Exam 3 Practice Questions (some are outdated) Flashcards
Select all of the following practitioners whose prescriptions can be accepted and filled in Indiana. (SELECT ALL THAT APPLY)
a. Podiatrist licensed in Arizona.
b. Veterinarian licensed in Vermont.
c. Physician assistant licensed in Egypt.
d. Pharmacist licensed in North Carolina.
e. Dentist licensed in Washington, DC.
a. Podiatrist licensed in Arizona.
b. Veterinarian licensed in Vermont.
e. Dentist licensed in Washington, DC.
Select all of the following items that may lead to a pharmacist being disciplined by the board. (SELECT ALL THAT APPLY)
a. Allowing a pharmacy intern to check prescriptions on their name when not supervised.
b. Dispensing a prescription medication without a prescription.
c. Failing to meet continuing education requirements.
d. Diverting a substance from a pharmacy.
e. Failing to disclose a crime that has a bearing on practice.
all of the above
An Arizona physician calls to ask about issuing a prescription for carisoprodol. The physician would like to fax the prescription to your pharmacy for their cousin and asks if this is appropriate. What answer would be most appropriate to provide this physician?
a. No, the prescription cannot be faxed. This medication is in a schedule that cannot be faxed.
b. No, the prescription cannot be faxed. All controlled substance prescriptions must be electronically prescribed, and the prescriber does not have a board-issued waiver.
c. Yes, the prescription can be faxed. It is up to the pharmacist’s discretion whether to accept faxed prescriptions.
d. Yes, the prescription can be faxed. Electronic prescribing of controlled substances only applies to prescriptions written in Indiana.
d. Yes, the prescription can be faxed. Electronic prescribing of controlled substances only applies to prescriptions written in Indiana.
Identify which of the following products pharmacists may independently prescribe in Indiana (SELECT ALL THAT APPLY)
a. Estrace
b. Loestrin
c. Freestyle Test Strips
d. Normal Saline for Wound Irrigation
e. EpiPen
a. Estrace
b. Loestrin
c. Freestyle Test Strips
d. Normal Saline for Wound Irrigation
(EpiPen is under standing order)
Which of the following actions does NOT constitute a “sale” as defined in IC 25-26-13-2?
a. Transporting Cogentin from one licensed pharmacy to another
b. Administering Subutex to a patient in an ambulatory care setting
c. Storing Humira in a fridge prior to dispensing
d. Leaving Valtrex on a shelf readily available to the public
e. All of the above constitute a sale as defined in IC 25-26-13-2
e. All of the above constitute a sale as defined in IC 25-26-13-2
Which of the following prescriptions may be filled for more than a 7-day supply? (SELECT ALL THAT APPLY)
a. A prescription for buprenorphine being prescribed for a patient with substance use disorder by a new physician
b. A prescription for phenobarbital for a canine patient who is suffering from storm-induced anxiety written by a veterinarian
c. A prescription for morphine sulfate IR 5mg tablets being prescribed for a patient with osteosarcoma being seen by their oncologist for the first time
d. A prescription for Norco 5/325mg tablets being prescribed for a 16 year old who is having their wisdom teeth removed by their regular dentist.
e. A prescription for Robitussin AC for a patient with bronchitis seen at urgent care by a physician for the first time
a, b, c
The board has an administrative hearing related to a pharmacy’s actions. Select all of the following sanctions that the board could use when disciplining a pharmacy. (SELECT ALL THAT APPLY)
a. delay
b. closure
c. condition
d. censure
e. letter of reprimand
d. censure
e. letter of reprimand
All of the following items are required on a prescription for colchicine EXCEPT:
a. Date of birth.
b. Adequate directions for use.
c. Quantity.
d. Patient name.
a. Date of birth.
A prescriber calls to issue a prescription for Wellbutrin XL 150mg for a patient on the state’s Medicaid program. The pharmacist dispenses Wellbutrin XL 150mg, utilizing Medicaid for billing. All of the following are potentially valid reasons the prescription was dispensed for this product EXCEPT:
a. The prescriber noted that Wellbutrin XL was brand medically necessary and sent a covering prescription that stated “Brand Medically Necessary.”
b. The patient requested Wellbutrin XL be dispensed.
c. The Wellbutrin XL provided a lower cost than the therapeutic equivalent.
d. The therapeutically equivalent product is not available.
b. The patient requested Wellbutrin XL be dispensed.
