Term
| during an emergency, up to two Class A pharmacies open simultaneously if the pharmacist-in-charge works at least 10 hours per week in each pharmacy for no more than a period of 30 consecutive days. |
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Definition
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Term
| The owner of a Class A pharmacy shall have responsibility for all administrative and operational functions of the pharmacy |
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Definition
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Term
| ___ are solely responsible for the direct supervision of pharmacy technicians and pharmacy technician trainees and for designating and delegating duties, other than those listed in paragraph (2) of |
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Definition
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Term
| A pharmacist may electronically verify the data entry of prescription information into a data processing system provided: |
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Definition
the pharmacist electronically conducting the verification is either a:
(-a-) Texas licensed pharmacist; or
(-b-) pharmacist employed by a Class E pharmacy that:
(-1-) has the same owner as the Class A pharmacy where the pharmacy technicians/trainees are located; or
(-2-) has entered into a written contract or agreement with the Class A pharmacy, which outlines the services to be provided and the responsibilities |
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Term
| Except as provided in subparagraph (B) of this paragraph, the ratio of on-site pharmacists to pharmacy technicians and pharmacy technician trainees may be ___, provided the pharmacist is on-site and at least one of the three is a pharmacy technician. The ratio of pharmacists to pharmacy technician trainees may not exceed __. |
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Definition
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Term
| A Class A pharmacy which changes ownership shall notify the board within __of the change of ownership and apply for a new and separate license as specified in ยง291.3 of this title |
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Definition
| ten days ; SAME GOES FOR PARTNASHIP OR CORPORATION |
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Term
| Records must be supplied by the pharmacy within __hours, if requested by an authorized agent of the Texas State Board of Pharmacy. |
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Definition
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Term
| for out of state Sched 2 RX orders, the prescription drug order is not dispensed after the end of the __ day after the date |
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Definition
| seventh; the RX has to be written |
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Term
| for out of state sched 3-5 orders, prescription drug order is not dispensed or refilled more than __months from the initial date of issuance and may not be refilled more than ___ times |
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Definition
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Term
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Definition
| A pharmacist may not dispense a prescription drug order for a Schedule II, III, IV, or V controlled substance issued by a practitioner in the Dominion of Canada or the United Mexican States. |
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Term
| A verbal prescription drug order from a practitioner or a practitioner's designated agent may only be received by __ |
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Definition
| a pharmacist or a pharmacist-intern under the direct supervision of a pharmacist. |
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Term
| backup copy of information stored in the data processing system using disk, tape, or other electronic backup system and update this backup copy on a regular basis, at least HOW OFTEN? |
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Definition
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Term
| Loss of data. The pharmacist-in-charge shall report to the board in writing any significant loss of information from the data processing system within ___ of discovery of the loss. |
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Definition
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Term
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Definition
| Failure to provide the records set out in this subsection, either on site or within 72 hours constitutes |
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Term
| Prescription drug orders may not be transferred by non-electronic means during periods of downtime except on consultation with and authorization by a prescribing practitioner ; provided however, during downtime, a hard copy of a prescription drug order may be made available |
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Definition
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Term
xfer of sched III-V drugs
xfer of dangerous drugs |
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Definition
i. ; provided however, during downtime, a hard copy of a prescription drug order may be made available
ii. transfer of original prescription drug order information for dangerous drugs is permissible between pharmacies without limitation up to the number of originally authorized refills. |
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Term
