New Jersey Scorecard

Grading Scale:
A – 85-100%, B – 70-84.9%, C – 55-69.9%, D – 40-54.9%, F – 0-39.9%


Grading Categories & Criteria


New Jersey Law

I. Laws
Board of Pharmacy Laws
http://www.nj.gov/lps/ca/laws/pharmlaws.pdf

45:14-41 Definitions relative to pharmacists.
“Pharmacy technician” means an individual working in a pharmacy practice site who, under the immediate supervision of a pharmacist, assists in pharmacy activities as permitted by section 41 of this act and the rules and regulations of the board that do not require the professional judgment of a pharmacist.
45:14-48 Responsibilities of board.
b. The board shall have those other duties, powers and authority as may be necessary to the enforcement of this act and to the enforcement of rules and regulations of the board, which may include, but not be limited to, the following:
(1) The determination and issuance of standards, recognition and approval of degree programs of schools and colleges of pharmacy whose graduates shall be eligible for licensure in this State, and the specifications and enforcement of requirements for practical training, including internships;
(2) The registration of externs, interns, pharmacy preceptors and pharmacy technicians;
(3) The regulation of the training, qualifications and conduct of applicants, externs, interns, pharmacy preceptors and pharmacy technicians;

(4) The collection of professional demographic data;
(5) The joining with those professional organizations and associations organized to promote the improvement of the standards of the practice of pharmacy for the protection of the health and welfare of the public or whose activities assist and facilitate the work of the board;
(6) The establishment of a bill of rights for patients concerning the health care services a patient may expect in regard to pharmaceutical care;
(7) The engagement in activities to educate consumers, to assist them in obtaining information necessary to make decisions about medication issues;
(8) The establishment of standards for the continuing education of registered pharmacists;
(9) The establishment of rules and regulations for extraordinary emergency situations that interfere with the ability to practice under the current rules and regulations;
(10) The establishment of guidelines for board approved pilot programs. The guidelines shall be complied with to implement a program that may not be presently acknowledged in this act or its rules or regulations; and
(11) The assurance that any credentialing or certification of a pharmacist is not misleading to the public.
45:14-80 Pharmacy technicians, conditions.
41. a. Pharmacy technicians may assist a licensed pharmacist in performing the following tasks:
(1) Retrieval of prescription files, patient files and profiles and other records, as determined by the board, pertaining to the practice of pharmacy;
(2) Data entry;
(3) Label preparation; and
(4) Counting, weighing, measuring, pouring and compounding of prescription medication or stock legend drugs and controlled substances, including the filling of an automated medication system.
b. Pharmacy technicians may accept authorization from a patient for a prescription refill, or from a physician or the physician’s agent for a prescription renewal, provided that the prescription remains unchanged. As used in this section, “prescription refill” means the dispensing of medications pursuant to a prescriber’s authorization provided on the original prescription and “prescription renewal” means the dispensing of medications pursuant to a practitioner’s authorization to fill an existing prescription that has no refills remaining.
c. Pharmacy technicians shall not:
(1) Receive new verbal prescriptions;
(2) Interpret a prescription or medication order for therapeutic acceptability and appropriateness;
(3) Verify dosage and directions;
(4) Engage in prospective drug review;
(5) Provide patient counseling;
(6) Monitor prescription usage;
(7) Override computer alerts without first notifying the pharmacist;
(8) Transfer prescriptions from one pharmacy to another pharmacy; or
(9) Violate patient confidentiality.
d. Except as provided in subsection e. of this section, a pharmacist shall not supervise more than two pharmacy technicians.
e. A pharmacy that wishes to employ a licensed pharmacist to pharmacy technician ratio greater than established in accordance with subsection d. of this section, shall:
(1) Establish written job descriptions, task protocols and policies and procedures that pertain to the duties performed by the pharmacy technician;
(2) Ensure and document that each pharmacy technician pass the National Pharmacy Technician Certification Examination or a board approved certification program and fulfill the requirements to maintain this status, or complete a program which includes a testing component and which has been approved by the board as satisfying the criteria as set forth in subsection f. of this section;
(3) Ensure that each pharmacy technician is knowledgeable in the established job descriptions, task protocols and policies and procedures in the pharmacy setting in which the technician is to perform his duties;
(4) Ensure that the duties assigned to any pharmacy technician do not exceed the established job descriptions, task protocols and policies and procedures;
(5) Ensure that each pharmacy technician receives in-service training before the pharmacy technician assumes his responsibilities and maintain documentation thereof;

