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PHRM871 > Exam 3 > Flashcards

Exam 3 Flashcards

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1
Q

“‘sale’ means every sale and includes the following…”

A

-manufacturing, processing, transporting, handling, packing, or any other production, preparation, or repackaging
-exposure, offer, or any other proffer
-holding, storing, or any other possession
-dispensing, giving, delivering, or any other supplying
-applying, administering, or any other using

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2
Q

What prescribers may write valid prescriptions to be filled in Indiana?

A

-physicians
-dentists
-podiatrists
-veterinarians

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3
Q

What are the types of advanced practice registered nurses (APRNs)?

A

-nurse practitioners
-certified nurse midwives
-clinical nurse specialists

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4
Q

What supervising practitioners must APRNs work under?

A

-physicians
-podiatrists
-dentists

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5
Q

What are the limitations of a physician assistant?

A

-must work with supervising physician
-must be directly supervised by physician in person
-can only prescribe things directly delegated by collaborative practice agreement on file with the medical licensing board of Indiana
-cannot prescribe ophthalmic devices under any circumstance or administer general anesthesia or deep sedation

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6
Q

What are the conditions for optometrist prescribing?

A

can prescribe independently without a supervising practitioner but only according to a formulary

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7
Q

What controlled substance may optometrists prescribe?

A

tramadol

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8
Q

When there is a conflict of law, which law should be followed in Indiana?

A

Indiana Code

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9
Q

Can prescriptions written by an optometrist not licensed in Indiana be filled in Indiana?

A

No

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10
Q

What devices and supplies may pharmacists prescribe in Indiana?

A

-inhalation spacer
-nebulizer
-supplies for medical devices
-normal saline and sterile water for irrigation
-diabetes blood sugar testing supplies
-pen needles
-syringes for medication use

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11
Q

What types of prescribers may pharmacists enter a protocol with to act as prescribers?

A

-physician
-APRN
-physician assistant

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12
Q

Can prescriptions written by a pharmacist not licensed in Indiana be filled in Indiana?

A

No

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13
Q

Can prescriptions written by midlevel practitioners be filled in Indiana?

A

No

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14
Q

What is the main goal of the board of pharmacy?

A

protecting the public and enforcing the laws and rules that govern pharmacy

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15
Q

What sanctions can be taken on a pharmacist?

A

-revocation
-suspension
-probation
-letter of reprimand
-censure
-fine

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16
Q

revocation

A

license taken away permanently

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17
Q

suspension

A

license taken away temporarily

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18
Q

probation

A

can practice but with limits or additional requirements

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19
Q

letter of reprimand

A

written expression of disapproval

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20
Q

censure

A

verbal expression of disapproval

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21
Q

How much can be fined for each violation?

A

≤ $1000

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22
Q

When can a pharmacist apply for a new license after revocation?

A

7 years from date of revocation

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23
Q

What are conditions the board of pharmacy can impose for probationary licensure?

A

-report regularly to board on matters requiring probationary license
-limit practice to areas prescribed by board
-continue or renew professional education
-engage in community service as directed by board
-perform, or refrain from performing, act board considers appropriate to public interest

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24
Q

What prescribers are not required to transmit controlled substances electronically?

