Lec 16 - Indiana Standards, Sanctions, & CS Prescribing Flashcards
main goal of Indiana Board of Pharmacy
protect the public and enforce the laws and rules that govern pharmacy
Sanctions: license taken away permanently
a. revocation
b. suspension
c. probation
d. letter of reprimand
e. censure
f. fine
a. revocation
Sanctions: license taken away temporarily
a. revocation
b. suspension
c. probation
d. letter of reprimand
e. censure
f. fine
b. suspension
Sanctions: can practice but with limits or additional requirements
a. revocation
b. suspension
c. probation
d. letter of reprimand
e. censure
f. fine
c. probation
Sanctions: written expression of disapproval (describes what the practitioner did wrong)
a. revocation
b. suspension
c. probation
d. letter of reprimand
e. censure
f. fine
d. letter of reprimand
Sanctions: verbal expression of disapproval
a. revocation
b. suspension
c. probation
d. letter of reprimand
e. censure
f. fine
e. censure
Sanctions: up to $1000 for each violation
a. revocation
b. suspension
c. probation
d. letter of reprimand
e. censure
f. fine
f. fine
which of the following is NOT a professional standard violation?
a. drug diversion
b. evidence of fraud
c. spilling amoxicillin suspension
d. aiding or abetting an addiction
e. failure to report child abuse or suspected human trafficking
c. spilling amoxicillin suspension
which of the following is NOT a sanction?
a. suspension
b. surrender
c. revocation
d. probation
e. censure
b. surrender
can NOT practice; typically indefinite and board can set a minimum amount of time before you can apply for reinstatement
a. suspension
b. revocation
c. surrender
a. suspension
can NOT practice; license can NOT be reinstated; Can apply for a NEW license (with a new license number)
a. suspension
b. revocation
c. surrender
b. revocation
-Practitioner petitions the board to surrender their license INSTEAD of a hearing (Board may or may not agree to accept)
-Board may impose additional conditions (such as lifetime prohibition against reinstatement or issue of a new license)
a. suspension
b. revocation
c. surrender
c. surrender
If, in the opinion of the Board, there is a clear and immediate danger to public health and safety, the board can summarily suspend a practitioner’s license for ____ days
a. 5
b. 30
c. 60
d. 90
d. 90
T or F: Summary (emergency) suspensions can NOT be renewed
F (can be renewed up to 90 days at a time)
The board may require a physical or mental examination to determine if a practitioner is capable to practice. This requirement must stem from a _______ _______ in which the practitioner’s physical or mental ability to practice is at issue.
disciplinary hearing
if there is a refusal of licensure, the board may alternatively issue a __________ license
probationary
which of the following is NOT one of the conditions the board may impose after issuing a probationary license?
a. Report regularly to the board on the matters requiring a probationary license
b. Engage in community service
c. Continue or renew professional education
d. Submit personal financial statements to the board
d. Submit personal financial statements to the board
As of January 1st , 2022, all controlled substance prescriptions issued by a prescriber must be issued: (2 things)
- in an electronic format, and
- by electronic transmission from the prescriber to a pharmacy
(electronic format and transmission)
All prescribers are required to transmit controlled substances electronically EXCEPT ________ and ________ ________
veterinarians; medical residents
which of the following is NOT an exemption for electronic prescribing of controlled substances?
a. cannot transmit electronically due to technology failure
b. issues a prescription to be filled in Indiana
c. prescriber is the pharmacist
d. prescriber has received a waver from the board
b. issues a prescription to be filled in Indiana
(filled outside Indiana)
if a prescriber has a waiver for controlled substance prescribing, what 3 things must be written on the prescription? (slide 17)
waiver number
DEA #
CSR #
delivery of health care services through interactive electronic communications and information technology
telehealth
which of the following practitioners CANNOT prescribe via telehealth?
a. pharmacist
b. physician, physician assistant, APRN
c. dentist
d. veterinarian
a. pharmacist
(pharmacists can provide telehealth care but not prescribe via this method)
which of the following is NOT an approved modality for telehealth?
a. facsimile
b. secure videoconferencing
c. store and forward technology
d. remote patient monitoring technology
a. facsimile
which of the following is an approved telehealth modality?
a. email
b. instant messaging
c. remote patient monitoring technology
d. internet consultation
c. remote patient monitoring technology
when issuing a prescription via telehealth, it cannot be for an _______ inducing drug
abortion
when issuing a CS prescription via telehealth, the prescription may NOT be for an _______ unless it is a _______ _______ that is used to treat or manage _______ dependence
opioid; partial agonist; opioid
a prescription for an opioid may NOT be written for greater than 7 days in what 3 cases?
-adult’s first time being prescribed an opioid by that prescriber
-child less than 18 years old
-first time being prescribed for an animal by the vet
the 7-day opioid limitation does NOT apply for: (5 things)
-cancer
-palliative care
-substance use disorder
-condition exempted by medical licensing board
-prescriber’s professional judgement
which of the following can we NOT fill an opioid for more than 7 days?
a. cancer patient
b. dog’s first visit with a new vet
c. patient getting tx for substance use disorder
d. palliative care patient
b. dog’s first visit with a new vet
we can partial fill for opioids upon request of which 3 people?
-patient
-representative of the patient
-guardian of the patient
is an opioid prescription is partially filled, what 2 things must the pharmacist do?
- Comply with 21 USC §829
- Document that a request for partial fill was made by either the patient, patient representative, or guardian
