Untitled spreadsheet - Sheet1-2 Flashcards
True or False: A pharmacy technician who is licensed but not yet HIPAA trained can performed only few tasks in the pharmacy.
False; Any pharmacy associate not HIPAA trained may not perform ANY pharmacy function.
What schedule is: Serax?
C-IV (oxazepam)
E) Schedule V
A) Schedule I
E) Schedule V
B) Schedule II
E) Schedule V
C) Schedule III
E) Schedule V
D) Schedule IV
E) Schedule V
E) Schedule V
What schedule is: heroin?
C-I
What schedule is: LSD?
C-I
What schedule is: marijuana?
C-I
What schedule is: peyote?
C-I; Peyote is a cactus that contains mescaline (a C-I)
What schedule is: methaqualone?
C-I
What schedule is: MDMA (ecstasy)?
C-I
What schedule is: Maxidone?
C-II (hydrocodone)
E) Schedule V
C) Schedule III
E) Schedule V
C) Schedule III; Example: Tylenol #3
E) Schedule V
E) Schedule V; I.e. Robitussin AC cough liquid.
What schedule is: Zydone?
C-II (hydrocodone)
What schedule is: Lortab?
C-II (hydrocodone)
What schedule is: Vicoprofen?
C-II (hydrocodone)
What schedule is: Reprexain
C-II (hydrocodone)
What schedule is: hydromorphone
C-II
What schedule is: Dolophine?
C-II (methadone)
What schedule is: Dilaudid?
C-II (hydromorphone)
What schedule is: Demerol?
C-II (meperidine)
What schedule is: meperidine
C-II (Demerol)
What schedule is: OxyContin?
C-II
What schedule is: Duragesic?
C-II (fentanyl patch)
What schedule is: Sublimaze?
C-II (fentanyl injection)
What schedule is: codeine?
C-II (by itself)
What schedule is: cocaine?
C-II
What schedule is: methamphetamine?
C-II
What schedule is: Adderall?
C-II
What schedule is: Ritalin?
C-II
What schedule is: Dexedrine
C-II
What schedule is: dextroamphetamine?
C-II
What schedule is: Tylenol #3?
C-III
What schedule is: ketamine?
C-III
What schedule is: mescaline?
C-I
What schedule is: Versed?
C-IV (Midazolam) - benzos are C-IV
What schedule is: psilocybin?
C-I *Psilocybin = magic mushrooms
What schedule is: Sonata?
C-IV
What schedule is: Lunesta?
C-IV
What schedule is: zaleplon?
C-IV(Sonata)
What schedule is: Modafanil?
C-IV (Provigil)
What schedule is: testosterone?
C-III
What schedule is: Briviact (brivaracetam)?
C-V
What schedule is: amobarbital (non-suppository)?
C-II
What schedule is: amobarbital suppository?
C-III
What schedule is: glutethimide?
C-II
What schedule is: buprenorphine?
C-III
What schedule is: benzphetamine (Didrex)?
C-III
What schedule is: phendimetrazine?
C-III
What schedule is: oxandrolone (Oxandrin)
C-III
What schedule is: tramadol?
C-IV
What schedule is: benzos?
C-IV
What schedule is: clorazepate?
C-IV
What schedule is: Tranxene?
C-IV (clorazepate)
What schedule is: Soma?
C-IV(carisoprodol)
What schedule is: Clobazam?
C-IV
What schedule is: Kadian?
C-II (morphine)
What schedule is: Desoxyn?
C-II (methamphetamine)
What schedule is: Roxanol?
C-II (morphine)
What schedule is: Tussinex?
C-II(hydrocodone/chlorpheniramine)
What schedule is: Nabilone?
C-II
What schedule is: Cesamet?
C-II(Nabilone)
What schedule is: opium tincture?
C-II
What schedule is: opium preparations 100 mg/100mL?
C-V; All other opium products (tincture, powder, raw, etc.) are C-II
What schedule is: Marinol?
C-III(dronabinol capsules)
What schedule is: Propofol?
C-IV(Diprivan)
What schedule is: Syndros?
C-II(dronabinol liquid)
What schedule is: carfentanil?
C-II
What schedule is: thiafentanil?
C-II
What schedule is pentobarbital (alone)?
C-II
What schedule is: Fioricet? (according to Indiana)
C-III
What schedule is: Vimpat?
C-V
What schedule is: Fiorinal?
C-III
What schedule is: Androgel?
CIII
What schedule is: phentermine?
C-IV
What schedule is: Adipex-P?
