The minimum floor space of a retail pharmacy shall be at least what?
150 square feet
There shall be such WHAT within each prescription department as to
permit pharmacists, interns/externs, and/or technicians employed
therein, to adequately, safely, and accurately fulfill their duties,
related to prescriptions and drugs.
clear floor space
Retail pharmacies must have refrigerators with a what?
thermometer
Retail pharmacies must have sinks with what?
Hot and cold running water
What kind of balances must a pharmacy have?
Class A Class I or II Electronic balance
What kind of labels must a pharmacy have?
Prescription Auxillary
What must a pharmacy have to create a label?
typewriter word processor computer w/ label
printer
How many spatulas must a pharmacy have?
2 or more
How many counting trays must a pharmacy have?
1 or more
How many mortars and pestles of assorted sizes must a pharmacy have
2 or more
What additionally should a pharmacy have (physical equipment wise)?
Graduated cylinders of assorted sizes Stirring
rods Ointment slab, tile, or paper pad Any other
equipment necessary for specialized practice setting
Equipment shall be stored how?
Inverted on clean towel suspended on a rack when
applicable
Any deviations require approval by the Board and if granted, approval
must be displayed where?
Next to the pharmacy's certificate
Retail pharmacies must have an adequate supply of the what?
Moat commonly prescribed drugs
Retail pharmacies must have assorted sizes and types of what?
child-resistant containers
What references materials must pharmacies have?
DI Resources (Hardcopy or electronic Poison Control
Center telephone number GA Pharmacy Practice Act (HC or
E) GA Controlled Substances Act and Dangerous Drug Act (HC or
E) Official Rule of the GA State BOP (HC or E)
Pharmacy area must be WHAT if a pharmacist is not present
securely locked
If the pharmacy area is within a general merchandise
establishment, there must be a WHAT to secure the pharmacy from the
general traffic of the store when the pharmacy is closed or a
pharmacist is not on duty.
partition from floor to ceiling
Only who may have access to a licensed pharmacy department?
licensed pharmacist
Whenever the pharmacist is absent from the pharmacy, a sign shall be
prominently displayed on the entrance to the prescription department
announcing WHAT?
Prescription Department Closed
Prescription Department Closed" must be written with clear
and legible letters not less than what?
3 inches in size
What definition now allows pharmacists to provide care to patients as
long as they are available to provide assistance and direction to
pharmacy personnel?
Direct Supervision
Direct Supervision" rules out what old rule in regards to
pharmacy supervision?
Earshot and eyesight
Care provided to the patient may occur where?
Consultation room Vaccination room Areas
where Non Rx meds and OTC products are sold
Pharmacists can be away from the prescription department for up to
HOW LONG at a time without having to evacuate and
secure the prescription department?
5 minutes
Times when the pharmacist is absent from the pharmacy cannot exceed
how many hours daily?
3
Times when the pharmacist is absent from the pharmacy cannot be more
than how long at any one time?
1.5 hours
Can Rx's be filled, compounded or dispensed when a pharmacist is absent?
No
When a pharmacist is absent, prescriptions can be dropped off where?
Locked "drop box
Who can access the locked drop box?
Pharmacist only
A drive thru window after Jan 1, 2006 must be made of what?
transparent material
A drive thru window after Jan 1, 2006 must be no less than what size?
2 'x 3'
The drive thru must be placed where?
In the wall of the pharmacy dept.
The pharmacist must be able to observe WHO through the window?
the patient
What is the maximum number of drive thru lanes?
2
The lane farthest from the Pharmacy Dept. no more than HOW FAR from
the window?
24 feet
If a pneumatic tube system is used, then what must be utilized within
the tube system.
Secured carriers
If a pneumatic tube system is used, then tubes must be constructed in
a manner that what?
Prevents access by unauthorized persons
If a pneumatic tube system is used, then the tubes must be accessible
only by whom?
Pharmacy personnel
The tubes must originate where?
Prescription department
The tubes must terminate where?
Secure terminal in the drive thru
Written Rx�s presented to the retail pharmacy must contain the following:
Patient�s name and address Prescriber�s name, NPI
number, address and telephone number Prescriber�s DEA (if
Rx is for a controlled substance) Date written
Name, strength, dosage form and quantity of drug prescribed
Directions for use by the patient Refills authorized,
if any Prescriber�s signature
Oral Rx�s transcribed by the pharmacist/pharmacy intern must contain
the following:
Patient�s name and address Prescriber�s name, NPI
number, address and telephone number Prescriber�s DEA (if
Rx is for a controlled substance) Date written
Name, strength, dosage form and quantity of drug prescribed
Directions for use by the patient Refills authorized,
if any
Name of authorized
agent providing the order
Only WHO may prepare, receive, read or transfer a prescription?