A prescription is written for a dog for Norco 5/325 by a veterinarian. A pharmacist reviews and fills the prescription. Which of the following must be included on the prescription label? (SELECT ALL THAT APPLY)
a. the name of the dog’s owner
b. the prescription number
c. a statement that the drug is an opioid
d. the phone number of the prescriber
e. the name of the drug
a. the name of the dog’s owner
b. the prescription number
c. a statement that the drug is an opioid
e. the name of the drug
A pharmacist wants to substitute adalimumab-afzb for Humira for a prescription. The two products are interchangeable according to the Purple Book. The pharmacist must do all of the following EXCEPT:
a. Provide the prescriber with the name and manufacturer of the biologic product dispensed
b. Attempt to contact the prescriber to confirm the substitution prior to dispensing
c. Confirm that the prescriber indicated “may substitute” on the prescription
d. Inform the patient of the substitution
b. Attempt to contact the prescriber to confirm the substitution prior to dispensing
A Drug Regimen Review conducted in Indiana satisfies which of the following requirements of OBRA ‘90?
a. patient records
b. offer to counsel
c. prospective drug utilization review
d. retrospective drug utilization review
c. prospective drug utilization review
A pharmacy owner is applying for a pharmacy permit. They are opening a pharmacy that serves assisted living facilities and will not be open to the public. Which class of permit is this pharmacy most likely to receive?
a. category I
b. category II
c. category III
d. remote dispensing facility
c. category III
Select all of the following duties a technician can complete under the supervision of a pharmacist. (SELECT ALL THAT APPLY)
a. Count and fill a prescription for methadone.
b. Check another pharmacy technician’s completion of a drug order with a manufacturer packaged product.
c. Type a new prescription into the system for review by the pharmacist.
d. Provide the patient a recommendation for an OTC product.
e. Lookup a patient’s profile and input a refill when requested by the patient
a, b, c, e
Which of the following prescriptions are you legally authorized to fill in the state of Indiana?
a. An alprazolam prescription written by an optometrist from Indiana who maintains an Indiana Controlled Substance Registration number
b. A cephalexin prescription written by a physician assistant from Nevada with a collaborative practice agreement on file with a physician
c. An atorvastatin prescription written by a nurse practitioner from Vermont with a collaborative practice agreement on file with a dentist
d. A metformin prescription written by a registered dietician from Michigan
b. A cephalexin prescription written by a physician assistant from Nevada with a collaborative practice agreement on file with a physician
A physician assistant from Arkansas calls in a prescription for AndroGel to be filled at the Purdue University Pharmacy. Which of the following most accurately describes this prescription?
a. The prescription is a valid, noncontrolled substance prescription
b. The prescription is invalid because it was not issued electronically
c. The prescription is invalid because a physician assistant-issued prescription from Arkansas is not valid in Indiana
d. The prescription is a valid, controlled substance prescription
d. The prescription is a valid, controlled substance prescription
Which of the following prescribers may issue a telehealth prescription for Motrin 800mg?
a. A veterinarian for arthritis in a porcine patient
b. An optometrist for eye pain in a human patient
c. Both of the above prescribers may issue a telehealth prescription for Motrin 800mg
d. Neither of the above prescribers may issue a telehealth prescription for Motrin 800mg
c. Both of the above prescribers may issue a telehealth prescription for Motrin 800mg
In which of the following scenarios would generic substitution be appropriate?
a. A written prescription for Synthroid when the prescriber signed on the left signature line of the prescription
b. An electronic prescription written for atorvastatin where the prescriber marked may substitute
c. A fax order for a Medicaid patient written for Lexapro which the prescriber indicated to dispense as written
d. An electronic prescription for a CHIP patient written for Cleocin which the prescriber indicated to dispense as written which states “Brand Medically Necessary”
c. A fax order for a Medicaid patient written for Lexapro which the prescriber indicated to dispense as written
(b. is not a generic sub bc it was already written for the generic)
A pharmacist wants to set up a practice in an Indiana community pharmacy to administer Long-Acting Injectable (LAI) antipsychotic medications. Which of the following statements is most accurate regarding this practice?
