MPJE Maryland Study Guide (Latest 2023/ 2024 Update) Questions and Verified Answers| Grade A| 100% Correct
MPJE Maryland Study Guide (Latest 2023/
2024 Update) Questions and Verified
Answers| Grade A| 100% Correct
Q: Requirements for Drug Delivery
Answer:
- Must document authorization to deliver
- Must have Rph readily available for consult
- Must be delivered to the patient or their agent (no depots)
- Must be labeled as to not indicate drugs are inside
- Must be packaged to show evidence of tampering
Q: Rx Transfer Requirements
Answer:
Record of transfer and all rx info
Original date,date of first fill, last refill date, (and other refill dates?)
Refills remaining
Original Rx number
Name of both pharmacies and pharmacists
Transfer date
Prescriber info
Q: Prescription Record Requirements
Answer:
Most must be maintained 5 years
Medicaid patients: 6 years
Medicare patients: 10 years
Q: Agencies that Conduct Inspections of Pharmacies
Answer:
MD BOP (opening and annual inspection [unannounced])
DDC CDS inspections (closing inspection as board’s agent)
DEA
FDA
Q: Agencies that can Impound Drugs from a MD Pharmacy
Answer:
FDA
DEA
DDC
Q: Repackaging Bulk Containers to Unit Dose in the In Patient Setting: Requirements for
Records
Answer:
Log should contain:
- Drug name, strength, quantity
- Manufacturer, lot number, expiry date
- Hospital assigned lot number
Q: Pharmacist Consultation in Assisted Living Facility and Comprehensive Care Facility
Requirements
Answer:
Assisted Living: Rph must conduct on-site review of patient meds every 6 months for any
resident with 9 or more drugs (including OTC and PRN)
Comprehensive Care: must review every 3 months
Q: PDMP Requirements
Answer:
All C2-C5 drugs dispensed must be reported within 3 business days of dispensing
Pharmacies, non-resident pharmacies, and physicians that dispense must report
Vets, hospital pharmacies (direct administration of drugs), opioid maintenance programs, waiver
pharmacies are typically not required
Must notify patients of reporting/using PDMP via a sign posted in waiting area or written
material given to patient
Q: Non-Pharmacist Dispensers Licensure
Answer:
Usually licensed by their respective board
ie. Physician dispenser would be licensed by Board of Physicians
Q: Pharmacist Administered Vaccinations
Answer:
Rph allowed to immunize:
9 years and older for flu
11-18 years: any CDC recommended vaccine with an rx from prescriber
Adults: any vaccine recommended by CDC and for international travel per vaccine specific
protocol
Q: Records Required to be kept for Sterile Compounding
Answer:
All records kept for at least 5 years:
- Completed patient prescription records
- Training and competency evaluation of employees in sterile prep procedures
- Refrigerator/Freezer temps
- Certification of sterile compounding environment, including ISO 5 stations and clean/ante
rooms - Quality control logs (cleaning logs etc.)
- Records documenting inspection for expired drugs/raw ingredients
- Preparation records and pharmacist/tech sign offs
- Media fill verification results
Q: How many members are on the Board?
Answer:
12 individuals (10 pharmacists–picked from a list– and 2 residents of Maryland– appointed by
the Governor)
Pharmacists mix of specialties: 2 chain retail, 2 independent retail, 1 acute care hospital, 1 LTC
facility, 1 home infusion, 2 at large
Must have 5 years of experience
Q: What is the term of a Board member?
Answer:
4 year term–no one may serve more than 2 consecutive terms
Q: How can a Board member be removed?
Answer:
Either by the Governor for incompetence and misconduct and/or for a failure to attend two
consecutive meetings without being excused.
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How many members are on the Board?
12 individuals (10 pharmacists–picked from a list– and 2 residents of Maryland– appointed by the Governor)
What is the term of a Board member?
4 year term–no one may serve more than 2 consecutive terms
How can a Board member be removed?
Either by the Governor for incompetence and misconduct and/or for a failure to attend two consecutive meetings without being excused.
Is there immunity given to individuals who give information to the Board, make complaints to the Board, or who participate in Board activities?
Yes there is “qualified immunity”
What is the purpose of the Board of Pharmacy Fund?
To have the Board be self-supporting
What is deposited into the BoP Fund?
The fees for renewal of licenses and other services
What are the BoP funds used for?
To pay the operating expenses of the Board and the Board may allocate money to the pharmacist rehabilitation committee.
Does Maryland law give the Board of Pharmacy authority to order health investigations of pharmacists, pharmacy interns, and pharmacy technicians?
Yes, Maryland law allows the Board to direct a pharmacist, pharmacy intern, and/or a pharmacy technician to submit to an appropriate examination by a health care provider if the Board has “reason to believe” that the licensee may cause harm to a person in the practice of pharmacy. A refusal to take the examination is evidence that the licensee is not able to work in a pharmacy.
What is the purpose of the Pharmacy Review Committee?
To advise the Board regarding the evaluation, improvement of the quality, level of performance, qualifications, matters of discipline, and competence of the providers of pharmaceutical care.
Are records and proceedings of the Pharmacy Review Committee public documents?
