VA MPJE study materials
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VA MPJE flashcards

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Pharmacist license renewal
Virginia pharmacist licenses expire annually on December 31; renewal requires a fee, completion of continuing education, and disclosure of any disciplinary or impairment issues.
Pharmacy permit is site-specific
A Virginia pharmacy permit authorizes practice only at the licensed address and under the licensed ownership; relocating or changing ownership requires a new permit application.
PIC change notification
Virginia pharmacies must notify the Board of Pharmacy in writing within 14 days after a change in the pharmacist-in-charge.
Nonresident pharmacy registration
A pharmacy located outside Virginia that ships or mails prescriptions to Virginia patients must hold a Virginia nonresident pharmacy registration.
Technician registration requirements
Virginia pharmacy technicians must register with the Board, complete a Board-approved training program, and pass a recognized certification examination unless exempted.
Continuing education biennium
Virginia pharmacists must complete 30 contact hours of continuing education per biennium, including at least 15 hours in live, interactive programs.
Schedule II refill prohibition
Schedule II prescriptions may not be refilled; a new prescription from the prescriber is required each time additional medication is dispensed.
Schedule III–V refill limit
Schedule III, IV, and V prescriptions may be refilled up to five times within six months of the issue date, after which a new prescription is needed.
Virginia acute pain opioid limit
Virginia limits opioid prescriptions for acute pain to a seven-day supply unless an exception such as cancer, hospice, or chronic pain applies.
PMP dispensing report deadline
Virginia dispensers must report each controlled substance dispensing to the Prescription Monitoring Program no later than the close of the next business day.
Naloxone standing order
Virginia pharmacists may dispense naloxone without a patient-specific prescription under a Board-approved protocol or standing order, with required patient education.
Emergency oral Schedule II
A pharmacist may dispense a Schedule II drug on an oral emergency order only if the prescriber provides a written prescription within seven days.
DEA registration renewal
DEA registrations must be renewed every three years, and a separate registration is required for each principal place of business where controlled substances are handled.
Pharmacist-to-technician ratio
Virginia allows one pharmacist to supervise no more than four pharmacy technicians who are performing technician duties at the same time.
Continuous quality improvement program
Virginia pharmacies must maintain a continuous quality improvement program that documents medication errors, analyzes their causes, and implements preventive changes.
Prescription label elements
Virginia labels must show the pharmacy name and address, prescription number, date, patient name, prescriber, drug name and strength, directions, quantity, and refills.
Refrigerated drug storage
Refrigerated drugs must be stored at 2 to 8 degrees Celsius (36 to 46 degrees Fahrenheit) with temperatures monitored and documented regularly.
Pharmacy security requirement
The prescription department must be locked and accessible only to authorized personnel when a pharmacist is not on duty.
Biennial controlled substance inventory
Every DEA registrant must take a complete inventory of all controlled substances every two years, dated and signed, and retain it for at least two years.
Theft or significant loss reporting
A pharmacy must report a theft or significant loss of controlled substances to DEA and the Virginia Board of Pharmacy in writing upon discovery.
DEA Form 222 use
Schedule II controlled substances are ordered with DEA Form 222 or an approved electronic equivalent, and the executed form is retained as a record.
Reverse distributor transfers
Expired or unwanted controlled substances must be transferred to a DEA-registered reverse distributor and the transaction documented; they cannot be simply discarded.
DSCSA transaction documentation
Trading partners must exchange transaction information, transaction history, and a transaction statement for each prescription drug product transferred through the supply chain.
Generic substitution rule
A Virginia pharmacist may substitute a therapeutically equivalent generic unless the prescriber writes 'dispense as written' or the patient refuses the substitution.
Emergency refill of maintenance drug
A Virginia pharmacist may dispense a one-time emergency refill of up to a 30-day supply of a non-controlled maintenance medication when the prescriber cannot be reached.
Collaborative practice agreement
A written collaborative practice agreement lets a Virginia pharmacist initiate, modify, or continue drug therapy under a protocol with a prescriber.
Schedule II partial fill
If a pharmacy cannot supply the full quantity of a Schedule II drug, the remainder may be dispensed within 72 hours; otherwise the prescriber must be notified.
Hormonal contraceptive prescribing
Virginia pharmacists who complete required training may initiate and dispense self-administered hormonal contraceptives under a Board-approved protocol and must refer patients for follow-up.
FDA MedWatch reporting
MedWatch is the FDA program for reporting serious adverse events, product problems, and medication errors involving drugs, biologics, and devices.
VAERS reporting system
VAERS collects reports of adverse events after immunization; serious events, errors, and unexpected reactions should be reported to the program.
High-alert medication safeguards
High-alert medications such as insulin, heparin, and concentrated electrolytes require independent double checks and standardized storage to prevent serious harm.
Patient counseling content
Counseling should cover the drug name and purpose, directions, common side effects, interactions, storage, and what to do about a missed dose.