I recently took the NY MPJE and failed with a 69; devastated about the grade since I failed within such a small margin. I don't know how to study differently. I've been using Dr. Cuties law review notes and was hoping to get clarification about a few areas. Any help is appreciated!!!
a) PA prescribing: I understand that PA's have the authority to prescribe both controlled + non-controlled medications in out-patient or in-patient settings; but when are they required to obtain their supervisors signature? Is it only for CS? Is it only within in-patient/hospital/institutional settings? (and would the same regulations apply to e-Rx's as well?)
b) Partial fill of CS: in NYS after dispensing a 'partial fill', does the remaining balance become automatically void for C-II and C-IV benzodiazepines in any circumstance, or only when the patient asks for a partial fill? And does the "dispense within 72 hrs'' protocol only apply to situations where there isn't a sufficient quantity of that medication in stock? (Does the remaining balance of C-II or C-IV benzo's become void in this scenario as well?)
c) I understand that in NYS, CS prescriptions for "office use" is prohibited by law however, would a DEA registered practitioner be allowed to prescribe CS for their own individual treatment/clinical use, or even for that of a family member/relative? Or would it have to be prescribed by someone else?
d) Controlled substance inventories are required to be done biennially (every 2 years), but are the records to be kept on premises for 2 or 5 years? (I've seen both printed in Dr. Cutie's notes)
e) DEA Form 41: in the event of breakage or spillage, is it required for the disposal of recoverable or non-recoverable substances?
f) Do any members of law enforcement (police officers, investigators, attorney/prosecutors, etc.) have the authority to see patients prescription records at anytime? In those circumstances is the pharmacist required to let them access this information (and if so, under what conditions)?
g) In an institutional/in-patient setting where the pharmacy might have specific hours of operation, after the closing of the pharmacy department, does any member of clinical hospital staff (doctors, PA's, nurses, NP's, etc) have any level of access to the pharmacy?