MI MPJE flashcards
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32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Schedule II prescription refills
- A Schedule II prescription may not be refilled under federal law. Each dispensing requires a new prescription, and the prescription must be filled within the period set by state law.
- DEA Form 222
- The official order form used to transfer Schedule I and II controlled substances between registrants. It must be completed accurately and retained as part of the required controlled substance records.
- Michigan MAPS
- Michigan's prescription drug monitoring program, which collects controlled substance dispensing data. Dispensers must report to the database, and pharmacists review it before dispensing certain controlled substances.
- Pharmacist-in-charge
- The licensed pharmacist designated by a Michigan pharmacy as responsible for compliance with the Public Health Code, Board rules, and the pharmacy's day-to-day operations and recordkeeping.
- Michigan CE requirement
- Michigan pharmacists must complete 30 hours of continuing education per 2-year renewal cycle, including at least 5 hours on opioid and controlled substance topics.
- Nonresident pharmacy registration
- A pharmacy located outside Michigan that ships prescription drugs to Michigan patients must register with the Michigan Board of Pharmacy and identify a Michigan-licensed pharmacist-in-charge.
- Generic substitution
- A pharmacist may substitute a therapeutically equivalent generic drug unless the prescriber writes 'dispense as written' or the patient objects. The record must show the substitution.
- Prescription retention period
- Michigan requires prescription records to be retained for 5 years and be readily retrievable. Federal controlled substance records must be kept at least 2 years.
- Oral prescription reduction
- A pharmacist who receives an oral prescription must reduce it to a written record that includes all required elements, and must verify the prescriber's identity and authority.
- Emergency Schedule II dispensing
- Federal law allows a pharmacist to dispense a limited quantity of a Schedule II drug on an oral emergency prescription if the prescriber delivers a written prescription within 7 days.
- Theft or loss reporting
- A pharmacy must report theft or significant loss of controlled substances in writing to DEA and the state licensing agency, and must document the circumstances and corrective actions.
- Schedule III–V refill limits
- A Schedule III–V prescription may be refilled up to 5 times within 6 months of the issue date, and only when the prescriber has authorized refills.
- Prospective drug utilization review
- Before dispensing, a pharmacist screens for therapeutic duplication, drug-disease contraindications, drug-drug interactions, incorrect dosage, and allergies, and documents resolution of problems.
- Counseling offer
- A pharmacist must offer counseling to each patient receiving a new prescription. If the patient declines, the refusal must be documented in the patient record.
- Counseling content
- Counseling covers drug name and description, dosage form, dose, route, duration, directions, special precautions, common adverse effects, interactions, and storage.
- Technician task limits
- Pharmacy technicians may perform data entry, counting, and labeling under pharmacist supervision, but may not counsel patients or exercise independent professional judgment.
- Pharmacy security requirement
- A Michigan pharmacy must have adequate space, equipment, and security, and the prescription department must be enclosed and lockable when a pharmacist is not present.
- Pharmacist on duty
- A pharmacy may be open only when a licensed pharmacist is present. Operations without a pharmacist are limited to activities expressly permitted by Board rule.
- Perpetual controlled substance inventory
- A pharmacy must maintain a perpetual inventory of controlled substances and reconcile it at least every 2 years. Discrepancies must be investigated and reported.
- Pharmacy policy manual
- A pharmacy must maintain a current policy and procedure manual covering dispensing, recordkeeping, security, and emergencies, and must review it periodically.
- Grounds for discipline
- Michigan may discipline a licensee for fraud, deceit, negligence, incompetence, violation of drug laws, or practicing beyond the scope of the license.
- Duty to report violations
- A pharmacist must report to the Board knowledge of a Public Health Code violation by another licensee that poses a risk to patients.
- Impaired practice
- A pharmacist may not practice while impaired by alcohol or drugs and must report an impaired colleague to the Board or a designated program.
- Patient confidentiality
- A pharmacist must protect patient information and may not disclose protected health information except as permitted by law or authorized by the patient.
- USP 795
- The USP general chapter governing nonsterile compounding. It sets requirements for facilities, equipment, personnel training, and documentation of compounded preparations.
- USP 797
- The USP general chapter governing sterile compounding. It requires a cleanroom, laminar airflow hood, environmental monitoring, and personnel competency testing.
- Compounding copies
- A pharmacy may not compound a copy of a commercially available drug product unless the prescriber documents a clinically significant difference for the patient.
- Compounding records
- A pharmacy must record the formula, ingredients, lot numbers, and the identity of the person who compounded and verified each compounded preparation.
- Long-term care dispensing
- A pharmacy may dispense to a long-term care facility only pursuant to a prescription and must maintain records identifying the resident and the prescriber.
- Federal legend requirement
- A prescription drug may be dispensed only on a prescription of a practitioner licensed by law to administer the drug, and the label must carry the federal caution statement.
- Michigan Public Health Code Article 15
- The Michigan statute governing pharmacy licensure, drug control, and discipline. It authorizes the Board of Pharmacy to adopt rules in the Michigan Administrative Code.
- CMEA sales limits
- The federal Combat Methamphetamine Epidemic Act limits daily and monthly sales of ephedrine and pseudoephedrine products and requires logbook, identification, and behind-the-counter storage.