No, they are confidential and members of the committee are not subject to civil liability while participating in proceedings.
What is the term of a pharmacist license?
2 years
How many CE hours are required and how often?
30 Hours of CE over a 2 year period
License expires on the last day of your birth month
1 CE hour on preventing medication errors and 2 CE hours must be live.
How many votes does the Board need to deny a license, reprimand a licensee, place a licensee on probation, or suspend or revoke a license?
A majority vote
Does a lapse or surrender of license by a pharmacist allow him/her to escape disciplinary action while under investigation or while charges are pending against the pharmacist without agreement by the Board?
No
What must you submit when renewing a pharmacist license?
Payment of renewal fee, submission of an application, proof of compliance with CE requirements, and current mailing address and current location of employment (this is also required within 30 days of any change of address or relocation).
What must an individual/entity have to operate a pharmacy from a particular location?
Must have a permit (not called a license).
How often are pharmacy permits renewed?
Every 2 years (on even-numbered years) on May 31st
Which profession is not required to obtain a pharmacy permit from the Board of Pharmacy?
Dentist, if he/she obtains a permit from the State Board of Dental Examiners.
What statue was deleted out of the Criminal Law Article?
The section prohibiting prescription drug advertising.
IS a pharmacy permit holder allowed to do wholesale distribution?
Yes, as long as it does not exceed 5% of the permit holder’s annual sales and that the business is kept separate with specific required record keeping.
Do you need a permit to distribute hemodialysis drugs and devices to an outpatient?
Yes, you must obtain a permit (Dialysis Distribution Permit) from the Maryland Board of Pharmacy before distributing hemodialysis solutions, equipment, heparin, local anesthetics, needles, and syringes (unless you are a licensed pharmacist).
What are the requirements of Institutional Inpatient Pharmacy Permit holders?
Adopt written policies and procedures. A full-time licensed pharmacist (appointed as the Director of Pharmacy) who is in charge of the pharmacy, its personnel, and pharmacy operations, and who shall review, and revise the policies and procedures of the pharmacy as necessary (at least annually).
Nonresident pharmacy permit holder’s telephone service and open hours requirements.
To maintain a toll-free telephone service during its regular hours of operation (which must be not less than 6 days a week, and a minimum of 40 hours per week).
How long must prescription records and compound prescription records be kept?
5 years
What must be given to patients when mailing or otherwise delivering prescriptions?
Must provide written notice to alert consumer of the circumstances of exposures to extremes of heat, cold, or humidity that may affect a medication’s effectiveness.
What are expiration dates of Parenteral nutritional solutions and other sterile preparations?
Parenteral preparations have a max of 7 days or if the shortest expiration date of a drug used. Other preparations must be administered not later than 36 hours from preparation (frozen drugs shall be labeled as such from the time of thawing).
In Maryland, who can a prescription medication be delivered (U.S.P.S., common carrier, or delivery system) to?
Prescriptions can be mailed to a patient, an authorized agent of the patient, and/or to the patient’s residence, whether or not the patient is there at the time of delivery.
How should the pharmacist document a delivered prescription?
Documentation should be on the prescription, in the patient’s profile, or in another record maintained in the pharmacy, and established for the purpose of recording the authorization. If the prescription was delivered to an agent of the patient, the pharmacist should also document the identity of the agent to whom the medication is sent, the location where it is sent, the date and time it is sent, and the prescription number or description of the medication sent.
Who has the authority to inspect the office of a dentist, physician, or podiatrist holding a dispensing permit?
The Division of Drug Control of the State of Maryland can inspect these offices and report the results to the applicable licensing board.
How soon should a pharmacy name change be reported to the Board?
Within 30 days of the date of the change.
What must be kept on record for medication errors?
The date of the error, a brief description of the error, the results of the evaluation by the ongoing quality assurance program’s investigation, and remedial action taken or recommendations made.
How often should the permit holder review medication error records?
A periodical review at least every 3 months (including any errors related to automatic medication systems) and conduct an analysis of the medication delivery system at least every 6 months.
How long must inventory acquisition records be maintained?
2 years and must be available with 72 hours of request from law enforcement, the Board, or Drug Control.
What are the minimum requirements for an automatic medication system?
-Bar code technology
-Electronic reporting capability
-Either a picture of the medication or a written report that describes the medication must be available
-A pharmacist available 24 hours a day for consultation
-technical assistance must be available 24 hours a day
-comprehensive training program provided to all persons with access to the system
-a quality assurance program
What is required of a quality assurance program for a remote automated medication system?
-Policies and procedures for operation of the system (at both the location where the orders are received and where the system administers the medication)
-Daily inspection of the integrity of the system
-Plan for medication errors
-Plan for reviewing incidents regarding inappropriate use and access to the system
-Proper labeling procedures (for State and Federal laws)
-Policies and procedures for the safe handling and return of unused medications
What security measures are required for remote automated medication systems?
Limited access to authorized individuals requiring individual security codes for all functions, the maintenance of logs and repair records, power outage, and a requirements that only a registered nurse or licensed practical nurse is to have access to the medications contained within the system.
Are sterile compounding permits required in Maryland?
