Reading 14

Question 1

Where can the Indiana laws and regulations be found at?

Answer 1

• Laws = Indiana Code
• Regulations = Indiana Adminsitrative Code

Question 2

What is the proper way to cite Inidiana Code?

Laws?

Answer 2

• IC T-A-C-S
• T = title
• A = Article
• C = Chapter
• S = Section

IC 25-26-13-15

Question 3

What is the proper way to cite Indiana Administration Code?

Regulations?

Answer 3

• T IAC A-C-S
• T = Title
• A = Article
• C = Chatper (Rule)
• S = Section

Question 4

Where can you find all the Statutes and rules that are relvenat to pharmacy practice?

Answer 4

• Indiana Board of Pharmacy Website

Question 5

Based on the Indiana Code, what is the definiation of a sale?

Answer 5

• Manufacturing, processing, transporting, handling packing…
• Exposure, offer, proffer
• Dispensing, giving, delivering, supplying
• Appplying, adminisitering, using

IC 16-41-19-8

Placing a bottle outside the pharmacy for anyone it get = SALE
Helping an old person that doesnt come to your pharmacy with a B12 shot = SALE

Question 6

Based on the Indiana Code, what is the more basic definition of a practitioner

IC 25-1-9-2

Answer 6

• Unlimited license, certificate, registtration
• Limited or probationary license
• Temporary license
• Intern permit
• Provisional License

Someone that holds:

Basically explains the types of License/permits that allows them to be a Practitioner

Question 7

Based on the Indiana Code, what is the more detailed definition of a practitioner?

IC 16-42-19-5 & IC 16-42-22-4.5

Answer 7

• Physician licensed un IC 25-22.2
• Vetrinarian licensed to practice vet med
• Dentist licensed to practice dentistry
• Podiatrist licensed to podiatric med
• Optometrist licensed to eye med & under IC 25-24-3
• APRN & PA that meet requirements and have authority

Basically all the “BIG FOUR” & some Mid-levels [OD, APRN & PA]

Question 8

Who are those that have prescribing power within the state of Indiana?

Answer 8

• Physician
• Podiatrists
• Dentists
• Vetinarians
• Advanced Practice Registered Nurses
• Physician Assistants
• Optometrists

Question 9

What is important to know about the “Big Four”

Answer 9

• As long as they are licensed by their state; WE CAN FILL
• Rx’s must be vaild based on their states rules
• MUST prescribe within there scope

Question 10

What is important to know about Advanced Practice Registered Nurses?

Answer 10

• Can only work under physicians, podiatrists, dentists [NOT Vets, PAs, or APRNs]
• Practice within the scope of their supervisor
• Practice independently from physician
• CAN NOW FILL FROM OUTSTATE

Must sign with their Name, credentials, License Number

Question 11

What is important to know about Physicians Assistants?

Answer 11

• ONLY work under Physicians
• Physician NEEDS to be available [inperson or electronic]
• CAN NOW FILL FROM OUTSTATE

Must sign with their Name, credentials, License Number

Question 12

What are some things that you CANNOT fill from a Physicians Assistant?

Answer 12

• Ophthalmic Devices [glasses, contacts, low-vision things]
• C-I drugs

Must sign with their Name, credentials, License Number

Question 13

What are the three ways that an Optometrists are able to prescibe?

Formulary?

Answer 13

• Independently Prescribe: NO Dr. Notification
• Dependently Prescribe by Notification: Gives listed med AFTER telling Dr.
• Dependently Prescribe by Consult: Gives listed med BEFORE telling Dr.

Question 14

When talking about Optometrists and Controlled Drugs, what is the ONE control that they can prescribe?

Answer 14

• TRAMADOL

Question 15

What are some of the other Mid-level Providers and what is important to know about them?

Answer 15

• Neturopaths, Pharmacist, Dieticians, Chiropractors
• NOT PROVIDERS of Indiana [NOT RX]
• Pharmacists might have a little bit more prescribing power

Question 16

Practice question 1

An Indiana optometrist wrote a prescription for triazolam for a patient’s anxiety related to an eye procedure. This is a legal prescription for a pharmacist to fill in Indiana?

a. True
b. False

Answer 16

• b. False

Question 17

Practice Question 2

Assuming they’re all licensed in Indiana, select all of the following practitioners who can prescribe a topical retinoid to treat acne.

a. Advanced practice registered nurse working under a family practitoner
b. Optometrist specializing in glaucoma
c. Physician specializing in endocrinology
d. Dentist specializing in orthodontics
e. Physician assistant working under a dermatologist

Answer 17

• A, C, E

Question 18

Practice Question 3

A physician assistant (PA) licensed in Virginia and Indiana working under an internal medicine physician walks into your pharmacy and wants to give you a verbal prescription for amoxicillin because their son has a sinus infection. They are in Indiana visiting relatives for the holidays. Can you fill the prescription?

a. No, Indiana may not honor scripts from out-of-state PAs
b. No, the PA is not licensed in Indiana and can only issue prescriptions in the state they have a license
c. Yes, we may honor scripts from PAs from any state, and they are practicing within their supervising physician’s scope
d. Yes, it’s not a pharmacist’s job to determine whether or not a prescription is valid to fill

Answer 18

• c. Yes, we may honor scripts from PAs from any state, and they are practicing within their supervising physician’s scope

Question 19

Practie Question 4`

A surgeon is visiting Purdue for a basketball game. They are not licensed in Indiana but are licensed in Michigen. Their child gets sick during the game, and they walk ito your pharmacy. They show you their license and ask to prescribe amoxicillin for their child. The most appropriate reaction in this situation is:

a. Take and fill the prescription; there is no legal issue
b. Don’t take the prescription; you can’t honor prescriptions from out-of-state prescribers
c. Take and fill the prescription; Michigan is a compact state
d. Don’t take the prescription; surgeons can’t call in prescrptions for situations outside of surgery

Answer 19

• a. Take and fill the prescription; there is no legal issue