IN law Flashcards

1
Q

who has prescribing authority in IN

A

BIG FOUR - any state
APRN - any state
PA - any state
OD - only from IN

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2
Q

what CAN’T PAs prescribe

A

ophthalmic devices

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3
Q

what is the only control ODs can prescribe

A

tramadol

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4
Q

who are the only prescribers that CANNOT send CII rx electronically

A

veterinarians (also cannot call in rx)

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5
Q

labeling requirements for drug order

A

name and bed number
drug name and strength
quantity
directions
name of prescriber

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6
Q

rx information requirements

A

patient name and address
drug name and strength
quantity
directions
prescriber
signature

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7
Q

rx labeling requirements if dispensed from pharmacy

A

name, address, number of pharmacy
date filled
serial number
prescriber
patient name
directions
opioid statement if opioid

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8
Q

when can an ADC be used

A

pharmacy holds IN permit
device is held in remote location
device is in a licensed healthcare facility
MUST be under direct supervision

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9
Q

rx labeling requirements if dispensed from practitioner office

A

directions
name and address of practitioner
name of patient

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10
Q

when can you NOT give generic drugs

A

veterinarian rx
prescriber writes “brand medically necessary”

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11
Q

labeling requirements if generic substitution

A

____ generic for _____
manufacturer and/or distributor

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12
Q

when should you notify the prescriber of a biologic substitution

A

within 10 days

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13
Q

what powers and duties MUST the board do

A

establish standards for pharmacy
establish standards for counseling
establish procedures for expired drug returns
adopt rules for electronic rx transmission
adopt rules for OTC ephedrine sale

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14
Q

when do pharmacist license expire

A

biennially on June 30 of even number years

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15
Q

how long does the BOP have to respond to a new permit to open a pharmacy

A

120 days

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16
Q

what must a pharmacy have in order to be qualified for a permit

A

well lit
ventilated
sink with hot and cold water
fridge
prescription filling area

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17
Q

how long do you have to send in your application for transferring ownership

A

10 days

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18
Q

if a pharmacy is permanently closing, what MUST the qualifying pharmacist do

A

notify board 20 days before transferring controls
remove legends from stock
dispose of controls
remove symbols
return pharmacy permit within 10 days

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19
Q

what must be recorded for refills

A

date of refill
quantity if other than original
dispenser identity on original rx

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20
Q

what can pharmacists prescribe in IN

A

inhalation spacer
nebulizer
CPAP
insulin pump
NS
SWFI
diabetes blood sugar testing supplies
pen needles
syringes

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21
Q

when should the pharmacist notify PCP after immunization

A

14 days (7 days to CHIRP)

22
Q

what is required for a pharmacy to have to make sure it is secure

A

on site alarm
off site alarm
backup power that can monitor for 36 hours

23
Q

if there is a breach at the pharmacy when should it be reported to BOP

A

within 72 hours

24
Q

when is CE biennium

A

Jan 1 even to Dec 31 odd

25
Q

when is the grace period for CE

A

Jan 1 to June 30 even

26
Q

what are the requirements for CE

A

1/5 business
4/5 pharmacy
1/2 ACPE

27
Q

requirements for sterile preparation

A

ISO 5
sink
disposal container
environmental controls
refrigerator
infusion device
documentation
ISO 8
supplies - needles, syringe, disinfectant, disposable towel, handwash, filter, spill kit, gown, gloves
handbook of injectable drugs
kings guide
another database
OSHA copy

28
Q

how often is a BSC certified

A

every 6 months

29
Q

BUD for non preserved aqueous

A

14 days

30
Q

BUD for preserved aqueous - nonsterile

A

35 days

31
Q

BUD for nonaqueous - nonsterile

A

90 days

32
Q

BUD for solids - nonsterile

A

180 days

33
Q

BUD for category 1 sterile preparations

A

<12 hours room temp
<24 hours in fridge

34
Q

what is category 1 sterile preparations

A

prepared in SCA

35
Q

BUD for category 2 sterile preparations - only sterile starting components

A

4 days room temp
10 days in fridge
45 days in freezer

36
Q

BUD for category 2 sterile preparations - one or more non sterile components

A

1 day room temp
4 days in fridge
45 days in freezer

37
Q

prescription pad requirements for controls

A

void 5% in reflex blue
45 degree watermark “IN security rx”
opaque rx symbol 1/8 in from top and 5/16 in from right and 3/4 in in size
6 check boxes for quantity
no advertisements
logos in upper left
one prescription per blank
4 1/4 in high and 5 1/2 in wide

38
Q

pharmacy technician responsibilities

A

CAN verify drug order
MAY transfer rx by fax or verbal
CAN receive refill request
MAY administer flu or covid shot

39
Q

requirements for selling OTC CV without rx

A

no more than 240 ml or 48 doses OR 120 ml or 24 doses in 48 hours
18+

40
Q

requirements for ephedrine/pseudoephedrine sale

A

18+
3.6g in a day
7.2g in a month
61.2g in 365 days
photo ID with DOB
submit to NPLEx before completing sale

41
Q

smoking cessation requirements for pharmacist

A

can prescribe products including bupropion and varenicline
MUST keep record for 7 years

42
Q

what drugs can home health/hospice providers have to administer home care

A

1000 ml NS
1000 ml D5W
LESS THAN 5 DOSES OF:
heparin
epinephrine
diphenhydramine
methylprednisolone
naloxone
glucagon
lasix
lidocaine
urokinase

43
Q

for home health providers, how long do they have to send a copy of an order from prescriber to the pharmacy

A

20 days

44
Q

if a person violates the anabolic steroid rules, what felony would they commit

A

if knowingly violates - level 6
if knowingly violates and has prior conviction - level 5
if commits dealing - level 5
if commits dealing and patient is <18, 3 years younger than deliverer - level 4

45
Q

what constitutes a class B misdemeanor when giving drug samples to ultimate user

A

knowingly repackaging drug sample OR if expired

46
Q

what are the requirements for a prescriber to use amygdalin

A

prescriber has unlimited license in IN
patient signs “written informed consent”

47
Q

is amygdalin a drug - what is it

A

NO - its a compound found in many kernals used for cancer. converts to hydrogen cyanide

48
Q

what is chymopapain - is it a drug?

A

NOT A DRUG - enzyme located in papayas used for pain

49
Q

who can administer chymopapain

A

neurosurgeon or orthopedic surgeon in a hospital
MUST keep records

50
Q

what are the requirements for chymopapain use

A

neurosurgeon or orthopedic surgeon administers
patient signs consent

51
Q

who can prescribe and dispense overdose intervention drugs

A

physician
PA
ARPN

52
Q

what information must be included for practitioners renewing their license

A

field of practice
location, setting of job
hours worked weekly
health services provided
education background and training
telehealth