PhLE (Licensure Exam) Pharm. Jurisprudence and Ethics

PhLE (Licensure Exam) Pharm. J…

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Question 1 of 100 correct so far

1. The review process indicates a significant increase in buprenorphine prescriptions from a local primary care clinic following the recent elimination of the federal X-waiver requirement. A pharmacist receives a valid electronic prescription for a 30-day supply of Suboxone for a new patient from this clinic. The state's PDMP report reveals the patient has a history of receiving opioid analgesics from multiple prescribers, though this activity stopped two months ago. During a brief consultation, the patient appears anxious and states their previous treatment was \"suddenly stopped.\" The pharmacist calls the prescriber, who confirms the diagnosis of Opioid Use Disorder but acknowledges they are new to this type of prescribing and are unfamiliar with specific monitoring protocols like urine drug screening frequency. What is the pharmacist's most appropriate course of action to balance patient care and professional responsibility?

Dispense a limited supply, such as for 7 days, to initiate therapy and prevent withdrawal, while communicating concerns to the prescriber and offering to provide them with clinical resources on OUD treatment guidelines.Fill the full 30-day supply as written, as the prescriber has confirmed the diagnosis and the prescription is legally valid.Refuse to fill the prescription, citing the unresolved red flags from the PDMP and the prescriber's inexperience, and instruct the patient to find a more experienced addiction specialist.Report the prescriber to the state medical board for improper prescribing of a controlled substance before dispensing any medication to the patient.

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