Lecture 17 - Indiana Food, Drugs, and Cosmetics Flashcards
What should a pharmacist do if a prescription does not have a refill quantity?
Prescription may not be refilled unless the pharmacist is subsequently authorized to do so by the practitioner
What is a drug order?
Written order for a drug or device for a patient in an inpatient institution
What is a prescription?
Written order for a drug device for an outpatient
Which practitioners can prescribe?
-Physicians
-Veterinarians
-Dentists
-Podiatrists
-Optometrists licensed in Indiana
-APRNs
-Physician assistants
Requirements on a drug order
-Name and bed number of the patient
-Name and strength/size of drug
-Amount to be dispensed in quantity or days
-Adequate directions for the proper use of the drug
-Name of the prescriber
Requirements on a prescription
-Name and address of the patient
-Name and strength/size of the drug or device
-Amount to be dispensed
-Adequate directions for use
-Name of the practitioner
-Written or electronic signature of practitioner
What must be on a prescription label?
-Name, address, and phone number of the dispensing pharmacy
-Date on which the prescription was filled
-Prescription number
-Name of the practitioner who prescribed the drug
-The name of the patient
-The directions for use as provided in the prescription
-If the drug contains or is derived from opium, a statement that the drug is an opioid
-Name of the drug
-If for an animal, owner’s name
In what case are prescriptions and drug orders no longer valid?
If they have no legitimate medical purpose
In which settings can mechanical storage devices be utilized?
-Pharmacy that holds a permit issued by the Indiana BoP
-Remote location under the jurisdiction of the Indiana BoP
-A licensed health care facility
What powers are granted to members of the Indiana BoP and designated BoP members?
-Carry a firearm when performing official duties
-Execute and serve warrants and subpoenas
-Make arrests without a warrant for suspected controlled substance felony
-Seize property
-Perform other enforcement duties designated by the BoP
What does the Prescription Drug Marketing Act enforce on drug samples and coupons?
-Bans the sale, purchase, or trade of drug samples or coupons, and bans counterfeiting of drug coupons
-Practitioners must ask for drug samples in writing
-Community pharmacies cannot have drug samples at anytime
-Established recordkeeping, storage, and handling requirements for drug samples
What does Indiana specify in addition to the PDMA?
-You cannot remove a sample from its original packaging, repackage it, and the sell it/exchange it
-You cannot deliver a drug sample to someone after its expiration date
Which type of prescriber are we not allowed to substitute a generic for their prescription?
Veterinarians
What two lines are present on a written prescription?
Dispense as written and may substitute
What must a pharmacist do if a practitioner signs on dispense as written?
Must dispense the brand name drug
What can a pharmacist do if a practitioner signs on may substitute?
We may dispense a generic equivalent
What must the pharmacist do if the patient presents with Medicaid or the children’s health insurance program?
Substitute the product that results in the lowest price
When must a pharmacist give a patient with Medicaid or CHIP a brand name drug?
-The words brand medically necessary are written or electronically transmitted on the prescription in the practitioner’s own handwriting
-The practitioner orally states that a generic equivalent may not be substituted, and subsequently forwards a covering prescription that has brand medically necessary included
When may a biologic be substituted?
-The product has been determined to be interchangeable by the FDA
-The prescribing practitioner has indicated “may substitute”
-The pharmacist has informed the customer of the substitution
-After completing the substitution, the prescriber is informed of the name and manufacturer of the biologic product dispensed
What must a pharmacist do if they want to give out Naloxone?
-Register annually with the state department or local health department
-Instruct the individual receiving the product to summon emergency services immediately
-Provide education and training on drug overdose response and treatment
-Provide drug addiction treatment and referral information