(6) Require and maintain on site a signed patient confidentiality statement from each
(7) Provide immediate personal supervision; and
(8) Provide the board, upon request, with a copy of the established job descriptions, task protocols and policies and procedures for all pharmacy technician duties.
f. If the pharmacist to pharmacy technician ratio is greater than the ratio established in accordance with the provisions of subsection d. of this section, the pharmacy shall maintain a policy and procedure manual with regard to pharmacy technicians, which shall include the following:
(1) Supervision by a pharmacist;
(2) Confidentiality safeguards of patient information;
(3) Minimum qualifications;
(4) Documentation of in-service education or ongoing training and demonstration of competency, specific to practice site and job function;
(5) General duties and responsibilities of pharmacy technicians;
(6) Retrieval of prescription files, patient files, patient profile information and other records pertaining to the practice of pharmacy;
(7) Functions related to prescription processing;
(8) Functions related to prescription legend drug and controlled dangerous substance ordering and inventory control;
(9) Prescription refill and renewal authorization;
(10) Procedures dealing with documentation and records required for controlled dangerous substance and prescription legend drugs;
(11) Procedures dealing with medication errors;
(12) Pharmacy technician functions related to automated systems;
(13) Functions that may not be performed by pharmacy technicians; and
(14) A form signed by the pharmacy technician which verifies that the manual has been reviewed by the technician.
g. The pharmacist in charge shall review the policy and procedure manual at least every two years and, if necessary, amend the manual as needed. Documentation of the review shall be made available to the board upon request.
h. Pharmacy technicians shall wear an identification tag, which shall include at least their first name, the first initial of their last name and title.
i. On pharmacy permit renewal applications, the pharmacy shall list the name and address of all pharmacy technicians which it currently employs.
j. When pharmacy technicians are engaged in any activities permitted in accordance with the provisions of this section, the licensed pharmacists on site shall be responsible for these activities.