a. The pharmacist may conduct this because it is included in “the practice of pharmacy”
b. The pharmacist may NOT conduct this because it is not included in “the practice of pharmacy”
c. The pharmacist may NOT conduct this because it is not included in “pharmacy”
d. The pharmacist may only conduct this through a collaborative practice agreement with a physician
a. The pharmacist may conduct this because it is included in “the practice of pharmacy”
Which of the following is FALSE regarding the licensure of Indiana pharmacy personnel?
a. Pharmacy tech-in-training licenses expire 12 months after the date of issuance and may not be renewed
b. Pharmacy technician licenses expire biennially, on December 31st of even numbered years
c. Pharmacy intern licenses expire annually, on September 30th of every year
d. Pharmacist licenses expire biennially, on June 30th of even numbered years
b. Pharmacy technician licenses expire biennially, on December 31st of even numbered years
Which of the following statements is TRUE regarding pharmacy permits in Indiana?
a. A Category I pharmacy may not dispense a prescription for an inpatient
b. A Category II pharmacy may not dispense a prescription for an outpatient
c. A Category III may provide traditional and/or nontraditional pharmacy functions that are open to the public.
d. To be eligible for a pharmacy permit, the pharmacy must demonstrate that they have hot and cold running water and refrigeration in the pharmacy
d. To be eligible for a pharmacy permit, the pharmacy must demonstrate that they have hot and cold running water and refrigeration in the pharmacy
All of the following statements are true regarding pharmacy law in Indiana EXCEPT:
a. Pharmacy technicians may conduct a verbal transfer for a gabapentin prescription
b. If a pharmacy changes ownership, the board must be notified within 10 days of the change.
c. If a pharmacy is to be closed for 5 or more days, the board must be notified and drugs secured as directed by the board.
d. If a pharmacist is engaged in immediate and personal supervision of an intern, they have eyes on the individual and are actively communicating
d. If a pharmacist is engaged in immediate and personal supervision of an intern, they have eyes on the individual and are actively communicating
Which of the following is an example of legally acceptable prescription adaptation conducted by a pharmacist independently?
a. Calling a physician to confirm the quantity for a Xarelto prescription
b. Changing the quantity of Ativan to align with a patient’s medication synchronization program
c. Filling a 30-day prescription with 11 refills for a 90-day supply after an initial 30-day fill
d. Adding directions to a prescription written for “Z-pak”
d. Adding directions to a prescription written for “Z-pak”
A set of pharmacists are preparing to renew their licenses by June 30th, 2026. Which of the following would NOT meet the minimum criteria for CE for this licensure period?
a. Initial licensure August 1, 2025, no CE completed
b. Initial licensure June 1, 2021, 30 hours CE completed between January 1, 2024 – December 31, 2025
c. Initial licensure May 1, 2013, 15 hours CE completed between January 1, 2024 – December 31, 2025 and 15 hours CE completed between January 1, 2026 – June 30, 2026
d. Initial licensure March 1, 2025, 8 hours CE completed between April 1, 2025 and December 31, 2025
d. Initial licensure March 1, 2025, 8 hours CE completed between April 1, 2025 and December 31, 2025
(also a. ??)
Which of the following is an acceptable means for obtaining medication in the absence of a pharmacist?
a. A nurse removing ketorolac from an institutional cabinet for a patient without a physician order
b. A supervisory nurse obtaining mupirocin ointment from an institutional pharmacy, and recording the drug name, date and time, amount, and signing the supplied form
c. A nurse removing norepinephrine from an institutional emergency drug cart for administration to a patient without a physician order
d. All the above are acceptable
c. A nurse removing norepinephrine from an institutional emergency drug cart for administration to a patient without a physician order
Which of the following are suitable forms of identification according to Indiana law for the purchase of an alprazolam prescription? (SELECT ALL THAT APPLY)
a. An Air Force Military ID
b. A valid driver’s license from Montana
c. A United States Passport
d. A Student ID from Purdue University
e. A valid ID card issued by the Florida Bureau of Motor Vehicles
a. An Air Force Military ID
b. A valid driver’s license from Montana
e. A valid ID card issued by the Florida Bureau of Motor Vehicles
A pharmacist works at a grocery store pharmacy with no other medical services available. A patient comes up interested in obtaining birth control from the pharmacist. For a pharmacist to independently prescribe Microgestin FE, they must do which of the following (SELECT ALL THAT APPLY)
a. Advise the patient to consult with a primary care provider or women’s health care provider after prescribing.
