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1) What do I need to do when there is a change in Pharmacist-in-Charge? Resigning PIC
New PIC
2) With a change in PIC, when must the new PIC be in place? The new registration and PIC must in place within 30 days of resigning PIC's last day. 3) Can my technician open the retail store to sweep the floors, turn on the computer, and begin inputting prescription numbers needed for refills BEFORE I arrive at the pharmacy? NO. K.S.A. 65-1637...when a pharmacist is not in attendance at a pharmacy, the premises shall be enclosed and secured. 4) Can my hospital technician do paperwork and pull outdates when I'm not there?When a pharmacist is on the premises but not in the pharmacy, a pharmacy technician may be in the pharmacy, however they shall not distribute any drug out of the pharmacy. When a pharmacist is not on the premises, no one shall be permitted in the pharmacy except the designated registered professional nurse or nurses. K.S.A. 65-1637, 65-1648(a) and K.A.R. 68-7-11. 5) Can I get all 30 hours of CE in one year or do I have to obtain 15 hours per year?K.A.R. 68-1-1b(b)... Three C.E.U.s shall be required for renewal during each licensure period. The law does not specify how many per year, only that 30 hours are needed for each licensure period. 6) Can a registered nurse enter a hospital pharmacy, when the pharmacist is not on the premises, and transfer the doses necessary for immediate and future administration?NO. K.A.R. 68-7-11 (e)(3)...A nurse shall not transfer medication from one container to another for future use, but may transfer a single dose from a stock container for immediate administration to the ultimate user. 7) Who can prepackage medication?K.A.R. 68-7-15(a) Packaging in advance of immediate need shall be done by a pharmacist or under his or her direct supervision. Direct supervision is defined in K.S.A. 65-1626(g). 8) Can I put just the ARNP's or PA's name on the prescription label?NO. K.A.R. 68- 7-14(b) the name of the prescribing practioner and if written by a physician's assistant (PA) or an advanced registered nurse practitioner (ARNP) under protocol with a responsible physician, the label SHALL include the name of the practitioner and the PA or ARNP. 9) Is Ephedrine a controlled substance?YES. As a schedule V. K.S.A. 65-4113(e)Unless specifically exempted or unless listed in another schedule any product containing as its single ingredient the substance Ephedrine. 10) Can we honor out of state prescriptions from an ARNP or PA?YES. But the prescription has to meet to requirements of a Kansas prescription including the name,address and telephone number of a responsible physician. 11) Can a doctor use a rubber stamp or a computer generated signature on any controlled substance prescription?NO. If a prescription is issued to the patient the physician must manually sign it. K.A.R. 68-20-18(c)(2). AII written prescriptions for controlled substances shall be dated and manually signed on the day issued. 12) Can I dispense more than a thirty day supply of Ritalin? YES. The law does not limit the quantity dispensed for any controlled substances except drugs used as diet aid or amount dispensed of C II if it is an emergency prescription. 13) Can I fill an out-of-state prescription for a controlled substance? YES. K.A.R. 6820-19(a)(4)(A)(iii) If the prescribing practitioner is not known to the pharmacist, the pharmacist shall make a reasonable effort to determine that the authorization came from the prescribing practitioner, which may include a call back to the practitioner. 14) Can I refill an out-of-state diet pill prescription if refills are indicated?NO. K.A.R. 100-23-1(d) The treating physician shall not dispense or prescribe more than a 30-day supply of controlled substances to treat obesity for a patient at one time. Therefore, no refills are permitted. 15) Does Ritalin have to have a diagnosis on the prescription? NO. K.A.R. 100-23-1 excludes Ritalin and Cylert and Concerta from the requirement. 16) Can a psychiatrist treat pain? YES. The Board of Healing Arts does not license specialties or practices. It does license doctors and if the doctor has a DEA number the doctor can write for pain medications. 17) Does a clerk count against ratio of pharmacist / tech?NO. K.A.R. 68-5-15 18) Can I leave Rx's at another location to be picked up?NO. K.A.R. 68-2-16 No pharmacy shall have a branch, connection, or affiliation whereby prescriptions are solicited, accepted, collected, or picked up, from or at any location other than a licensed pharmacy. 19) Can I change a CII prescription if I don't have the prescribed strength?After consulting with the prescriber, the pharmacist is permitted to change the patient's address, drug strength, drug quantity, and directions for use. The pharmacy may also add the dosage form to the prescription order after verification with the prescriber. The pharmacist is never permitted to make changes to the patient's name, controlled substance prescribed (except for generic substitution as permitted by Kansas law), or the prescriber's signature. These types of changes challenge the necessity of the original prescription and would require a new prescription from the prescriber. This allows for corrections to be handled by a phone call, however, the pharmacist should always document the time and date that the prescriber was contacted and ask the prescriber to document the change in the patient's chart. 20) What is the best way customers should dispose of unused or expired medications? There is not an easy
answer to this question. In the past the advice was to flush the medication
down the toilet, but this is no longer recommended because of the potential
for environmental damage. At this time, the best option is to direct the
customer to a local hazardous waste facility, however some waste facilities
do not take medications, so there should be additional options for disposal
of medications. If there is a Pharmacy take-back program in your area,
you could refer a customer to that program. The last option is to throw
the drugs in the trash. If you advise a customer to throw the drugs in
the garbage, steps should be followed to lessen the potential for abuse
of the drugs, to handle privacy issues, and to improve safety. 21) How can I report a pharmacist to the Committee on Impaired Provider Practice? If you or a pharmacist you care about is suffering from chemical dependency, there is a solution. CIPP is readily available for help. Pharmacists in Kansas, employers, friends, or family may call the CIPP Help Line at 1-800-279-9300. CIPP is supported by a grant from the Kansas Board of Pharmacy and by donated time and services of pharmacists and pharmacy intern volunteers. All calls are confidential and are not known to the Board of Pharmacy. |
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Kansas State Board of Pharmacy
900 SW Jackson, Rm 560 - Topeka,
KS 66612-1231
phone: 785.296.4056 - fax:
785.296.8420 - toll free: 888-RXBOARD