Pharmacist Intern Extern
During a prescription transfer-IN, the RPh should:
Reduce the prescription information in writing to create an
official hard-copy prescription that documents all required
information of an oral prescription Record the sending
pharmacy�s name, address and telephone number Record the
sending pharmacist/intern�s name Record the receiving
pharmacist/intern�s name Record the date of transfer
Record the DEA number of the sending pharmacy (if controlled
Rx) Date of issuance of the original prescription drug
order Original number of refills authorized on the original
prescription drug order Date of original dispensing
Number of valid refills remaining and date of last refill
The original prescription serial number from which the
prescription drug order information was transferred
During a prescription transfer-OUT, the RPh should immediately mark
what on the face of the prescription?
TRANSFER
During a prescription transfer-OUT, the RPh should
Record the receiving pharmacy�s name, address and telephone
number Record the receiving pharmacist/intern�s name
Record the sending pharmacist/intern�s name Record the
date of transfer Record the DEA number of the receiving
pharmacy (if controlled Rx)
A physician�s assistant (PA) is permitted to write prescriptions
without the co-signature of the supervising MD when?
If given permission Contained in PA's job
description
True or False: A PA can write for a C-III, IV or V without having the
prescription co-signed by the supervising MD, if the PA has his/her
own DEA number
TRUE
A PA may authorize a non-controlled prescription for up to how long?
12 months
PA written prescriptions should include:
The name, address, NPI number and telephone number of
both the supervising MD and the PA
An advanced practice registered nurse (APRN) who has entered into a
nurse protocol agreement is permitted to write Rx�s
without the co-signature of a delegating
physician when?
With permission by delegating physician Contained in
APRN's nurse protocol
True or False: An APRN can write for a C-III, IV or V without having
the prescription co-signed by the delegating MD, if the APRN has
his/her own DEA number.
TRUE
An APRN cannot write for a drug that pharmacologically does what?
Induces abortion
An APRN may authorize a prescription for up to 12 months unless the
order is for what?
oral contraceptives hormone replacement therapy
prenatal vitamins
OC, HRT and PNV orders are valid for up to how long?
24 months
APRN written prescriptions should include:
The name, address, NPI number and telephone number of
both the delegating MD and the APRN
Pharmacies must keep syringes WHERE in the Prescription Dept.
behind the dispensing counter
Only who can sell, distribute, exchange or give to any person a
hypodermic syringe or needle designed or marketed primarily for human use?
pharmacist intern extern
Prior to 2009, pharmacists were �allowed� to immunize but
immunizing-pharmacists were not formally recognized in what legislation?
Pharmacy Practice Act
True or False: NO needle and/or syringe shall be sold if there is
reasonable cause to believe that it will be used for an unlawful purpose.
TRUE
When was legislation was passed outlining requirements for
pharmacists to follow to allow for the lawful provision of
pharmacist-provided immunizations.
2009
What was the 1st immunization under protocol in the state of GA?
Influenza
What does "under protocol" mean in regards to immunizations?
Patients can walk into the pharmacy and request the immunization
without a prescription
What 4 immunizations are under protocol in the state of GA?
Influenza Herpes Zoster (Shingles)
Pneumococcal Meningococcal
An immunization card is given to the patient when?
After every immunization
Affidavit means what?
You are in charge/understand the law
What is the online registration for immunizations in GA?
GRITS
What are the adverse even supplies for immunizations?
Epipen Benadryl
A vaccine protocol agreement is between who?
Pharmacist and physician
True or False: Under certain circumstances it is okay to administer a
vaccine to a patient with any condition for which such vaccine is contraindicated
False; never
Do not administer an influenza vaccine to any child
under the age of WHAT without an individual prescription from a physician?
13
Do not administer a pneumococcal disease vaccine to
any child under the age of WHAT without an individual prescription
from a physician.
18
Do not administer any vaccines containing a live
attenuated virus to a child under the age of WHAT?
13
Do not administer a meningitis vaccine to any child
under the age of WHAT?
18
Require, as a condition of administration of the
vaccine, the vaccine recipient remain under observation by Pharmacist
for a period of time of not less than HOW LONG immediately subsequent
to the administration of the vaccine?
15 minutes
Do not delegate the administration of vaccine to any
individual other than a WHO under Pharmacist�s direct supervision.
Intern Extern
Administer vaccine pursuant to Vaccine Protocol Agreement where? (location)
Private room Area w/ privacy screen Other
interior area where privacy is maintained
In the event of an adverse event or complication subsequent to
vaccine administration, refer to the procedures outlined in Addendum 2
of Vaccine Protocol Agreement and r eport
all adverse reactions to WHERE?
federal Vaccine Adverse Event Reporting
System (VAERS)
Is sharing of PDMP information allowed?