C-IV
What schedule is: Librium?
C-IV
What schedule is: Lomaira?
C-IV
What schedule is: Robitussin AC?
C-V
What schedule is: GHB?
C-I
What schedule is: Xyrem?
C-III
What schedule is: Lomotil?
C-V
What schedule is: Promethazine with Codeine?
C-V
What schedule is: Lyrica?
C-V
E) DEA 225 form
D) DEA 224 form
E) DEA 225 form
D) DEA 224 form
E) DEA 225 form
D) DEA 224 form
E) DEA 225 form
D) DEA 224 form
E) DEA 225 form
D) DEA 224 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
E) DEA 225 form
True or False: If a pharmacy owner owns more than one independent pharmacy and wishes to dispense controlled substances at both pharmacies, they only need to complete one DEA 224 form.
False;
E) DEA 225 form
C) DEA 223 form
E) DEA 225 form
A) DEA 363 form
E) every 5 years
D) every 3 years
E) every 5 years
D) every 3 years
E) every 5 years
B) every year
E) every 5 years
B) every year
E) 90 days
D) 60 days
True or False: The DEA 224 form is completed on paper and mailed to the nearest DEA office within 7 days.
False;
E) DEA 223
C) DEA 224a
True or False: Warehouse delivery drivers do not need to be registered with the DEA while transporting controlled substances.
TRUE
True or False: A pharmacist must be registered with the DEA before handling any controlled substances.
False;
True or False: A drug warehouse worker must be registered with the DEA before handling any controlled substances.
False;
D) 7%
C) 5%
True or False: A pharmacy can distribute their controlled substances to another pharmacy who is low in stock, as long as they distribute up to 3% of their total controlled substances within a year.
False;
Which controlled substances can a pharmacy dispense?
CI-CV
Which controlled substances can a manufacturing facility handle?
CI-CV
A reverse drug distributor has what coincident activities?
NONE
What is a reverse drug distributor?
A company (other than the distribution company) that takes outdated, unusable, or unwanted drugs back to the manufacturer or other entity for reusing or destroying.
I) Chemical analysis
C) Reverse distributing
True or False: A retail pharmacy cannot perform central fill activities.
False;
True or False: A retail pharmacist is allowed to compound a dosage containing a CII-CIV in a proportion that does not exceed 30% of the completed product.
False;
E) 10 years
C) 2 years
For controlled prescription (hardcopy) storage, pharmacies can either keep these hardcopies in a 2-file system or 3-file system. What do these mean?
2-file system: C-II hardcopies are kept in one file and all other prescriptions in another file. If using 2-file system, prescriptions must be “readily retrievable” (computer system or “red C”)
B) 2-file system
B) 2-file system
Prescription storage using the 3-file system, prescriptions must be readily retrievable.
False;
True or False: A DEA registrant must maintain a perpetual inventory.
False;
What is central recordkeeping?
Maintaining records in a location other than registered location. Don’t think Walmart does this.
True or False: Prescription hardcopies can be stored centrally.
False;
True or False: The DEA must be notified before you can start central recordkeeping.
True;
E) 15 days
D) 14 days
How are CIII - CV’s ordered?
Ordered like you would order non-controlled medications (usually electronically)
How are CIIs ordered?
1) DEA 222 form hardcopy
When must inventories for controlled substances be taken? Provide 3 situations.
Inventories are taken physically
A pharmacy wants to transfer a C2 bottle to another store within their market. What form do they need to fill out?
DEA 222
E) Health Insurance Portability and Accountability Act
B) Federal Food, Drug, and Cosmetic Act
E) Health Insurance Portability and Accountability Act
A) Durham-Humphrey Amendment
E) Health Insurance Portability and Accountability Act
C) Kefauver-Harris Amendment
E) Child-Resistant Container Act
B) Poison Prevention Packaging Act
E) Kefauver-Harris Amendment
B) Medical Device Amendment
E) Orphan Drug Act
E) Orphan Drug Act
E) Comprehensive Addiction and Recovery Act (CARA)
E) Comprehensive Addiction and Recovery Act (CARA)
E) CSA
A) Drug Price Competition and Patent Term and Restoration Act
E) CSA
B) PDMA
E) CSA
B) PDMA
E) CSA
B) PDMA
E) CSA
D) OBRA 90
E) CSA
D) OBRA 90
E) CSA
D) OBRA 90
E) Marketing Fee Act
D) Prescription Drug User Fee
E) Marketing Fee Act
C) DSHEA
E) Patient Safety and Quality Improvement Act
C) Food and Drug Administration Modernization Act
E) OBRA 90
A) DATA 2000
E) OBRA 90
B) DQSA
E) FDA Safety and Security Act
A) Methamphetamine Act
E) FDA Safety and Security Act
A) Methamphetamine Act
E) DQSA
D) Patient Safety and Quality Improvement Act
E) Food and Drug Administration Modernization Act
C) Food and Drug Administration Amendments Act
E) DQSA
B) SUPPORT Act
3) Who appoints them?