| xfer of Sched III-V substance requires name of person xferring and receiving it but DISTRIBUTION doesn't require it |
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Definition
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Term
| DONT KEEP Executed DEA order forms, prescription drug orders, or controlled substance inventories AT CENTRAL Location |
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Definition
| Dangerous drug records. Invoices and financial data for dangerous drugs may be maintained at a central location. |
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Term
| RESTRICTION OF ACCESS TO EPHEDRINE, PSEUDOEPHEDRINE, AND NORPSEUDOEPHEDRINE |
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Definition
behind the pharmacy counter; or
(B) in a locked case within 30 feet and in a direct
line of sight from a pharmacy counter staffed by an employee of the establishment; or if not a pharmacy,
behind a sales counter; or
(B) in a locked case within 30 feet and in a direct line of sight from a sales counter continuously staffed by an employee of the establishment. |
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Term
| pre-req to sale of pesudoephedrine |
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Definition
ask for :
driver's license indicating 16yo +
sign for purchase
make record- name, date, item, and no of grams purchased
can't sell more than 2 packages, 6g (of combo of those pdts) in one transaction |
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Term
| WHEN CAN RPH leave rx dept open? |
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Definition
at least one pharmacy technician remains in the prescription department;
(II) the pharmacist remains on-site at the licensed location of the pharmacy and is immediately available;
(III) the pharmacist reasonably believes that the security of the prescription department will be maintained in his or her absence
a notice is posted which includes the following information:
(-a-) the pharmacist is on a break and the time the pharmacist will return; and
(-b-) pharmacy technicians may begin the processing of prescription drug orders or refills brought in during the pharmacist's absence, but the prescription or refill may not be delivered |
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Term
| usu techs dont do anything while rph is off site except if its for short period |
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Definition
short periods of time may not exceed two consecutive hours in a 24 hour period;
(II) a notice is posted which includes the following information:
(-a-) the pharmacist is off-site and not present in the pharmacy;
(-b-) no new prescriptions may be prepared at the pharmacy but previously verified prescriptions may be delivered to the patient or the patient's agent; and
(-c-) the date/time when the pharmacist will return.
(III) the pharmacy must maintain documentation of the absences of the pharmacist(s); and
(IV) the prescription department is locked and secured |
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Term
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Definition
NEW!! shall be documented by recording the initials or identification code of the pharmacist providing the counseling in the prescription dispensing record as follows:
(I) on the original hard-copy prescription;
(II) in the pharmacy's data processing system;
(III) in an electronic logbook; or
(IV) in a hard-copy log containing the name of the patient, ... |
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Term
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Definition
he dosage form so dispensed:
(I) contains the identical amount of the active ingredients as the dosage prescribed for the patient;
(II) is not an enteric-coated or time release product;
(III) does not alter desired clinical outcomes; |
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Term
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Definition
| the beyond-use-date shall be one year from the date the drug is dispensed or the manufacturer's expiration date, whichever is earlier |
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Term
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Definition
| A beyond-use-date is not required on the label of a prescription dispensed to a person at the time of release from prison or jail if the prescription is for not more than a 10-day supply of medication; |
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Term
| dispensing container is not required to bear the label specified IF: |
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Definition
PT IS INSTITUTIONALIZED
no more than a 34-day supply or 100 dosage units, whichever is less, is dispensed at one time;
(iii) the drug is not in the possession of the ultimate user prior to administration;
(iv) the pharmacist-in-charge has determined that the institution:
(I) maintains medication administration records which include adequate directions for use for the drug(s) prescribed;
(II) maintains records of ordering, receipt, and administration of the drug(s); and
(III) provides for appropriate safeguards for the control and storage of the drug(s); and
(v) the dispensing container bears a label that adequately:
(I) identifies the:
(-a-) pharmacy by name and address;
(-b-) unique identification number of the prescription;
(-c-) name and strength of the drug dispensed;
(-d-) name of the patient; and
(-e-) name of the prescribing practitioner
IT SPECIFIES BEYOND USE DATE IN ANOTHER CONTAINER AND SETS FORTH DIRECTIONS FOR USE |
