2013 NDNL Questions Number Question Notes 13-1 Specifically, what differentiates “manufacturing” from “compounding” in the FD&C Act and WA law? What are the requirements for non-sterile versus sterile compounding in Washington. What are the appropriate standards for ingredients and other components used in compounding? How do these requirements differ from FDA’s Compliance Policy Guide? What are the limitations on distribution of compounded products? 13-2 Under what circumstances may a pharmacy sell OTC, legend or controlled substances to another pharmacy? To a practitioner for office use? May partial containers be “sold”? Are there quantity or financial restrictions? How do legend vs. controlled substances differ? 13-3 What are the boundaries on technician, assistant or pharmacy intern utilization in in-patient versus outpatient practice settings? How does the use of each impact pharmacy licensure? What are the requirements for a “utilization plan”? 13-4 What are the limitations for number of prescriptions on a Schedule II prescription form? 13-6 Under what circumstances may a drug intended for human use be dispensed for veterinary use? 13-7 May veterinarians compound “secret formulations” for use on their clients in WA? 13-9 In satisfying DEA’s interpretation of CSA and promulgated regulations, who are and are not practitioner’s agents when preparing prescriptions for signature? 13-10 What are pharmacist as prescriber boundaries under collaborative practice agreements? For instance, Are there parallel responsibilities to those that the practitioner would normally complete? Must a pharmacist practicing under a collaborative agreement be employed by a licensed pharmacy? 12-13 Prepare a chart showing the number of refills (or multiple prescriptions for the same drug) allowed for legend, C-III - C-V drugs. Include columns to show DEA vs. Washington requirements, duration, day's supply and quantity restrictions. Contrast with DEA's "multiple prescriptions" requirements for C-IIs. Contrast single-prescription versus multiple-prescription C-II prescriptions. Page 1 of 2 2013 NDNL Questions Number Question 12-14 When may a pharmacist partially fill a Schedule II prescription? When a pharmacist is only able to provide a partial quantity of a Schedule II prescription, how long does s/he have to provide the remaining quantity? Differentiate between community, long-term care, adult family home and hospice 12-37 Under what circumstances may a pharmacist fill prescriptions written in another state or country? Include prescriptive authority considerations. What documentation is necessary? 12-47 What wording is required under the signature lines of prescriptions in Washington? • How is this requirement satisfied for electronically transmitted prescriptions? • What are the specific compliance elements for “tamper-resistant prescription pads”? • Contrast hard-copy vs. electronic prescriptions. • Computer generated FAXes • Are “electronic signatures” permitted? • Are TRP's required if the Rx is from an out of state practitioner? • What if the out of state prescription is for a Medicaid patient? DEA Number verification Page 2 of 2 Notes