CPJE Patient Consultation Requirements

Question 1

Under CCR 1707.2, a California pharmacist must provide oral consultation in which of the following situations?

Accepted Answer

When a prescription drug the patient has not received before at that pharmacy is dispensed

Answer

CCR 1707.2 requires oral consultation whenever a prescription drug the patient has not previously received at that pharmacy is dispensed. It is also required when the dosage form, strength, or directions change, when the patient asks, and when the pharmacist judges it warranted. The pharmacist does not need a request or a prescriber note.

Question 2

A refill is dispensed, but the prescriber has changed the directions for use since the last fill. What is the consultation requirement?

Accepted Answer

Oral consultation is required because the directions changed

Answer

CCR 1707.2 requires consultation when a refill comes with a change in dosage form, strength, or directions for use. For that purpose the patient is treated as receiving new information.

Question 3

Which patient is generally exempt from the California oral consultation requirement?

Accepted Answer

An inpatient in a health facility whose medications are given by licensed health care staff

Answer

The consultation requirement does not apply to inpatients of a licensed health facility when licensed health care professionals give them their medications. It still applies in community settings, to new generic fills, and regardless of any insurer mailings.

Question 4

When a pharmacy mails or delivers a new prescription and the patient is not present, how does it meet the consultation requirement?

Accepted Answer

The pharmacy gives written notice of the patient's right to consultation and a phone number for reaching a pharmacist

Answer

When the patient or their agent is not present, as with mail or delivery, the pharmacy must give written notice of the right to consultation. The notice must include a telephone number through which the patient can reach a pharmacist.

Question 5

Which element is required when a pharmacist consults on a prescription drug the patient has not received before?

Accepted Answer

Directions for use and storage, and the importance of taking the drug as prescribed

Answer

CCR 1707.2 lists the required content of a consultation. It includes directions for use and storage, the importance of adherence, precautions and relevant warnings (including common severe side effects or interactions), and, for new drugs, the drug's name and description and its route, dosage form, dose, and duration.

CPJE - California Pharmacy Jurisprudence Exam Practice Test

CPJE - California Pharmacy Jurisprudence Exam Practice Test

CPJE Patient Consultation Requirements