Reading 21 Flashcards
What is a central repository (more commonly known as a prescription drug monitoring program, PDMP)?
an electronic system where controlled substance dispensations to outpatients are recorded
What is the Indiana PDMP called?
Indiana Scheduled Prescription Electronic Collection and Tracking (INSPECT) Program
What non-controlled substances must also be recorded in INSPECT?
- ephedrine
- pseudoephedrine
- gabapentin (even though it’s not scheduled in Indiana)
What information is required to be logged in INSPECT?
- recipient’s name
- recipient or representative’s ID number or the ID number/phrase designated by INSPECT
- recipient’s date of birth
- NDC
- dispense date
- quantity dispensed
- days supply dispensed
- dispenser’s DEA number
- prescriber’s DEA number
- indication of whether the prescription was transmitted orally or in writing
- any other data required by the board
INSPECT information must be submitted within __________ of dispensing ephedrine, pseudoephedrine, or a controlled substance prescription.
24 hours (or if your pharmacy isn’t open the day following dispensing, the information must be transmitted by the end of the next business day)
True or false: practitioners are required to review INSPECT before prescribing an opioid or benzodiazepine unless they’re providing care to the patient under a pain management contract.
true
How often are practitioners required to check INSPECT?
at least once every 90 days (with some exceptions)
What are the appropriate forms of ID for dispensing ephedrine, pseudoephedrine, or a controlled substance prescription in Indiana?
- valid driver’s license
- valid military ID
- valid ID issued by a state’s BMV (which is usually a state ID)
- valid photo-exempt ID issued by a state’s BMV
Can a patient representative provide that person’s ID when obtaining a controlled substance/ephedrine/pseudoephedrine?
yes
Can someone provide an out-of-date driver’s license to pick up a controlled substance/ephedrine/pseudoephedrine?
no
What must be included in labels for controlled substances in CII-IV?
the cautionary statement, “Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed.”
For OTC C-Vs, we can sell no more than ________ or ___ dosage units of a substance containing opium or _________ or __ dosage units of any other substance.
240 ml (8 oz); 48; 120 ml (4 oz); 24
What is the purchase window for OTC C-Vs?
48 hours
True or false: syringes are sold BTC.
false; can be sold OTC to anyone of any age
Who can sell syringes?
pharmacist or pharmacy intern
What must be included in the sales record book for syringes?
- name of purchaser
- address of purchaser
- name of device purchased
- quantity of device purchased
- date of purchase
- name/initials of pharmacist dispensing
Is proof of need required to buy a syringe OTC?
no (although company policy may be different)
What is required for a pharmacist/intern to be qualified to give immunizations?
complete a course in immunization from an ACPE-accredited provider and maintain a CPR certification
How soon after an adverse or anaphylactic reaction to a vaccine should the individual’s PCP be notified?
within 14 days
Who must approve pharmacy immunization protocols?
a licensed physician actively practicing with a medical office in Indiana
The practice of immunization is _____________ for pharmacists in terms of maintaining licensure.
voluntary
Who can supervise an immunizing pharmacy technician?
- pharmacist
- physician
- PA
- APRN
Are Pyxis machines considered “automated medication systems”?
no
True or false: a pharmacist can qualify for a remote dispensing facility in addition to qualifying for a regular pharmacy.
true
For a remote dispensing facility where real-time technician monitoring occurs, how long must all video and audio recordings be maintained?
30 days
What are the rules for controlled substance storage in a remote dispensing facility?
you must maintain a perpetual inventory (the exact number of tablets on hand is known at all times)
True or false: remote dispensing facilities are still required to maintain a patient counseling area.
true (although they also must display a sign letting people know that the location is a remote dispensing facility and the pharmacist isn’t on the premises)
What is the required follow-up duration for pharmacist-initiated smoking cessation?
within 2 weeks of starting therapy and after completion of a course of therapy
How long should pharmacist-initiated smoking cessation records be kept on file?
7 years
___________ and ___________ must let the patient know who they are before giving a vaccine.
interns; technicians
Automated medication systems use __________ to read, fill, and label products.
barcodes
True or false: drug take-back programs must accept all medication classes.
false; they can define or limit what drugs they can accept for destruction
