WASHINGTON STATE BOARD OF PHARMACYReview Form

PHARMACY TECHNICIAN TRAINING PROGRAMS

Type of approval: New Program M Re-approval/Renewal: II Date program expired:

Program Type: On-the-Job (OJT): || Formal/Academic: II Online: ||

Facility/ Institution name: Mercury Pharmacy Services Inc Credential # (if applicable):

Location Address : 22316 70th Ave W Ste E, Mountlake Terrace, WA 98043

Mailing Address (if different:

Name of Program Director : Sarah Wue Phone Number: 425-673-5200

SarahW@MercuryRx.com

Email Address for Director:

Corporate/institution Contact Information:

Staff Recommendation: Approved

Requirements for all program types:

Multicultural health awareness and education effective July 1,2005 -New requirement RCW 43.70.615

1. The training program must adequately prepare the trainee to

pass an approved national pharmacy technician certificationexamination/ such that the trainee successfully passes prior to

license application.

2. Prior to starting an OJT training program in Washington, thetrainee is required to show proof of high school graduation or ahigh school equivalency certificate, such as a GED.

3. Minimum of 8 hours of instruction is designated for review of

relevant Washington state pharmacy law. This must include

access to and use of the WA Pharmacy Commission's website to

obtain the most current information. This is in addition to areview of all other applicable state and federal laws.

4. Trainee is registered with the Pharmacy Commission as a

pharmacy assistant prior to starting an OJT program or an

externship through an academic program in Washington state.

5. Director of the program isa registered pharmacist. For WA

YES

x

x

x

x

x

NO

See page 5 of this form forcomplete info.

WAC 246-901-060 states proofof passing an NCCA-accreditednational certification exam is

required for licensure

(effective 1/1/09).

Out-of-state applicants must

submit a completed"Verification of Law' form that

is signed off by a pharmacistwho is licensed in WA (but

does not have to reside here

& can have licenses in more

than one state).

This does not apply to traineeswho are in or have completed

out-of-state technician

training programs that are notphysically located in WA.

Program directors of WA state

Page 1

state - the director must also be a licensed preceptor. WAC 246"

901-050 states that the "director shall be a pharmacist."

Pharmacists directing or supervising the training of pharmacytechnicians must meet the same requirements as those of

pharmacy intern preceptors. The program direction or delegates

must sign off on an applicant's application verifying successfulcompletion of the program.

6. Specify the names, license numbers, and training experience of

the Director and all program instructors. Describe training

responsibilities and functions

7. Length of the program is 12 months or less for whatever is

sufficient to meet the requirements in hours and/or credits foreither OJT or academic programs. Note that there are 3 types of

programs that are recognized: (1) OJT programs at licensedpharmacies; (2) academic programs; & (3) online programs. NOTE:Anyone who works in a pharmacy in WA must be licensed in WA.Trainees are licensed as pharmacy assistants and can only work as

technicians

8. The training and resource materials are current, relevant and

are listed by title and publication date, with a description of howthey will be used.

9. The minimum passing score fora final exam of/ierthan the

PTCE or ExCPT is 75%. However, an option is to use proof of

passing an NCCA-accredited national technician exam as your

program's final examination.

10. The Pharmacy Commission must be notified in writing or emailprior to any significant changes to the program, including changein the Director, course content/ and time frames.

11. All student-specific records must either be retained on-site

and kept for a minimum of 2 years, as well as be made availablewithin 72 hours upon request.

Additional requirements for OTJ programs:

1. The program consists of 520 total hours of supervised work

experience which includes: didactic instruction and 12 hours ofindividualized instruction provided when the trainer is not working'on-line'. All work experience within this time frame must be

supervised by pharmacists and be part of the training programrequirements.

2. The program must also include training on job functions that

are unique to a particular practice setting (eg, preparing parenteral

products; extemporaneous compounding; providing long term

care services; etc.). These job functions must be documented on

the ancillary utilization plans submitted for review.

x

x

x

x

x

x

Yes

x

x

No

programs must also be

licensed as preceptors. [WAC

246-858]

The Board must be notifiedimmediately of any changes inprogram director or delegates

and must have an updated list

at all times.

Eg/ 520 hours for OJTprograms to include didactictraining & supervised work

experience training at thepharmacy. 30 credits for

academic, vocational,

technical, online, and similar

types of programs.

The passing scores for thePTCE and ExCPT are eachcalculated in different waysand not by percentage.

Changes in director and/orother training personnel do *

not require resubmission of

the entire program for

approval.

These records must be readily

retrievable.

The requirement for 12 hoursof individualized instruction isspecific for pharmacieslicensed inWA.

Ancillary personnel utilizationplans are required of allpharmacies licensed in WA.

[RCWs " 18.54.011,18.64A; &

WACs - 246-863, -869, -901].

http://www.doh.wa.gov/hsaa

/Professions/Pharmacy/defaul

Page 2

3. The utilization plans for ancillary personnel are included,

namely, pharmacy assistants and technicians. [See the web

document on 'Developing a Pharmacy Technician Training

Program" for resources.]

x

t.htm

These plans must describe themanner in which ancillarypersonnel will be utilized. Thisrequirement only applies topharmacies licensed in WA.

