A Class B pharmacy license authorizes a pharmacy to dispense ____ drugs and/or devices for administration.
Class B = nuclear
radioactive
To become a nuclear pharmacist, you must:
- meet minimal standards of ____ and experience in handling radioactive materials (Beureau of ____ Control, TX Dept. of Health)
- be a TX ____ pharmacist
- Submit written certification to the board of either the current ___ certification in nuclear pharmacy OR that you have completed ___+ hours in a ____ educational program
training; Radiation
licensed
BPS; 700; structured
A structured educational program must include at least ___ hours of didactic training in a program approved by ____ ____ of ____ (radiation physics and instrumentation, protection, mathematics, etc.) and at least ___ hours of supervised experience in nuclear pharmacy (shipping, calculating, administrative controls, etc.).
200; TX Dept. of Health; 500
In a Class B pharmacy,
How many PICs per pharmacy?
Pharmacies per PIC?
one
one
Class B pharmacy technicians have virtually ____ duties to the other classes and have a similar pharmacist:tech ratio as a Class __.
identical; A (1:3)
Class B pharmacy set up is virtually identical to other pharmacies and requires a designated area for ____ that is ____ from other products.
radiopharmaceuticals; separate
Class B pharmacy equipment requires:
- a ____ laminar flow hood, dose calibrator
- scintillation and analyzer, ____ and hemocytometer
- radiation ____ for visitors and a personnel log ____ book, area radiation monitor
vertical
microscope
dosimeter; entry
Class B pharmacy library is the same as other classes PLUS:
- a minimum of 3 texts dealing with ____ ____ science
- a reference on safe ____ of radioactive materials
nuclear medicine
handling
Nuclear prescriptions have __ refills and must be labeled with “Caution - ___ ____”
no; Radioactive Material
Class D pharmacies are…
clinics
In a Class D pharmacy,
How many PICs per pharmacy?
Pharmacies per PIC?
one
no limit
In a Class D pharmacy, the PIC’s duties are to supervise ____, ____, ____ that are carrying out pharmacy-related aspects.
nurses, PAs, techs
A PIC in a Class D pharmacy must
- be employed at least on a ____ or ___-time basis
- ____ periodic on-site visits (PIC, consultant pharmacist or staff pharmacist must visit the clinic at least ___ a month)
- be a written agreement between the ____ and the ____ that is available for review by the ____
consulting; part
document; once
clinic; pharmacist; board
General rule: Class D pharmacies are limited to the following formulary: (6)
And may never have (3)
anti-infectives, musculoskeletal, vitamins, Ob/Gyn drugs/devices, topicals, serums/toxoids/vaccines
nalbuphine (Nubain), drugs to treat ED, any controlled substances
In a Class D pharmacy, P & T committees must meet at LEAST ____, and must be comprised of at least __ members. Members must include: ____, ____ ____, and person responsible for ____ of drugs.
The P & T committee reviews and updates the policy and procedure ____.
annually; 3; PIC; medical doctor; provision
manual
Class E pharmacies are…
out-of-state, mail-order (non-resident)
Any pharmacy not located in Texas that delivers a drug or device to a patient in Texas must have a Class __ Pharmacy license.
E
True/False. Delivery includes via U.S. Mail, FedEx, etc. or delivery service such as drivers.
True
A Class E Pharmacy must prove to the board that they are currently a _____ pharmacy in the ____ state.
licensed; home
Class E pharmacies can be disciplined by….
both the home state AND Texas
Class F pharmacies are…
freestanding emergency medical care centers
A freestanding facility that is licensed by ____ ____ of ____ ____ ____ to provide emergency care to patients may supply ___-____ drugs limited to a quantity not to exceed a ___ hour supply.
Texas Department of State Health Services; pre-packaged; 72
Freestanding emergency medical centers typically don’t have ____ due to ____ security.
controls; minimal
What is a prescription drug order?
An order from a practitioner or his/her authorized agent to a pharmacist fro a drug/device to be dispensed outpatient.
