IN law Flashcards
who has prescribing authority in IN
BIG FOUR - any state
APRN - any state
PA - any state
OD - only from IN
what CAN’T PAs prescribe
ophthalmic devices
what is the only control ODs can prescribe
tramadol
who are the only prescribers that CANNOT send CII rx electronically
veterinarians (also cannot call in rx)
labeling requirements for drug order
name and bed number
drug name and strength
quantity
directions
name of prescriber
rx information requirements
patient name and address
drug name and strength
quantity
directions
prescriber
signature
rx labeling requirements if dispensed from pharmacy
name, address, number of pharmacy
date filled
serial number
prescriber
patient name
directions
opioid statement if opioid
when can an ADC be used
pharmacy holds IN permit
device is held in remote location
device is in a licensed healthcare facility
MUST be under direct supervision
rx labeling requirements if dispensed from practitioner office
directions
name and address of practitioner
name of patient
when can you NOT give generic drugs
veterinarian rx
prescriber writes “brand medically necessary”
labeling requirements if generic substitution
____ generic for _____
manufacturer and/or distributor
when should you notify the prescriber of a biologic substitution
within 10 days
what powers and duties MUST the board do
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
when do pharmacist license expire
biennially on June 30 of even number years
how long does the BOP have to respond to a new permit to open a pharmacy
120 days
what must a pharmacy have in order to be qualified for a permit
well lit
ventilated
sink with hot and cold water
fridge
prescription filling area
how long do you have to send in your application for transferring ownership
10 days
if a pharmacy is permanently closing, what MUST the qualifying pharmacist do
notify board 20 days before transferring controls
remove legends from stock
dispose of controls
remove symbols
return pharmacy permit within 10 days
what must be recorded for refills
date of refill
quantity if other than original
dispenser identity on original rx
what can pharmacists prescribe in IN
inhalation spacer
nebulizer
CPAP
insulin pump
NS
SWFI
diabetes blood sugar testing supplies
pen needles
syringes
when should the pharmacist notify PCP after immunization
14 days (7 days to CHIRP)
what is required for a pharmacy to have to make sure it is secure
on site alarm
off site alarm
backup power that can monitor for 36 hours
if there is a breach at the pharmacy when should it be reported to BOP
within 72 hours
when is CE biennium
Jan 1 even to Dec 31 odd
when is the grace period for CE
Jan 1 to June 30 even
what are the requirements for CE
1/5 business
4/5 pharmacy
1/2 ACPE
requirements for sterile preparation
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
how often is a BSC certified
every 6 months
BUD for non preserved aqueous
14 days
BUD for preserved aqueous - nonsterile
35 days
BUD for nonaqueous - nonsterile
90 days
BUD for solids - nonsterile
180 days
BUD for category 1 sterile preparations
<12 hours room temp
<24 hours in fridge
what is category 1 sterile preparations
prepared in SCA
BUD for category 2 sterile preparations - only sterile starting components
4 days room temp
10 days in fridge
45 days in freezer
BUD for category 2 sterile preparations - one or more non sterile components
1 day room temp
4 days in fridge
45 days in freezer
prescription pad requirements for controls
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
pharmacy technician responsibilities
CAN verify drug order
MAY transfer rx by fax or verbal
CAN receive refill request
MAY administer flu or covid shot
requirements for selling OTC CV without rx
no more than 240 ml or 48 doses OR 120 ml or 24 doses in 48 hours
18+
requirements for ephedrine/pseudoephedrine sale
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
smoking cessation requirements for pharmacist
can prescribe products including bupropion and varenicline
MUST keep record for 7 years
what drugs can home health/hospice providers have to administer home care
1000 ml NS
1000 ml D5W
LESS THAN 5 DOSES OF:
heparin
epinephrine
diphenhydramine
methylprednisolone
naloxone
glucagon
lasix
lidocaine
urokinase
for home health providers, how long do they have to send a copy of an order from prescriber to the pharmacy
20 days
if a person violates the anabolic steroid rules, what felony would they commit
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
what constitutes a class B misdemeanor when giving drug samples to ultimate user
knowingly repackaging drug sample OR if expired
what are the requirements for a prescriber to use amygdalin
prescriber has unlimited license in IN
patient signs “written informed consent”
is amygdalin a drug - what is it
NO - its a compound found in many kernals used for cancer. converts to hydrogen cyanide
what is chymopapain - is it a drug?
NOT A DRUG - enzyme located in papayas used for pain
who can administer chymopapain
neurosurgeon or orthopedic surgeon in a hospital
MUST keep records
what are the requirements for chymopapain use
neurosurgeon or orthopedic surgeon administers
patient signs consent
who can prescribe and dispense overdose intervention drugs
physician
PA
ARPN
what information must be included for practitioners renewing their license
field of practice
location, setting of job
hours worked weekly
health services provided
education background and training
telehealth
