Indiana Law Exam

Question 1

How do you write/cite indiana code?

Answer 1

IC - title - article - chapter - section
IC 25-26-13-15

Question 2

How do you write/cite indiana administrative code?

Answer 2

title - IAC - article - chapter(rule) -section
856 IAC 1-3.1-11

Question 3

What constitutes a sale in Indiana code?

Answer 3

manufacturing, repackaging, transporting, handling, packing, holding, storing, dispensing, delivering, supplying, giving applying, administering, placing a legend drug outside the pharmacy in a publicly accessible area

Question 4

What do pharmacists in Indiana have the ability to independently prescribe?

Answer 4

inhalation spacer/nebulizers, supplies for medical devices, normal saline & sterile water for irrigation, diabetes blood sugar testing supplies, pen needles, syringes, hormonal contraceptives

Question 5

What can pharmacists prescribe in Indiana under a statewide standing order?

Answer 5

auto-injectable epinephrine, vaccines, naloxone, tobacco cessation

Question 6

What type of prescribers in Indiana are required to issue controlled prescriptions electronically?

Answer 6

all prescribers except veterinarians and medical residents
-if a prescriber has a waiver

Question 7

What type of medication is not allowed to be prescribed via telehealth in Indiana?

Answer 7

cannot be for an opioid unless it is a partial agonist to treat OUD

Question 8

What are the general provisions for prescribing opioids in Indiana?

Answer 8

cannot be written for greater than 7 days
-if it is an adult being prescribed an opioid for the first time by the prescriber
-if the prescription is for a child less than 18 years old
-if the prescription is for an animal for the first time by a veterinarian

Question 9

What are the exceptions to the general provisions for prescribing opioids in Indiana?

Answer 9

7 day limit does not apply if…
cancer
palliative care
medication for substance use disorder
or per prescribers professional judgement

Question 10

What is the partial fill law in Indiana for opioids?

Answer 10

can be partially filled upon request of patient, representative, guardian of patient
-pharmacy must document the partial fill request

Question 11

What is required on a prescription label according to indiana code?

Answer 11

-name, address, phone number of the dispensing pharmacy
-date prescription was filled
-prescription number
-prescriber name
-patient name
-directions for use
-disclaimer if drug is an opioid
*name of the drug (brand/generic)
*owner’s name and species if an animal

Question 12

What are enforcers of pharmacy laws and rules allowed to do?

Answer 12

includes BOP & law enforcement officers
-carry a firearm
-execute & serve warrants and subpoenas
-make arrests for suspected controlled substance felony (do not need warrant)
-seize property

Question 13

What is the medicaid and CHIP laws regarding generic substitutions in Indiana?

Answer 13

-must substitute for the product that results in lowest price
-exceptions if practitioner indicates brand is medically necessary

Question 14

What are the requirements for Naloxone to be dispensed in a pharmacy?

Answer 14

-registration annually with the state/local health department
-instruct the individual receiving the product to summon emergency services ASAP
-provide education and training on drug overdose
-provide drug addiction treatment and referral information

Question 15

What is a DRR in Indiana code similar to in federal law?

Answer 15

OBRA ‘90 Prospective DUR

Question 16

What is a DUR in Indiana code similar to in federal law?

Answer 16

OBRA ‘90 Retrospective DUR

Question 17

What members constitute the Indiana Board of Pharmacy?

Answer 17

5 pharmacists -1 needs to be a hospital pharmacist
1 pharmacy technician
1 non pharmacy person

Question 18

What are the requirements around the tech-in-training license?

Answer 18

-submit the permit and can work for 30 days waiting to get the permit
-nonreweable and expires 12 months after the date it was issued

Question 19

What are the policies around reciprocal pharmacist licensure?

Answer 19

-needs to be registered with NABP
-graduated from an ACPE accredited college
-successfully passed law exam

Question 20

What is a category I pharmacy?

Answer 20

pharmacy that provides pharmaceutical care/dispenses drugs to the GENERAL PUBLIC

Question 21

What is a category II pharmacy?

Answer 21

inpatient pharmacies or to outpatients of an institution

Question 22

What is a category III pharmacy?

Answer 22

closed door operations that are not open to the general public!

Question 23

What must happen if the pharmacy is to be closed for 5 days or more?

Answer 23

-must notify the board and comply with whatever they tell you to do to keep the drugs secure

Question 24

What are the procedures in Indiana code for transferring prescriptions?

Answer 24

-if a patient requests then it can be transferred to another pharmacy including C-IIs if it has not been filled
-federally C-IIs aren’t allowed to be transferred via fax
-technicians can transfer a prescription, pharmacists must transfer controlled prescriptions
-non-electronic transfers of C-3 through 5’s are allowed & have to have been filled at least once before being transferred

Question 25

what are the procedures around pharmacist initiated refills?

Answer 25

-pharmacist made effort to obtain refills from practitioner, documented efforts and when refill was due -pharmacist believes it would be bad for patient's health without refill -original refill had refills on it but currently have all been used -original prescription was filled at this pharmacy -daily prescription--cannot be a PRN med -notified prescribe by the next business day they refilled med -has to be most recent fill quantity or 30 day supply -can only have 1 pharmacist initiated refill per 6 month period -cannot be a controlled substance

Question 26

What is required for a 30 to 90 day supply transition?

Answer 26

-patient requests more than a 30 day supply -cannot be a controlled substance -prescriber does not indicated quantity cannot be changed -has completed a 30 day supply of the drug -prescription amount allow for at least another 90 days to be dispensed

Question 27

What is the procedure around prescription adaption in Indiana code?

