturer of particular drug.
c. Provide the information about the drugs used to treat rare disease.
d. Provide up to date resource of medication content and labeling.

Answer:(d). DailyMed provides high quality information about marketed drugs. This information includes FDA labels (package inserts). DailyMed provides health information providers and the public with a standard, comprehensive, up-to-date, look-up and download resource of medication content and labeling as found in medication package inserts. It is available without cost from the National Library of Medicine.


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Which of the following information regarding Pharmacy Benefit Prompt Pay Act is/are TRUE?

I. All benefits payable under a pharmacy benefit management plan shall be paid within 15 days after receipt of due written proof of a clean claim where claims are submitted electronically.

II. All benefits payable under a pharmacy benefit management plan shall be paid within 35 days after receipt of due written proof of a clean claim where claims are submitted in paper format.

III. Pharmacy benefit managers shall be required to update the amounts used for calculation of reimbursement for prescription drugs no less than every 3 business days.

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

Answer:


Which of the following information regarding Pharmacy Benefit Prompt Pay Act is/are TRUE?

I. All benefits payable under a pharmacy benefit management plan shall be paid within 15 days after receipt of due written proof of a clean claim where claims are submitted electronically.

II. All benefits payable under a pharmacy benefit management plan shall be paid within 35 days after receipt of due written proof of a clean claim where claims are submitted in paper format.

III. Pharmacy benefit managers shall be required to update the amounts used for calculation of reimbursement for prescription drugs no less than every 3 business days.

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

All, [Pharmacy Benefit Prompt Pay Act - Miss. Code Ann-73-21-155(2)(3)(a)].

1. Pharmacy benefit managers, their agents and other parties responsible for reimbursement for prescription drugs and other products and supplies shall be required to update the nationally recognized reference prices or amounts used for calculation of reimbursement for prescription drugs and other products and supplies no less than every three (3) business days.

2. All benefits payable under a pharmacy benefit management plan shall be paid within fifteen (15) days after receipt of due written proof of a clean claim where claims are submitted electronically, and shall be paid within thirty-five (35) days after receipt of due written proof of a clean claim where claims are submitted in paper format.

Benefits due under the plan and claims are overdue if not paid within fifteen (15) days or thirty-five (35) days, whichever is applicable, after the pharmacy benefit manager receives a clean claim containing necessary information essential for the pharmacy benefit manager to administer preexisting condition, coordination of benefits and subrogation provisions under the plan sponsor's health insurance plan.

3. A "clean claim" means a claim received by any pharmacy benefit manager for adjudication and which requires no further information, adjustment or alteration by the pharmacist or pharmacies or the insured in order to be processed and paid by the pharmacy benefit manager.


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Which of the following is/are frequently used Remote Medication Order Processing (RMOP) model(s)?

I. Contracted Services
II. Supplemental Workload Balancing
III. Unit of Dispensing Services

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


Which of the following is/are frequently used Remote Medication Order Processing (RMOP) model(s)?

I. Contracted Services
II. Supplemental Workload Balancing
III. Unit of Dispensing Services

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

Answer: I and II only. The technologies used in Remote Medication Order Processing (RMOP) are relatively new and rapidly changing, so different methods for RMOP have evolved, and further evolution should be encouraged. At least two models of RMOP are currently in use: contracted services and supplemental workload balancing, which includes network workload balancing and on-call assistance.

Each of these models has unique characteristics that must be considered in planning for its use. Contracted Services. In this model, a hospital pharmacy that is not continuously open contracts with a larger hospital or a service to provide RMOP when its pharmacy is closed. This model is typically applied when a hospital without 24-hour pharmacy services has sufficient automated dispensing cabinet capacity that RMOP allows nursing staff to keep functioning without having a pharmacist present, although some institutions have developed models for remote verification by pharmacists of dispensing performed by pharmacy technicians at the client site.

Supplemental Workload Balancing. Similar to the model described above, in this case a health system with a number of hospitals relies on the ones that have a 24-hour pharmacy department or on a service to provide RMOP for hospitals whose pharmacies are closed or that experience unanticipated peaks in order processing workload. For example, in an on-call model, a staff pharmacist from the client site or a contracted service is placed on call to help with managing workload. This pharmacist works remotely (sometimes from a home office, where allowed by state regulation) to help the client’s pharmacy department manage unanticipated peaks in order processing workload (often on the second or third shift). In this model, the remote pharmacist is responsible for medication order entry and/or review, and medication order fulfillment occurs through the client-site pharmacy.

[Citation: http://www.ashp.org/DocLibrary/BestPractices/AutoITGdlRMOP.aspx]


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A patient brings a new prescription for Zoloft. The prescription reads: Zoloft 25 mg, take 1 tablet by mouth every day for 30 days x 5 refills. The patient requests to fill the whole prescription, for 180 tablets, in a single filling. Which of the following would be the most appropriate action by the pharmacist under North Carolina Pharmacy Law?

a. Fill the requested amount.
b. Obtain the authorization from the prescribing physician.
c. Fill only 30-day supply.
d. Tell the patient that law does not permit to fill the whole supply.

Answer:


A patient brings a new prescription for Zoloft. The prescription reads: Zoloft 25 mg, take 1 tablet by mouth every day for 30 days x 5 refills. The patient requests to fill the whole prescription, for 180 tablets, in a single filling. Which of the following would be the most appropriate action by the pharmacist under North Carolina Pharmacy Law?

a. Fill the requested amount.
b. Obtain the authorization from the prescribing physician.
c. Fill only 30-day supply.
d. Tell the patient that law does not permit to fill the whole supply.

Answer: Obtain the authorization from prescribing physician, [21 NCAC 46 .1802(b)].

If deemed appropriate in the pharmacist's professional judgment, a patient may receive upon request drug quantities in excess of the face amount of a prescription for a non-controlled substance, up to the total amount authorized.

The pharmacist shall NOT dispense in excess of the face amount of a prescription for a controlled substance or psychotherapeutic drug (e.g. Zoloft) without authorization from the prescriber.




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