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Term
| EXPIRATION date of returned medication |
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Definition
| The expiration date of the medication shall be the lesser of one year from the dispensing date on the prescription label or the manufacturer's expiration date if dispensed in mfr container |
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Term
| libraries that phmcy must have |
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Definition
TPA
T dang drug act
TCSA
FCSA
at least 1 from each category
pt info: USP DI vol 2 OR ref text/info leaflets
drug interactns: DI/Facs
genral info texts: f&c,USP vol1, AHFS, reminton's,clinical pharmacology
Basic antidote info and the tel no of nearest regnal poison ctrl center |
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Term
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Definition
can sell em if they contain less than 15mg of opium per 30ml provided:
only done by RPh
less than 240ml or 48 dose units of any thing with opium
at least 18yo
shows ID |
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Term
| Drugs may be prepackaged in quantities suitable for internal distribution only by a pharmacist or by pharmacy technicians or pharmacy technician trainees under the direction and direct supervision of a pharmacist |
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Definition
label mustcontain:
lot number |
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Term
| the label of an automated compounding or counting device container shall indicate: |
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Definition
| the brand name and strength of the drug; or if no brand name, then the generic name, strength, and name of the manufacturer or distributor |
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Term
DIFFERENT OPERATIONS OF AUTOMATED DISPENSERS
QUALITY ASSURANCE |
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Definition
operate according to a written program for quality assurance of the automated pharmacy dispensing system which:
(i) requires continuous monitoring of the automated pharmacy dispensing system; and
(iii) establishes mechanisms and procedures to test the accuracy of the automated pharmacy dispensing system at least every six months and whenever any upgrade or change is made |
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Term
DIFFERENT OPERATIONS OF AUTOMATED DISPENSERS
Policies and procedures |
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Definition
When an automated pharmacy dispensing system is used to fill prescription drug orders, it shall be operated according to written policies and procedures of operation. The policies and procedures of operation shall establish requirements for operation of the automated pharmacy dispensing system and shall describe policies and procedures that:
(I) include a description of the policies and procedures of operation;
(II) provide for a pharmacist's review, and accountability for the transmission of each prescription drug order to the automated system
provide for access to the automated pharmacy dispensing system for stocking and retrieval of medications which is limited to licensed healthcare professionals or techs
require RPh to check it each time it is stocked
provides acountability record to be maintained
reuire prospective drug regimen review
make documentation of preventive maintenace pgm |
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Term
| (ii) A pharmacy which uses an automated pharmacy dispensing system to fill prescription drug orders shall, at least __ [HOW OFTEN], review its written policies and procedures, revise them if necessary, and document the review. |
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Definition
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Term
AUTOMATED SYS THAT FILL RX DRUG ORDERS
SHD BE CHECKED EVERY ___
AUTO SYSTEMS THAT DO FINAL CHECK SHD BE CHECKED EVERY ___ |
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Definition
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Term
| This final check shall be considered accomplished if: |
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Definition
(i) a check of the final product is conducted by a pharmacist after the automated system has completed the prescription and prior to delivery to the patient; or
(ii) the following checks are conducted by a pharmacist:
(I) if the automated pharmacy dispensing system contains bulk stock drugs, a pharmacist verifies that those drugs have been accurately stocked as specified in paragraph (2)(C)(i)(IV) of this subsection; and
(III) a pharmacist checks the accuracy of the data entry of each original or new prescription drug order entered into the automated pharmacy dispensing system |
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Term
| USING AUTOMATED CHECKING DEVICE, a fully automated device which confirms, after dispensing but prior to delivery to the patient, that the correct drug and strength has been labeled with the correct label for the correct patient |
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Definition
a check of the final product is conducted by a pharmacist prior to delivery to the patient or the following checks are performed by a pharmacist:
(I) the prepackaged drug used to fill the order is checked by a pharmacist who verifies that the drug is labeled and packaged accurately; and
(II) a pharmacist checks the accuracy of each original or new prescription drug order.