Pharmacy Regulations

http://www.nj.gov/lps/ca/laws/pharmregs.pdf
CHAPTER 39
STATE BOARD OF PHARMACY
13:39-6.6 Pharmacy technician registration and pharmacy technician applicants
(a) A person wishing to be registered with the Board as a pharmacy technician shall:
I. Be 18 years of age or older;
2. Possess a high school diploma or its equivalent;
3. Submit a certification attesting to the fact that he or she is proficient in written and spoken English;
4. Apply to the Board for registration and submit the application fee set forth in N.J.A.C. 13:39-1.3;
5. Submit his or her name, address and fingerprints for purposes of a criminal history background check pursuant to determine whether criminal history record information exists which may disqualify the applicant from being registered by the Board; and
6. Submit, as part of the application for registration, evidence of good moral character which is an ongoing requirement for registration, and evidence that he or she:
i. Is not presently engaged in drug or alcohol use that is likely to impair the ability to practice as a pharmacy technician with reasonable skill and safety. For purposes of this section, the term “presently” means at the time of application or any time within the previous 365 days;
ii. Has not been convicted of violating any law of this State or any other state of the United States relating to controlled dangerous substances or other habit-forming drugs;
iii. Has not been convicted of violating any law relating to the practice of pharmacy;
iv. Has not been convicted of a crime involving moral turpitude; and
v. Has not had his or her authority to engage in the activity regulated by the Board suspended or revoked as a result of any administrative or disciplinary proceedings in this or any other jurisdiction which determined the applicant to be in violation of any laws, rules or regulations
LAW AND PUBLIC SAFETY ——– pertaining to the practice of pharmacy, and that the applicant is not currently under suspension or revocation.
(b) By March 2, 2008, a pharmacy shall only employ a person registered with the Board as a pharmacy technician pursuant to (a) above, or a pharmacy technician applicant, consistent with (c) below, to perform pharmacy technician functions.
(c) By March 2, 2008, any person who is hired as a pharmacy technician who is not registered with the Board shall be designated a pharmacy technician applicant. A person may only be considered a pharmacy technician applicant one time and only for a maximum of 180 consecutive days.
During the first 10 days of employment, the pharmacy technician applicant shall file an application with the Board to begin the pharmacy technician registration process. The applicant shall retain proof of filing the application until he or she receives his or her registration. If at the conclusion of the 180 day period, the pharmacy technician applicant has not completed the pharmacy technician registration process, consistent with (a) above, the applicant shall cease performing pharmacy technician functions in the pharmacy.
(d) All persons who are employed as pharmacy technicians on September 4, 2007 shall be registered with the Board by March 2, 2008. Such persons shall satisfy the requirements set forth in (a) above, except that such persons shall be exempt from satisfying the requirement established in (a)2 above. Such persons shall present proof of employment to the Board which establishes that they have been practicing as pharmacy technicians prior to September 4, 2007.

