MO MPJE flashcards
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- Missouri Board of Pharmacy
- State agency within Missouri's Division of Professional Registration that licenses pharmacists and pharmacies and enforces the Pharmacy Practice Act and Board rules.
- Pharmacist-in-charge responsibility
- A Missouri pharmacy must have a PIC who is responsible for compliance with pharmacy laws, security, recordkeeping, and overall operation of the licensed pharmacy.
- Pharmacy technician registration
- Missouri requires pharmacy technicians to be registered with the Board of Pharmacy before performing technician duties; registration is separate from pharmacist licensure.
- Final prescription verification
- In Missouri, a pharmacist must perform the final verification of a dispensed prescription; this duty cannot be delegated to a registered pharmacy technician.
- Immunization authority
- Missouri pharmacists may administer immunizations to specified age groups under a protocol or prescription, subject to Board rules and training requirements.
- Schedule II refills
- Federal law prohibits refills of Schedule II prescriptions; a new prescription is required for additional dispensing, except permitted partial-fill or emergency oral procedures.
- Schedule III-V refill limit
- A Schedule III, IV, or V prescription may be refilled up to five times within six months of the issue date unless the prescriber limits refills.
- Emergency oral Schedule II
- A pharmacist may dispense a limited quantity of a Schedule II drug on an emergency oral order if the prescriber delivers a written or electronic prescription within seven days.
- DEA registration
- Federal registration required for each principal place of business where controlled substances are manufactured, distributed, dispensed, or stored; it is separate from state licensure.
- Missouri PDMP reporting
- Missouri dispensers must report controlled substance dispensing to the state prescription drug monitoring program; pharmacists query the PDMP as required by state law.
- Prescription transfer
- A prescription may be transferred between pharmacies according to federal and Missouri rules; the transferring pharmacist must record and the receiving pharmacist must obtain required information.
- CII partial fill
- If a pharmacist cannot supply the full Schedule II quantity, the remainder may be dispensed within 72 hours; otherwise the prescriber must be notified and no further dispensing occurs.
- Prescription label elements
- Missouri labels must include pharmacy name and address, prescription number, date, patient name, prescriber, directions, drug name and strength, quantity, and expiration or beyond-use date.
- Corresponding responsibility
- A pharmacist may not fill a controlled substance prescription unless it is issued for a legitimate medical purpose by a prescriber acting in the usual course of practice.
- Oral CIII-V prescriptions
- Federal law permits oral prescriptions for Schedule III through V controlled substances; the pharmacist must reduce the order to writing and retain required records.
- Pharmacy license renewal
- Missouri pharmacy licenses must be renewed with the Board of Pharmacy; failure to renew before expiration prohibits continued dispensing until reinstated.
- Pharmacist CE requirement
- Missouri pharmacists must complete continuing education required by Board rule for license renewal and retain documentation for audit; exact hours are set by the Board.
- DEA renewal cycle
- DEA registrations are renewed every three years; a new registration is required for a change in ownership or principal location.
- PIC change notification
- When a Missouri pharmacy changes pharmacist-in-charge, the pharmacy must notify the Board of Pharmacy as required by Board rules.
- Biennial inventory
- DEA requires an initial inventory and a biennial inventory every two years; Schedule II counts are exact and Schedule III through V may be estimated unless a container holds over 1,000 units.
- DEA Form 222
- Order form used to procure Schedule I or II controlled substances; it must be completed, signed, and retained according to DEA recordkeeping rules.
- DEA Form 106
- Form used to report theft or significant loss of controlled substances to DEA; Missouri may also require Board notification.
- Controlled substance records
- Federal law requires controlled substance records to be kept for two years and be available for inspection by authorized officials.
- Reverse distributor
- Entity authorized to receive and dispose of returned or expired controlled substances from pharmacies; transactions must be documented.
- Offer to counsel
- Pharmacist must offer counseling on new or changed prescriptions; counseling may be declined, and the offer or refusal should be documented per policy.
- Prospective DUR
- Review of the prescription before dispensing for therapeutic duplication, drug interactions, allergies, dose, and contraindications.
- Medication guide
- FDA-approved patient handout required for certain drugs; pharmacist must provide it when dispensing and counseling should include its key risks.
- Counseling documentation
- Pharmacies should document counseling provided or the patient's refusal, including date and pharmacist initials, to demonstrate compliance.
- USP 795
- United States Pharmacopeia chapter setting standards for nonsterile compounding, including facilities, equipment, personnel training, and default beyond-use dates.
- USP 797
- USP chapter governing sterile compounding, including ISO cleanroom requirements, garb, environmental monitoring, and validation of sterile processes.
- Master formulation record
- Detailed written formula and procedures for a compounded preparation, including ingredients, quantities, equipment, and beyond-use date assignment.
- Compounding BUD
- Beyond-use date assigned to a compounded preparation based on USP default tables, water content, preservative use, storage conditions, and stability information.