no

(involved in board policy develoement and institute accusations against pharmacist)

13 members

11 appointed my governer (7 pharmacist and 4 non)

2 member are appointed by speaker and senate of assembly

6 of 13 are non pharmacists

responsibilty of a board director

do they have to be pharmacist?

inspect all licensed site for violations

does not have to be pharmacist

optometrist (special license with "T" after license number)

physicians

dentist

podiatrist

vetenarian

topical: antiallergy,anti inflammatory including topical steroid,antiviral, antiglaucoma (only one at a time)

oral: antihistamine,acyclovir

codeine or hydrocodone with a non analgesic (no more than three days supply, must reg with DEA)

tetracycline

dicloxacillin

amoxicillin (or augmentin)

macrolides (azith only for eye)

cephalexin

cephadroxil

cefaclor

trimethroprim

ciprofloxacin

work with MDs under a protocal to furnis CIII-V and non controlled drugs

-Must have furnish number must preceed by "NDF" by bureau of naturopathic medicine

-independently prescribe epinephrine and hormones

-may prescribe thyroid tablets without protocol

- may apply for the dea registration

PA

NP

CNM (writing for females partner for STD)

Rph

ND

at least 18 yo

graduate for accredited school of pharm

complete 1500 hours

pass Naplex and CPJE

-30 hours of ce course during two years of license

renew on date of birth

-record of course must be kept for 4 years

-after 3 years if not renew,likely have to retake board

-during the the 3 years, a fine a impose

outstanding

child support

alimony

governement loan

board to issue inactive license

(so pay the renew fees and submit the CEs)

PIC may be PIC for nor more than__ pharmacies

how far apart are the pharmacies?

at the same time pic cannot be?

2 pharmacies

50 miles apart

can not be exemptee in charge

any conduct that violate pharmacy practice

must reports violation within 72 hours

take action to stop and correct violation

how is a pic selected

who must approve

if dispprove

if unable to approve

board must approve

if disapprove have 15 days to select another

unable to approve: select an interim for 120 days

have 1500 hours to site for exam

(900 pharmcies, 600 related)

if interm fail exams 4 time they must

intern status will not be renewed after

take 16 units of course

intern status will not be renew after 3 exams

no,

must have an AA or pharm tech program 

one pharm tech per single pharmacist

or two pharm tech for any additional pharmacist

yes, only if drugs is originally approved by pharmacist

-allow in acute hospital setting

-pharmacy must have "tech-check-tech" program

-tech must have special training

who is exemptee in charge (represenative in charge)

- how often to renew license

-veterinary drug retailer

- renew license annually

-must be at least high school grad

- does not have to be a pharmacist

yes

but only pharmacist can call for expired prescription

who may phone in a prescription from a prescriber's office

what about CII

prescriber or employee designated by prescriber

CII: must be called in by prescriber

record name and initial of sender

(address,phone,license,DEA,pt address if available in computer system)

who may receive an orally transmitted Rx from prescribers office

what must be noted on prescription

if call for a refill, who may receive?

only pharmacist or intern

-ID of party calling

- pharm tech and clerk may receive

may rx from prescribers be electronically transmitted to pharmacy?

do you need a hard copy to be stored

can we make changes to them

all except CII

hard copy is not required, unless request by board

may make change, but pharmacist must approve

must have name and initial of party transmitting RX

if a prescription is transmitted via a computer from the prescriber to pharmacy's fax, it is considered as...

what about fax to a fax

electronic data: digital signiture may be used

fax to fax: originally written: written signiture is required

out of country can not be filled

if called in: yes or obtain a california security form to fill ( can be filled including CII)

if from district of columbia,guam,purto rico, virgin island, american somoa

only when:

- in a multiple-drug package

-same patient

-no more than one month supply

- med pack must carry label" store in a cool dry place"

-non liquid

- must have written info about the drug 

-phone number to call if they have any questions

manufacture: good till end of the month

or 1 year expiration date 

compounded products expiration dates

what about extemporaneous unit dose drug package

up to 6 months

one year for unit dose

it is considered expired

unless: human otc product with no dosage limitation and they are stable for at least three years supported by stability data

how may a preprinted, multiple check off prescription for non controlled substance be used?

(prescription blanks)

can not be used for controlled

number of drug items must be indicated on rx by prescriber

good up to one year

in direction say " one tablet PRN"

only when:

-clinical or investigational study through FDA

-in medical judgement of presciber

no

however: a for profit may borrow and return the exact.

