Reading 21

Question 1

What is a central repository (more commonly known as a prescription drug monitoring program, PDMP)?

Answer 1

an electronic system where controlled substance dispensations to outpatients are recorded

Question 2

What is the Indiana PDMP called?

Answer 2

Indiana Scheduled Prescription Electronic Collection and Tracking (INSPECT) Program

Question 3

What non-controlled substances must also be recorded in INSPECT?

Answer 3

• ephedrine
• pseudoephedrine
• gabapentin (even though it’s not scheduled in Indiana)

Question 4

What information is required to be logged in INSPECT?

Answer 4

• 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

Question 5

INSPECT information must be submitted within __________ of dispensing ephedrine, pseudoephedrine, or a controlled substance prescription.

Answer 5

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)

Question 6

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.

Answer 6

true

Question 7

How often are practitioners required to check INSPECT?

Answer 7

at least once every 90 days (with some exceptions)

Question 8

What are the appropriate forms of ID for dispensing ephedrine, pseudoephedrine, or a controlled substance prescription in Indiana?

Answer 8

• 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

Question 9

Can a patient representative provide that person’s ID when obtaining a controlled substance/ephedrine/pseudoephedrine?

Answer 9

yes

Question 10

Can someone provide an out-of-date driver’s license to pick up a controlled substance/ephedrine/pseudoephedrine?

Answer 10

no

Question 11

What must be included in labels for controlled substances in CII-IV?

Answer 11

the cautionary statement, “Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed.”

Question 12

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.

Answer 12

240 ml (8 oz); 48; 120 ml (4 oz); 24

Question 13

What is the purchase window for OTC C-Vs?

Answer 13

48 hours

Question 14

True or false: syringes are sold BTC.

Answer 14

false; can be sold OTC to anyone of any age

Question 15

Who can sell syringes?

Answer 15

pharmacist or pharmacy intern

Question 16

What must be included in the sales record book for syringes?

Answer 16

• name of purchaser
• address of purchaser
• name of device purchased
• quantity of device purchased
• date of purchase
• name/initials of pharmacist dispensing

Question 17

Is proof of need required to buy a syringe OTC?

Answer 17

no (although company policy may be different)

Question 18

What is required for a pharmacist/intern to be qualified to give immunizations?

Answer 18

complete a course in immunization from an ACPE-accredited provider and maintain a CPR certification

Question 19

How soon after an adverse or anaphylactic reaction to a vaccine should the individual’s PCP be notified?

Answer 19

within 14 days

Question 20

Who must approve pharmacy immunization protocols?

Answer 20

a licensed physician actively practicing with a medical office in Indiana

Question 21

The practice of immunization is _____________ for pharmacists in terms of maintaining licensure.

Answer 21

voluntary

Question 22

Who can supervise an immunizing pharmacy technician?

Answer 22

• pharmacist
• physician
• PA
• APRN

Question 23

Are Pyxis machines considered “automated medication systems”?

Answer 23

no

Question 24

True or false: a pharmacist can qualify for a remote dispensing facility in addition to qualifying for a regular pharmacy.

Answer 24

true

Question 25

For a remote dispensing facility where real-time technician monitoring occurs, how long must all video and audio recordings be maintained?

Answer 25

30 days

Question 26

What are the rules for controlled substance storage in a remote dispensing facility?

Answer 26

you must maintain a perpetual inventory (the exact number of tablets on hand is known at all times)

Question 27

True or false: remote dispensing facilities are still required to maintain a patient counseling area.

Answer 27

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)

Question 28

What is the required follow-up duration for pharmacist-initiated smoking cessation?

Answer 28

within 2 weeks of starting therapy and after completion of a course of therapy

Question 29

How long should pharmacist-initiated smoking cessation records be kept on file?

Answer 29

7 years

Question 30

___________ and ___________ must let the patient know who they are before giving a vaccine.

Answer 30

interns; technicians

Question 31

Automated medication systems use __________ to read, fill, and label products.

Answer 31

barcodes

Question 32

True or false: drug take-back programs must accept all medication classes.

Answer 32

false; they can define or limit what drugs they can accept for destruction