the automated checking device confirms that the correct drug and strength has been labeled with the correct label for the correct patient; and
(II) a pharmacist performs all other duties required to ensure that the prescription has been dispensed safely and accurately as prescribed. |
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Term
| Automated compounding or counting devices. If a pharmacy uses automated compounding or counting devices |
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Definition
CALIBRATE IT
may be loaded with bulk or unlabeled drugs only by a pharmacist or by pharmacy technicians
the label of an automated compounding or counting device container shall indicate the brand name and strength of the drug; or if no brand name, then the generic name, strength, and name of the manufacturer or distributor;
RECORDS SHD BE MAINTAINED |
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Term
| Automated storage and distribution device. |
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Definition
use an automated storage and distribution device to deliver a previously verified prescription to a patient or patient's agent when the pharmacy is open or when the pharmacy is closed
this device shd take a pic of the person pikin it up
shall not be used to deliver new prescriptions
may not be used to deliver a controlled substance;
PT IS GIVEN THE OPTION |
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Term
| ___ IS RESP FOR THE SUPERVISION OF Automated storage and distribution device. |
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Definition
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Term
| pharmacist may dispense prescription drug order for controlled substances in Schedule II issued by a practitioner in another state provided: |
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Definition
| i. the prescription is filled in compliance with a written plan approved by the Director of the Texas Department of Public Safety
ii. the prescription drug order is an original written prescription issued by a person practicing in another state and licensed by another state as a physician, dentist, veterinarian, or podiatrist, who has a current federal Drug Enforcement Administration (DEA) registration number
iii. the prescription drug order is not dispensed after the end of the seventh day after the date on which the prescription is issued |
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Term
| pharmacist may dispense prescription drug orders for controlled substances in Schedule III, IV, or V: |
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Definition
the prescription drug order is a written, oral, or telephonically or electronically communicated prescription
-) the prescription drug order is not dispensed or refilled more than six months from the initial date of issuance and may not be refilled more than five times; |
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Term
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Definition
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Term
| Controlled substance prescription drug orders. A pharmacist may NOT dispense a prescription drug order for a Schedule II, III, IV, or V controlled substance issued by a practitioner in the Dominion of Canada or the United Mexican States |
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Definition
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Term
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Definition
prescription drug order is an original written prescription
verbal rx- may not dispense a verbal prescription drug order for a dangerous drug or a controlled substance issued by a practitioner licensed in the Dominion of Canada or the United Mexican States unless the practitioner is also licensed in Texas |
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Term
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Definition
| No Schedule II controlled substance may be dispensed without a written prescription drug order of a practitioner on an OFFICIAL prescription form |
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Term
| which drugs cant be stord in microfilm, anything with direct imaging |
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Definition
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Term
| All original prescriptions shall bear: |
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Definition
NAME OF Pt
address of pt
name, and if for a ctrlled subst, address, DEA registratn
name & strength , qty, directions, intendd use, date of issuance |
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Term
| RX AND NONRX DRUGS MAY NOT BE REFILLED AFTER ___ [time perd] of issuance?? |
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Definition
1 yr
no more than 5times or after 6 mths from issuance date |
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Term
| 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, EXCEPT a controlled substance listed in Schedule II, without the authorization of the prescribing practitioner, provided |
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Definition
PT CAN DIE
72 HRS
NEED RX IN THE FUTURE
INFORMS PRACTITIONER
MAINTAINS A RECORD
AFFIXES A label |
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Term
| RPh can never dispense sched 2 w/o prescrptn regardless |
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Definition
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Term
| in case of a dispensing error, |
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Definition
| dont change anything! except if incorrect data entry, then cancel or void DONT delete |
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Term
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Definition
| record it on the back- date, initials or ID code of Rph or RphT, maybe drug amt |
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Term
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Definition
write void on the face (write transfer if you're receiving)
on the reverse, name, address, DEA reg #,name of rph, date of transfer (for the sender BUT for the receiver, it's date of last refill, date of issuance and date of receipt)
ORIGINAL RX number is only for RECEIVing PHMCY |
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Term
| The daily hard-copy printout shall be produced within __ of the date on which the prescription drug orders were dispensed and shall be maintained in a separate file at the pharmacy. each RPH has to sign it EACH day w/in __ days |
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Definition
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Term
| In the event that a pharmacy which uses a data processing system experiences system downtime, |
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Definition
) an auxiliary procedure shall ensure that refills are authorized by the original prescription drug order and that the maximum number of refills has not been exceeded or authorization from the prescribing practitioner shall be obtained prior to dispensing a refill; and
(iii) all of the appropriate data shall be retained for on-line data entry as soon as the system is available for use again |
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Term
| (C) An electronic transfer between pharmacies may be initiated by a pharmacy technician or pharmacy technician trainee acting under the direct supervision of a pharmacist |
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Definition
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Term
WHEN XFERING c1-2 to another phmcy
What happens to the copies 1,2,3? |
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Definition
phmcy receiving it issues 1 and 2 to the supplier
supplier maintains copy 1 and forwards 2 to DEA |
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Term
| what records can be at the central location? |
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Definition
| dangerous drug records, invoices and financial data |
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