b. Ensure that the patient is 18-years-old or older
c. Complete an approved training program in hormonal contraceptive prescribing.
d. Suggest that the patient see a physician, APRN, or PA before offering their services.
e. Provide the patient a self-screening risk assessment tool to complete.
a, b, c, e
(d. does not apply since they work at a grocery store pharmacy where there is no physician, APRN, or PA available)
Which of these products could legally be sold without a prescription?
a. Sudafed 120mg, 20 tablets, to a 35-year-old patient who purchased the same product and amount each of the last three weeks.
b. Robitussin AC, 8 oz., to a 21-year-old patient who has not purchased the product previously
c. Ephedrine, 25mg, 20 tablets, to a 17-year-old patient who has not purchased the product previously
d. BD Ultrafine Pen Needles, #100, to a 13-year-old patient who has not purchased the product previously
d. BD Ultrafine Pen Needles, #100, to a 13-year-old patient who has not purchased the product previously
(b. does not contain opium, so limit is 4 oz)
All of the following are examples of acceptable Remote Dispensing Facilities EXCEPT:
a. A facility 5 miles away from an existing retail pharmacy that has demonstrated to the board that the facility will promote public health
b. A facility that is open to the public in a community mental health center
c. A facility 15 miles away from any existing retail pharmacy
d. A facility which exclusively serves the patients of a physician clinic
b. A facility that is open to the public in a community mental health center
A prescriber sent over an electronic prescription for clonazepam for the pharmacy to fill. Who must review the state prescription drug monitoring program for this prescription?
a. The pharmacist before dispensing the medication.
b. Both the prescriber before prescribing and the pharmacist before dispensing.
c. The prescriber before prescribing the medication.
d. No one must review the prescription drug monitoring program before prescribing or dispensing this medication.
e. A delegate of the pharmacist before dispensing.
c. The prescriber before prescribing the medication.
A pharmacist is working in an institution. As part of their position, they review all charts for missing drugs within 48 hours of the patient’s admission. They then add needed drugs as necessary. Which type of drug utilization review, if any, does this describe?
a. Prospective drug utilization review.
b. Retrospective drug utilization review.
c. This does not describe a drug utilization review.
b. Retrospective drug utilization review.
A pharmacist was first licensed in this jurisdiction in 2018. They moved to another state to complete a fellowship but recently accepted a job back here. They looked up their license status since they wanted to start immediately but found they could not currently work on their license. They know they will need to complete continuing education, pay normal fees, and pay an additional fee to practice again. They may also need to take exams if directed by the board. Which of the following is most likely their current license status?
a. active
b. inactive
c. expired
d. clinical
e. probationary
c. expired
An optometrist recently passed away, and a patient requested a refill of a medication they provided. The patient has been on the medication for several years for glaucoma. Which of the following is appropriate for this pharmacist to do?
a. The pharmacist must always refill the prescription when refills remain to allow a patient time to find a new prescriber.
b. The pharmacist must deny the refill because prescriptions cannot be filled after a prescriber’s death.
c. The pharmacist must refill the prescription unless it falls into one of the four fill refusal reasons noted in the law.
d. The pharmacist must deny the refill because prescriptions written by midlevel providers cannot be filled after the prescriber’s death.
e. The pharmacist may refill the prescription if they believe continuing the medication is in the best interest of the patient’s health.
e. The pharmacist may refill the prescription if they believe continuing the medication is in the best interest of the patient’s health.
