Lecture 22 - Indiana Administrative Code Articles 2-7, Miscellaneous Flashcards
What must the dispenser transmit to INSPECT when dispensing ephedrine, pseudoephedrine, or any controlled substance including gabapentin pursuant to a prescription?
-The recipients name
-The recipients identification number
-The recipients date of birth
-The NDC of the drug dispensed
-The date of dispensation
-The quantity dispensed
-The days supplied dispensed
-The dispensers DEA number
-The prescribers DEA number
-An indication of how the prescription was transmitted
-Other data as required by the board
When must information on the dispense be transmitted to INSPECT?
Within 24 hours of dispensation
What are suitable forms of ID in Indiana?
-Drivers license from any state
-Military ID
-Valid ID card issued by the bureau of motor vehicles
-Calid photo exempt ID issued by the bureau of motor vehicles
-An ID designated by the central repository
-Any ID must be in-date and not expired
What are the legal limits of ephedrine and pseudoephedrine in Indiana that can be sold at one time?
-No limit if pursuant to a prescription
-Max of 3.6 grams in one day
-Max of 7.2 grams in one 30-day period
-Max of 61.2 grams in one 365-day period
What requirements must the patient meet to purchase ephedrine or pseudoephedrine in Indiana?
-Must be 18-years old or older
-Must have a relationship on record with the pharmacy, or the pharmacist has deemed that the medication is to be used for a legitimate medical purpose
How long must ephedrine and pseudoephedrine sales logs be maintained?
For at least 2 years
What must be included on ephedrine and pseudoephedrine sales logs?
-The name and address of each prescriber
-The ID presented
-The governmental entity issuing the ID
-The ID number
-The product purchased, including grams of the product and date and time of the transaction
What is required to be put on the label for any C2, C3, or C5?
Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed
What are the legal limits of C5 prescriptions that can be sold at one time?
-No more than 8 ounces or 48 doses of a substance containing opium
-No more than 4 ounces or 24 doses of any other C5
How old must you be to buy C5 without a prescription?
18
How old must you be to buy syringes/needles?
No age restriction
What must be included in the bound book when documenting sales of C5 and syringes/needles?
-Name and address of the purchaser
-Name and quantity of product purchased
-Date of each purchase
-Name or initials of the pharmacist dispensing the product
What must a pharmacist or pharmacy intern do to be able to administer vaccines?
-Complete an ACPE-accredited course of training on administering immunizations
-Be certified in cardiopulmonary resuscitation and maintain that certification
What must be included in any protocol for immunization administration for each vaccine?
-The name and strength of the vaccine
-Precautions and contraindications
-The intended patient population
-The appropriate dosage
-Administration schedules according to CDC ACIP guidelines
-Routes of administration
-Injection sites
When must protocols with a licensed physician to immunize be renewed?
Must be renewed annually
What must a pharmacy intern do before administering an immunization?
They must identify themselves to the patient and receive consent from the patient
What law passed in 2023?
Allows pharmacists to prescribe hormonal contraceptive patches and self-administered hormonal contraceptives to patients 18-years old and older
What must a pharmacist do when they independently prescribe hormonal contraceptives?
-Complete an approved training program
-Provide a self-screening risk assessment tool to the patient
-Refer the patient to a PCP or women’s health care practitioner upon prescribing the product
-Provide the patient with a written record of the product and advise them to consult with a PCP or women’s health care practitioner
-If the pharmacist works at a site with a physician, APRN, or PA who is available to deliver patient care and capable of prescribing the product, suggest the patient see that provider
-The prescription issued may not be for more than a sic-month period and the pharmacist may not issue a prescription for the patient after twelve months
When can a pharmacist refuse to fill a prescription due to ethical, moral, or religious objection
If the prescription is for hormonal contraception
What is a remote dispensing facility?
A facility where prescription drugs are prepared or dispensed without the requirement of an onsite pharmacist, and where pharmacist supervision is provided remotely
What must be included on the sign for a remote dispensing facility?
-That the facility provides remote services supervised by a pharmacist located in another pharmacy
-The identification and address of the supervising pharmacy
-Disclosure that the pharmacist is required to speak to the patient using audio and visual communication any time a new drug or device is dispensed
-Whether patient counseling is provided on prescription drug refills
-That the facility is under continuous and recorded video surveillance
