Reading 16

Question 1

True or false: if a prescriber has not indicated the number of refills on a prescription, it cannot be refilled.

Answer 1

true

Question 2

What information MUST be included in a drug order?

Answer 2

• patient name
• patient bed number
• name of drug
• size/strength of drug
• amount to be dispensed (unless specified by institutional policy or guidelines)
• adequate directions for the proper use of the drug when administered to the patient
• name of the prescriber

Question 3

According to IC 16-42-19-7, what MUST be included in an outpatient’s prescription?

Answer 3

• patient name
• patient address
• drug/device name
• size/strength of drug/device
• amount to be dispensed
• adequate directions for use by the patient
• name of practitioner
• written/electronic signature of practitioner

Question 4

According to IC 16-42-19-11, if dispensed under a prescription, the prescription label must bear what information in order to be legally dispensed?

Answer 4

• pharmacy name
• pharmacy address
• pharmacy phone number
• fill date
• prescription number
• prescriber name
• patient name (+ species if animal)
• directions for use as contained in the prescription
• statement that the drug is an opioid (if derived from opium)

Question 5

What information must be included on the label for medications dispensed from a practitioner office?

Answer 5

• directions
• name of practitioner
• address of practitioner
• name of patient (+ species if animal)

Question 6

True or false: the Unlawful Acts section of the Indiana Code applies only to pharmacists.

Answer 6

false; encompasses all individuals in the state of Indiana

Question 7

In what situations is a practitioner NOT allowed to prescribe anabolic steroids?

Answer 7

• for enhancing performance in an exercise/sport/game
• for hormonal manipulation to increase muscle mass, strength, or weight without medical necessity

Question 8

True or false: insulin must be prescribed in Indiana.

Answer 8

false; it can now be purchased OTC by anyone

Question 9

Who is responsible for accountability audits of supply and inventory of controlled substances?

Answer 9

Board of Pharmacy

Question 10

True or false: officers or employees of the BoP may carry firearms for official duty.

Answer 10

true

Question 11

True or false: officers or employees of the BoP may make arrests without warrant and/or seizes property.

Answer 11

true

Question 12

In Indiana, is it acceptable to remove a drug sample from its original packaging, repackage it, and sell it to the ultimate user?

Answer 12

no (duh)

Question 13

Indiana uses the _________ Book for generic substitution determinations.

Answer 13

Orange

Question 14

True or false: we can substitute for a generic prescription written by a veterinarian.

Answer 14

false; we do not know how different drug products work in animals, so we can’t substitute for a generic by law

Question 15

How do the “Dispense as Written” and “May Substitute” lines appear on a correct written prescription?

Answer 15

Question 16

Are the two signature lines required on prescriptions issued by out-of-state practitioners?

Answer 16

no

Question 17

True or false: if we substitute a generic product for a patient, we don’t need to notify them since it already gives permission on the prescription.

Answer 17

false

Question 18

In what situations are we required to dispense a generic product if it’s cheaper?

Answer 18

• Indiana Medicaid
• children’s health insurance program
• Medicare

PRESCRIBER MUST WRITE “BRAND MEDICALLY NECESSARY” IN THEIR OWN HANDWRITING TO CIRCUMVENT THIS RULE

Question 19

True or false: if we substitute a generic product for a brand name product, our prescription labels must identify both products.

Answer 19

True; must include “__________________ generic for __________________.”

Question 20

In addition to identifying when we have substituted a product, we must also identify the _____________, ____________, or ______ for the actual product dispensed.

Answer 20

manufacturer; distributor; both

Question 21

In what situations are we allowed to substitute for a prescribed biologic?

Answer 21

• the product has been determined to be interchangeable by the FDA (Purple Book)
• prescribing practitioner has signed “may substitute” or sends those instructions on an electronic prescription
• we inform the patient of the substitution

Question 22

What MUST we do when dispensing naloxone?

Answer 22

• educate the individual on overdose response and treatment (including administration of naloxone)
• instruct the individual to call emergency services immediately before/after administration
• provide information on drug treatment programs

Question 23

True or false: a pharmacist must ALWAYS substitute a generic product when a prescription for a Medicaid patient was written for the brand name

Answer 23

false; only if it’s cheaper but also a physician can state that the brand name is needed

Question 24

True or false: it is illegal for a prescriber to exchange a drug sample for a good or service, even if they are not accepting money for it.

Answer 24

true

Question 25

True or false: there is no situation where a patient could be prescribed an anabolic steroid.

Answer 25

false