An optometrist sent an electronic prescription for Vigamox for a patient on the state Medicaid program. They indicated dispense as written on the prescription but did not make any other indications about the patient’s medical need for the brand. The patient did not care whether the product was brand or generic, and the pharmacist dispensed the generic product since it was cheaper. Which of the following is a valid legal reason the pharmacist made the change?
a. The pharmacist did not have the brand name medication in stock.
b. This jurisdiction requires mandatory substitution for patients on state-sponsored health insurance (e.g., Medicaid).
c. The pharmacist ignored the prescriber’s wishes to provide better clinical care to the patient.
d. The pharmacist used the law’s prescription adaptation powers to change the prescription to may substitute.
e. The pharmacist asked the patient their preference.
b. This jurisdiction requires mandatory substitution for patients on state-sponsored health insurance (e.g., Medicaid).
Today, a patient received a prescription for thirty morphine tablets. They are unsure how the medication will affect them and ask the pharmacist to partially fill the prescription for five tablets today with the intent to fill the remainder in seven days if the medication helps. According to this jurisdiction, this pharmacist:
a. may dispense a partial fill of the medication at the patient’s request today and must get the remainder ready within 72 hours for the patient to pick up.
b. must dispense a partial fill of the medication at the patient’s request today and may fill the remainder in seven days.
c. must dispense a partial fill of the medication at the patient’s request today and must void the remaining prescription by notifying the prescriber of the partial fill.
d. may never dispense a partial fill of the medication at the patient’s request.
b. must dispense a partial fill of the medication at the patient’s request today and may fill the remainder in seven days.
A technician is working in the pharmacy for the first time. They ask what duties they can complete under the supervision of the pharmacist. Which of the following are duties that a technician may complete in a pharmacy? (SELECT ALL THAT APPLY)
a. Provide advice on which over-the-counter product to select.
b. Count and fill a prescription for methadone.
c. Update allergies and health conditions in a patient’s profile in the system.
d. Transfer a prescription over the phone for lisinopril.
e. Accept a refill for an alprazolam prescription over the phone from a provider.
b, c, d, e
A veterinarian issued a prescription for Neurontin and indicated may substitute. The patient prefers a generic product. The pharmacist reviewed the orange book and found an AA-rated gabapentin product. Which of the following options is true regarding generic substitution in this case?
a. May substitute; the patient wants a generic product.
b. May substitute; pharmacists must substitute when a therapeutic equivalent exists.
c. May substituted; the prescriber indicated substitution is allowed.
d. Cannot substitute; generic substitution laws do not cover veterinarian prescriptions and these prescriptions must be dispensed as written when written for brand.
d. Cannot substitute; generic substitution laws do not cover veterinarian prescriptions and these prescriptions must be dispensed as written when written for brand.
A pharmacy in a small town cannot gain enough business to remain profitable and will permanently close. What items must be completed when a pharmacy is closing? (SELECT ALL THAT APPLY)
a. The pharmacy owner must notify all patients of the closure within five days of closing.
b. Remove all signs and symbols with pharmacy-related terms or information.
c. Return the pharmacy permit to the board for cancellation.
d. A board representative must inspect the pharmacy after drugs and devices have been disposed of or transferred.
e. The pharmacy owner must notify the board within five days of closing
b, c, d
A pharmacist receives a prescription for doxycycline monohydrate 50mg that is on backorder. The pharmacist changed the prescription to doxycycline hyclate 100mg based on prescription adaptation allowances and changed the directions to match the new dose. This pharmacist:
a. violated the law; prescription adaptations are not allowed in this jurisdiction.
b. proceeded legally.
c. violated the law; this law does not allow pharmacists to change the drug prescribed.
d. violated the law; pharmacists must attempt to call the provider before making changes under this provision.
e. violated the law; the pharmacist cannot change the strength when using this provision.
c. violated the law; this law does not allow pharmacists to change the drug prescribed.
A pharmacist is at a location with fifteen technicians working the same shift. Which of the following must be true for this pharmacist to be practicing legally in this situation?
a. The pharmacist must be working with other pharmacists at the same location.
b. All of the technicians working must be certified.
c. At least half of the technicians must be shadowing and not earning money while in the pharmacy.
d. There is no way to make this legal. This pharmacist is breaking the law.
e. At least five technicians must also be enrolled in a college program as a student.
a. The pharmacist must be working with other pharmacists at the same location.