Additional requirements for academic programs:

1. The academic program consists of a minimum of 2 quarters

equal to 30 quarter credits (or equivalent in semester hours) andincludes a mandatory externship of a minimum of 160 hours.

2. The vocational program consists of a minimum of 800 hours of

instruction and includes a mandatory externship of a minimum of160 hours.

3. A comprehensive training manual is provided and includes the

following: list of faculty (names/ licenses/ training experience/ &program responsibilities); institutional policies & procedures;description of the Advisory Committee functions & list of

members; complete curriculum description & goals; training andtesting methods; description of facilities (eg/ drug preparationlabs, computer labs, etc.) & equipment used; description of thequality assurance program; and anything else relevant to the

program and its administration and operations.

4. The externship is described by practice site and number ofhours spent at each site/ as well as description of tasks,

expectations and required outcomes. Students in externships are

evaluated by their externship site supervisor and their academicprogram instructor (based on a midterm and final clinicalevaluation form, as well as the student's work reports, attendance

and performance). Students evaluate their externship experience

and include a self-evaluation of each experience. The program's

policy and procedure for dealing with negative evaluations ofstudents and by students is included.

5. Program requirements and expectations are included with a

description of what constitutes misconduct and how it is handled.

One example would be the criteria for expulsion from the

program.

6. If the vocational or academic institution is accredited by an

accreditation organization and/or licensed in a state, provide thisinformation.

Yes No

Additional requirements for online programs:

1. Online programs must meet the same requirements as

academic programs.

2. Program staff must be available to students on a 24-hour basis

daily/ with a policy & procedure in places for this.

Yes No

INCLUDE THE POLICY &PROCEDURE FOR THIS.

Page 3

ADDITIONAL REQUIREMENTS

1. All programs are approved for a 5"year period and must be submitted for renewal before their

expiration date. Typically programs that are submitted for renewal do not have to be presented at

a board meeting for re-approval. However, if such a program is completely revamped, a

determination will be made if formal board approval will be necessary/ at which time your program

would be notified.

2. For OJT programs offered through pharmacies that are licensed in Washington and for

academic/vocational programs based in Washington/ the documented director (or delegates) of a

training program must sign the Director's Certification . The director may designate delegates who

can sign this section of the application on his or her behalf/ but a letter must be submitted to the

board by the director of the program stating who these delegates are and the effective dates. Any

changes to this document must be submitted in writing. If either a director s or delegate s names

are not on record with the board, this will cause delays in the processing of applications.

3. For pharmacies licensed in Washington/ you must maintain an on-site file containing ail

documentation related to your approved technician training program, including your most current

approved ancillary utilization plans. This documentation will be requested as part of the inspection

process.

4. Anyone who works in a pharmacy in WA must be licensed in WA. Trainees must first be licensed as

pharmacy assistants and can only work astechnicians-in-trainingwhen they are being trained!

Trainees cannot /fill in' as technicians /as needed'. Their work experience must be part of the

approved training program. And/ since proof of passing one of the NCCA-accredited national

certification exams is a requirement for Ijcensure/ trainees should be preparing for an exam while

they re in training. The training program should be preparing them to take an exam. The national

exam should be taken sooner rather than later, meaning that your trainee can't be a tech-in-training

indefinitely/ especially after they have completed the training program. At the latest, trainees

should be ready to take a national exam when they have Just completed a training program.

5. Always remember to access the Board of Pharmacy website for the most current pharmacy

technician or assistant applications/ as the applications are periodically updated. The same applies

for the most current information on Board of Pharmacy laws, rules/ policies/ guidelines, and the like.

6. Training programs that are reviewed as part of a specific applicant's application process wil! only be

approved for that applicant. Out-of-state training programs that are interested in obtaining board

approval must submit all the documentation requirements listed in the review form above.

Note: 'Formal' academic programs include the following settings: universities; community colleges; technical colleges;technical/community colleges; vocational/technical schools. These are institutional-based programs, whereas OJTprograms are emptoyer-based.

Page 4

http://www.doh.wa.fiov/hsqa/Professions/Pharmacy/forms.htm - Pharmacist Preceptor Application

Packet and Experiential Training Manual.

NEW REQUIREMENT FOR ALL TRAINING PROGRAMS APPROVED in WASHINGTON

Cultural Competency Resources

The legislature finds that it shall be a priority for the state to develop the knowledge/ attitudes/ and

practice skills of health professionals and those working with diverse populations to achieve a greater

understanding of the relationship between culture and health and gender and health. By July I/ 2008, each

program with a curriculum to train health professionals for employment in a profession credentialed by a

disciplining authority under chapter 18.130 RCW shall integrate into the curriculum instruction in

multicultural health as part of its basic education preparation curriculum.