No
The delegation of access privileges are not allowed (in regards to
the PDMP) why?
Privacy concerns Fear of government overreach
Duty of dispensers to input information into the PDMP system at least
once every what?
24 hours
Must notify WHO immediately if unable to upload
within the 24 hr requirement
DPH (Department of Public Health)
There is no delegation of duty to input required for the whom?
dispensers
There is no corresponding duty for whom to input data/information?
physicians
True or False: Pharmacists have an obligation to obtain information
from the PDMP system
False; do not
The PDMP applies to what drugs?
scheduled prescription medications (CII, CIII, CIV and CV)
True or False: Delegation of retrieval and review in order to
identify misuse/abuse/underutilization is allowed for any person who
is a member of a provider�s staff who is licensed, registered or
certified by Medical or Pharmacy Boards
TRUE
Can pharmacy technicians view the PDMP with a pharmacist?
Yes
Can a PA view the PDMP with a physician?
Yes
Rx may not be accessed beyond how many years (in regards to the PDMP)?
2
By July 2018, prescribers will be required to check the PDMP when
prescribing when?
1st time subscribing for that patient Once every 90
days thereafter
What are the exceptions for a physician to not require to check the PDMP
For a three-day supply and no more than a quantity of 26
Patient is in a hospital/health care facility
Outpatient surgery at hospital or ambulatory center and Rx
is limited to 10 day supply and/or a quantity of 40 Patient
is terminally ill or under outpatient hospice Patient is
receiving treatment for cancer
Can a pharmacy technician have their own credentials for the GA PDMP?
Yes
Can a tech login to the PDMP with a pharmacist's credentials?
No
Only HOW MANY technicians are allowed per dispenser shift/rotation
(who have an access code or can access the PDMP)?
2
Information Obtained from the PDMP must be:
Must be maintained in a secure and confidential manner as
required in the law/statute May be communicated/discussed
ONLY among the dispensers and prescribers involved in the care of
the patient May be used to file a report with the Georgia
Drugs and Narcotics Agency (GDNA)
Following a review, the GDNA may:
Refer to primary prescriber for potential intervention and
impairment treatment Refer to proper authorities to
investigate and potentially prosecute Refer violations by
dispensers or prescribers to respective regulatory boards that
govern the profession Refer to other local, state or
federal agencies such as DCH or CMS
Can a pharmacist be held civically liable for not filling a script
after viewing the PDMP?
No
If a pharmacist does any of the following they are subject to what?
Intentional failure to submit prescription information
Intentional submission of incorrect prescription
information Knowingly obtains/discloses information in
violation of guidelines
Felony (1-5 years in jail and/or $50K)
If a pharmacist is negligent when using the PDMP or releases or
discloses information from the PDMP, they are subject to a what?
Misdemeanor
True or False: Pharmacists may dispense an opioid antagonist
medication to a patient (without a prescription) pursuant to state
health officer�s standing order
TRUE
Do opioid antagonist medications have to be documented in the PDMP?
No
List the two opioid antagonist medications mentioned in class:
Evzio autoinjector (IM/SubQ) Narcan nasal spray
Evzio and Narcan must be stored at what temp?
15-25 degrees Celsius (59-770F)
Each Evzio prescription comes with what?
2 auto-injectors Trainer
Seeks to prohibit PBM and insurer-owned pharmacies from filling
prescriptions that were received via prohibited referrals from their
PBM and insurer affiliates
HB 233: PBM ANTI-STEERING (Pharmacy Anti-Steering and
Transparency Act)
HB 233 intends to benefit patients how?
1. Prohibiting pharmacies owned by PBM and insurance affiliates
from poaching patient information for profit (i.e., non-patient care
purposes). 2. Prohibiting pharmacies from receiving and
billing for self-dealing referrals from their affiliates;
3. Prohibiting pharmacies from mailing drugs when a physician
indicates a direct pharmacy consultation is necessary; 4.
Requiring pharmacies to disclose affiliates; and 5.
Treating violations as an unfair and deceptive trade practice
subject to attorney general oversight.
An update to the Pharmacy Patient Protection Act of 2017 (which
became a national model) and a companion bill to HB 233, this
GPhA-priority bill was also introduced by Representative Knight and
enjoys support from key leaders in the Georgia House.
HB 323
HB 323 intends to do what?
Strengthen Georgia�s anti-mandatory-mail-order provisions
Prohibit prospective and retroactive fees including those that
are performance based Extend protections of the Patient
Protection Act to patients of other dispensers such as
oncologists Prohibit PBM steering Prohibit
credentialing Prohibit delaying care for prior
authorizations Require PBMs to pass along rebate savings to
patients