Who makes the rules & regulations? The Board of Pharmacy
How many compliance officers & inspectors are in the state of Tennessee? 5
[1]: What is the makeup of the board:
- How many pharmacist?
- How many public members?
[1]:6 Pharmacists , 1 Public Member
[2]: Who appointed the members of the board? [2]: All members are appointed by the Governor.
[3]: The board shall consist of at least 1 person that is ________ AND 1 person that is ________.
[3]: The board shall consist of at least 1 person that is:
(a): = sixty (60) years of age AND 1 person that is (b): member of a racial minority
What are the four (4) requirements that the public member must have in order to be appointed as a member of the TN board?
Public member shall have been:
[1]: a resident of TN for at least 5 years &
[2]: currently resides in TN &
[3]: is a non-health care professional by education &
[4]: shall not own, or have any financial or other interest in, any health care facility or business.
Of the Board member who are pharmacist:
[1]: Do they have to be actively practicing?
[2]: If so, how many years are required?
[1]: Yes
[2]: Five (5) years of practice is required
What is the term length:
- For public members of the board?
- For Pharmacist? BOTH are six (6) Years & is limited to a SINGLE term
Is the MPJE required for the state of Tennessee? If not, what is? Yes
Is a NAPLEX score transferable? If so, what is the time period? Yes;
the validity period for a NAPLEX score transfer is 1 year
In regards to internship hours:
- How many hours of practical experience do you need?
- 1,500 hours are required by Rule or Regulation
- Up to 1,100 hours may be acquired in conjunction with academic
- 400 hours may be obtained through nontraditional programs
- This goes into effect during the 1st academic professional year.
- No hours of practical experience is required in post-graduation.
Does Tennessee require that preceptors be licensed or registered?
No; preceptors do NOT need to be licensed with the Board,
BUT the "hospital pharmacy preceptor" has to be officially registered with University of Tennessee.
Does Tennessee require that interns be licensed or registered? No
How many interns can a preceptor supervise? 1 intern
Can a licensed be issued to a foreign educated pharmacists? Yes
For foreign educated pharmacists:
[1]: Is an FPGEC certification required?
[2]: How many hours of practical experience are required?
[1]: Yes
[2]: 1,500 hours are required;
[OUTSIDE of TN]:
When internship hours obtained outside of state,
an ADDITIONAL 500 hours must be obtained in state within a period of six (6) consecutive months.
- Candidates may officially obtained internship hours AFTER they have applied for FPGEC [TN].
Does a foreign graduate have to appear before the board before a license can be issued? No
Which board or regulatory agency issues the pharmacist license? The Board of Pharmacy
What is the minimum age requirement to become a licensed pharmacists? 21 years old
Can you be issued a temporary licensed in Tennessee? No
What are the requirements for transferring a license from another state of Tennessee?
An applicant initially "licensed" in ANOTHER STATE & who wishes to obtain a Tennessee license may,
in the discretion of the board:
[1]: transfer to TN the applicant's score on NAPLEX taken in another state
[2]: If the applicant has been licensed for = 12 MONTHS in ANOTHER STATE,
then the applicant shall apply for a license in TN by RECIPROCITY.
[3]: No license shall be issued to a score transfer applicant from a state which denies score transfer privileges
to a pharmacist currently licensed & in good standing in TN.
Is the MPJE licensure results from another state transferable to Tennessee? No,
the MPJE licensure results are NOT transferable from another state to Tennessee
Is a board hearing required to transfer a pharmacist license from another state to Tennessee? No
How often must a pharmacist renew their license? Biennially
What are the continuing pharmacist education [CE] requirements in the state of Tennessee?
Every person licensed as a pharmacist shall complete during each TWO (2) year license renewal at least:
[1]:Thirty (30) contact hours of continuing education [CE]
[2]:Of the required 30 contact hours, a minimum of fifteen (15) contact hours shall be acquired through
"LIVE" contact programs, as determined by the ACPE designation
What agency is in charge of disciplining a pharmacist? The Board of Pharmacy
Does a pharmacy technician have to be:
[a]: Licensed?
[b]: Registered?
[c]: Certified?
[a]: Licensed ? No
[b]: Registered ? Yes
[c]: Certified ? No
If a pharmacy technician has to be registered, then how often do they have to renew their registration?
Every 2 years
Are there any pharmacy technician training requirements?
By the pharmacist
What is the pharmacy technician continuing education requirements?
- Pharmacy technicians don't need CEs.
- However, if a tech is certified through PTCB,
then they need 20 CE every 2 years to be able to renew their certification.
Is a pharmacy technician required to pass an examination? No
Does the state board have the power to suspend, deny, or revoke a pharmacy technician's license? Yes
What is the ratio of pharmacy technicians to pharmacists:
[1]: In a pharmacy?