An individual recently graduated from pharmacy school. They take their exams and receive their pharmacist license on August 1, 2022. If their pharmacist license renews in 2024, how many hours of continuing education will they need to complete for the current continuing education biennium?
a. 28.75 hours
b. 6.25 hours
c. 13.75 hours
d. 21.25 hours
e. 30 hours
(CE biennium = Jan 1st, 2022-Dec 31, 2023.
Aug 2022-Dec 2023 is 17 months. 17 * 1.25 = 21.25 hours)
d. 21.25 hours
All of the following are required for initial pharmacist licensure in this jurisdiction EXCEPT:
a. Graduation from an ACPE-accredited pharmacy program.
b. Pass the NAPLEX.
c. Submission of an application for examination to the board.
d. Completion of practical experiential training hours.
e. Fee paid to the board.
a. Graduation from an ACPE-accredited pharmacy program.
An Arizona physician calls to ask about issuing a prescription for carisoprodol. They would like to fax the prescription to your pharmacy for their cousin and asks if this is appropriate. What answer would be most appropriate to provide this physician?
a. No, this medication is in a schedule that cannot be faxed.
b. Yes, this is a medication that may always be faxed to the pharmacy.
c. Yes, it is up to the pharmacist’s discretion whether to accept faxed prescriptions.
d. No, all controlled substance prescriptions must be electronically prescribed, and the only exception is a board-issued waiver.
e. Yes, this prescriber’s prescriptions would not be covered by this law.
e. Yes, this prescriber’s prescriptions would not be covered by this law.
(bc they are from Arizona)
A technician answers the phone in a pharmacy. A prescriber is on the line and wants to issue a refill for a patient’s medication. The patient has been on the medication for two years at another store in the pharmacy chain but has never received the prescription from this pharmacy. What is the most appropriate action for the technician to take?
a. Tell the provider they must send a new electronic or written prescription to the pharmacy, or it cannot be filled.
b. Tell the provider that they are a technician and ask if they will authorize them to accept the prescription.
c. Accept the prescription refill, call the last location where the medication was received, and ask the pharmacy to add refills.
d. Transfer the call to the pharmacist to accept the prescription in the pharmacy.
e. Accept the prescription refill and enter a new prescription into the system.
d. Transfer the call to the pharmacist to accept the prescription in the pharmacy.
A patient known to the pharmacy wants to purchase codeine/guaifenesin over-the-counter. Select all of the following items required if the pharmacist decides to make the sale.
a. name or initials of pharmacist dispensing the product
b. date of purchase
c. valid identification
d. sale of no more than 180 mL of a product of this type
e. name of the purchaser
a. name or initials of pharmacist dispensing the product
b. date of purchase
e. name of the purchaser
(don’t need ID bc they are known to the pharmacy)
Select all of the following items required for pharmacist licensure or to maintain a pharmacist’s license.
a. License renewal every three years.
b. At least 18 years old.
c. Completion of 20 hours of continuing education each year.
d. Submission of a completed application to the Board of Pharmacy.
e. Graduation from an ACPE accredited school of pharmacy.
b. At least 18 years old.
d. Submission of a completed application to the Board of Pharmacy.
A pharmacist has a closely held religious objection to filling birth control in the pharmacy. They refuse to fill any prescription for these products that come into the pharmacy. A patient drops of a prescription for Ortho Tri-Cyclen written by an Ohio physician assistant, and the pharmacist refuses the fill. Is the pharmacist’s refusal in this situation allowed?
a. No, Indiana requires all birth control prescriptions to be filled.
b. Yes, pharmacists have the authority to deny filling any prescription they choose.
c. No, this is a valid prescription, and the pharmacist’s refusal does not fit into a noted legal reason.
d. Yes, out-of-state physician assistants are not recognized providers, and therefore the prescription cannot be filled in this jurisdiction.
e. Yes, Indiana law has a conscience clause allowing pharmacists to refuse prescriptions based on closely held religious beliefs.
e. Yes, Indiana law has a conscience clause allowing pharmacists to refuse prescriptions based on closely held religious beliefs.