The Washington State Department of Health (department) is pleased to announce a new resource to help

health care providers serving diverse populations of patients. A law passed in 2006 requiring all health care

providers licensed by the department to receive multicultural health awareness education and training. The

Cultural Competency in Health Services and Care - A Guide for Health Care Providers is a tool in that effort.

The law did not mandate anything more specific than this. There are no requirements for how the training

is conducted/ what resources should be used, and number of contact hours or credits. There are many

resources for this. A sampling of resources is listed on the review form.

This guide is intended to increase the knowledge/ understanding/ and skills of those who provide health

care in cross-cultural situations. The guide is available on our Web page. We hope it will broaden your

awareness of health disparities, provide a better understanding of why cultural competency is important/

and illustrate some of the resources available to you. There are several online resources that offer

continuing education credits. There are also resources with important information and statistics on the

populations you serve.

Page 5

'.hN<lu^(n Iwr ft [u iim ^

WedlfftPhammcy Quality AssunCommissionPO Box 47877Olympio, WA 98504-7863360-236-4700

Mercury Pharmacy Services Inc22316 70th AveWSteEMounttake Terrace, WA 98043-2184TRNG.TG.61021980-PTEC-0

-D

RECEIVED

NOV. 13 2019•f \ •/

>ON/HSQwee^Pharmacy Technician

Education and Training Program Approval FormThe complete program of study including resource materials, content of instruction, and detailed programadministration must accompany this application as well as a description of the criteria for admission orselection into the training program, and details on how the program will measure the student's proficiency.Application Type

0Priginal Q RenewalCheck One

Association

Corporation

D Federal Government Agency

^- Limited Liability Company

d Limited Liability Partnership

d Limited Partnership

Municipality (City)D Municipality (County)D Non-Profit Corporation

D Partnership

D Public Hospital District

F] Sole ProprietorD Slate Government Agency

D Tribal Government AgencyD Trust

1. Demographic InformationUBI#

60Z Oe\^ ^^Federal Tax ID (FEIN)#

9/--2/ot/J7JLegal Owner/Operator Name

?T'€pV\ffy\ l^OulcmOl"^Mailing Address

m& 2-3?Tt-

Sc^-1City

/oo ^ 0^-

Phone (enter 10 digit #)

2-0&X\S- MM (^

yState

u<JAZip Code

^c^oCell (enter 10 digit #)

^ObS(?Lf4ic<

County

Sndko^\-.s^

Fax (enter 10 digit #)

^^-^3-S'L30Legal Name of Institution or Employer-based Program

Pk^rmAcy Series , /A/C.Physical Address

223^ ^70' 41/^ [^ Su^e eCity

^ou^^e T^aceState

(A/AZip_Cod8

fyoi^County

^rtd4oi^<r^

Facility Phone (enter 10 digit #)

13L&G -735Z.OOCell (enter 10 digit #)

W^ l/Y/L(Fax (enter 10 digit #)

f2r672 5-ZJ<?Mailing Address

olZ3/^ 70^ ^t/< UJ o*^e fc-

City^uo^Tl<i.(<A r»//t^

State\^/A

Email address

^re^^Q Me<cu/-^rX- c^^\

Zip Code

L?-6^1County

^'fl/W-t*^

Web Addresstai^<^ ^ c^r^\

DOH69&-279 May 2014 Paoelof3(&""

2. Type of ProgramPlease check which type of pharmacy technician education and training program or school.

[_] Formal/Academic Training Q3.0n-the-job Training at a licensed pharmacy D Vocational Training

D Military Training D Other, explain

3. Contact Information

Name of Contact Person

S^nk \i^vtuTitle

C\f<%W ^rPhysical Address

"•yw^ ^- h^ vJ. ^L^City

oi^iftke ^w^.State

w-Zip Code

rW3>Couo!

lOK^sllEmail Address

<5A \^ ^ ^f<^ (^.^MPhone (enter 10 digit #)

'w,-w^zw ^^-4. Program Director InformationAttached additional paass If Ihejrainma prosram uses multiple directors.Name o^Program Director

wJia/Title

^Xfuky ^ (^unw^ ^ J^D^i^ \)[r€^n^Pharmacist Credential Number

P^- \ot>V^lA'^Preceptor Certification Number

^ fc0^2i^Physical Address

yi^\^ ^t>^^ ^ \\A^'iCity

MouAl?t T^me-tate"luA-

Zip Code3ode I Count

^W3 | ^>yu^^is[Email Address

Slt^ \(J 8- IV^LT^ ^ .CSMPhone (enter 10 digit #)

^-W?-^U)0 Wi-5. Additional Pharmacies and Program Directors

List all pharmacies associated with this training program.Pharmacy Name and Address Pharmacy Licenso # Program Director Pharmacist's License 8

^eru^Z-^tfc .1^^tcv<. J\AJ, S*^eBpM^T i LJlfr <?tb4^

pt^.c-F.^?3W4 S&ns^mi Pfr W^i\.

