Reading 16 Flashcards
True or false: if a prescriber has not indicated the number of refills on a prescription, it cannot be refilled.
true
What information MUST be included in a drug order?
- 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
According to IC 16-42-19-7, what MUST be included in an outpatient’s prescription?
- 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
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?
- 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)
What information must be included on the label for medications dispensed from a practitioner office?
- directions
- name of practitioner
- address of practitioner
- name of patient (+ species if animal)
True or false: the Unlawful Acts section of the Indiana Code applies only to pharmacists.
false; encompasses all individuals in the state of Indiana
In what situations is a practitioner NOT allowed to prescribe anabolic steroids?
- for enhancing performance in an exercise/sport/game
- for hormonal manipulation to increase muscle mass, strength, or weight without medical necessity
True or false: insulin must be prescribed in Indiana.
false; it can now be purchased OTC by anyone
Who is responsible for accountability audits of supply and inventory of controlled substances?
Board of Pharmacy
True or false: officers or employees of the BoP may carry firearms for official duty.
true
True or false: officers or employees of the BoP may make arrests without warrant and/or seizes property.
true
In Indiana, is it acceptable to remove a drug sample from its original packaging, repackage it, and sell it to the ultimate user?
no (duh)
Indiana uses the _________ Book for generic substitution determinations.
Orange
True or false: we can substitute for a generic prescription written by a veterinarian.
false; we do not know how different drug products work in animals, so we can’t substitute for a generic by law
How do the “Dispense as Written” and “May Substitute” lines appear on a correct written prescription?
Are the two signature lines required on prescriptions issued by out-of-state practitioners?
no
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.
false
In what situations are we required to dispense a generic product if it’s cheaper?
- Indiana Medicaid
- children’s health insurance program
- Medicare
PRESCRIBER MUST WRITE “BRAND MEDICALLY NECESSARY” IN THEIR OWN HANDWRITING TO CIRCUMVENT THIS RULE
True or false: if we substitute a generic product for a brand name product, our prescription labels must identify both products.
True; must include “__________________ generic for __________________.”
In addition to identifying when we have substituted a product, we must also identify the _____________, ____________, or ______ for the actual product dispensed.
manufacturer; distributor; both
In what situations are we allowed to substitute for a prescribed biologic?
- 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
What MUST we do when dispensing naloxone?
- 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
True or false: a pharmacist must ALWAYS substitute a generic product when a prescription for a Medicaid patient was written for the brand name
false; only if it’s cheaper but also a physician can state that the brand name is needed
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.
true
True or false: there is no situation where a patient could be prescribed an anabolic steroid.
false
