IA MPJE flashcards
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- Schedule II refills
- No refills are permitted on a Schedule II prescription; a new prescription is required for additional supply, except emergency oral orders followed by a written prescription within 7 days.
- Schedule III-IV refills
- A Schedule III or IV prescription may be refilled up to 5 times within 6 months of the date of issue, and the total quantity dispensed must not exceed the authorized amount.
- DEA Form 222
- The order form used to obtain Schedule I or II controlled substances; it must be completed accurately, retained, and matched with received inventory, or submitted electronically via CSOS.
- Biennial inventory
- A complete count of all controlled substances taken every two years; Schedule II counts must be exact, while Schedules III-V may be estimated if records support the estimate.
- PPPA child-resistant packaging
- Federal law requiring most oral prescription drugs to be dispensed in child-resistant containers unless the prescriber or patient requests otherwise for a specific order.
- EPCS requirements
- Electronic prescribing of controlled substances requires identity proofing, two-factor authentication, and compliance with DEA electronic prescription rules before a prescription can be transmitted.
- Corresponding responsibility
- The pharmacist's duty to ensure a controlled substance prescription is issued for a legitimate medical purpose by a prescriber acting in the usual course of professional practice.
- DEA Form 106
- The form used to report the theft or significant loss of controlled substances to DEA; it must be filed in writing within one business day of discovery of the loss.
- Iowa Board of Pharmacy
- The state agency that licenses pharmacists, technicians, and pharmacies under Iowa Code Chapter 155A and enforces the Iowa Administrative Code pharmacy rules.
- Iowa PMP use
- The Iowa Prescription Monitoring Program collects dispensing data for controlled substances; pharmacists and prescribers must check it when required and report dispensing per Board rule.
- Iowa technician registration
- Pharmacy technicians must be registered with the Iowa Board of Pharmacy, and the pharmacist-in-charge supervises task delegation and ratio compliance under Board rule.
- Iowa CE requirement
- Iowa pharmacists must complete the continuing education hours required per renewal cycle, including any mandated topic hours such as law, opioid, or immunization-related education.
- Iowa counseling requirement
- Iowa requires pharmacists to offer patient counseling on new prescriptions unless the patient declines; the offer and any refusal should be documented.
- Iowa generic substitution
- Iowa permits substitution of a therapeutically equivalent generic drug unless the prescriber indicates otherwise; the pharmacist must follow Board substitution rules and label the product.
- Iowa loss reporting
- Theft or significant loss of controlled substances must be reported to the Iowa Board of Pharmacy and DEA, with records and a DEA Form 106 documenting the event.
- Iowa collaborative practice
- An agreement allowing a pharmacist to dispense or administer under protocol with a prescriber, subject to Board rule and any certification requirements such as immunization training.
- Partial Schedule II fill
- A Schedule II prescription may be partially filled when the pharmacist cannot supply the full quantity; the balance must be dispensed within 72 hours or the prescription is void.
- Controlled substance records
- Receipt, dispensing, and disposal records for controlled substances must be kept for at least two years under federal rule and must be readily retrievable for inspection.
- Reverse distributor
- A DEA-registered entity authorized to receive and destroy expired or unwanted controlled substances from pharmacies, documenting the transaction for recordkeeping purposes.
- DEA Form 41
- The form documenting destruction of controlled substances; it records the drug, quantity, method, and witnesses, and supports inventory reconciliation.
- Schedule II transfer
- Schedule II prescriptions generally cannot be transferred between pharmacies; Schedule III-V prescriptions may be transferred once with required documentation under federal and state rule.
- PMP reporting duty
- Pharmacies must report controlled substance dispensing data to the Iowa PMP as required by Board rule; failure to report is a violation subject to discipline.
- Prescription label elements
- A label must show pharmacy name and address, prescription number, date, patient name, directions, prescriber name, and required warnings or auxiliary labels.
- Prospective DUR
- A review before dispensing that screens for therapeutic duplication, drug interactions, allergies, and dosing errors, with pharmacist follow-up on identified problems.
- Prescription transfer limits
- Non-controlled prescriptions may be transferred between pharmacies; controlled substance transfers are limited, and Schedule II prescriptions generally cannot be transferred.
- Expired drug quarantine
- Expired or recalled drugs must be removed from active inventory and quarantined; dispensing an expired product violates pharmacy practice rules.
- HIPAA confidentiality
- Protected health information may be disclosed only as permitted for treatment, payment, operations, or legal requirements; unauthorized disclosure violates federal and state law.
- USP 795 and 797
- Compounding standards: USP 795 governs nonsterile compounding and USP 797 governs sterile compounding, including labeling and beyond-use dating requirements.
- Pharmacist-in-charge duty
- The PIC is responsible for compliance with pharmacy laws, recordkeeping, security, and staff supervision at the licensed location.
- Refusal to fill
- A pharmacist may decline to fill based on professional judgment, but must follow Iowa law on referral, documentation, and non-discrimination.
- Board inspection authority
- The Iowa Board of Pharmacy may conduct inspections and investigate complaints, issuing citations, suspensions, or revocations for violations of pharmacy law.
- Self-reporting duty
- Iowa requires pharmacists to report certain arrests, convictions, or disciplinary actions to the Board within the time specified by rule.