RECEIVED

w M-2N-

DOH/^SQA/OCSDOH 690.279 May 2014 Page 2 o» 3

6. Signature

I certify that I have received, read, understood, and agree to comply with state laws and rules regulating educationand training programs. I also certify that the information herein submitted is true to the best of my knowledge andbelief.

Program Director/authorized representative

<A^- VJ^Print Name

H^/l^Date

V^€i^>r ^ H^rPrint Title

•<fl

Additional Forms and Resources

Pharmacy Weboaae

Guidelines to Implementation

RECEIVED

NOV \ 3 2019DOH/HSQA/OCS

DOH69&-279 May 2014 Page 3 or 3

Mercury Pharmacy Services22316 70th AveW. Suite EMountlake Terrace, WA 98043(425)673-5200

November 6, 2019

Washington Slate Pharmacy Quality Assurance CommissionP.O. Box 47863Olympia, WA 98504-7863

Dear Ladies and Gentlemen of the Commission:

Please find outline for the Mercury Pharmacy Services basic training program for pharmacytechnicians. Our program will take a minimum of 24 weeks to complete and musi be completedwithin 1 year.

Please feet free to review the plan and advise on any additions, corrections, or clarifications thatmay be needed.

Thank you.

Sincerely,

"^k^v^ <^e<^_Sarah Wue, PhannD Stephen Boulanyer R,Ph.Program Director, Director of Pharmacy Pharmacy President

RECEIVED

NOV 13 2019DOH/HSOA/OCS

Instruction Process '

CurriculumDidactic lessons will follow a combined outline of theNational Pharmacy Technician Training Program. 7th edition in preparation for The Exam for theCertification of Pharmacy Technicians (ExCPT) and the Pharmacy Certified Technician TrainineManual. 12th edition in preparation for the Pharmacy Technician Certification Exam (PTCE).Top 200 drugs review will follow the latest list with suggested readings from the ReferenceGuide for Pharmacy Technician Exam. 2014-2015. Calculations review will be provided fromUnderstanding Pharmacy Calculations. Washington Stale pharmacy law review will follow thecurrent edilion of Washington Pharmacy Law: A User's Guide and online access to the PQACplus pertinent WAC and RCW rererences. Other supplemental materials may be provided asneeded.

Curriculum

Didactic lessons will follow a combined outline of The Pharmacy Technician (APhA BasicPharmacy & Pharmacoloiiv Series). 6Ih edition and Manual for Pharmacy Technicians fASHP).4th edition in preparation for the Pharmacy Technician Certification Exam (PTCE) and the Examfor Certification of Pharmacy Technicians (ExCPT). Top 200 drugs review will follow the latestlisl using PharmacyTrainer Top 200 Druu Flashcards. 2019 (or current edition). Calculationsreview will be provided from Pharmacy Calculations. An Inlroduction for Pharmacy TechniciansfASHP). Ist edilion. Washington State pharmacy law review will follow the current edition ofWashirmton Pharmacy Law; A User's Guide and online access to the PQAC plus pertinent WACand RCW references. Other supplemental materials may be suggested as needed.

Practicum hours will be in a long-term care setting covering the three major areas of focus forthe PTCE:1. Assisting the phannacisl in serving patients.2. Maintaining medications and inventory control systems.

3. Participating in administration and management of the pharmacy practice.

Emphasis of lessons will follow the latest Pharmacy Technician Certification Board (PTCB)examination for Certified Pharmacy Technicians (CPhT) PTCE Blueprint (current 2013 update).

PTCE Blueprint Domains

KnowledgeDomains

I

2

Domain

Description

Pharmacotogyfor Technicians

Pharmacy Law

% ofPTCE

Content

13.75

12.50

KnowledgeAreas

6

15 RECEIVED

NOV 1 3 2019

OOH/HSQA/OCS

3

4

5

6

7

8

9

andRegulations

Sterile andNon-sterile

Compounding

MedicationSafely

PharmacyQualityAssurance

MedicationOrder Entryand FillProcess

PharmacyInventoryManagement

PharmacyBilling andReimbursement

PharmacyInformationSystems Usageand

Application

8.75

12.50

7.50

17.50

8.75

8.75

10.00

7

6

5

7

5

5

2

Technician Trainee (TT) will complete mulliplc quizzes, three midlerms, and a comprehensivefinal exam with a score of 80% or better to pass. Remedial education and rctesting opportunitieswill be provided on any topic necessary unlil a passing grade is reached.

No more than five technicians will receive training at the same time.

Requirements for Admission to Program:• TT must provide proof of high school graduation or GED prior to beginning program.• TT must be able lo type 50 words per minute.• TV must sign acknowledgement indicating that they understand completion ofthis

program is not a guarantee for employment as a Pharmacy Technician.

