PHA 022: Pharmacists Refresher Course, Module 2

Course Description

This course is designed for pharmacists who wish to return to community pharmacy practice after an absence from practice for three to five years or more. The course is offered in three modules for a total of 185 contact hours.

Module one is web-based and addresses the most commonly prescribed prescription drugs, the most commonly used over-the-counter (OTC) medications, nutritional supplements, and herbal products. The focus is on the “Top 200” drugs and the disease states for which they are used. (50 contact hours)

Module two is also web-based and addresses pharmacy law, third party issues, and prescription processing with a focus on safe prescription practices. (45 contact hours)

Module Three* is a supervised, three-week, 90 contact hour, hands-on practicum in a community pharmacy setting. You will incorporate knowledge acquired from Modules One and Two with experience gained from Module Three to provide effective counseling and safe dispensing practices.
A current pharmacist license, professional liability insurance and health and disability insurance are required to participate in Module Three.

*Please note that placement is based on availability and is not guaranteed. Please contact the Connecticut Pharmacists Association to confirm that placement is available for you in your desired state prior to registering and paying for Module 3.


The overall goals of this module are to:

  1. Assist the participants to reinforce and update previous pharmacy knowledge of law, third party, and dispensing practices.
  2. Gain confidence to return to active pharmacy practice.


The overall goals of this module are to:

  1. Understand all laws pertaining to prescription processing.
  2. Understand laws pertaining to the processing of controlled substances.
  3. Understand laws pertaining to the record-keeping of prescriptions and controlled substances.
  4. Understand laws pertaining to the pharmacists' supervision of interns, technicians and temporary pharmacists.
  5. Understand the duties and limitations of the technician.
  6. Consider the ethics of filling prescriptions and confidentiality.
  7. Understand Medicare, Medicaid, and Pharmacy Benefit Managers.
  8. Understand cash discount programs.
  9. Understand deductibles, co-payments, maximum benefits, tiered benefits, and formulary lists.
  10. Understand documentation, counseling and record keeping requirements.
  11. Understand Product Selection Codes (aka Dispense As Written codes) and NCPDP formats.
  12. Understand prior authorizations, step therapies and other reject messages.
  13. Understand Audits- their types and payment adjustments.
  14. Understand new and refill prescription requirements.
  15. Understand the various transmission methods of a prescription to a pharmacy and the regulations concerning those methods.
  16. Perform prospective, concurrent, and retrospective drug utilization reviews.
  17. Understand the OBRA counseling requirements.
  18. Maintain the prescription in a manner that satisfies legal and third party requirements.
  19. Describe a quality assurance program for error prevention and reporting.

Learning Units

  1. Overview
  2. Pharmacy Practice Act
  3. Controlled Substance Act
  4. The Pharmacist’s role with Managed Care
  5. Prescription Processing and Safe Prescription Practices

Learning Methods

Students will engage in self-study methods including reading and internet assignments. In addition, they will participate in conference board discussions and complete assigned activities. Evaluation of learning will be through satisfactory completion of all assigned activities, and satisfactory participation in the conference board discussion activities.

Required Text(s)

There are no required textbooks for this course.

  • Optional Textbooks (most resources will be free and web-based, this is for your future reference only):

    2004 Pocket Drug Facts and Comparisons (8th Edition), Facts and Comparisons (Editor) / Paperback / Facts and Comparisons / June 2003

    APhA Handbook of Nonprescription Drugs, Loyd V. Allen Jr. (Editor), Rosemary R. Berardi / Hardcover / APhA Publications / May 2002

    Complete Guide to Prescription and Non-Prescription Drugs (2002), H. Winter Griffith,
    Stephen W. Moore / Paperback / Berkley Publishing Group / November 2001

    Handbook of Nonprescription Drugs, Rosemary R. Berardi, Loyd V. Allen (Editor) / Paperback / American Pharmaceutical Association / June 2002

    Nonprescription Product Therapeutics, W. Steven Pray / Paperback / Lippincott Williams & Wilkins Publishers / March 1999

    Tarascon Pocket Pharmacopoeia 2002, Steven M. Green, Steven M. (Ed.) Green / Paperback / Tarascon Publishing / December 2001

    The Merck Manual, 17th Edition, Robert Berkow (Editor),Mark H. Beers (Editor), Mark Burs (Editor) / Hardcover / Merck & Company, Incorporated / March 1999

    Tyler's Herbs of Choice: The Therapeutic Use of Phytomedicinals, James E. Robbers, Varro E. Tyler / Hardcover / Haworth Press / January 15, 1999

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.