[2]: In an Institutional setting?
- 2:1 in ALL setting
- May be increased to a maximum of 4:1 by the PIC based on public safety considerations
BUT only if the additional techs are certified.
- However, the PIC may request in writing a modification on the ratio from the Board.
Such request must be approved prior to being implemented.
- Pharmacy Interns do NOT apply to the tech to pharmacist ratio
Can a pharmacy technician in TN:
[1]: Accept a called in prescription from the doctor's office?
[2]: Enter a prescription into the computer?
[1]: Yes;Only a Certified Tech may receive NEW oral prescriptions & TRANSFER copies from other pharmacies
[2]: Yes;pharmacist must verify, check, and/or is responsible for allowed activities
Can a pharmacy technician call the doctor's office for REFILL authorization?
Yes;pharmacist must verify, check, and/or is responsible for allowed activities
Is a pharmacy technician permitted to work with compounding?
Yes;pharmacist must verify, check, and/or is responsible for allowed activities
How many pharmacy licensing categories are there for the state of Tennessee?
Seven (7)
Does a non-resident pharmacy providing prescription drugs in the state of Tennessee have to be licensed or registered?
Yes;the Pharmacist-in-charge [PIC] of the non-resident pharmacy must ALSO be licensed in TN.
[1]: What state agency is responsible for issuing a license to a wholesale distributor?
[2]: How often does it have to be renewed?
[1]:The Board of Pharmacy
[2]: Every two (2) Years;Renewal date is the date license initially issued.
Does Tennessee issue a license to out-of-state wholesalers? Yes
Does Tennessee require a license for wholesaler distributors of:
[1]: Prescription medical devices?
[2]: Non-Prescription medical devices?
[3]: Non-Prescription drugs?
[1]: Prescription medical devices? ? Yes
[2]: Non-Prescription medical devices?? No
[3]: Non-Prescription drugs?? No
[1]: What is VAWD?
[2]: Does Tennessee recognized the VAWD?
[1]: Verified Accredited Wholesale Distributors [VAWD]:
- a program designed to protect the public from counterfeit drugs entering the US drug supply
[2]: No
In addition to Federal Law:
[1]: Does TN have its own Food, Drug, & Cosmetic Act?
[2]: Dangerous Drug Law?
[3]: Controlled Substance Act?
[1]: Yes
[2]: Yes
[3]: Yes
Does Tennessee have any rules & regulations on:
- Prescription medical devices?
- Medical Oxygen?
Prescription medical devices ? No
Medical Oxygen ? YES
In regards to Tennessee rules & regulations on OTC sale of Pseudoephedrine:
[1]: Where should it be kept in the pharmacy?
[2]: Max sales?
[1]: Must be behind the counter or in a locked cabinet
[2]: 3.6 gm/day , 9 gm/month
Tennessee requires retailers selling PSE over-the-counter to utilize which real-time data system?
National Precursor Log Exchange [NAPLx]
Will Tennessee allow prescriptions from an out-of-state prescriber for:
- Non-Controlled Legend Drugs?
- Controlled Drugs?
Non-Controlled Legend Drugs? ? YES
Controlled Drugs? ? YES
Is a prescription needed to buy syringes & needles? No;
Shall be sold ONLY on proof of medical need by a pharmacist or an intern or tech under direct supervision of a pharmacist
Is the sale of syringes or needles restricted to only a pharmacy?
Yes;must be stored in an area not accessible to the public.
What is the time limit for the state of Tennessee for controlled drug prescription refills?
If any medical or prescription order contains a statement that it may be refilled,
a specified number of times within or during any particular period,
such order shall be refilled in strict conformity with such statement.
[C-II] ? must be filled within 1 year from date issued & no refills
[C-III & IV] ? must be filled within 6 months from date issued & up to 5 refills
[C-V]:
[1]: Partial Filling ? within six (6) months from date issued, not to exceed total quantity
[2]: Filling ? within one (1) year from issue of New Rx;
[3]: Refills ? no rule on refills
Can you buy a Schedule V drug over the counter? Yes
Does Tennessee allow pre-printed prescription forms to a non-controlled prescription?
Yes;but the prescriber's signature may NOT be printed.
Is an expiration date required on a prescription vial label in a community practice? Yes
How long do prescription records have to be kept?
Two (2) years from the date of last dispensing.
Are there any special requirements for prescription pads?
Prescriptions for MEDICAID clients must be written on Tamper-Resistant prescription pads.
To be considered Tamper-Resistant, it must has at least ONE of the following characteristics:
- One or more industry-recognized features designed to prevent:
[1]: unauthorized copying of a completed or blank prescription form
[2]: the erasure or modification of information written on the prescription
[3]: the use of counterfeit prescription forms
Are there any special regulations regarding prescriptions sent by fax?