1) There are 7 pharmacy board members
Who picks the president and VP of the Board members?
Board members vote for a president and VP during the first meeting every year
How long does a Board member’s term last?
4 years
When must a Board member be removed? (3)
1) License is suspended/revoked
How often must be Board ofPharmacy meet?
at least 8 meetings per year
How many board members must be present in order to be considered a meeting?
4 members must be present in order for it to be called a meeting
How long can a Board meeting last?
A board meeting can last for a max of 5 days
Can anyone attend a Board meeting?
board meetings are public (except executive sessions)
What are the 7 disciplinary sanctions the Board of Pharmacy can impose?
1) License revocation
True or False: The Board of Pharmacy must be consistent with their sanctioning.
TRUE
E) 7 years
E) 7 years
True or False: If a license is revoked by the Board, you must wait 5 years before you can reapply for a new one.
TRUE
E) 1 year
C) 90 days
If the Board of Pharmacy puts you on probation, how long does it last?
until the Board says so
True or False: You can still practice if your license is suspended.
FALSE
True or False: You can still practice if you are on probation.
True;
What is a Letter of Reprimand?
An official written letter of disapproval from the Board. Permanently stays in your file.
What is a censure?
A verbal disapproval in front of the Board
D) $5000
B) $1500
True or False: The Board can require a pharmacist to undergo a mental/physical examination.
TRUE
True or False: The disciplinary sanctions imposed by the board are the same for techs and interns.
True;
E) Not addressed
B) 10 days
E) Not addressed
E) Not addressed
True or False: The Board is not required to aid a pharmacist in drug rehab.
False;
True or False: All information provided to the rehabilitation organization regarding impaired pharmacists is privileged and confidential.
TRUE
True or False: The rehab organization cannot notify the Board of impaired pharmacist non-compliance.
False;
B) immediately
B) immediately
B) immediately
A) in a timely fashion
How old must a person be to apply for a pharmacist license?
18 years old
E) $175
D) $160
E) $175
C) $100
What date does a pharmacist license expire?
6/30/even numbered years
How many CE hours are required per CE biennium?
30 hours
When is the CE biennium for pharmacists in Indiana?
1/1/even numbered years - 12/31/odd numbered year
When are CE hours not required for pharmacists?
If you get your license within the last 6 months of a CE biennium, you DO NOT need any CE hours
What is the CE grace period?
If you do not complete all CE hours within a CE biennium, that is OKAY, as long as you complete your CE hours before you license expires on 6/30/even numbered year.
If you are licensed 6 months after the start of a CE biennium, how many CE hours do you need?
1.25 hours per month (not 30 hours)
E) 5 years
D) 4 years
E) 30 hours
E) 30 hours
E) 30 hours
D) 22.5 hours
E) 30 hours
C) 8.75 hours
E) 30 hours
A) 0 hours
E) CE hours completed for Indiana requirements cannot be used to meet another state’s requirements as well
A) A pharmacist licensed in the last 6 months of the biennium does not have to complete CE requirements until the next biennium
D) 1/5
B) 1/2
D) 1/5
C) 4/5
D) 1/5
D) 1/5
True or False: Completion of CE hours must be reported to the Board.
False;
True or False: Completion of CE hours must be reported to the Continuing Pharmacy Education (CPE) Monitoring platform on the Board’s website.
False;
True or False: In a CE grace period, CE hours can be applied proactively.
False;
True or False: If you graduated from an ACPE-accredited college of pharmacy, additional intern hours are required for pharmacist licensure application.
False;
What exam must be passed in order to apply for a pharmacist license in another state?
Must pass that state’s MPJE
True or False: CE must be completed if you have an inactive pharmacist license.
False;
True or False: If you do not renew your license, it becomes inactive.
False;
True or False: If you do not renew your license, it becomes expired.
TRUE
True or False: No fees are required to keep a pharmacist license inactive.
False;
True or False: You are subject to sanctions if you let your license expire.
TRUE
True or False: A pharmacist must pay reinstatement fees for their inactive license to become active again.
