CO MPJE flashcards
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- Missouri pharmacist license renewal
- Missouri pharmacist licenses are renewed biennially, expiring October 31 of odd-numbered years, and require completion of 30 continuing education contact hours per cycle.
- Continuing education requirement
- Missouri pharmacists must complete 30 CE contact hours per biennial renewal cycle, including at least 2 hours on medication errors and 2 hours on pharmacy law; verify current Board rule.
- Pharmacy license site-specific
- Each physical pharmacy location must hold its own Missouri pharmacy license; a change of address, ownership, or pharmacist-in-charge requires Board notification or reapplication.
- Nonresident pharmacy license
- A pharmacy located outside Missouri that dispenses to Missouri patients must obtain a Missouri nonresident pharmacy license and comply with Missouri labeling and recordkeeping rules.
- Technician registration
- Missouri pharmacy technicians must register with the Board and practice under direct pharmacist supervision within pharmacist-to-technician ratio limits set by statute and rule.
- Vaccine administration authority
- Missouri pharmacists may administer vaccines under a prescription or protocol, with documentation and reporting to the state immunization registry as required by law.
- Collaborative practice agreement
- A written protocol between a pharmacist and prescriber that authorizes the pharmacist to initiate, modify, or monitor drug therapy within a defined scope and communication plan.
- Generic substitution rule
- A pharmacist may substitute a therapeutically equivalent generic unless the prescriber writes 'dispense as written' or the patient refuses; the patient must be informed of the substitution right.
- Prospective drug utilization review
- Before dispensing, the pharmacist screens for therapeutic duplication, drug-drug interactions, drug-disease contraindications, incorrect dose, and abuse or misuse.
- Compounding standards
- Compounding must follow USP <795> for nonsterile, <797> for sterile, and <800> for hazardous drugs, and requires a prescription or documented patient-specific need.
- Valid prescription elements
- A valid prescription includes patient name, drug name/strength/quantity, directions, prescriber name and address, date issued, and the prescriber's DEA number for controlled substances.
- Schedule II refills
- Schedule II prescriptions may not be refilled; they must be written, electronically prescribed under EPCS, or transmitted orally only in an emergency with written follow-up within 7 days.
- Schedule III–IV refills
- Schedule III and IV prescriptions may be refilled up to 5 times within 6 months of the date issued, after which a new prescription is required.
- Partial fill of Schedule II
- A Schedule II prescription may be partially filled under federal rules, such as the remainder within 72 hours or up to 60 days for long-term care or terminally ill patients, with documentation.
- Prescription transfer documentation
- Transfers between pharmacies must record transferring and receiving pharmacist names, date, drug, quantity, and refills remaining; controlled substance transfers are restricted by federal rule.
- Prescription record retention
- Missouri pharmacies must retain prescription records for at least 2 years and keep them readily retrievable for inspection by the Board or DEA.
- DEA registration renewal
- DEA registrations are site-specific, renewed every 3 years, and separate registrations are required for each location and for dispensing versus distributing activities.
- Schedule II characteristics
- Schedule II substances have high abuse potential, accepted medical use, and severe psychological or physical dependence liability; prescriptions may not be refilled.
- Corresponding responsibility
- A pharmacist must resolve red flags such as pattern prescribing, early refills, or out-of-area prescribers before dispensing a controlled substance for a legitimate medical purpose.
- Biennial controlled substance inventory
- A complete inventory of controlled substances must be taken every 2 years, plus an initial inventory at registration, with receipts and disposals reconciled.
- Theft or loss reporting
- Theft or significant loss of controlled substances must be reported to DEA on Form 106 within one business day of discovery and to the state Board as required.
- EPCS requirements
- Electronic prescribing of controlled substances requires identity proofing, two-factor authentication, and audit trails; paper Schedule II prescriptions must be manually signed and dated.
- Patient counseling offer
- Pharmacists must offer counseling on new and refill prescriptions unless the patient refuses, covering drug name, purpose, directions, side effects, interactions, and storage.
- Prescription label contents
- Labels must include pharmacy name, address and phone, prescription number, date filled, patient name, prescriber name, drug name and strength, directions, quantity, and refills.
- Auxiliary and child-resistant labeling
- Auxiliary cautionary labels and child-resistant packaging are required unless the patient requests otherwise; FDA-required medication guides must be provided at dispensing.
- Medication error reporting
- Medication errors and adverse drug events must be reported through internal incident systems and, where required, to ISMP or FDA MedWatch.
- High-alert medication safety
- High-alert medications require independent double-checks, separation of look-alike/sound-alike drugs, and barcode verification at dispensing to prevent errors.
- Pharmacist-in-charge duties
- The pharmacist-in-charge is responsible for legal compliance, recordkeeping, supervision of personnel, and maintaining the pharmacy's policy and procedure manual.
- Secure prescription department
- The prescription department must be enclosed, secure, and not accessible to the public, with controlled substances stored in a securely locked location.
- Technician supervision ratio
- Pharmacist-to-technician ratios and supervision requirements are set by Missouri statute and rule; technicians may perform only tasks delegated by a pharmacist.
- Pharmacy facility requirements
- Facilities must have adequate lighting, temperature control for drug storage, a compounding sink, secure controlled substance storage, and conspicuously posted license and notices.
- Grounds for discipline
- Grounds include fraud, gross negligence, incompetence, violation of pharmacy laws, and impairment by alcohol or drugs; sanctions range from reprimand to revocation.
- Mandatory reporting duty
- Pharmacists must report known violations of the pharmacy practice act, including impaired colleagues and fraudulent prescriptions, to the Missouri Board of Pharmacy.