• Required books:o The Pharmacy Technician (APhA Basic Pharmacy & Pharmacology S^rjg^jg^

edition

NOV \ 3 2019DOH/HSQA/OCS

o The Pharmacy Technician Workbook and Certification Review (APhA BasicPharmacy & Pharmacology Series), 6th edition

o PharmacyTrainer Top 200 Dmg FIashcards, (currenl edition)• Optional books:

o Complete Math Review for the Pharmacy Technician (APhA PharmacyTechnician Training Series), 5' edition

o Washington Pharmacy Law: A User's Guide

Records of evaluations, final exam, and proof of high school graduation or successful completionofGED will be retained at Mercury Pharmacy Services fora period of 3 years upon completionof program and will be provided within 72 hours of request.

A basic training program will be utilized for training pharmacy assistants to upgrade ihem topharmacy technicians (working under the immediate supervision of a pharmacy preceptor). Theon the job training (OJT) program will normally last 24 weeks and must be completed within 12months. The program will entail of a minimum of 600 hours consisting oF didactic (40+ hours),simulated (40+ hours) and experiential (520+ hours) training.

The teaching methods will consist of individual discussion and inslruction both in classroom andon the job. When the trainer is not responsible for the prescription area, TV will receivesupervised work experience, reading references, a training manual, plus written and practicalexaminations requiring 80% passing score or competency. Program may have slightmodifications based on individual trainee needs. The Pharmacy Commission will be notified inwriting or email prior to any significant changes to the program, including change in iheDirector, course content, and time frames

RECEIVED

NOV 13 2019DOH/HSQA/OCS

Ancillary Personnel Utilization Plan

Filed with the Pharmacy Commission and at the PhiirmacyDecember 2017

This is a long-term care pharmacy serving the needs of adult family homes, nursing homes andassisted living facilities.

Technicians:

The following is a list of functions our pharmacy technicians will be doing under thesupervisions and control of a licensed Pharmacist.

1. Handles the ordering ofmedicalions, medical supplies and DME from wholesalers. Thisincludes all phone calls, checking in inventory, adding inventory to computers, pricingevaluations and rcstocking,

2. Takes phone calls from customers and nurses regarding prescriptions. Typical callsinclude medication requests for customers, status updates (e.g. delivery times) and billingissues.

3. Organizes prescription and other pharmacy records.4. Enters prescription informalion into computer (i.e. data entry).5. Fills cassettes for automated packaging machine(s).6. Operates aulomated packaging machinc(s).7. Organizes medication for delivery.8. Prints restock reports and analyzes usage of emergency kit medications.9. Rcstocks Emergency Kits as needed.10. Pulls medication from shelves for new and refilled prescriptions and places inio tote for

pharmacy assistants to package.

11. Delivers medications to nursing facilities, adult family homes, and assisted livingfacilities.

12. Counts and pours medication from slock boltles for individual prescripiions. Fills unitdose medication packages.

13. Compounds medications that may involve adding ingredients to a final prescription. Allmath and measurements are double checked by a licensed pharmacist.

14. Enters new patient informaiion into pharmacy soflware and prints labels and invoices.15. Makes outbound calls to physician's oITiccs and takes calls regarding refill information.16. Handles non-discrelionary phone calls to and from:

• Physician ofTices for refill authorization.• Any cuslomer checking the availability ofgoods ofmedicalions.• Patients or nurses to gel patient demographic information (i.e, allergies,

diagnoses, doctor info, etc.).

• Obtains stock bottles for Hlliny prescriptions, labels prescriptions, and countsmedication under the supervision of a licensed pharmacist.

RECEIVED

5 NOV 13 2019

DOH/HSQA/OCS

Pharmacy Technicians w/Specialixfrtl Functions for IV Room ComDoundine:

1. Criteria for selection of pharmacy technicians for IV compounding:• Prior IV compounding experience or 3 months minimum experience in all areas

of production.

2. Methods of training and initial demonstration of proficiency:• Didactic review of sterile compounding, aseptic technique, and maintenance of IV

room.

• Hands on training by expert personnel,

• Score of at least 90% on a written exam.

• Score of 100% competency in garbing and aseplic work practices.• Media-Hll test with negative culture result.

• Score of 100% an assessment of IV room cleaning procedures.

3. Quality assurance plan regarding IV compounding technicians:• Exams and assessments will be given annually or as otherwise specified in current

Mercury Pharmacy Services Policy & Procedurei. Written exam

ii. Garbing and aseptic work practicesiii. Mcdia-fill testiv. IV room cleaning procedure

Compounding personnel who fail written tests, obscrvational audits, or produce positivemedia-fill tests will be re-instructed and re-evalualed by expert compounding personnelto ensure correction of all aseplic work.

Pharmacy Technicians Pcrfurmine Administrative Tasks: (Per SB6203 licensed technicianswho arc not directly involved with disncnsine of medications).

