TX MPJE flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Schedule II Refill Rule

Schedule II prescriptions may not be refilled; a new prescription is required for additional dispensing, except for authorized partial fills within 72 hours.

Schedule III-V Refill Limit

Schedule III-V prescriptions may be refilled up to five times within six months of the issue date unless the prescriber specifies otherwise.

Biennial Inventory

A physical count of all controlled substances must be conducted every two years in Texas; the inventory date and time must be recorded.

PMP Check Requirement

Texas pharmacists must check the PMP before dispensing opioids, benzodiazepines, barbiturates, or carisoprodol, with limited exceptions.

Prescription Retention Period

Texas requires prescription records to be retained for at least two years; controlled substance records must be readily retrievable.

Patient Counseling Duty

A pharmacist must offer counseling on new prescriptions and changes; refusal must be documented in the patient record.

Pharmacist License Renewal

Texas pharmacist licenses renew every two years with 30 CE hours, including 1 hour opioid abuse and 1 hour pharmacy law.

Technician CE Requirement

Texas pharmacy technicians must complete 20 hours of CE per two-year renewal period, including at least 1 hour of pharmacy law.

PIC Responsibility

Every Texas pharmacy must have a pharmacist-in-charge who is responsible for compliance with all TSBP rules and recordkeeping.

Change of Address Notice

Texas licensees must notify TSBP within 10 days of a change of address or name to keep licensure records current.

Emergency Oral Schedule II

In a bona fide emergency, a Schedule II may be dispensed on an oral order if a written prescription follows within 7 days.

Partial Fill 72-Hour Rule

If a pharmacist cannot supply the full Schedule II quantity, the remainder must be filled within 72 hours or the prescription is void.

DEA Form 106

Used to report theft or significant loss of controlled substances to DEA; Texas also requires notification to TSBP.

DEA Form 41

Used to document destruction of controlled substances; must be completed and retained per DEA and Texas recordkeeping rules.

EPCS Requirements

Electronic prescriptions for controlled substances must meet DEA EPCS standards, including identity proofing and two-factor authentication.

Prescription Label Contents

Texas labels must include pharmacy name/address, Rx number, date, patient name, directions, prescriber, drug name/strength, quantity, and BDD.

One-Year Fill Limit

Non-controlled prescriptions in Texas generally must be filled within one year of the issue date unless state rules provide otherwise.

Collaborative Practice Agreement

A written agreement between a pharmacist and physician defining the pharmacist's scope to initiate or manage drug therapy.

Immunization Authority

Texas pharmacists may administer vaccines to patients aged 3 and older under a standing order or prescription, with reporting requirements.

Naloxone Standing Order

Texas pharmacists may dispense naloxone without a prescription under a standing order and must provide overdose education.

Hormonal Contraception

Texas pharmacists may provide hormonal contraception without a prescription under a standing order after screening for contraindications.

MTM Services

Medication therapy management by pharmacists requires documentation and communication with the prescriber regarding therapy changes.

CQI Program

Texas pharmacies must maintain a continuous quality improvement program that documents and analyzes medication errors and near misses.

Impaired Professional Reporting

Texas pharmacists must report to TSBP any pharmacist or technician who is impaired or poses a risk to patients.

Unprofessional Conduct

Grounds for TSBP discipline include fraud, incompetence, unprofessional conduct, CS violations, and failure to maintain records.

Emergency Suspension

TSBP may summarily suspend a license if continued practice poses an imminent threat to public health and safety.

Texas Pharmacy Act Citation

The Texas Pharmacy Act is codified in Tex. Occ. Code chapters 551-569; TSBP rules are in 22 Tex. Admin. Code.

Federal Preemption Rule

Federal law preempts conflicting state law only where compliance with both is impossible; states may impose stricter controls.

DEA Registration

Any Texas entity that handles controlled substances must hold a separate DEA registration in addition to a TSBP pharmacy license.

PMP Reporting Deadline

Texas pharmacies must report controlled substance dispensing to the PMP by the next business day after dispensing.

Fingerprint Requirement

Texas requires fingerprint-based criminal history checks for pharmacist licensure and pharmacy technician registration applicants.

Pharmacy License Renewal

Texas pharmacy licenses renew annually and require disclosure of changes in ownership, location, or pharmacist-in-charge.