False;
True or False: A pharmacist whose license is inactive for 10 years wishes to become active again. They must submit 30 hours CE for their license to become active again.
False;
E) Always a max of 30 hours
D) 150 hours
If a pharmacist wishes to practice again and their license has been expired for over 3 years, which must they do?
1) Retake MPJE
True or False: If a pharmacist’s license has been expired for less than 3 years, they must retake the MPJE.
False;
True or False: A practitioner may surrender their license without notifying the Board.
False;
True or False: The Board can decline a surrender of license.
TRUE
What are the requirements for intern licensure? (2)
1) Currently enrolled in an ACPE-accredited pharmacy school
E) $60
A) $10
E) $60
A) $10
D) 1500 hours
D) 1500 hours
When does a pharmacy intern license expire?
expires yearly on 9/30
True or False: A pharmacy technician must be 18 and the age cannot be waived by the board.
False;
True or False: A pharmacy technician must have a high school diploma, GED, or anything equivalent.
TRUE
True or False: CE hours are required for Interns.
False;
True or False: CE hours are required for all techs.
False;
E) Not addressed
C) 20 hours
When does a pharmacy technician license expire?
expired every 2 years on 6/30 of even number years (same as pharmacists)
True or False: Pharmacist and technician licenses expire at the same time.
True;
E) $60
B) $25
E) $60
B) $25
True or False: Background checks including fingerprints are needed for pharmacy interns.
False;
True or False: Background checks including fingerprints are required for pharmacists.
TRUE
True or False: Background checks including fingerprints are required for pharmacy technicians.
TRUE
D) 1 year
D) 1 year
If a pharmacy technician has an expired license for over 3 years, how can they reinstate it?
have to email the Board
True or False: A BOP member and designated employees may not carry firearms while performing official duties.
False;
What is the minimum square footage a pharmacy must have in Indiana?
not addressed in the law
What is the minimum counter space a pharmacy must have in Indiana?
a space sufficient enough to practice pharmacy
What are the counseling area requirements for pharmacies in Indiana?
not addressed in the law
What are the two ways control records are filed?
3-file system: CIIs in one file, CIII-CV in another file, non-controls in another file
True or False: In a 3-file system, CIII-CVs must be readily retreivable.
False;
What does “readily retrievable” mean in regards to control record keeping for CIII-CVs? (2)
1) Red “C” is stamped on the lower right corner; or
How long are controlled-substance records kept for?
ANY records pertaining to controlled substances are kept for at least 2 years
E) 10 years
B) 2 years
True or False: DEA 222 forms are kept for at least 3 years.
False;
What 3 things CANNOT be kept at a central recordkeeping location?
1) DEA 222 forms of any kind
True or False: The DEA can be notified via phone call about central recordkeeping.
False;
C) notification not needed
B) writing
D) 20 days
C) 14 days
True or False; You can start storing things at a central recordkeeping location 10 days after notifying the DEA in writing, unless they give you a denial.
False;
True or False: The DEA must be notified if central recordkeeping arrangements change.
True;
True or False: CI-CV must always be stored in a locked cabinet only available to the pharmacist.
False;
True or False: CIs must be stored in a locked cabinet if a pharmacy has CIs.
TRUE
True or False: There are requirements for counseling signs at a pharmacy.
False;
True or False: A retail pharmacy closes daily for lunch. This does not need to be approved by the board.
False;
True or False: A pharmacy closing for 30 minutes for lunch is still considered “open” in the law’s eyes.
TRUE
D) None
A) I
If a retail pharmacy closes for lunch (approved by the Board), what must happen?
1) Secure all legend drugs
True or False: A pharmacy must notify the Board if they are going to change their pharmacy hours.
True;
True or False: A pharmacy is required to post their pharmacy hours in Indiana.
False;
What things in a pharmacy MUST be prominently displayed where customers at the prescription counter can readily see them?
1) The pharmacy permit
True or False: It is OKAY to leave up a license of a personal who no longer works at that site of employment.
False;
True or False: Pharmacies are stationary.
TRUE
True or False: The qualifying pharmacist must be the one to apply for a pharmacy permit.
False;
E) 180 days
D) 120 days
True or False: The Board has 90 days to grant/deny a pharmacy permit application.
False;
E) 45 days
B) 10 days
True or False: The Board can be notified 7 days before transferring ownership.
False;
What must be attached to the transferring ownership application when submitting to the DEA?
A signed and dated certificate of the sale must be attached to the application.
True or False: The new owner must be the one to return the old permit of the previous pharmacy owner.