The following is a list offunclions Mercury Pharmacy Services pharmacy technicians mayperform while working as an assistant or in an administrative role. When a technician is staffedor scheduled to work in the following departments they will not work in the dispensingenvironment unless the white ratio board allows them to check in as a technician and switchroles. The "white ratio board" is where we log in the Pharmacists and technicians each day to

ensure our Pharmacist to Technician ratios are appropriate. When Administrative Pharmacy

Technicians are working they will not perform data entry ofnew prescriptions or pullmedications off the shelf. The ratio ofnon-administrative technicians to licensed pharmacistswill always be tracked in real time on the "while board" showing: 1) pharmacists on duty 2)technicians involved in dispensing functions on duty. See Addendum A for picture of "whiteboard"

1. Medical records administrative technician.

• Entering patient information including allergies and diagnoses.• Profiling and updating medication orders for paiienis that we do not dispense

medications for.

• Entering and updating nursing notes.• Printing and organizing medication adminislralion records (MARs) for monthly

delivery.

- RECEIVED6

NOV 13 2019DOH/HSQA/OCS

• Entering in activities of daily living, diet parameters, nursing instructions.2. Billing Adminislralive Technician.

• Billing setup for new admits.

• Answering customers' billing questions regarding insurance copays, plans, bills,etc.).

• Solving insurance problems and issues.

• Helping customers to choose appropriate Medicare Part D plans.• Managing accounts receivable and accounts payable-

• Managing prior authorizations and provider insurance relations for certainmedications.

• Calling insurance companies to get overrides and obtain other coverageinformation.

3. Delivery Administrative Pharmacy Technician.• May work in warehouse to scan and tote medications for delivery.

• Manage delivery personnel and process.

• Deliver medications to skilled nursing facilities, assisted living facilities, andadult family homes,

• Get totes, IPADs, and delivery manifests ready for contracted delivery personnel.4. IT Administrative Technician

• Maintain, troubleshoot and train employees regarding pharmacy computersystems and Robotics.

• Maintain and train technicians on the equipment used for packaging or officeactivities.

• Assist Facilities with EMAR (electronic medication administration record)troubleshooting and training.

» Install, train and fix emergency kits in skilled nursing facililies.5. Purchasing & Inventory Administrative Technician

• Places, receives and unpacks drug orders

• Review and remove outdated medications

• Maintain formulary• Inventory control and maintenance

6. New Facility Coordinator• Gathers data and patient information at the Facility• Inputs information into the pharmacy management system

• Trains slaffat Facility in regard to Pharmacy procedures

Assistants;

The following is a list of funclions our pharmacy assistants will be doing under the supervisionof a licensed Pharmacist.

I. May place, receive and unpack medication and medical supply orders.2. Packages medications into bubble packs after technician pulls drug from inventory.3. Files pharmacy records including prescriptions, nr"^^.-.. ^.

4. Delivers medications to nursing facililies, assisted living facilities and ^dyrcRn^Kdfries. •*

NOV 13 2013

OOH/HSQA/OCS

5. All aspects of maintaining warehouse and shipping functions.6. Faxes Physicians for refill authorizations.7. Gets prescription orders ready for delivery and prints packaging slips.8. Performs general ofltce and secretarial funclions,9. Keeps pharmacy area clean and orderly.10. Process billing.11. Prints patient invoices and handles billing questions.12. Delivers emergency kit medications to skilled nursing facilities. Prints reslock reports and

analyzes usage of emergency kit medications.

13. Puts medication bottles back on shelf and puts away wholesaler orders.14. Handles non-discretionary phone calls to and from.

• Patients or nurses requesting medication refills, delivery status and/or patientdemographic information (i.e. allergies, diagnoses, doctor info, eic.).

• Physician offices regarding refill requests. Any inquiries or changes by thephysician's office will be referred to a licensed pharmacist.

• Physician oflices authorizing refills. Any inquiries or changes by the physician'soffice will be referred to a licensed pharmacisl,

• Patients, nurses and insurance companies regarding pricing or billing;• Patients and nurses regarding the availability of medication, medical equipment,

supplies and services.

• Wholesalers regarding the pricing and ordering of medications.• Insurance companies regarding patient information and billing.

RECEIVED

NOV 1 3 20)9

°OH/HSQA/OCS

Prouram Director: Sarah Wue

Pharmacy Preceptor: Sarah Wue, PharmDPharmacist License: PH60277642 Preceptor License: PH60479212

Experience in training: Licensed preceptor since 2014Background infonnation:

• BA Communications, California State University, Fullerlon, 1996• Pharmacy Technician, Hoag Hospital, Newport Beach, CA 2005- 2008• PharmD, University of Washington, 2012• Experience in long term care pharmacy 2008-2019• Director of Pharmacy, Mercury Pharmacy Services 2016-2019

Pharmacy Prcccptor; Stephen Boulangcr, RPhPharmacist License: PH00013587 Preceptor License: PH60007723

Experience in training:• Preceptor/menlor for pharmacy interns and technicians since 1999

Background information:

• Received Bachelor of Pharmacy from Washington State University in 1988.• Gerialrics Certificate Inlennountain Wesi Geriatrics program Ihrouyh University

of Utah 1990.• Experience in hospital pharmacy 1989-2001• Experience in long tenn care pharmacy 2001-2019• WSPA Board member 1998-2004• WSPA President 201 6 Board member 2015 - 2018