A

-veterinarians
-medical residents

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25
What must a prescriber with a controlled substance waiver write on prescriptions?
-waiver number -DEA number -Indiana Controlled Substance Registration (CSR) number
26
What prescribers may prescribe through telehealth appointments?
-physician -physician assistant -advanced practice registered nurse -optometrist -podiatrist -dentist -veterinarian
27
What are approved telehealth modalities?
-secure videoconferencing -store and forward technology -remote patient monitoring technology
28
What are unapproved telehealth modalities?
-email -instant messaging -fax -internet questionnaire -internet consultation
29
What controlled substance cannot be prescribed via telehealth?
opioid
30
What are limitations for opioid prescriptions?
-adult or animal being prescribed opioid for first time -< 18 y/o
31
When do the opioid limitations not apply?
-cancer -palliative care -medication-assisted treatment for SUD -condition exempted by medical licensing board
32
Who can request a partial fill of an opioid?
-patient -patient representative -patient guardian
33
What must a pharmacist do if partially filling an opioid?
-comply with 21 USC 829 -document who request for partial fill was made by
34
What institution are drug orders administered in?
inpatient
35
What institutions are prescriptions dispensed in?
outpatient
36
What are the requirements for drug orders?
-name and bed number of patient -name and strength/size of drug -amount to be dispensed (quantity or days) -adequate directions for proper use of drug -name of prescriber
37
What are the requirements for prescriptions?
-name and address of patient -name and strength/size of drug -amount to be dispensed -adequate directions for use -name of practitioner -written or electronic signature of practitioner
38
What must a prescription label contain?
-name, address, and phone number of dispensing pharmacy -date filled -prescription number -name of prescriber -name of patient (if animal, species) -directions for use -statement that drug is opioid (if applicable) -name of drug -owner's name (if animal)
39
Where can mechanical storage devices be utilized within?
-pharmacy that holds permit issued by Indiana BoP -remote location under jurisdiction of Indiana BoP -licensed healthcare facility
40
What may law enforcement do in terms of the pharmacy?
-carry firearm when performing official duties -execute and serve warrants and subpoenas -make arrests without warrant for suspected controlled substance felony -seize property -perform other enforcement duties as designated by BoP
41
Prescription Drug Marketing Act (PDMA)
-practitioners must ask for drug samples in writing -community pharmacies cannot have drug samples at anytime -established recordkeeping, storage, and handling requirements for drug samples
42
What are Indiana laws in regards to the PDMA?
-cannot remove sample from original packaging, repackage it, and then sell/exchange it -cannot deliver drug sample after expiration date
43
For which practitioner can pharmacists not perform generic substitutions?
veterinarians
44
What are the two signature lines that Indiana written prescriptions must have?
-dispense as written -may substitute
45
What are the exceptions for a pharmacist not substituting the cheapest drug for Medicaid and CHIP patients?
-"Brand Medically Necessary" in practitioner's handwriting -oral statement, then forwarding covering prescription with "Brand Medically Necessary"
46
What are the conditions for biologics substitution?
-product determined to be interchangeable by FDA -prescribing practitioner indicated "may substitute" -pharmacist informed customer of substitution -prescriber is informed of name and manufacturer of subtitute
47
What must a pharmacist do if they dispense naloxone?
-register annually with state department or local health department -instruct individual receiving product to summon emergency services immediately -provide education and training on drug overdose response and treatment -provide drug addiction treatment and referral information
48
What do drug regimen reviews (DRRs) review?
-allergies, contraindications, appropriate use, and duplicative therapies -interactions -adverse drug reactions -proper utilization and therapeutic outcomes
49
What requirement does DRR in Indiana satisfy?
OBRA '90 Prospective DUR
50
What requirement does DUR in Indiana satisfy?
OBRA '90 Retrospective DUR
51
Who makes up the Indiana Board of Pharmacy?
-general public representative (1) -pharmacists (5) -pharmacy technician (1)
52
What are the requirements for a pharmacy intern?
-actively enrolled in ACPE accredited college of pharmacy OR -obtained a Foreign Pharmacy Graduate Examination Committee Certificate (FPGECC) OR -awaiting examination for licensure as pharmacist
53
What are the requirements to apply for a pharmacy technician license?
-18 years old -graduated high school or received GED -not convicted of crime with direct bearing on ability to practice
54
When do pharmacy technician licenses expire?
biennially on June 30th of even-numbered years
55
Are technician in training licenses renewable?
No
56
When do technician in training licenses expire?
12 months after issuance
57
What are the requirements for Indiana reciprocal licensing?
-must be registered with the National Association of Boards of Pharmacy (NABP) -graduated from ACPE-accredited U.S. college or graduated from another program and obtained FPGECC -successfully completed exam on federal and Indiana statutes and regulations governing practice of pharmacy
58
When do pharmacist licenses expire?
biennially on June 30th of even-numbered years
59
Category I
a pharmacy that provides pharmaceutical care to the general public by dispensing of a drug or device
60
Category II
a pharmacy that provides inpatient care under a drug order or to an outpatient of the institution under a prescription
61
Category III
a pharmacy that provides closed door operations that are not open to the general public
62
When do pharmacy permits expire?
biennially on December 31st of odd-numbered years
63
What facilities may Category I pharmacies offer prescriptions to?
-long-term care facility -health facility -assisted living facility
64
Who may Category II pharmacies offer prescriptions to?
-employee, student, or volunteer of hospital or health system -retiree participating in retirement or benefit program administered by hospital -independent contractor exclusively working with hospital -member of hospital's governing board -member of hospital's medical staff -dependents of personnel above
65
What are physical requirements of a pharmacy?
-stationary -sufficiently secure and able to detect and deter entry when pharmacy is closed -well-lit, ventilated, and clean -equipped with a sink with hot and cold running water, proper sewage outlet, and refrigeration -sufficient size to allow for practice of pharmacy -have other equipment as required by board to operate in compliance with state and federal law
66
What does a pharmacy permit application include?
-name and occupation of persons requesting permit -location of pharmacy -any other information board requires
67
What are limits to pharmacist supervision?
-≤ 8 pharmacy interns, technicians, or technicians in training at one time -≤ 3 individuals are technicians in training
68
When may a Category I or III pharmacy request to be open to the general public without a pharmacist on duty?
-obtain approval from board -securely lock all legend drugs and other merchandise only dispensed by pharmacist -prominently display 20" x 30" sign stating "Prescription Department Closed, No Pharmacist on Duty" -only pharmacist has access to secured area
69
What is the timeframe for submitting an application to transfer pharmacy ownership?
within 10 days of change of ownership of pharmacy
70
What is the timeframe for pharmacy closure in which the board must be notified?
≥ 5 days
71
How long should original prescriptions be organized, maintained, and accessible at the pharmacy for?
≥ 2 years
72
When may a prescription be refilled without written, electronically transmitted, or oral authorization of a licensed practitioner?
-pharmacist made reasonable effort to obtain authorization to refill from prescriber -pharmacist believes that failure to provide refill would be detrimental to patient's health -original prescription authorized refill(s), but all refills were dispensed or prescription is expired -prescription was originally filled at pharmacy where refill request is received or affiliate sharing real-time online database -drug is pre
73

PHRM871 (4 decks)

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