TRUE
D) Not addressed
C) Immediately
True or False: If pharmacy hours change, the Board must be notified.
True;
E) 14
B) 5
If a pharmacy is closed for 5 consecutive days or longer, the _____________ must notify the Board.
permit holder
True or False: If a pharmacy is closed for 10 consecutive days or longer, the Board should be notified by any pharmacy associate.
False;
E) 30 days
D) 20 days
E) 30 days
B) 10 days
True or False: If a pharmacy is closing permanently, the Board must be notified at least 10 days before the transfer of controlled substances and submit a copy of the DEA inventory form.
False;
True or False: If a pharmacy is closing permanently, the pharmacy permit must be returned to the Board within 10 days of removing all drugs.
TRUE
True or False: If a pharmacy is permanently closing, they must remove all signs and symbols pertaining to the practice of pharmacy.
TRUE
When do pharmacy permits expire in Indiana?
Pharmacy permits expire every 2 years on 12/31/odd numbered years (same as CE biennium)
True or False: Pharmacy permits expire the same time as pharmacist and technician licenses.
False;
True or False: Pharmacy permits expire the same time as CE biennium.
TRUE
True or False: Pharmacy permits expire every 6/30 of even-numbered years.
False;
True or False: Pharmacies must be well-lit, ventilated, with clean and sanitary surrounds.
TRUE
D) 8
A) 5
D) 8
D) 8
In a pharmacy, who inspects and approves automated dispensing cabinets?
The Board inspects and approves the ADC
True or False: The qualifying pharmacist is responsible for all policies, inspections, personnel, stocking, and compliance of automated dispensing cabinets, even when they aren’t actively at the pharmacy.
True;
A pharmacist-in-charge is required in which pharmacy setting?
institutional
A consultant pharmacist is found in which pharmacy setting?
LTCF (nursing home, assisted living))
True or False: An automatic dispensing cabinet registered for use in Indiana can be used out-of-state.
FALSE
True or False: An automatic dispensing cabinet registered for use in Indiana can be located in a physician’s clinic.
TRUE
D) biannually
A) every month
True or False: Any pharmacy associate can take inventory of controlled substances located in an automated dispensing cabinet.
False;
If a remote dispensing pharmacy is shipping out stock to a facility dispensing drugs to a patient, the ADC container must list:
1) Drug name
True or False: Security personnel are allowed the pharmacy access code, but may not enter without a pharmacist present.
True;
E) 90 days
D) 60 days
D) 72 hours
C) 36 hours
True: Pharmacy technicians and interns may work remotely, such as performing data entry and processing insurance claims.
TRUE
True or False: The presence of a pharmacist is ALWAYS required for access to a pharmacy.
False;
Is full pharmacy access allowed when the pharmacy is closed?
Yes
What is the procedure if a nurse needs to take a drug from an institutional pharmacy when the pharmacy is closed?
1) Must be a supervising nurse
True or False: Indiana mail order pharmacies may mail ANY prescription (including controls) to any state.
TRUE
True or False: Retail pharmacies may mail out any prescription, including controls and Med B covered prescriptions.
False;
What are some requirements of an out-of-state mail order pharmacy?
1) Must be licensed in the state where they are located and licensed in Indiana.
E) $200
C) $100
E) $200
E) $200
E) $200
B) $50
E) $200
B) $50
Who can apply for a pharmacy permit?
anyone
True or False: You must be a pharmacist in order to own a pharmacy.
False;
What is the pharmacist-tech/intern ratio?
1 pharmacist for every 8 interns/techs (max of 3 techs-in-training)
D) Not addressed
D) Not addressed
True or False: A facility is required to be licensed for general compounding.
False;
True or False: Any pharmacy personnel can work in a sterile compounding space.
False;
True or False: Sterile compounding areas can be in a warehouse or stockroom.
FALSE
C) USP 800
A) USP 795
C) USP 800
B) USP 797
C) USP 800
C) USP 800
Which drugs are required behind the counter?
ephedrine and pseudoephedrine products
True or False: Insulin is considered an OTC item.
True;
For OTC OPIUM formulations what is the max that can be dispensed, and within what timeframe?
240 mL (8 oz) or 48 dosage units is the max that can be sold in 48 hours
For OTC CV formulations (non-opium) what is the max that can be dispensed, and within what timeframe?
120 mL (4 oz) or 24 dosage units is the max that can be sold in 48 hours
Who can sell OTC opium or CV products?
Pharmacists and interns
How old must a person be to purchase OTC opium or CV products?
