Lecture 19 - Indiana Pharmacists, Pharmacies and Drug Stores 2 Flashcards
What is a category 1 pharmacy?
A pharmacy that provides pharmaceutical care to the general public by dispensing of a drug or device
What is a category 2 pharmacy?
A pharmacy that provides inpatient care under a drug order or to an outpatient of the institution under a prescription
What is a category 3 pharmacy?
A pharmacy that provides closed door operations that are not open to the general public. May include traditional and nontraditional pharmacy functions
When do pharmacy permits expire?
Every 2 years on December 31st of odd-numbered years
Who can category 1 pharmacies offer drugs or devices to?
-Outpatients under a prescription
-Long term care facility
-Health facility
-Assisted living facility
Who may category 2 pharmacies offer drugs or devices to pursuant to a prescription?
-An employee, student, or volunteer of the hospital or health system
-A retiree participating in a retirement or benefit program administered by the hospital
-An independent contractor exclusively working with the hospital
-A member of the hospital’s governing board
-A member of the hospital medical staff
-Any dependent of any of the above individuals
Physical requirements of a pharmacy
-Be stationary (unless registered as a mobile location)
-Be sufficiently secure, and able to detect and deter entry when the pharmacy is closed
-Be well lighted and ventilated and otherwise clean
-Be equipped with a sink with hot and cold running water, a proper sewage outlet, and refrigeration
-Be of sufficient size to allow for the practice of pharmacy
-Have other equipment as required by the board to operate in compliance with state and federal law
What must be included on a pharmacy permit application?
-The name and occupation of the persons requesting the permit
-The location of the pharmacy
-Any other information the board requires
Who is responsible for the staffing of a pharmacy?
The permit holder
What must happen after an application for a pharmacy permit is approved but before the pharmacy is open?
The pharmacy must be inspected by a representative of the board
What does it mean when it says pharmacists are responsible for “immediate and personal supervision” of any other pharmacy personnel on site?
Immediate and personal supervision means within reasonable visual and vocal distance of the pharmacist
How many personnel can a pharmacist supervise?
-No more than 8 pharmacy interns or pharmacy technicians in training at any time
-No more than 3 of the 8 individuals may be techs in training
When can a category 1 or 2 pharmacy request to be open to the general public without a pharmacist on duty?
-They obtain approval from the board
-They securely lock all legend drugs and other merchandise which can only be dispensed by the pharmacist
-They prominently display a 20” x 30” sign stating: prescription department closed, no pharmacist on duty
-Only a pharmacist has access to the secured area
What do you need to be able to practice pharmacy?
You need a pharmacist license and a pharmacy permit and they need to be displayed in the pharmacy for people to see
What do you need to do when changing ownership of a pharmacy?
-Within 10 days of the change of ownership of a pharmacy, an application must be submitted to transfer the ownership
-If the new owner moves the pharmacy, an application for a permit for the new location must be filed
What should a pharmacy do if it is going to be closed for 5 days or more?
The permit holder must notify the board of the closure and secure drugs as directed by the board
When must a pharmacist transfer a prescription?
Upon the request of the patient
Can technicians transfer prescriptions?
Yes, including verbal transfers, as delegated by the pharmacist
Can prescriptions be transferred if they have never been filled before?
Yes, only if:
-State law allows it
-Prescription was electronically prescribed
-Communicated between two licensed pharmacists
-The prescription is maintained in an electronic format
Which non-electronic prescriptions can be transferred?
-No C2 prescriptions
-Must have been filled at least once before being eligible to be transferred
What should been done with original prescriptions after they are filled?
All original prescriptions shall be organized, maintained and accessible at the pharmacy for at least two years. They must be available for inspection to any member of the board or agent of the board
When can a pharmacist refill a prescription without authorization of a licensed practitioner?
-The pharmacist made every reasonable effort to obtain authorization to refill from the prescriber
-The pharmacist believes that failure to provide a refill would be detrimental to the patient’s health
-The original prescription authorized refills, but all refills were dispensed or the prescription is expired
-The prescription was originally filled at the pharmacy where the request for refill is received, or at an affiliate sharing a real-time, online database
-The drug is prescribed for continuous and uninterrupted use and has been taken properly by the patient
-The pharmacist documents the required refill information, the dates and times attempts to contact the prescriber were made, and that the pharmacist dispensed a refill without prescriber authorization
-The pharmacist notifies the original prescriber by the prescriber’s next business day
-Refill quantity is limited to the most recent fill quantity or a 30-day supply, whichever is less
-Max of 1 pharmacist-initiated refill for a single prescription every 6 months
-The drug is not a controlled substance
-If the prescriber did not note “no emergency refill”
When can a pharmacist dispense a 90-day supply for a patient?
-The patient requests a supply of more than 30 days
-The prescription is not a controlled substance
-The prescriber does not indicate on the prescription that the quantity of the prescription may not be changed
-The patient has completed an initial 30-day supply of the drug therapy
-The prescription and included refills allow the pharmacist to dispense at least a 90-day supply of the medication
How long is a prescription valid for?
No more than one year after the original date of issue
