Exam 3 lecture 8 Flashcards
Everytime a pharmacy dispenses ephedrine, pseudoephedrine or any CS PURSUANT TO PRESCRIPTION, what must we transmit to INSPECT
2 DEA numbers (prescribers and dispensers)
An indication on how the prescription was transmitted
Days supply dispensed
Quant9ity dispensed
Date of dispensation
NDC of drug dispensed
Recipient DOB
Recibient ID number
Recipient name
When should info be submitted after dispensing ephedrine/pseudoephedrin
within 24 hrs
Is gabapentin a CS federally? In IN law?
No and no. Only in INSPECT. report gabapentin to INSPECT
whata re suitable forms of IF in indiana
valid drivers license
valid military ID
Valid ID issued by BMV
Photo exempt IDs
An ID designated by central respiratory (INSPECT)
US PASSPORT NOT ON LIST
can we accept expired IDs
no
Is there a max legal limit to ephedrine and pseudo pursuant to prescription
No
WIthout prescription, max amount of pseudo/ephedrine u can buy
max of 3.6 grams in one day
max of 7.2 grams in one 30 day period
max of 61.2 in a year
Requirements to purchase pseudo/ephedrine
must be 18 or older
Purchaser must have a relationship on record with pharmacy. or the pharmacist has deemed that medication is to be used for legitimate purposed medically
how long must sales logs be valid for for pseudo/ephedrine. WHat must ot include
at least 2 years
name and address of each purchase
ID presented
Govern,ent entity issung ID
ID number
Product purchased including grams of product and date and times of transaction
stipulations when prescribing C V substances
Dispensing C V without a prescription is the same
no more than 8 oz or 48 doses of a substance containing opium or 4 oz or 24 doses of other C V
how old do we have to be to buy C V without prescription? Syringes?
May be 18 to purchase
no age restriction related to syringes/needles
what doe we need to record for CV sales in bound book
Name and address of purchaser
Name and quantity of priduct purchased
Date of each purchase
Name or initials of pharmacist disenisng product
to administer immunozations, pharmacists, interns and techs must do what
COmplete an ACPE accredited a=course of training on administering immunzations
be certified in CPR and maintain certification
Information required in immunization protocol
The name strenbth of vaccine
precaution and contraindications
Intended patient population
Appropriate dosage
Administration schedules accoridng to CDC ACIP guidelines
ROA
inj sites
How are protocols executed? HOw often to renew?
Protocols must be executed with licensed physician actively practicing with a medical office in IN and must be renewed annually
What must pharmacist intern do before administering vaccine
identify themselves to the patient and receve consent form the patient
who can pharmacists prescribe hormonal contraceptibes to
patients 18 or older
applies to patches and self adminsitered hormonal contraceptves
WHat are things a pharmacist must do to independently prescribe Hormonal contraceptives
Complete an approved training program
Provide a self screeining risk assessment tool to patient
refer patoent to a PCP or womens health care practitioner upon prescribing
Provide patient with a written record of the product and advise the, to consult with PCP pr womens healthcare provider
If the harmacist works at a site with a physician, APRN or PA who is avaibale to deliver patient acre and capable of prescribing the product, suggest the patientsee that provider
Prescription issued may not be for more than 6 months and pharmacist may not issue a prescription for the patient after 12 months unless they have been seen by physician, APRN or PA in previous 12 months
WHat is the only thing in indiana law that pharmacists can refuse to fill due to ethical, moral or religious grounds
Hormonal contraceotives
What are remote dispensing facilities
Where prescriptions durgs are prepared or dispensed without the requirement of an onsire pharmacist and where pharmacist supervision is provided remotely
What must remote dispensing facility signs include
That the facility provides services supervised by a pharamacy located in another pharmacy
The identiofication and address of supervising pharmacy
Disclosure that pharmacist is required to speak to th epatient using audio and visual communication anytime a new drug or device is dispensed
Whether patient counseling is provided on prescription drug refills
That the facility is under continous and recorded video surcelilance
A phar,acy operating a remote dispensing facility must do what
ensure that the remote dispensing pharmacuy is sufficiently staffed to acoid the risk of harm to public health and safety
Operate no more than one rempte dispensing facility at a time, unless otherwise approved by bpard
Ensure a pharmacist in good standing with the board is able to be physicallyt at the remote dispensing facility within a timeframe set by the board or have a designee to fulfill this requirement
Require a pharmacist to visit the remote dispensing facility at least as often as required by board
Develop and implement a contionous quality improvement program, including a mechanism for reporting errors that occur at the remote dispensing dacility
Complete an inventpory of all controlled substances at least monthly
What type of inventory must remote dispensing facilites mainain
perpetual inventory