No, they are no longer required.
Who should a pharmacist report to if conduct of another pharmacist involves alcohol abuse or dependency?
They should report to the pharmacist rehabilitation committee.
Can a pharmacist accept returned prescription drugs or devices from a patient?
Yes, if the pharmacist determines to have been handled in a manner which preserves the strength, quality, purity, and identity of the drug or device (manufacturer’s seal or individual unit dose packaging) during an interim period between the sale of the drug or device and its return to the pharmacy.
Can a pharmacy technician accept the return of prescription drugs or devices from a patient?
No, a technician cannot accept the return.
What are practitioners required to do before dispensing prescription drugs or devices?
Practitioners are required to submit application to their respective licensing Board, demonstrate that the dispensing of prescription drug or device is in the public interest, and must receive written permit from their respective Board.
What requirements do practitioners need to follow when dispensing prescription drugs or devices?
Except for starter dosages or samples dispensed without charge, the provider must provide the patient with a written prescription, maintain prescription files, and maintain a separate file for CII prescriptions. The provider is also required to comply with applicable labeling requirements, record the dispensing of the prescription drug or device in the patient’s chart, and allow the Division of Drug Control to enter and inspect the provider’s office at all reasonable hours. (The person for whom the drugs or devices are prescribed must already be a patient of the prescribing practitioner.)
What happens if a prescription is not dated?
The prescription is not a legal prescription and may not be dispensed until the pharmacist can ascertain the date the prescription was issued.
How long are prescription good for from the date of issuance?
120 days (4 months) from the date issued for the first fill but after the first fill, prescriptions can be filled up to 1 year (6 months for controlled substances).
What should the pharmacist do if he/she refuses to dispense or refill a prescription based on professional judgement, experience, knowledge, or available reference materials?
The pharmacist shall notify the prescriber within 72 hours of the refusal.
Can a pharmacist refuse to dispense or refill birth control medication of Plan B?
No, the pharmacist cannot refuse based on moral or religious judgement.
What equipment is a pharmacy required to have?
A Class A prescription balance and weights, or a prescription balance equivalent or superior sensitivity to that balance, a refrigerator solely for the storage of drugs requiring refrigeration with a thermometer or temperature monitoring device, and a freezer.
Does Maryland law require that a patient drug profile be maintained?
No, but if one is maintained, the law states that the profile shall contain the date each script was filled or refilled and the initials of the pharmacist and technician involved in the dispensing of that prescription.
When can a pharmacist give a refill without authorization from a practitioner?
-The pharmacist unsuccessfully attempted to obtain an authorization
-Prescription is not for a CDS
-Drug or device is essential to the maintenance of life
-The drug or device is essential to the continuation of therapy in chronic conditions
-The pharmacist signs or initials an entry on the back of the prescription, or on another readily retrievable record as to the date and the quantity dispensed.
-The pharmacist notifies the prescriber within 72 hours of dispensing the refill
-The pharmacist dispenses only ONE refill in a quantity not to exceed a 14 day supply.
(in a state or federal declared emergency the pharmacist can dispense up to a 30 day supply and notify the prescriber within 7 days)
What are physician assistants authorized to write for?
Prescriptions and medication orders (pursuant to a delegation agreement with a physician).
When can a PA write for CII-V medications?
Within a hospital, correctional facility, or detention center (NOT within a public health facility).
How soon must the supervising physician countersign medication orders from a PA?
Within 48 hours if in a hospital, correctional facility, or detention center. Within 72 hours if in a public health facility.
What locations are nurse practitioners limited by what may be prepared and dispensed?
Non-profit medical clinics and facilities, facilities reimbursed through Worker’s Compensation Insurance, a facility that operates on a campus or institution of higher education, a non-profit hospital out-patient facility, and/or any other public funded health or medical facility.
Can completed prescriptions be given to a patient when a pharmacist is not present in the pharmacy?
No
What constitutes a “starter dose”?
An amount of drug or device sufficient to being therapy of short duration of 72 hours or less, or is given prior to obtaining a larger quantity to complete the therapy.
Do pharmacy technician have to be registered in Maryland?
Yes
What are the requirements for pharmacy technicians to renew their licenses?
20 CE hours every 2 years plus fee
How many times can you renew a pharmacy intern license?
1 time (total of 4 years)
What are the age requirements for a pharmacist to administer a vaccine?
Cannot administer the influenza vaccination to an individual younger than 9 years old and any other vaccine to an individual younger than 18 years old.
What are the CE requirements for a pharmacist licensed to administer vaccinations?
At least 4 hours of CE credit related to vaccinations every 2 years with renewal.
What products are eligible for the prescription drug repository program?
Prescription drugs or medical supplies that are in their original unopened and sealed packaging or packaged in single doses when the outside packaging is opened if the single unit dose package is undisturbed.
What products are ineligible for the prescription drug repository program?
Expiration date limitations, adulterated products, CDS, drugs that require refrigeration and drugs that have been compounded because they are patient specific.
When can a pharmacist fill orders using abbreviations and chemical symbols?
When those abbreviation and symbols are published on a list developed by an appropriate institutional committee.