In Florida, medicinal drugs stored in bulk or unit of use in an automated pharmacy system servicing a long-term care facility are considered to be the part of the inventory of that LTCF.
True or False
In Florida, medicinal drugs stored in bulk or unit of use in an automated pharmacy system servicing a long-term care facility are considered to be the part of the inventory of that LTCF.
Medicinal drugs stored in bulk or unit of use in an automated pharmacy system servicing a long-term care facility, hospice, or correctional institution are part of the inventory of the pharmacy (NOT of LTCF since LTCF does not have its own pharmacy) providing pharmacy services to that facility, hospice, or institution, and drugs delivered by the automated pharmacy system are considered to have been dispensed by that pharmacy.
A patient visits to a pharmacy and asks for a refill on his blood pressure maintenance medication.
A patient visits to a pharmacy and asks for a refill on his blood pressure maintenance medication. Upon reviewing, the pharmacist revealed that the original prescription for the requested refill was filled by another pharmacy. The patient has presented an empty prescription container which shows all the required information regarding originally issued pharmacy and prescribing physician. The pharmacist tries to contact the pharmacy and prescribing physician without any success. Under these circumstances, which of the following is TRUE?
a. Request the patient to obtain a new prescription. b. Direct the patient to go to the original pharmacy. c. Fill a 3-day supply. d. Tell the patient, you won't be able to help him.
Fill a 3-day supply, [Texas Administrative Code Title 22, Part 15, Chapter 291, Subchapter B, 291.34(7)(E)(vii)].
If a pharmacist is unable to contact the prescribing practitioner after a reasonable effort, a pharmacist may exercise his professional judgment in refilling a prescription drug order for a drug, other than a controlled substance listed in Schedule II, without the authorization of the prescribing practitioner, provided:
(i). failure to refill the prescription might result in an interruption of a therapeutic regimen or create patient suffering;
(ii). the quantity of prescription drug dispensed does not exceed a 72-hour supply;
(iii). the pharmacist informs the patient or the patient's agent at the time of dispensing that the refill is being provided without such authorization and that authorization of the practitioner is required for future refills;
(iv). the pharmacist informs the practitioner of the emergency refill at the earliest reasonable time;
(v). the pharmacist maintains a record of the emergency refill containing the information required to be maintained on a prescription as specified in this subsection;
(vi). the pharmacist affixes a label to the dispensing container as specified in §291.33(c)(7) of this title; and
(vii). if the prescription was initially filled at another pharmacy, the pharmacist may exercise his professional judgment in refilling the prescription provided:
(I). the patient has the prescription container, label, receipt or other documentation from the other pharmacy which contains the essential information;
(II). after a reasonable effort, the pharmacist is unable to contact the other pharmacy to transfer the remaining prescription refills or there are no refills remaining on the prescription;
(III). the pharmacist, in his professional judgment, determines that such a request for an emergency refill is appropriate and meets the requirements of clause (i) of this subparagraph; and
(IV). the pharmacist complies with the requirements of clauses (ii) - (vi) of this subparagraph.
A question for students preparing for Arizona Pharmacy Law...
The prescription order for a Schedule V controlled drug may be refilled as authorized by the prescribing medical practitioner but shall not be filled or refilled more than one year after the date of issuance. Please reply: Agree or Disagree.
Answer: Agree, [Arizona Revised Statues Title 36, Chapter 27, 36-2525(I)].
Only Arizona Pharmacy Law allows "The prescription order for a Schedule V controlled drug may be refilled as authorized by the prescribing medical practitioner but shall not be filled or refilled more than one year after the date of issuance."
A pharmacist has accepted the return of drug dispensed to a patient which was issued and dispensed by a mistake. The pharmacist has used the same prescription drugs...
A pharmacist has accepted the return of drug dispensed to a patient which was issued and dispensed by a mistake. The pharmacist has used the same prescription drugs to fulfill the prescription requirement for another patient. The act done by the pharmacist is in accordance with Pennsylvania Pharmacy Law?
Please reply "Yes" or "No"
Answer: No, [Pharmacy Act of Pennsylvania, Act_114, Section 5(9)(xi)].
The acceptance back and redistribution of any unused drug, or a part thereof, after it has left the premises of any pharmacy, whether issued by mistake or otherwise is prohibited under the Law, unless it is in the original sealed container with the name, lot number and expiration date on the original intact manufacturer's label.
The pharmacy shall maintain records of all such returns, and a full refund shall be given to the original purchaser, including a third-party payor.
A nursing home without an in-house pharmacy is using an automated dispensing system for nursing home patients. The automated drug dispensing system...
A nursing home without an in-house pharmacy is using an automated dispensing system for nursing home patients. The automated drug dispensing system in a nursing home is under the direct control of the pharmacy providing services to the nursing home. Does nursing home require a controlled substances registration from the DEA to operate automated dispensing device?
Please answer Yes or No...
Answer: Yes, required. [18VAC110-20-555].
Nursing homes may use automated drug dispensing systems upon meeting the following conditions:
1. Drugs placed in an automated drug dispensing system in a nursing home shall be under the control of the pharmacy providing services to the nursing home, the pharmacy shall have on-line communication with and control of the automated drug dispensing system, and access to any drug for a patient shall be controlled by the pharmacy.
2. A nursing home without an in-house pharmacy shall obtain a controlled substances registration prior to using an automated dispensing system.