(cannot substitute or purchase)

employee assistant program agency

- use to rehabilitate pharmacist

-requires a manager to perform quarterly reviews of all cases

-contract with pharmacies/pharmacist

yes, 

exception: topical or non oral products

- nitroglycerin tablets

- patient request, pt must sign waiver

is a full-time pharmacist required in hospitals of 100 or fewer beds

what about purchase of drugs at wholsale and dispensing

does not require full time or part time, but must have a consultant pharmacist who does at least quarterly reviews

-may dispense to pt upon discharge

-may dispense in emrgency cases when tx in hostpital

-dispensing to outpatient under the following:

* no pharmacy withing 30min or miles

*no more than 72 hours of drugs is provided

*properly lableled

yes, up to 30 minutes

no, med may be dispense check and approved and check by pharmacist

citation and orders of abatement issued by board

must be fix...

may appeal to the board in writing withing 30 days or

may request of board within 14 days an office conference

if the settlement is $3000 or more

must report within 30 days

-license is suspended for revoke

-owes child support money

-owes student loans

-may be renewed

-no licensees who license revoke,suspended or placed on probation may obtain inactive liscense

-pharmacist have 15 days to correct or license is inactive (do you CEs)

-issue to pharmacist who wish to retire

-must retake board exam for reinstatement

- disclosure on any violation of the law in this or another state (not include:traffic violation under $300,dangerous drugs or controlled substance

requires

-finger is required

exam will not be graded

not approved to take exam for three years

surrender intern license

-yes

-religious purpose

-must make reasonable accomodation so the patient can get prescription on a timely manner

-must develop procedure and policies

-notify patients

-transfer prescription

-return prescription to the patient

yes including (C III-V)

must have appropriate prior exam

-existence of a prescriber-patient relationship

-medical records kept by prescriber

-physical exam or at least a line of questioning by prescriber

-prescriber must have conducted at least one in person medical exam on the patient

-meet the definition of a covering pharmacist

* one who conduct a medical eval within the previous 24 months

-online pharmacy must reg to DEA

-pharmacy will responsible for monthly dispensing of 100 or more controlled or 5,000 or more non controlled

pharmacies must provide either...

-safe take back for no additional cost

- entity preventing drug diversion

-provide notice and information materials for consumers

-assurance of enhancement of public health

date

location

participant

pertinent data

findings and determination

recommended changes to policy,procedure,system

-how to use the med

-importance of complying with directions on the label

-how to store the medication

-common severe adverse drug reaction

must provide written notice of the patients rights to request a consultation on any new drug

-must provide a phone number that a patient can contact

must a pharmacist consult pt who is being discharged with medications

not must by may

a facility policy and procedure must exist

a med profile must have

-patient's name,address,dob,gender

-name,strength,dosage form,qty,direction

-prescriber info

-date drug first disp/refill&disp pharm

-any allergies

* only use for the purpose of dur

yes

(glucose,cholesterol)

yes

nonscheduled drugs- may give part or full amount

sched III,IV,V- reasonable qty

yes

-pt already receive and have proof of receiving the drug

-must indicate reason

-state of emergency in the area

-mobile pharmacies must share common pharmacies that is in good standing

-pharmacist must be on premise

must cease withing 48 hours following the termination of declared emergency

emergency contraception

age?

limit?

consultation?

age

no limit on qty purchased

no consultation required

sign of prescriber or furnisher

name and address

name and qty

direction for use

date written

name,address,phone

license &DEA (if applicable)

name and address of pharmacy

prescription number

name of patient

name of prescriber, or other furnisher

date of issue

name,strength, and qty

expiration date

color and shape of tablet

id code on tab/cap

drug

strenght

prescriber or directions for use

like a telephone order

fascimile can serve as official record

must record name and initial of party sending

tx like a telephone order

rx refill between independent pharmacies

for non scheldule

record name and address of pharmacy

record name of receiving pharmacist

mark void

on receiving end:

name and address of sending pharmacy

name of sending pharmacist

remaining refills,date of oring rx,LF

indicate that it is a transferred prescription

one time only

from sending pharmacy:

-DEA of pharmacy

From receiving pharmacy:

-DEA of sending pharmacy

* common network system is considered as one pharmacy (pt to sign waiver if wish not to be in network)

dispensing hypodermic needles

log book required?

person is know to furnisher with legitamite medical need

pharmacist reg with county (aid,hep c,older than 18)

-record of drug selling,buying,lending, or borrowing between pharmacy

-pharmacy self assessment survey

self assessment survey is must be completed

by who?

how often?

new pic must complete within?

how long must record be kept?

by pic every two odd year

new pic must complet in 30 days

record kept for three years

record must have:

date of preparation

party preparing extempor unit

lot number

name and strength of drugs used

manufacture's name

supervising pharm initial or signiture

name and strength of drug

lot number of drug

expiration date- cannot exceed one year

dea 72 hours

bop 30 days

what is obligation of pharmacist in giving prescription prince information to a requesting customer

what if the request is more than five prescription

what bout more than three request from on pharmacist

pharmacist or clerk can give it

-pharmacist can response in ten days 

-pharmacaist can charge for qoute, but fee must be inform prior to dispensing

-if more than three request from one pharmacist (have 6 months to respond)

