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Nebraska MPJE Questions and Answers
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NAC ✔✔Nebraska Administrative Code:
- classify state agency rules and regulations
Department ✔✔Division of Public Health of the Department of Health and Human Services
Pharmacist ✔✔any person licensed in the state of NE to practice pharmacy
Pharmacist Intern ✔✔person who meets the requirements of Neb.Rev.Stat 71-1, 144 and these regulations
Practice agreement ✔✔document signed by and PHARMACIST and a PHYSICIAN, where in the pharmacist AGREES to implement and monitor a therapeutic plan based on written protocol. MUST contain names of those involved and description of therapy being monitored.
PHARMACIST must inform the BOP of agreement
PHYSICIAN must inform their BOARD
Prescription ✔✔oder for a drug or device issued by a practitioner for a specific patient, for emergency use, or for use in immunization. DOES NOT INCLUDE CHART ORDERS!!
Written protocol ✔✔written template, agreed to by a pharmacist and a medical practitioner, working in concert, which directs how the pharmacist will implement and monitor a therapeutic plan.
Pharm. D Licensing Requirements ✔✔1. Graduated from accredited university
- 1500 hours of pharmacy internship
- Pass NAPLEX & MPJE
- Good moral character and > 21 years old
- Submit to the department an application with:
- Legal name, place and date of birth
- SSN, mailing address, permanent address
- Name of college graduated, date of graduation
- whether applying by: score transfer, exam, or reciprocity.
- answer question regarding personal history
- other state licenses
of CE hours (OR) type of continued competency
required for renewal
- option to place license on either inactive or lapsed
status
Renewal of License (info sent to Dept) ✔✔1. renewal notice
- renewal fee
- licensee SSN
- CE hours OR waiver of continuing competency
- Documentation of any crime info (if applicable)
Approved Continuing Education Providers ✔✔1. Accreditation Counsel for Pharmacy Education(ACPE)
- Nebraska Counsel on Continuing Pharmaceutical
Education.
- Others - must demonstrate same quality standards
as those in the criteria for quality of ACPE.
Waiver of Continuing Competency ✔✔1. Holds a NE license but has not practiced in NE
during the 24 months immediately preceeding the license renewal date.
- Has been in the US armed forces during any part of
the 24 month immediately preceding the license renewal date.
- Has suffered/suffering from a serious or disabling
illness or physical disability which prevented completion of the required number CE hours.
- Has been FIRST licensed in the state of NE within 24
month immediately preceding the renewal date
Revoked license (Disciplinary action) ✔✔Must wait 2 years before reapplying
Reinstatement > 1 year after revocation for failure to meet renewal requirements ✔✔1. Petition the board for reinstatement
- recommendations from TWO (2) credentialed practitioners(of the same profession) AND TWO (2)
Pharmacist Intern ✔✔Can apply at any time following enrollment in an accredited pharmacy program.
- MUST notify the DEPT of change in enrollment,
address, or name
******CANNOT FUNCTION AS INTERN UNTIL YOU HAVE YOUR CARD IN HAND!!!!!!!
Pharmacist Intern License EXPIRATION ✔✔1. USA graduate
- 15 months after GRADUATION OR
- Professional licensure
- Foreign graduate
- 15 months after ISSUANCE from BOP OR
- Professional licensure
Intern Hours ✔✔1. Notarized signature of the supervising NE
pharmacist
- Certified by the State BOP
Intern Hours - MAX hours accepted from experiential training from accreditied COP ✔✔Bachelor of Pharmacy - 640 hours
Pharm.D. - 1500
Pharmacist supervision ratios ✔✔Technicians - 2:
Interns - 3:
Technicians and Interns together - 3 people total and MAX of 2 technicians. SO 3 interns, or 2 techs/1 intern, or 1 tech/2 interns. NO MORE THAN 2 TECHNICIANS!!!
Above regulations DONOT apply to Interns who are recieveing experiential training directed by accredited COP in which they are enrolled.
Technician to Pharmacist > 2:1 ✔✔Pharmacy participating in scientific based study based upon improved patient care or enhanced pharmaceutical care.
STUDY cannot exceed 12 MONTHS
- duration may be extended 2 times in NOT > 6 month increments.
controlled (12 months from date issued).
- CONTROLLED SUBSTANCE REQUIREMENTS:
above PLUS.
- PATIENTS ADDRESS
- PRESCRIBERS ADDRESS
- PRESCRIBERS DEA #
Chart Order Requirements ✔✔1. Patients NAME
- Date of Order
- Name of Drug, Device, or Biological (if applicable)
- Strength of Drug, Device, or Biological (if applicable)
- Directions for administration to patient including
dose given.
- Prescribers NAME
Dispensing Requirements - Rx LABEL ✔✔1. Name, Address, and Telephone # of PHARMACY and
central fill pharmacy if applicable
- Rx #
- Name of Drug, Device, or Biological (unless told to
omit by physician)
- Strength of Drug or Biological (if applicable)
- Dosage form of the drug or biological if applicable
- SIG
- Quantity of Drug, Device, or Biological in container
- EXCEPTION: UNIT DOSE DO NOT NEED QTY.
