Reading 14

Question 1

How would you cite a law found in the Indiana Code with the following characteristics:

• Title 25
• Article 26
• Chapter 13
• Section 15

Answer 1

IC 25-26-13-15

Question 2

How would you cite a rule found in the Indiana Administrative Code with the following characteristics:

• Title 856
• Article 1
• Chapter (rule) 3.1
• Section 11

Answer 2

856 IAC 1-3.1-11

Question 3

Where is the Regulation of Food, Drugs, and Cosmetics found in the Indiana Code?

Answer 3

Title 16, Article 42

Question 4

Where is the Applicability of Certain Provisions in IC 25-1 found in the Indiana Code?

Answer 4

Title 25, Article 0.5

Question 5

Where are General Provisions found in the Indiana Code?

Answer 5

Title 25, Article 1

Question 6

Where can information on Pharmacists, Pharmacies, and Drug Stores be found in the Indiana Code?

Answer 6

Title 25, Article 26

Question 7

Where is the Offenses Against Property section in the Indiana Code?

Answer 7

Title 35, Article 43

Question 8

Where is the Controlled Substances section found in the Indiana Code?

Answer 8

Title 35, Article 48

Question 9

Where is the Pharmacies and Pharmacists section found in the Indiana Administrative Code?

Answer 9

Title 856, Article 1

Question 10

Where is the Controlled Substances section found in the Indiana Administrative Code?

Answer 10

Title 856, Article 2

Question 11

Where is the Wholesale Legend Drugs section found in the Indiana Administrative Code?

Answer 11

Title 856, Article 3

Question 12

Where is the Pharmacist Vaccinations Administered via Protocol Authority section found in the Indiana Administrative Code?

Answer 12

Title 856, Article 4

Question 13

Where is the Automated Medication Systems section found in the Indiana Administrative Code?

Answer 13

Title 856, Article 5

Question 14

Where is the Prescription Drug Take-Back Programs section found in the Indiana Administrative Code?

Answer 14

Title 856, Article 7

Question 15

What is included in the definition of the term “sale”, as defined in IC 16-42-19-8 and IC 25-26-13-2?

Answer 15

1. Manufacturing, processing, transporting, handling, packing, or any other production, preparation, or repackaging.
2. Exposure, offer, or any other proffer.
3. Holding, storing, or any other possession.
4. Dispensing, giving, delivering, or any other supplying.
5. Applying, administering, or any other using

Question 16

True or false: accidentally placing a medication bottle outside the pharmacy area where anyone could pick it up is an offer and, therefore, a sale.

Answer 16

True; you are offering medication to someone even if you don’t mean to

Question 17

True or false: administering a B12 shot to a patient is considered a “sale”.

Answer 17

True

Question 18

Which individuals have prescribing authority in Indiana?

Answer 18

• physicians (MD/DO)
• podiatrists (DPM)
• dentists (DDS/DMD)
• veterinarians (DVM)
• advanced practice registered nurses (APRN)
• physician assistants (PA)
• optometrists (OD)

Question 19

Who CANNOT be a supervising practitioner for an APRN?

Answer 19

• veterinarian
• physician assistant
• another APRN

Question 20

True or false: when registering their protocol with the board, the APRN does not need to apply for prescribing authority.

Answer 20

False

Question 21

True or false: APRNs can only prescribe within their scope of practice and specialty of their supervising practitioner.

Answer 21

True

Question 22

Can APRNs prescribe controlled substances?

Answer 22

Yes (if they have a DEA number and Indiana CSR)

Question 23

Are Indiana CSRs required for out-of-state practitioners?

Answer 23

No

Question 24

True or false: APRNs cannot practice independently from their supervising practitioner.

Answer 24

False; they can be alone in an office seeing patients while their supervising practitioner is elsewhere in the state or on vacation

Question 25

How should APRNs sign their prescriptions?

Answer 25

• name
• credentials
• board-assigned ID number

Question 26

True or false: we can only honor APRN prescriptions from those licensed in Indiana.

Answer 26

False; we can honor prescriptions from an APRN in any state, so long as we’re able to verify the person is an APRN and they’re writing prescriptions as authorized and required in their state of licensure

Question 27

Physician assistants (PAs) have a __________ practice type.

Answer 27

dependent

Question 28

For a PA to meet the requirement of direct supervision by a physician, does the physician need to be in-person?

Answer 28

no; they can be electronic, but must be available immediately through telecommunications or other electronic means and be available to see the patient in a medically appropriate time frame if requested by the patient or the PA

Question 29

What is the one area of practice that PAs CANNOT prescribe for?

Answer 29

ophthalmic devices (glasses, contacts, or low vision devices)

Question 30

What controls are PAs allowed to work with?

Answer 30

everything but CI (assuming they have a DEA number, CSR, and their collaborating physician has delegated authority to prescribe controlled substances)

Question 31

What must be included by a PA when signing a prescription?

Answer 31

• name
• credentials awarded by NCCPA
• license number

Question 32

True or false: in Indiana, we can only honor prescriptions from PAs licensed in the state.

Answer 32

false; we can honor prescriptions from PAs in any state, so long as we can verify that the person is a PA and they are writing as authorized and required in their state of licensure

Question 33

What are the three ways in which formulary items are listed?

Answer 33

1. independently prescribe
2. dependently prescribe by notification
3. dependently prescribe by consult

Question 34

What does it mean when an OD is able to “independently prescribe”?

Answer 34

can prescribe the listed drug WITHOUT notifying/consulting the patient’s PCP

Question 35

What does it mean when an OD can “dependently prescribe by notification”?

Answer 35

they can prescribe the listed drug AFTER notifying the patient’s PCP that they’re prescribing it; can be done via phone, fax, or other communication and the OD must write that they have notified the PCP on the prescription

Question 36

What does it mean when an OD can “dependently prescribe by consult”?

Answer 36

they must call and consult with the patient’s PCP before prescribing the listed medication; the OD must write that they have consulted the PCP on the prescription

Question 37

What should an OD do if they need to call/consult with a patient’s PCP, but they don’t have one?

Answer 37

they should note that in the patient’s file and on the prescription; then they may prescribe the medications as necessary

Question 38

What is included in the formulary for Indiana-licensed optometrists?

Answer 38

any legend drug for the treatment of the eye or associated structures of the eye (and all are listed as independently prescribed)

Question 39

What is the only controlled substance that an OD may prescribe?

Answer 39

tramadol (if they have a DEA number and Indiana CSR)

Question 40

Can we honor prescriptions from out-of-state optometrists?

Answer 40

no

Question 41

True or false: pharmacists are not considered prescribing practitioners in Indiana.

Answer 41

true; there are only a handful of situations where pharmacists in Indiana can prescribe

Question 42

Laws can be found in the Indiana _________, and regulations can be found in the Indiana ____________.

Answer 42

Code; Administrative Code

Question 43

List the seven current prescribing practitioners in Indiana.

Answer 43

1. physicians
2. dentists
3. podiatrists
4. veterinarians
5. APRNs
6. PAs
7. optometrists