(e) If an applicant for registration as a pharmacy technician is being investigated for any alleged violation of the New Jersey Pharmacy Practice Act, N.J.S.A. 45: 14-40 et seq., or the pharmacy laws, rules or regulations of any other jurisdiction, the Board in its discretion may deny the applicant the opportunity to register as a pharmacy technician.
(f) A pharmacy shall not employ as a pharmacy technician applicant any person who was previously employed as a pharmacy technician applicant at a pharmacy in the State and who failed to complete the pharmacy technician registration process or any person who bas been the subject of disciplinary action by the Board.
13:39-6.13 Biennial technician registration renewal; administrative suspension
(a) A pharmacy technician shall renew his or her registration for a period of two years from the last expiration date.
The pharmacy technician shall submit a renewal application to the Board, along with the renewal fee set forth in N.J.A.c’
13:39-1.3, prior to the date of registration expiration. A pharmacy technician who submits a renewal application within 30 days following the date of registration expiration shall submit the renewal fee, as well as the late fee set forth in NJ.A.c’
13:39-1.3, A pharmacy technician who fails to submit a renewal application within 30 days of registration expiration shall have his or her registration suspended without a hearing.
Such suspension shall be deemed an administrative suspension.
(b) A pharmacy technician who continues to perform the functions of a pharmacy technician with a suspended registration shall be deemed to be engaging in unauthorized practice as a pharmacy technician and shall be subject to th penalties set forth in N,j,S.A. 45:1-25 et seq,
(c) The Board shall send a notice of renewal to each pharmacy technician, at least 60 days prior to the expiration of his or her registration, If the notice to renew is not sent 60 days prior to the expiration date, no monetary penalty or fines shall apply to the pharmacy technician for any unauthorized practice during the period following the registration expiration, not to exceed the number of days short of 60 before the renewal was issued.
13:39-6.15 Pharmacy technician duties and pharmacist technician ratios
(a) In addition to externs and interns, only pharmacy technicians and pharmacy technician applicants may assist the pharmacist in performing the following task:s:
1. Retrieval of prescription files, patient files and profiles and other such records pertaining to the practice of pharmacy;
2, Data entry;
3. Label preparation;
4. The counting, weighing, measuring, pouring and compounding of prescription medication or stock legend drugs and controlled substances, including the filling of an automated medication system; and
5. Accepting authorization from a patient for a prescription refill, or wm a practitioner or his or her agent for a prescription renewal, provided that the prescription remains unchanged, consistent with (a)5; below: i The pharmacy technician or pharmacy technician applicant shall identify himself or herself as a pharmacy technician when accepting authorization from a practitioner or his or her agent. For purposes of this section, “prescription refill” means the dispensing of medication pursuant to a practitioner’s authorization provided on the original prescription. For purposes of this section, “prescription renewal” means the dispensing of medications pursuant to a practitioner’s authorization to fill an existing prescription that has no refills remaining.
(b) Pharmacy technicians and pharmacy technician applicants shall not:
I. Receive new verbal prescriptions;
2, Interpret a prescription or medication order for therapeutic acceptability and appropriateness;
3. Verify dosage and directions;
4. Engage in prospective drug review;
5, Provide patient counseling;
6, Monitor prescription usage;
7, Override computer alerts without first notifying the pharmacist;
8. Transfer prescriptions from one pharmacy to another pharmacy; or
9. Violate patient confidentiality.
(c) A pharmacy shall require all pharmacy technicians and pharmacy technician applicants employed by the pharmacy to sign a patient confidentiality statement. Such statements shall be maintained on-site by the pharmacy.
(d) Except as provided in (e) below, a pharmacist shall not supervise more than two pharmacy technicians at any given time. The pharmacist shall provide immediate personal supervision, as defined in NJ.A.C. 13:39-1.2, of all pharmacy technicians he or she supervises. Those personnel who do computer processing of prescriptions are to be included in the
I to 2 ratio. A registered pharmacy technician or a pharmacy technician applicant who is receiving in-service training, which shall not exceed 2 \0 days, shall be excluded from the I to 2 ratio during such training. A pharmacist shall not supervise more than two persons receiving in-service training at the same time.
(e) A pharmacy that employs a pharmacist to pharmacy technician ratio greater than 1:2 shall:
I. Establish written job descriptions, task protocols, and policies and procedures that pertain to the duties performed by the pharmacy technicians;
2. Ensure and document that all pharmacy technicians who are working when the ratio exceeds 1:2 have:
i. Passed the Pharmacy Technician Certification Board’s Pharmacy Technician Certification Examination and have fulfilled the requirements to maintain this status;
ii. Passed a Board-approved certification program and have fulfilled the requirements to maintain this status; or
iii. Completed a program that includes a testing component, which has been approved by the Board as satisfying the criteria set forth in (f) below. Completion of a program with a Board-approved testing component shall quality the pharmacy technician to work only for the specific pharmacy and/or corporation for which the pharmacy technician was employed when the training was obtained. If the pharmacy technician becomes employed by another pharmacy and/or corporation, the pharmacy technician shall be required to complete the new employer’s training program;
3. Ensure that all pharmacy technicians are knowledgeable in the established job descriptions, task protocols, and policies and procedures in the pharmacy setting in which the technicians are to perform their duties;
4. Ensure that the duties assigned to any pharmacy technician do not exceed the established job descriptions. task protocols and policies and procedures, nor involve any of the prohibited tasks in (b) above;
5. Ensure that all pharmacy technicians receive inservice training before the pharmacy technicians assume their responsibilities and maintain documentation thereof.

