Ohio Law Test 4

At an institutional pharmacy, where a licensed pharmacist is not present 24 hours a day, drugs for patient treatment may be made available to licensed health care professionals to administer using contingency drug supplies. When a drug is not available from the contingency drug supply, and such drug is required to treat the immediate needs of an inpatient or outpatient whose health would otherwise be jeopardized, such drug may be obtained from the institutional pharmacy pursuant to written policies and procedures implemented by the responsible person. These procedures must ensure that a minimum of two employees of the institution are to accompany each other when accessing the pharmacy. How many of these two employees must be licensed health care professionals?

(Note that this question is based on existing Ohio laws, not temporary COVID-19 guidance.) A patient arrives to your pharmacy on Saturday asking for a refill of his ticagrelor for a recent myocardial infarction. Upon profile review, you find that the patient has been on consistent drug therapy, but is out of refills. The prescriber’s office will not reopen for another 48 hours. You tell the patient:

Dr. Armstrong calls and requests an OARRS report for a patient he saw a few months ago and isn’t sure how long the information remains in OARRS. He is fine with either the pharmacist or pharmacy intern sending the report. Dr. Armstrong wants to discuss the report after receiving the copy and wants the patient to have a copy. All of the following are true EXCEPT:

Dr. Smythe is a pharmacist starting a consult agreement with a physician at a primary care office. Dr. Smythe just received a valid DEA license number so he can prescribe controlled substances under the consult agreement. He must submit this registration notification to the Board of Pharmacy within how many days after obtaining the license number?

Which is true regarding a prescription form for non-controlled and controlled substances when handwritten or typed?

Which is true regarding prescription filing?

How many days may elapse before a prescription for an opioid analgesic can no longer be filled?

Who may engage in the practice of pharmaceutical compounding? Select ALL that apply.

When should inventory of controlled substances be taken? Select ALL that apply.

How often must a terminal distributor take new inventory of all controlled substances on hand?

You receive a prescription from a pain management specialist for Xtampza ER (extended release oxycodone), quantity of 90 tablets. Because this product is brand name only, the copayment is very expensive. Your patient asks if you can bill for only 30 tablets to make the cost more affordable, and they will return at a later date for the remaining 60. You tell them:

Dr. Smith is legally personally furnishing controlled substances to a patient that suffers from chronic back pain. What is the limit of dosage units that Dr. Smith can personally furnish to this patient in a thirty-day period?

In the same calendar year, the total value of all dangerous drugs distributed by
a terminal distributor must not exceed how much of the total value of those purchased?

The prescriber must be notified within _______ business days when an interchangeable biological product is substituted.

An inpatient medication order must contain the following (select ALL that apply):

A pharmacy technician seeking employment for the first time as a technician must meet all the following requirements EXCEPT:

In order for a prescription to be valid in Ohio, which of the following is/are true?

Mr. Conrad has decided to retire and discontinue his pharmacy business. Mr. Conrad must notify the Board of Pharmacy how many days prior to discontinuation?

Under Ohio law, which of the following is NOT considered mandatory as a minimum standard to operate a pharmacy?

What is true about refilling a prescription when the prescription has no refills remaining and refill authorization is unable to be obtained from the prescriber?

I.    The pharmacist can fill the prescription if they determine that the drug is essential to the continuation of therapy for a chronic condition

II.   The pharmacist can fill the prescription if they determine that interruption of therapy may produce harm to the patient’s health

III.  The pharmacist can fill the prescription for a Schedule II drug if they determine that it is essential to sustain the life of the patient

IV.  The pharmacist must notify the health professional who issued the prescription or another health professional responsible for the patient’s care within 72 hours of dispensing the drug

What is the maximum amount of a Schedule V substance of codeine that can be sold to any one individual within a 48-hour period?

Central fill pharmacies for pharmacies in Ohio that provide prescription processing services must have a:

How many C.E.U.s of patient or medication safety are required within the two years prior to September fifteenth of the reporting year for license renewal?

Who can obtain information from OARRS? (select ALL that apply):

Pharmacy records must be able to be retrieved within what amount of time if needed or requested?