A pharmacist was disciplined in another state for misrepresentation on their application for licensure. What is most likely to happen to this pharmacist in this jurisdiction?
a. The pharmacist would face similar discipline in this jurisdiction.
b. Nothing is likely to happen to the pharmacist.
c. The board would re-investigate the situation from the other state before making any decisions.
d. The pharmacist would be required to relinquish their license due to the discipline in the other state.
a. The pharmacist would face similar discipline in this jurisdiction.
An individual recently graduated from pharmacy school in 2021. They were delayed in taking their exams and did not get licensed until January 1, 2022. How many hours of continuing education would they be required to complete before their first renewal?
a. 15
b. 0
c. 30
d. 7.5
e. 22.5
c. 30
A pharmacist receives a prescription for azithromycin for a patient. The prescription is written for tablets, but the patient cannot swallow tablets and requests a liquid product be dispensed instead. What is the most appropriate action for the pharmacist to take in this situation?
a. The pharmacist may change the prescription to a liquid at the patient’s request, as long as they also change the directions and quantity to match the new dosage form.
b. The pharmacist is not allowed to make any changes to the prescription of this type, and the prescriber must provide a new written or electronic prescription.
c. The pharmacist may only make changes to this prescription if they have entered into a collaborative drug therapy management agreement with a provider.
d. The pharmacist must call the prescriber to request a change in the dosage form for the patient.
e. The pharmacist may change the dosage form but may not update any other part of the prescription without written authorization from the provider.
a. The pharmacist may change the prescription to a liquid at the patient’s request, as long as they also change the directions and quantity to match the new dosage form.
Select all of the following duties a technician can complete under the supervision of a pharmacist.
a. Provide the patient a recommendation for an OTC product.
b. Lookup a patient’s profile and input a refill when requested by the patient.
c. Check another pharmacy technician’s completion of a drug order with a manufacturer packaged product.
d. Count and fill a prescription for methadone.
e. Type a new prescription into the system for review by the pharmacist.
b, c, d, e
Select all of the following practitioners whose prescriptions can be accepted and filled in this jurisdiction.
a. Dentist licensed in Washington, DC.
b. Veterinarian licensed in Vermont.
c. Physician assistant licensed in Egypt.
d. Pharmacist licensed in North Carolina.
e. Podiatrist licensed in Arizona.
a. Dentist licensed in Washington, DC.
b. Veterinarian licensed in Vermont.
e. Podiatrist licensed in Arizona.
A pharmacy owner is applying for a pharmacy permit. They are opening a pharmacy that serves assisted living facilities and will not be open to the public. Which class of permit is this pharmacy most likely to receive?
a. Category I
b. Category II
c. Category III
d. Remote dispensing facility
c. Category III
A pharmacist was initially licensed in Ohio in 1998. They decided to transfer their license from Ohio to Indiana. They received their Indiana license on June 30, 2022. The biennium started on January 1, 2022, and ends on December 31, 2023. Knowing this, how many hours of CE must this pharmacist complete to renew their license on June 30, 2024?
a. 0 hours
b. 7.5 hours
c. 15 hours
d. 22.5 hours
e. 30 hours
e. 30 hours
Which of the following is TRUE regarding the continuing education requirements for a newly licensed pharmacist (e.g. a pharmacist never licensed before elsewhere)?
a. A pharmacist licensed in the last 6 months of the biennium does not have to complete CE requirements until the next biennium.
b. All continuing education credits completed by a newly licensed pharmacist must be approved by ACPE or “ACPE accredited.”
c. A pharmacist licensed before the last 6 months of the biennium must complete all 30 hours of CE regardless of the month they were licensed in.
d. All CE hours for a newly licensed pharmacist must be related to pharmacy practice.
e. CE hours completed for Indiana requirements cannot be used to meet another state’s requirements.
a. A pharmacist licensed in the last 6 months of the biennium does not have to complete CE requirements until the next biennium.
Select all of the following that are required on a product label for a unit-dose product in a hospital.
a. Drug name
b. Strength
c. Expiration date
d. Patient name
e. Prescriber
a. Drug name
b. Strength
c. Expiration date
(The other information may be omitted when contained in a computer system.)