18
True or False: A technician can finish the transaction of a OTC opium or CV-containing product.
False;
When a person is purchasing an OTC opium or CV-containing product, what information must be documented in the bound logbook?
1) Person’s name and address
How old must a person be to purchase syringes OTC?
ANY AGE can purchase syringes
When a person is purchasing OTC syringes, what information must be documented in the bound logbook?
1) Person’s name and address
True or False: A technician can finish the transaction for OTC syringes.
False;
Besides a pharmacy, who else can sell ephedrine/pseudoephedrine products?
NPLEx themselves
True or False: If pseudoephedrine products are not kept behind a pharmacy counter, they must be kept in a locked display case that requires employee assistance.
TRUE
True or False: Pharmacists do not have immunity from civil liability if they deny the sale of Sudafed products.
False;
When completing a ephedrine/pseudoephedrine sale, what information is documented?
1) Name, address, ID number of purchaser
True or False: Before the sale of Sudafed can be completed by the cashier, the sale information must be submitted to NPLEx.
True;
What happens if the NPLEx system is down and you’re trying to sell Sudafed?
Document in a physical log
How long are ephedrine/pseudoephedrine records kept for? (whether physical or electronic)
2 years
D) Not addressed
B) 2 years
True or False: Records for pseudoephedrine sales are kept by the pharmacy for 3 years.
False;
True or False: Law enforcement officers are allowed to access pseudoephedrine sale records.
TRUE
True or False: Pseudoephedrine sale records can be sold for commercial purposes.
FALSE
True or False: The Criminal Justice Institute may use pseudoephedrine sale records as long as patient information is excluded.
TRUE
How often are pseudoephedrine sale records forwarded to the IN police?
every day
E) Not addressed
B) Within 72 hours
What are the Sudafed limits?
3.6 grams in one day
True or False: Sudafed limits still apply to a patient who receives Sudafed via a prescription.
False;
True or False: A patient must show their ID when picking up their prescription for Sudafed.
False;
True or False: Sudafed is considered an OTC product.
False;
True or False: Pharmacists can administer injections other than vaccinations (i.e. vit. B12)
Not explicitly stated in the law
True or False: Technicians can administer any vaccine a pharmacy intern or pharmacist can.
TRUE
Who can supervise a technician administering a vaccine?
1) Pharmacist
Who can supervise a pharmacy intern administering a vaccine?
1) Pharmacist
Who may give vaccine standing orders?
1) State health commissioner (Kristina Box)
True or False: A physician actively practicing in Indiana is employed by a pharmacy. They can be a physician on a standing order.
False;
Where must vaccine protocols be posted at a pharmacy?
Where the vaccine is being administered
For a vaccine protocol posted in the area of vaccination, what info must be on it? (3)
1) Physician on the standing order
True or False: If a person under the age of 18 comes in and requests a vaccine, we must gain consent from the parent or guardian.
True;
True or False: The mother of a 10-year-old child sits out in the waiting area while her child receives a vaccine. This is appropriate.
False;
If a patient receives a vaccine under a standing order, who must be notified, and by when?
Both the patient’s PCP and the standing order physician must be notified of the vaccine within 14 days
E) 12 years old
D) 11 years old
E) 65 years old
C) 50 years old
True or False: Epinephrine can be dispensed on a standing order in Indiana.
TRUE
What kind of patients can receive epinephrine from a standing order?
Patients who have a epinephrine training certificate (must show pharmacist)
True or False: Tech-check-tech programs are allowed in Indiana.
Not addressed in the law; tricky question
True or False: Pharmacists can refuse to fill a valid prescription.
True;
What are some circumstances in which a pharmacist can refuse to fill a prescription?
1) Filling would be contrary to law (illegal)
True or False: Everyone in the pharmacy is held to the same standard of patient confidentiality.
TRUE
True or False: Pharmacists are immune from civil liability if they refuse to fill a prescription.
True;
Who can administer non-injectable medications in a long-term care facility (LTCF)?
1) Nurses or other licensed personnel
Who can administer injectable medications in a LTCF?
Licensed personnel
In a LTCF, PRN medications can only be given to patients upon the authorization of ______________________.
nurses or physicians
True or False: In a LTCF, qualified medication aides (QMAs) can administer PRN medications without first consulting with the nurse of physician.
False;
True or False: A patient in a LTCF can never self administer their own medication.
False;
Who has access to dispensing units in a LTCF?
Authorized personnel
In a LTCF, where must CIIs be stored?