A registered pharmacy technician or a pharmacy technician applicant who is receiving in-service training, which shall not exceed 210 days, shall be excluded from the I to 2 ratio during such training. A pharmacist shall not supervise more than two persons receiving in-service training at the same time;
6. Provide immediate personal supervision as defined in N.J.A.C. 13:39-1.2; and
7. Provide the Board, upon request, with a copy of the established job descriptions, task protocols, and policies and procedures for all pharmacy technician duties.
(f) If the pharmacist to pharmacy technician ratio exceeds I :2, the pharmacy shall maintain a policy and procedure manual with regard to pharmacy technicians, which shall include the following:
I. Supervision by a pharmacist;
2. Confidentiality safeguards of patient information;
3. Minimum qualifications;
4. Documentation of in-service education and/or ongoing training and demonstration of competency, specific to practice site and job function;
5. General duties and responsibilities of pharmacy technicians;
6. Retrieval of prescription flies, patient flies, patient profile information and other records pertaining to the practice of pharmacy;
7. All functions related to prescription processing:
8. All functions related to prescription legend drug and controlled substance ordering and inventory control;
9. Prescription refill and renewal authorization;
10. Procedures dealing with documentation and records required for controlled drug substance and prescription legend drugs:
II. Procedures dealing with medication errors, including classification of medication errors;
12. Pharmacy technician functions related to automated systems;
13. Functions that may not be performed by pharmacy technicians, including at a minimum those functions listed in (b) above; and
14. A form signed by the pharmacy technician which verifies that the manual has been reviewed by the technician.
(g) The pharmacist-in-charge shall review at least every two years and, if necessary, amend the policy and procedure manual. Documentation of the review shall be made available to the Board upon request.
(h) When pharmacy technicians and pharmacy technician applicants are engaged in any permitted activities, the pharmacist(s) shall be responsible fur all the activities of the pharmacy technicians and the pharmacy technician applicants

The data contained in this 2012 Annual Scorecard are accurate as of December 2012 .  Because statutes and regulations are continually revised, the data are subject to change.  These data have been verified with the state board of pharmacy.  This scorecard is updated on an annual basis in order to incorporate statutory and regulatory changes.  A new scorecard will be issued in July 2013.

Scoring rationale for Education and Training:
In order to protect the public and help ensure patient safety, it is important that pharmacy technicians are properly educated and trained.  The most rigorous training is accredited training.  The sole entity empowered to accredit pharmacy-technician training programs is the American Society of Health-System Pharmacists (ASHP).  Please note that this is “programmatic accreditation” – not “institutional accreditation.”  It is the content of the training program – as measured against established standards – that is being evaluated and accredited.  Accredited training is vital to protecting patient safety because it means that a pharmacy-technician training program has met established quality standards to provide assurance and confidence to the public.  For more information, please see http://www.ashp.org/menu/Accreditation/TechnicianAccreditation.aspx.

Scoring rationale for Certification:
Certification is the process by which a nongovernmental agency or association grants recognition to an individual who has met certain predetermined qualifications specified by that agency or association.  This is often determined by an examination process.  Numerous organizations have recommended that the certification exam conducted by the Pharmacy Technician Certification Board (PTCB) should be recognized as the sole, nationally-accredited certification exam for pharmacy technician certification – including the National Association of Boards of Pharmacy (NABP), the Texas State Board of Pharmacy (TSBP), and the U.S. Department of Veterans Affairs (VA). In a recent report, NABP recommended that states be encouraged to “recognize certification by the Pharmacy Technician Certification Board (PTCB).” Moreover, NABP performed a psychometric audit of the PTCB’s pharmacy technician certification examination (PTCE) in 2001 and determined that the PTCE is psychometrically sound, defensible, and valid. In May 2010, the TSBP awarded the PTCB with the Pharmacy Technician Certification Provider contract in Texas. PTCB was selected for the contract after a rigorous bidding and evaluation process that included formal reviews and evaluations from three independent psychometricians. TSBP confidently recognizes PTCB as the single provider of certification examinations for pharmacy technicians. In addition, in June 2010, the VA began requiring PTCB certification for VA pharmacy technicians employed at grade GS-6 and above.

Scoring rationale for Registration/Licensure:
Registration/licensure is the process by which the state maintains a list of all pharmacy technicians in the state and grants permission for an individual to work as a pharmacy technician in the state based on the applicant’s completion of all pre-requisites to registration/licensure – such as required training and certification.

Scoring rationale for Continuing Education:
Continuing education enables pharmacy technicians to fulfill their professional responsibility to maintain competence and up-to-date knowledge and skills in an environment of technological advances and increasingly complex, new medications and therapies.


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