-controlled substance over the phone

-price request from competitor

- price request from out of state

shake well

refridge

for external use

drowsiness drugs

if drug effect vision

drugs /alcohol 

which drug requires patient package insert

by law

by manufacture

by law: all estrogenic

by manufacture: check fda

names are exclusive to pharmacies only

must names themselves as provider of drug

physician groups can own hospitals and pharmacist within

can own HMO with pharmacies within

what building standards must a pharmacy meet

what if a pharmacy is within a store

-must have reasonable space

must have a barriers of 5 ft to preven public from -having free access

- within a store must have barriers from floor to ceiling and have a door with a lock

an individual to whom a license has been granted

ex) represenative in charge

veterinary food-drug animal drug business

- secure storage facility in the same building are the pharmacy

-only pic or pharmacist may have access

- indicator if it has been access

-has policy on the delivery

-must have board and DEA permit

-cII is not allowed

-must have a consultant pharmacist (part time not require)

*pharmacist visits quarterly

*report kept 3 years

clinics

dispense how many day of supplies to patient?

may be made to a central receiving location withing the hospital

drug shall be delivered to pharmacy within one working day

must have "out of state distribution license"

renewed annually

no

yes: if serve as outpatient

yes,

with condition:

- storage must be secure

-records must be confidential

-produce record to board in 48 hours

1 year for non controlled

2 years for controlled

* both from last dispense

engaged in specialty practices such as 

-compounding

out of state wholsaler of drugs or devices that is licensed in california

license is renewed annually

exempt from the license requirement

registered pharmacist (or represenative in charge) must be present on premise during business

what happen to a pharmacy permit if pharmacy closes or is closed by board

notify board within

transferring drugs within

must notify board within 30 days of closure

transfer of drug must be within 10 days

do not substitute rules on 

rx vs electronic

rx requires initial

eletronic prescription does not require inititial

yes, rare

emergency,prescriber must send to the pharmacy

prescriber must state intent in writing

what is required from patient to dispense ephedrine

what should be on the log book

18 years old

ID

log book: name,address,date&time of sale, and pt signiture

daily limit 3.6

montly 9 grams

single purchase of 60 mg does not require a log book

no OTC sale as betadine or povidine solution that has excess of 1% or 8 oz or more

no OTC tinture of iodide that is 2% or 1 oz (or more)

if these products are sold or transferred, provide must submit to DOJ

for county pharmacy  or pharmacy who have contracted with county

-patient are not to be charge for the drug

- must have formulary of medication developed that will be used in program

-not be a controlled substance, nor adulterated

- not have been in possession of patient

-unopen/ and untampered

-segregrated from the pharmacies other drug stock

- may not dispense if expired

-pharmacy must keep record and dispense drug

Fridge: 36-46 F

Room temp: 59-80 F

yes

must fixed a label to the coumpounded prescription of the pharmacy involved in compounding

altering dosage form or delivery system

altering strength of drug

combining components or active ingredient

preparing drug product form bulk substance

reconstitution for oral,rectal,topical,or injectable pursuant to manufactures direction

adding of flavoring

preparation of commercially available products

when a product is compounded by a pharmacist where the final product contain two FDA approved drugs

the resulting is refferred to as 

must expiration not exceed 6 months

consistent with scope of practice

may use of office or not no more than 72 days supply

date of prep

intial of pharmacist

lot

expiration date

name of manufacture of raw materials

quanity in units or grams

package size & number of units

a separate license from the board

license renew annually and inspection prior to each licensing period

special license is not required if accredited by JCAHO

cease and desist

effective no more than 30 days or until dat of a hearing which is earlier

owner may contest within 15 days of receipt by requesting hearing to the president of the board

requirements to operate sterile injectable compounding service

(9 things)

flow hood certified annually and keep record for 3 years

- have policies and procedures (read pg 23)

-labeling requirement

-record keeping requirement

-attire

-training of staff,patient,caregiver

-disposal of waste material

-QA

-reference materials

-sterile power was obtained from manufacture

-if drug is administer by health care professional license to admin drug by injection

-must be completed before july 1st of odd-number years

or

-within 30 days of new PIC and within 30 days of issuance of a new pharmacy license

non sterile compounding pharmacies must have

4 things 

-records of compounding (formula,ingredient,lot,quanity,equipments)

-labeling of compound product

-policies and procedure

-training programs for compounding staff

-QA