CIIs must be locked away in a cabinet or device.
What things must be on a patient label for an IV bag? (regardless of setting)
1) Patient name
What things must be on a label for unit-dosed products?
1) Drug name
True or False: Multi-dose blister packs sent to a LTCF are not returnable.
False;
True or False: A patient in a LTCF is regularly prescribed Xanax. They nurse gives the patient 5 pills each time so that she doesn’t have to make multiple trips to the dispensing cabinet as she often forgets. This is acceptable.
False;
C) Category III
C) Category III
True or False: The use of emergency kits pertains to LTC facilities.
True;
True or False: All drugs in an emergency kit can only come from a single supplying pharmacy.
True;
Who determines which drugs are included in an emergency kit for LTCFs?
A committee (facility’s consultant pharmacist, licensed nurse, physician, facility administrator)
E) Not addressed
C) At least once a year
How is the expiration of a LTCF emergency kit determined?
Drug in the kit with the earliest expiration date is the expiration date of the WHOLE kit
What goes on the exterior label of a LTCF emergency kit?
1) Drug names and their strengths
What goes on the label of the individual drugs inside the LTCF emergency kit?
1) Drug name and strength
True or False: Controlled substances can be included in a LTCF emergency kit.
True;
A nurse takes a drug out of the LTCF emergency kit. What must s/he record?
1) Patient name it was given to
After a LTCF emergency kit was opened, who must be notified as soon as possible?
Pharmacy - so they can restock and reseal the kit
C) Category III
A) Category I
C) Category III
B) Category II
C) Category III
B) Category II
C) Category III
B) Category II
C) Category III
B) Category II
C) Category III
B) Category II
C) Category III
C) Category III
C) Category III
C) Category III
C) Category III
C) Category III
C) Category III
C) Category III
C) Category III
B) Category III
C) Category III
C) Category III
C) Category III
C) Category III
C) no limits
A) 0
C) no limits
B) 5
C) no limits
C) No limits
B) 6 months
A) 1 year
B) 6 months
B) 6 months
B) 6 months
A) 1 year
Which controlled substance can optometrists write for?
tramadol only
True or False: Only physicians are allowed to prescribe methadone.
False;
True or False: Veterinarians can prescribe human medications to animals.
TRUE
True or False: Midwifes can prescribe in Indiana.
FALSE
True or False: Pharmacists can prescribe in Indiana.
True;
What are the Big four prescribers in Indiana?
1) Physician
A pharmacist can dispense naloxone on a standing order. In order for them to dispense it, what must the pharmacist go over with them?
1) Educate them on the naloxone protocol
True or False: A pharmacy doesn’t have to do anything special in order to dispense naloxone.
False;
D) Every 2 years
C) Every year
D) Every 2 years
C) Every year
True or False: Two friends use illegal substances together. If one of them overdoses in their home (with illegal drugs all around them), the other person is immune from criminal prosecution from possession if they try administering naloxone, call for 911, cooperate with police, and remains on the scene.
TRUE
True or False: Administering epinephrine or naloxone to a patient in immediate need is considered “practicing medicine” in the eye’s of the law.
False;
In order to prescribe a controlled substance in Indiana, all a practitioner needs is a DEA registration number.
False;
The DEA allows for overlapping activities of registrants. What is this called?
coinciding activities
True or False: Ambulances are required to be registered with the DEA if they carry controlled medications.
FALSE
True or False: Retail pharmacies can dispense methadone if it’s being used for opioid addiction disorder.
False;
Who must apply for a DEA registration?
ALL entities who manufacturer, distributes, dispenses, or conducts research
True or False: A pharmacist, technicians, and interns must apply for a DEA number.
False;
True or False: Medical interns or residents writing scripts for controlled substances require their own DEA number.
False;
True or False: All practitioner’s who wish to prescribe buprenorphine products for opioid use disorder require an XDEA number.
False;
Up to how many patients can a practitioner prescribe buprenorphine products?
however many they want
The DEA number of a physician starts with:
A, B, G, or F
The DEA number of a veterinarian starts with:
A, B, G, or F
The DEA number of a podiatrist starts with:
A, B, G, or F
The DEA number of a dentist starts with:
A, B, G, or F
The DEA number of a PA starts with:
M
The DEA number of an APRN starts with:
M
The DEA number of an optometrist starts with:
F
What does the second letter in a DEA number represent?