The facsimile can be considered an "original" for filling,
but it integrity cannot be maintained a photocopy should be made.
Transmission of a prescription must be to a pharmacy of the patient's choice.
A facsimile device or supplies can NOT be provided to a prescriber.
Is a faxed prescription permitted:
- From an in-state prescriber to the pharmacy? - Yes
- From an out-of-state prescriber to pharmacy? - Yes
Is a faxed prescription transfer permitted:
- From an in-state prescriber to the pharmacy? - Yes
- From an out-of-state prescriber to pharmacy? - Yes
Does Tennessee recognize electronic signatures for non-controlled drug prescriptions that are faxed?
Yes;"Electronic Signature" - is defined as the process that secures the user authentication
(proof of claimed identify, such as by biometrics, fingerprints, retinal scans, hand written signature verification, etc.)
at the time the signature is generated & creates the logical manifestation of a signature.
Can a Tennessee pharmacy accept electronic prescriptions for controlled drugs?
Yes,once the DEA regulations of an audit on the prescriber & pharmacy applications (computer software) are deemed met.
Successful completion of the audits will result in "certification" of the prescribers & pharmacies.
Only after this certification is achieved by BOTH the individual prescriber & the pharmacy practice site,
can a pharmacy accept electronically prescribed controlled substance prescriptions.
Is patient counseling required for Medicaid & all other patients:
[1]: In retail pharmacy?
[2]: In outpatient or institutional pharmacy?
[1]: Yes,The pharmacist shall personally counsel the patient or caregiver "face-to-face" if the patient or caregiver is present.
If the patient or caregiver is not present, a pharmacist shall make a reasonable effort to counsel through alternative means.
[2]:Patient counseling shall also be required for outpatients of hospitals or other institutional facilities dispensing medical
& prescription orders & for patients when medications are dispensed on discharge from the hospital or other institutional facility.
Patient counseling is NOT be required for inpatient or institutional facility.
Is patient counseling required when filling:
- New prescriptions?
New prescriptions ? YES
- Refill prescriptions?
Refill prescriptions
? A pharmacist or a person designated by the pharmacist shall offer for the pharmacist to personally counsel the patient or caregiver.
Counseling is NOT required unless requested by the patient or deemed necessary in the professional judgement of the pharmacist.
Who has to perform the counseling?
The pharmacist or pharmacy intern under the direct supervision of a pharmacist.
Are patient profiles required? Yes
Is a drug utilization review [DUR] required?
Yes, PRIOR to dispensing each medical or prescription order.
Who, in the state of TN, can write prescription?
1. MD
2. Dentist
3. Podiatrist
4. Veterinarian
5. Physician Assistant [PA]
6. Advance Registered Nurse Practitioner
7. Clinical Nurse Specialist
8. Nurse Midwife
9. Nurse Practitioner [OB/GYN, Pediatric, & Psychiatric]
10. Optometrist (but only w/in scope of practice)
Can a pharmacist start, stop, or change a drug therapy with a collaborative agreement?
Yes
Can a prescriber have ownership in a pharmacy?
Yes
Can pharmacist in the state of TN administer drugs or immunizations?
Yes
Are pharmacies allowed to used electronic reference materials?
Yes
Are pharmacies required to have any type of continuous quality improvement programs to keep track of & prevent quality related issues?
No
Does Tennessee have any regulations to help with a pharmacist's world?
Yes; A pharmacist is permitted one temporary absence for up to 1 hour per day.
Pharmacy must be closed off & a sign must be posted that reads ? "Pharmacist not on duty".
Does Tennessee have a drug repository/donation of drug program?
Yes ? "Nina Norman Prescription Drug Donation Act"
Nursing homes & hospice service programs can donate unused prescription medications
[Controlled Substances Excluded] through charitable clinic pharmacies to TN residents who are indigent.
ONLY drugs in their original sealed & Tamper-Evident packaging should be accepted.
Does TN allow the Return & Reuse of drugs? Yes
Does TN have rule & regulations on how drugs are to be disposed of? YES;
Controlled Substances listed in any schedule shall be destroyed by a board approved agent or vendor.
Does TN allow pharmacists to dispense emergency contraceptives?
Federal law permits OTC sales of emergency contraceptives to anyone over 17 y/o.
Are there any special time limits on Controlled Drugs?
No special limits, they follow Federal law limits.
Are there any unique laws requiring the actual control drug prescription blank?
For example, unique Rx color or check boxes for quantity, or carbon copies to anyone?
- Quantity must be written numerically & with roman numerals
- Only one Schedule II prescription per blank
Are there any special restrictions on emergency telephone Rxs for class C-II?
- Does the state define "Emergency Period" for quantity?
"Emergency Period" is NOT defined, however, per TN Code Ann
From : http://www.cram.com/flashcards/tn-mpje-2638673
