NV MPJE flashcards
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- Durham-Humphrey Amendment
- 1951 federal law that created the prescription-only legend drug category, allowing drugs to be dispensed only on prescription and requiring the legend on the label.
- Schedule II refill rule
- Schedule II prescriptions may not be refilled; a new prescription is required for additional supply, and partial fills are limited to 72 hours or 30 days depending on the situation.
- DEA Form 222
- The triplicate order form (or CSOS electronic equivalent) used to order Schedule I and II controlled substances; it is valid for 60 days after execution.
- Corresponding responsibility
- The pharmacist's legal duty to ensure a controlled substance prescription is issued for a legitimate medical purpose and to resolve red flags before dispensing.
- Biennial inventory date
- DEA requires a controlled substance inventory every two years on May 1 of odd-numbered years, or the next business day if May 1 falls on a weekend.
- Emergency oral C-II order
- An oral Schedule II order accepted only in an emergency; the pharmacist must reduce it to writing and the prescriber must provide a written or electronic prescription within 7 days.
- Poison Prevention Packaging Act
- Federal law requiring child-resistant packaging for most prescription drugs unless the prescriber or patient requests otherwise; a blanket waiver must be written.
- Medication Guide requirement
- FDA-required patient handout for drugs with serious public health concerns, to be provided with each dispensing when the patient receives less than a 30-day supply or requests it.
- Combat Methamphetamine Epidemic Act
- Federal law restricting retail sales of pseudoephedrine and similar products, requiring behind-the-counter storage, purchaser ID logging, and daily and 30-day quantity limits.
- NPI
- A 10-digit National Provider Identifier assigned to health care providers; it replaced UPINs in 2007 and contains no embedded information about the provider.
- North Dakota Board of Pharmacy
- The state agency that licenses pharmacies and pharmacists and enforces the North Dakota Pharmacy Practice Act and the Board's administrative rules.
- North Dakota pharmacist renewal
- North Dakota pharmacist licenses are renewed annually by December 31, and continuing education requirements must be met to maintain active licensure.
- North Dakota technician registration
- Pharmacy technicians in North Dakota must be registered with the Board and work under pharmacist supervision, with the pharmacist responsible for final verification.
- North Dakota counseling duty
- North Dakota requires pharmacists to counsel on new prescriptions and offer counseling on refills; patient refusal should be documented in the record.
- North Dakota record retention
- North Dakota pharmacies must retain prescription records for at least five years and make them readily retrievable for Board inspection.
- North Dakota immunization authority
- North Dakota pharmacists may administer immunizations to patients of appropriate age under a protocol or prescription, subject to Board rules and certification.
- Pharmacist-in-charge
- The licensed pharmacist responsible for a pharmacy's compliance with laws and rules; the Board must be notified when the PIC changes.
- Prescription required elements
- A valid prescription must include patient name and address, drug name, strength, dosage form, quantity, directions, prescriber name and address, and date.
- USP <797>
- The standard for sterile compounding, covering environmental monitoring, personnel training, and beyond-use dating for compounded sterile preparations.
- USP <795>
- The standard for nonsterile compounding, addressing facilities, equipment, training, and beyond-use dating for compounded nonsterile preparations.
- Board inspection authority
- The Board may inspect a pharmacy at reasonable times without prior notice, and the pharmacy must produce licenses, records, and inventory for review.
- Perpetual inventory
- A running record of controlled substance receipts, dispensing, and returns that is reconciled to detect discrepancies and support accountability.
- HIPAA minimum necessary
- The principle that disclosures of protected health information should be limited to the minimum amount needed for the purpose of the disclosure.
- Medication error reporting
- A nonpunitive system for documenting errors and near misses to identify system failures and improve patient safety rather than assign blame.
- Red flag resolution
- The process of investigating and documenting concerns such as early refills, cash payment, or distance from prescriber before dispensing a controlled substance.
- Patient counseling documentation
- A record showing that counseling was offered and whether the patient accepted or declined, supporting the pharmacist's professional obligation.
- Prescription transfer rule
- Schedule III–V prescriptions may be transferred between pharmacies as allowed by DEA rules, while Schedule II prescriptions generally may not be transferred or refilled.
- Schedule III–V refill limits
- Such prescriptions may be refilled up to five times within six months of the date of issue, with each refill date and quantity recorded.
- DEA registration renewal
- Pharmacy DEA registrations must be renewed every three years, and each principal place of business requires its own registration.
- Sterile compounding training
- Personnel who compound sterile preparations must be trained and evaluated for competency, and environmental monitoring must be documented per USP <797>.
- Conflict of interest
- A situation in which a pharmacist's financial or personal interest could compromise professional judgment; such interests must be avoided or disclosed.
- Impaired practitioner reporting
- Pharmacists must report suspected impairment or unsafe practice conditions to the appropriate authority consistent with state law and Board rules.