Pharmacy Prcceptor: Lia Bcth Noges Schmilz, PharmDPharmacist License: PH602I9204 Preceplor License: PH60411549

Experience in training: Licensed preceptor since 2013

Background information:

• PharmD w/ Geriairic Certincate, University ofWashinylon 2011• Experience in independent retail and compounding 2011-2018• Pharmacisi-in-Charye 2013-20 18

• Experience in long tenn care 2014-201 9

NOV 13 20199 DOH/HSQA/OCS

Mercury Pharmacy Services22316 701hAveW. Suite E

Mountlakc Terrace, WA 98043(425) 673-5200

Fax (425) 673-5230Pharmacy License: PHAR.CF.60832484

Curriculum based on Updated PTCE Blueprint (2013) and Washington Stale Board of PharmacyReview Form for Pharmacy Technician Training Programs (April 2013)

Weeks One. Two. Three

1.0 Pharmacology for Technicians1.1 Generic and brand names ofpharmaceuticals1.2 Therapeutic equivalence

1.3 Drug interactions (e.g., druy-disease, drug-drug, drug-dietary supplement. dru^OTC,drug-laboratory, drug-nutrient)1.4*Slrengths/dose, dosage forms, physical appearance, routes of administration, andduration of drug therapy1.5 Common and severe side or adverse effects, allergies, and therapeuticcontraindications associated with medications

1.6 Dosage and indication of legend, OTC medications, herbal and dietary supplements

HIV-AIDS training (4-hour webinar)

Weeks Four. Five

2.0 Pharmacy Law and Regulations2.1 Storage, handling, and disposal of hazardous substances and wastes (e.g., MSDS)2.2 Hazardous substances exposure, prevention and treatment (e.g., eyewash, spilt kit,

MSDS)2.3 Controlled substance transfer regulations (DEA)2.4 Controlled substance documentation requirements for receiving, ordering, returning,loss/thefl, desiruclion (DEA)2.5 Formula to verify the validity of a prescriber's DEA number (DEA)2.6 Record keeping, documentatioiit and record retention (e.g., length of limeprescriptions maintained on file)2.7 Restricted drug programs and related prescription-proccssing requirements (e.g.,Ihalidomide, isotretinoin, cloxapinc)2.8 Professional standards related lo data integrity, securily, and confidentiality (e.g,,HIPAA, backing up and archiving)2.9 Requirement for consultation (c.g., OBRA'90)2.10 FDA's recall classification2.11 Infection control standards (e.g., laminar air flow, clean room, hand washing,

cleaning counting trays, countertop, and equipment) (OSHA, USP 795 and 797)2.12 Record keeping for repackaged and recalled products and supplies (TJC,

10 NOV 13 2019

DOH/HSQA/OCS

2.13 Professional standards regarding the roles and responsibilities of pharmacists,pharmacy technicians, and other pharmacy employees (TJC, BOP)2.14 Reconciliation between slate and federal laws and regulations2.15 Facility, equipment, and supply requiremenis (e.g., space requirements, prescriptionfile storage, cleanliness, reference materials) (TJC, USP, BOP)

WSPA Technician Law Certificate (8-hour webinar)'.

Week SixMidterm#t

Weeks Seven, Eieht3.0 Sterile and Non-Sterile Compounding

3.1 Infection control (e.g., hand washing, PPE)3.2 Handling and disposal requirements (e.g., reccptacles, waste streams)

3.3*Documentation (e.g., batch preparation, compounding record)3.4*Determine product stability (e.g., beyond use dating, signs of incompatibility)3.5 Selection and use of equipment and supplies3.6*Sterile compounding processes3.7*Non-slerile compounding processes

Week Nine4.0 Medication Safely

4.1 Error prevention strategies for daia eniry and packaging (e.g., prescription ormedication order to correct patient)4.2 Patient package insert and medication guide requirements (e.g., special dircclions andprecautions)4.3 Identify issues that require pharmacist intervention (c.g., DUR, ADK, 0'1'Crecommendation, therapeutic substitution, misuse, missed dose)4.4 Look-atike/sound-alike medications

4.5 Hiyh-alert/risk medications4.6 Common safety strategies (e.g., tall man lettering, separating invenlory, leading andtrailing zeros, limit use oferror prone abbreviations)

Week Ten5.0 Pharmacy Quality Assurance

5.1 Quality assurance practices for medication and inventory control systems (e.g.,

matching National Drug Code (NDC) number, bar code, data entry)5.2 Infeclion control procedures and documeniation (e.g., personal protective equipment

[PPE], needle recapping)5.3 Risk management guidelines and regulations (c.g., error prevention strategies)5.4 Communication channels necessary to ensure appropriate tbllow-up and problemresolution (e.g., produci recalls, shortages)5.5 Productivity, efficiency, and customer satisfaction measures