- Any cautionary statement contained on the Rx.
- NAME of PATIENT
- if non-human, NAME of OWNER and SPECIES of Pet
- NAME of PRESCRIBER (if have supervising physician
MUST put their name on LABEL TOO!!!)
- Date of filling
Multi-Drug Containers AND Labeling ✔✔Can dispense more than one product in same container when:
- container is prepackaged by the MFG, packager, or
- Drug, Device, or Biologic is being administered by a healthcare professional (credentialed by the DEPT) to a hospital patient or a resident of LTCF.
- Patient or Caregiver refuses to be counseled.
- Pharmacist determines in professional judgement that counseling could harm or injure the patient
- Prescriber designates "CONTACT BEFORE COUNSELING" or similar words on the Rx. Pharmacist MUST contact the MD before counseling.
Drug Product Selection ✔✔When Rx is written for brand will allowable drug product selection and pharmacist dispenses generic MUST tell patient or caregiver of the product selection
Mail Service Pharmacy License Requirements ✔✔If mailing INTO Nebraska must have license:
If delivering in ANY manner Rx drugs into NE
Schedule of Fees ✔✔1. Initial License by Exam or Score Transfer: $75 + $
Licensee Assistance Fee for each year remaining during the current biennial renewal period.
- Pro-Rated of Initial License by Exam or Score
Transfer for license that expires in <180 days: 25$
- $1 Licensee Assistance Fee.
- Initial License by RECIPROCITY: $75 + $
Licensee Assistance Fee (LAF) for each year remaining during the current biennial renewal period.
- Pro-Rated of Initial License by reciprocisty for
license that expires in <180 days: 25$ + $ Licensee Assistance Fee.
- Pharmacist License RENEWAL Fee: $75 + $2 Licensee
Assistance Fee.
- Inactive License Fee: $
- Late fee: $25 + original fee
- Certification of License Fee: $
- Verification of License Fee: $
- Duplicate License Fee: $
Code of Ethics for Pharmacists - SAYYY WHATT ✔✔1. A pharmacist respects the covenantal relationship
between the patient and pharmacist.
- A pharmacist promotes the good of every patient in
a caring, compassionate, and confidential manner.
- A pharmacist respects the autonomy and dignity of
each patient.
- A pharmacist acts with honesty and integrity in
professional relationships.
- A pharmacist maintains professional competence.
- A pharmacist respects the values and abilities of
colleagues and other health professionals.
- A pharmacist serves individual, community, and
societal needs.
- A pharmacist seeks justice in the distribution of
health resources.
Blood ✔✔whole blood collected from a SINGLE donor and proceeds wither for transfusion or further manufacturing.
Blood component ✔✔part of blood separated by physical or mechanical means
Board ✔✔Board of Pharmacy
Chain Pharmacy Warehouse ✔✔facility utilized as a central warehouse for intracompany sales or transfers of prescription drugs or devices by two or more pharmacies operating under common ownership or common control.
Co-licensed products ✔✔drugs that are approved by the FDA and are the subject of an arrangement by which two or more parties have the right to engage in a business activity or occupation concerning such drugs.
Co-license ✔✔pharmaceutical manufacturer that has entered into an agreement with another pharmaceutical manufacturer to engage in a business activity or occupation related to the manufacture or distribution of a prescription drug.
Common Carrier ✔✔an entity that provides transportation or delivery of prescription drugs without storing, warehousing, or taking legal ownership of such drugs.
DOES NOT INCLUDE:
- Intra-company sales of Rx drugs
- Sale, purchase, or trade of or and offer to sell,
purchase, or trade a prescription drug by CHARITABLE ORGANIZATIONS.
- Sale, purchase, or trade of or and offer to sell,
purchase, or trade a prescription drug among HOSPITALS or other health entities operating under common ownership or common control.
- Sale, purchase, or trade of or and offer to sell,
purchase, or trade a prescription drug for EMERGENCY MEDICAL reasons.
- Sale, purchase, or trade of or and offer to sell,
purchase, or trade a prescription drug PURSUANT TO A PRESCRIPTION.
- Distribution of drug samples by representatives of a
manufacturer or of a wholesale drug distributor.
- The sale, purchase, or trade of BLOOD or BLOOD
COMPONENTS intended for transfusion.
- Delivery of or the offer to deliver a prescription drug
by a common carrier solely in the usual course of business of transporting such drugs as a common carrier if the common carrier does not store, warehouse, to take legal ownership of such drugs.
- Sale, transfer, merger, or consolidation of all or part
of the business of a retail pharmacy or pharmacies from or with another retail pharmacy or pharmacies, whether accomplished as a purchase and sale of stock or business assets, in accordance with these regulations
Requirements for Wholesale Drug Distributor License ✔✔1. A separate license MUST be obtained for EACH
facility engaged in wholesale drug distribution.
- Fill out an application
- PASS an inspection within 6 MONTHS of application