Concerning institutional pharmacy practice, select all of the following that are INCORRECT statements.
a. A patient can never use their own medication when they are admitted to a hospital.
b. An institutional pharmacy must identify and take corrective actions for quality related events.
c. Institutional pharmacies do not require any special security measures to prevent unauthorized entry into the pharmacy.
d. A hospitalized patient can never administer a medication themselves.
e. An institutional pharmacist must counsel patients at discharge.
a, c, d, e
Select all of the following that are duties a pharmacy TECHNICIAN can perform.
a. Complete the final check on a drug order.
b. Provide counseling on a refill.
c. Deliver a completed sterile pharmaceutical to a medication room in a hospital.
d. Take a refill authorization over the phone from a prescriber.
e. Provide advice to a prescriber about a patient’s medication record in a hospital.
a, c, d
All of the following are true regarding sterile pharmaceuticals EXCEPT:
a. Sterile pharmaceuticals are free from living microbes.
b. Patient profiles for sterile pharmaceuticals must have additional information, including height and weight.
c. Access to up-to-date reference materials must be available in locations preparing sterile pharmaceuticals.
d. Sterile product labels are no different than labels for normal products.
d. Sterile product labels are no different than labels for normal products.
A pharmacist dispensed a prescription for buprenorphine/naloxone that was issued via telehealth. This pharmacist:
a. violated the law; controlled substances cannot be issued via telehealth.
b. violated the law; this drug cannot be issued via telehealth.
c. proceeded legally.
d. violated the law; prescriptions cannot be issued via telehealth.
c. proceeded legally.
A pharmacist is supervising an intern working in their location. They would like the intern to complete whatever duties they can, but they know that the pharmacist must complete some items. Which of the following items must be completed by the pharmacist and CANNOT be delegated to an intern? (SELECT ALL THAT APPLY)
a. Counsel a patient on a new prescription for modafinil.
b. Transfer a Lyrica prescription from another pharmacy.
c. Complete the final check of a promethazine prescription.
d. Accept a new prescription for Mounjaro from a prescriber over the phone.
e. Recommend an over-the-counter product for a patient’s simple condition.
b. Transfer a Lyrica prescription from another pharmacy.
c. Complete the final check of a promethazine prescription.
A patient requests a transfer of a mirtazapine prescription from another pharmacy. The pharmacist is busy, so they ask a technician to call the other pharmacy to transfer the prescription. The technician calls and completes the transfer. This pharmacist:
a. violated the law; verbal transfers are not allowed in this jurisdiction, and all transfers must be done via fax.
b. violated the law; prescriptions cannot be transferred in this jurisdiction.
c. violated the law; this medication is a product that can only be transferred by a pharmacist.
d. violated the law; technicians cannot make verbal transfers in this jurisdiction.
e. proceeded legally.
e. proceeded legally.
A veterinarian called your pharmacy and wanted to prescribe a dog a single Duragesic patch. The veterinarian asked how to prescribe this medication. The pharmacist knows they are exempt from the electronic prescribing requirements and tells the prescriber they can issue a verbal prescription without other requirements. This pharmacist:
a. violated the law; all controlled substance prescriptions must be issued electronically without exception.
b. violated the law; controlled substances in this schedule are never allowed to be called in.
c. proceeded legally; veterinarians are not covered under this law and can prescribe using any method.
d. proceeded legally; the quantity is an amount not covered under this law.
e. violated the law; this product has additional requirements when called into the pharmacy.
e. violated the law; this product has additional requirements when called into the pharmacy.
All of the following are required for initial pharmacist licensure in this jurisdiction EXCEPT:
a. Completion of practical experiential training hours.
b. Graduation from an ACPE-accredited pharmacy program.
c. Passage the NAPLEX.
d. Fee paid to the board.
e. Submission of an application for examination to the board.
b. Graduation from an ACPE-accredited pharmacy program.
Which of the following is true regarding the return and reuse of a medication dispensed from a pharmacy?
a. Pharmacists may never return and reuse a medication.
b. Expired medications may be returned and reused.
c. Prescriptions dispensed to outpatients may always be returned and reused.
d. If meeting requirements, controlled substances may only be returned and reused in a category II pharmacy and not other pharmacies.
e. Opened medications may be returned and reused.
d. If meeting requirements, controlled substances may only be returned and reused in a category II pharmacy and not other pharmacies.