NOV 13 2019OOH/HSQA/OCS

Week ElevenMidierm #2

Weeks Twelve. Thirteen, Fourteen6.0 Medication Order Entry

6.1 *0rder entry process refills, prescription authorizaiions.6.2*Intake, interpretation, and data entry of new admits and new prescriptions

6.3*Calculale doses required6.4 Understand cycle fill. Medication Administration Records (MAR), Electronic

Medication Administration Records (EMAR)6.6 Customer service and professionalism in pharmacy

Weeks Fifteen. Sixteen

7.0 Production Department Fill Process7. 1 Fill process (e.g., select appropriate product, apply special handling requirements,measure, and prepare product for final check)7.2 Labeling requirements (e.y., auxiliary and warning labels, expiration date, patientspecific information)7.3*Packaging requirements (e.^., type of bags, syringes, glass, pvc, child resistant, li^htresistant)7,4 Dispensing process (e,g., validation, documentaiion and distribution)7.5 Double checking others7.6 Shipping procedures

Week Seventeen

8.0 Pharmacy Inventory Management8.1 Function and application ofNDC, lot numbers and expiration dales8.2 Formulary or approved/preferred product list8.3*0rdering and receiving processes (e.g., maintain par levels, rotate stock)8.4 Storage requirements (e.g., refrigeralion, freezer, warmer)8.5 Removal (e.g., recalls, returns, ouldales, reverse distribution)

Week EiehteenMidterm #3

Week Nineteen9.0 Pharmacy Billing and Reimbursement

9.1 Reimbursement policies and plans (e.g., HMOs, PPO, CMS, private plans)9.2*Third pany resolution (e.g., prior authorixation, rejected claims, plan limitations)9.3 Third-party reimbursement systems (e.g., PBM, medication assistance programs,

coupons, and self-pay)9.4 Heallhcare reimbursement systems (e.g., home health, long-term care, home infusion)9.5 Coordination of benefits

RECEIVED

NOV 13 2019

OOH/HSQA/OCS

Week Twenty

10.0 Pharmacy Infonnalion System Usage and Application10.1 Pharmacy-related computer applications for documenting the dispensing of

prescriptions or medication orders (e.g,, maintaining the electronic medical record,patient adherence risk faciors, alcohol drug use, drug allergies, side effects)

10.2 Databases, pharmacy computer applications, and documeniation management (e.g.,user access, drug database, interface, inventory report, usage reporls, ovemdereports, diversion reports)

Week Twentv-One11.0 Robotics in Lony-Temi Care Pharmacy

11.1 Pharmacy robotics

11.2 E3 Omnicell training and operation11.3 TCGRx strip packaging training and operation11.4 VBM Omiucell training and operation11.4 Problem solving and troubleshooting procedures

Week Twentv-Two

Comprehensive Final Exam

Week Twentv-Thrce12.0 Practice for PTCE

12.1 Overview of questions missed on final exam12.2 PTCE practice tesi

Week Twenhr-Four

13.0 Review of PTCE13.1 Overview of questions missed13.2 Signing up for the PTCE

Denotes content including calculations

RECEIVED

NOV \ 3 2019

,3 DOH/HSQA/OCS

RESOURCES

The Pharmacy Technician CAPhA Basic Pharmacy & Phamiacolonv Series^. 6lh edition,

The Pharmacy Technician Workbook and Certification Review CAPhA Basic_Pharmacv_&Pharmacolocv Series). 61h edition,

Complele Math Review for Ihe Pharmacy Technician (APhA Pharmacy Technician TrainirmSeries). 5th edition

PharmacvTrainer Top 200 Druu Flashcards, (current edition)

Top 200 dru^s. hHps://www. c/rugs. com/lop200/

Washington Pharmacy Law: A User's Guide, current edition, by William E. Fassett

Pharmacy State Pharmacy Laws and Rules, Washington Slate Department of Health, PharmacyQuality Assurance Commission, 2016

Revised Code ofWashinelon rRCW)htlp&\y/www.doh.wa.gov/Lk'ensesPermitswfICerUflca{es/Pr<)fessionsNewReneworUp(iafc/Pharm

acyCommission/La m/RCWs

Washinuton Administrative Code_CWAC)hHps://www.doh.wa.gov/LicemesPermtlswciCerU/icates/ProfessionsNewRt!neworUpeia!e/PharmacyCommission/Laws/WACs

DEA laws, rules-in-progress, significant guidance documents, FAQs, publications (e.g., thenewly revised 'Pharmacists Manual1) must be accessed direclly from their website

http://www.cleadivcrsiortMscloj.gov/mdex.hlmf

Link to Title 21 CFR Part 1300 -1399 "Drugs"hlfp://www.c/eadiversion.usc/oj.gov/2/cfr/cfr/index.hfttil

NIOSH Alert: Prevenlinc OccuDalional Exposures to Antineoplastic and Other Hazardous Druesin Health Care Settings, Department of Health and Human Services

NIOSH List ofAntineoplastic & Other Hazardous Drugs in Healthcare Settings, current

edition

RECEIVED

,4 NOV 13 2019DOH/HSQA/OCS