Answer 27

-can change quantity of prescription if prescribed quantity or package size is not available, is related to a change in dosage form or it reflects the intended days' supply -can change the dosage form of prescription if it is best interest of patient care and the prescribers directions match the update -can complete missing info on a prescription if sufficient evidence exists -extend a maintenance drug for the limited quantity necessary to coordinate a patient's refills if attempting to sync their meds *cannot do any of this for controlled substances, compounded drugs, biological products

Question 28

what are procedures around dispensing epinephrine and glucagon?

Answer 28

-has to be 1 year or more before expiring -can substitute a therapeutic alternative for epinephrine products to a patient

Question 29

What categories of pharmacies can have the whole store be the licensed area?

Answer 29

-category I and III pharmacies -can have the pharmacy area closed while the rest of store remains open as long as the drugs are secure, pharmacy is locked and monitored by an electronic monitoring device, violations or breach of secure area is reported to the board within 72 hours, backup power is capable of continuing for at least 36 hours, electronic monitoring system can only be activated/inactivated by key or combination

Question 30

What tasks are pharmacy technicians not allowed to perform?

Answer 30

-give advice to a prescriber/healthcare provider -dispensing prescription drug info to the patient -provision of advice to a patient regarding interpretation of a prescription or information contained within the patient profile -receipt of a verbal prescription from a prescriber -final check on prescription

Question 31

What is the timeframe for CE requirements in indiana administrative code?

Answer 31

CE Biennia runs from january 1st of even numbered years through december 31st of the next year (odd numbered year) Licensure biennium is offset by 6 months and allows for a 6 month catchup time to apply CE to the previous biennium if need be

Question 32

What are the stipulations for CE requirements in Indiana Administrative Code?

Answer 32

30 hours total 4/5 needs to be pharmacy practice related 1/5 can be business, management, or computer courses 1/2 of hours needs to be ACPE accredited

Question 33

What responsibilities are required for pharmacists in charge (only applies to category II and III pharmacies)?

Answer 33

-establish and carryout a performance improvement program -develop policies and procedures manual to allow safe and effective pharmacy practice -develop policies and procedures that specify duties to be performed by pharmacy technicians

Question 34

What procedures are established in the abscence of a pharmacist in the hospital?

Answer 34

-supervisory nurse must have access to the pharmacy and can remove drugs nurse must record: -name and strength of the drug -amount -date and time -signature of the nurse -copy of the order

Question 35

What must be included in LTCF emergency drug kits?

Answer 35

kit must have: -drug name -drug strength or size -quantity included -expiration date of the kit (earliest expiration date) label must have: -drug name -drug strength,size -name of manufacturer -lot # -expiration date

Question 36

What are the institutional drug labeling requirements?

Answer 36

-patient name -drug name -strength -route of administration -quantity -pharmacist's initials -location of patient within institution

Question 37

What are the unit-of-use packages labeling requirements?

Answer 37

-drug name -strength -control number (lot/batch #) and/or expiration date

Question 38

What are the procedures around self-administering medications in an institution?

Answer 38

-patient's knowledge of self-administration has been evaluated OR -patient has been trained in the proper self-administration technique -no risk of harm to the patient

Question 39

What references are required to be in a pharmacy preparing sterile pharmaceuticals?

Answer 39

handbook on injectable drugs the king's guide to paraternal admixtures or another board-approved printed or electric database if preparing hazardous drugs then must have a copy of the OSHA requirements for handling hazardous drugs

Question 40

What is required on a sterile pharamceutical medication label?

Answer 40

-date of preparation -patient name & bed number -name of each drug in preparation, strength, and amount -expiration date of the preparation -identification of the dispensing pharmacist and person who prepared sterile pharmaceutical -storage requirements or special warnings as necessary

Question 41

What is required on a sterile pharmaceutical medication label for a patient who resides at home?

Answer 41

-all previous label requirements -prescription number -prescriber's full name -name address, and telephone number of pharmacy -directions for use including infusion rate and date/time of administration

Question 42

What is a caveat for transfer of prescription in Indiana regarding DEA numbers?

Answer 42

Indiana requires DEA numbers to be recorded for all transfers not just controls

Question 43

What is considered appropriate forms of identification for picking up a controlled prescription?

Answer 43

valid driver's license from any state valid military ID valid ID card issued by the bureau of motor vehicles valid photo exempt ID issued by bureau of motor vehicles ID designated by the central repository (INSPECT)

Question 44

What are the indiana requirement limits for selling ephedrine/pseudoephedrine?

Answer 44

max of 3.6 grams in 1 day max of 7.2 grams in 30 day period max of 61.2 grams in 365 days -has to be 18+

Question 45

What is the Indiana requirements for dispensing a C-V without a prescription/OTC?

Answer 45

not more than 8 oz or 48 doses of a substance containing opium no more than 4 oz or 24 doses of any other C-V -has to be 18+

Question 46

What are the requirements for pharmacists to prescribe hormonal contraception in Indiana?

Answer 46

-complete an approved training program -provide a self-screening risk assessment tool to the patient -refer the patient to a PCP or women's health care practitioner upon prescribing the product -provide the patient with a written record of the product and advise them to consult with a PCP or women's health care practitioner -if the pharmacist is at a site with an APRN, physician or PA who can deliver patient care then suggest the patient see that provider -cannot issue a prescription for more than a 6 month period and the pharmacist may not issue an additional prescription after 12 months unless they have been seen by a prescriber