Prescriber’s last name
How is a DEA number validated? (math)
1) 1st + 3rd + 5th added
Valid or not valid: DEA number MS2456920
1) 2 + 5 + 9 = 1 6
Valid or not valid: DEA number FW2567390
1) 2 + 6 + 3 = 11
Valid or not valid: DEA number GG5403929
1) 5 + 0 + 9 = 14
Valid or not valid: DEA number MF1094301
1) 1 + 9 + 3 = 13
Valid or not valid: DEA number BT3902497
1) 3 + 0 + 4 = 7
How often does a practitioner need to renew their CSR (controlled substance registration)?
at the same time as their professional license
True or False: A practitioner’s CSR is renewed on a date different than their professional license renewal date.
False;
True or False: A practitioner’s DEA number terminates if they pass away.
True;
True or False: An organization that has a DEA number chooses to close permanently. Their DEA number is still valid.
False;
True or False: DEA numbers cannot be transferred under ANY circumstance.
False;
True or False: A practitioner can choose where their DEA number transfersto after they retire.
False;
True or False: If a practitioner get’s there DEA terminated, their Indiana CSR is also automatically terminated.
TRUE
H) DEA form 222a
B) DEA form 224
H) DEA form 222a
C) DEA form 225
H) DEA form 222a
C) DEA form 225
H) DEA form 222a
C) DEA form 225
H) DEA form 222a
G) DEA form 363
H) DEA form 222a
C) DEA form 225
H) DEA form 222a
A) DEA form 222
H) DEA form 222a
H) DEA form 222a
H) DEA form 222a
E) DEA form 41
H) DEA form 222a
D) DEA form 106
H) DEA form 222a
F) DEA form 82
How are CIII-CV drugs ordered?
like non-controls
How are CII drugs ordered?
With a DEA 222 form (most are electronic)
True or False: Triplicate DEA 222 forms are still used today.
False;
How are CI drugs ordered?
With a DEA 222 form (most are electronic)
True or False: Paper DEA 222 forms can be completed using pencil, as long as the writing is legible.
False;
D) 30
B) 20
True or False: Purchasers can make changes to paper DEA 222 forms.
False;
If you make a mistake while filling out a DEA 222 form, what must you write?
Write “VOID” across the whole front and keep the form
D) 10 years
B) 2 years
B) copy of the DEA 222
A) original DEA 222
Who can fill out and complete a DEA 222 form?
1) Person who signed registration paperwork
True or False: Power of attorney (POA) forms can be stored at a central recordkeeping location.
False;
E) 90 days
D) 60 days
True or False: A supplier can endorse part of an order to another supplier if the original supplier doesn’t have all of the requested product in stock.
False;
True or False: A pharmacy receives their DEA 222 form back from the supplier stating their is an issue with the form. This form can be tossed out and a new 222 form can be restarted.
False;
True or False: A pharmacy can call a manufacturer and tell them to cancel something on their 222 form.
True;
True or False: If unused 222 order forms as lost or stolen the DEA must be notified.
True;
What must happen if a pharmacy decides to close permanently and they still have blank DEA 222 forms?
Closing pharmacies must return their order forms to the DEA.
What must happen if a pharmacy decides to change addressed and they still have blank DEA 222 forms?
They must return their order forms to the DEA, and new forms must be issued under the new pharmacy address.
What must happen if a pharmacy decides to change their pharmacy name and they still have blank DEA 222 forms?
They must return their order forms to the DEA, and new forms must be issued under the new pharmacy name
What must happen if a pharmacy changes ownership and they still have blank DEA 222 forms?
They must return their order forms to the DEA, and new forms must be issued under the new owner.
True or False: Any pharmacy can order controls online with no extra steps.
False;
True or False: Any drug can be ordered on a paper 222.
False;
True or False: Any drug can be ordered if using the electronic 222.
TRUE
How often does a dispensing pharmacy renew their DEA registration?
Every 3 years
True or False: If a prescriber writes a prescription for a controlled substance on a valid prescription pad, the quantity box must be checked in order for the script to be valid.
TRUE
The words “Prescription is void if more than one (1) prescription is written per blank” must appear where on a prescription blank?
bottom
True or False: For a handwritten controlled prescription, the prescriber can stamp their signature.
False;
True or False: Prescribers can preprint filled out prescriptions for controlled susbtances.
False;
During what times is a pharmacy controlled substance inventory taken? (3)
1) Initial inventory - when pharmacy opens for first time
What is the maximum quantity of tablets in a CIII-CV bottle that can be estimated?
1) If a bottle of CIII-CV contains 1000 tablets or less, it can be estimated
True or False: CII’s can be counted using an estimation.
False;
