Indiana MPJE Exam Test Bank: Questions and Answers for Pharmacists, Exams of Nursing

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Indiana MPJE Exam Test Bank

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Indiana MPJE

How many members serve on the state board of pharmacy, and how long is each term of service Correct Answers 7 members 4 years How many public members (non-pharmacists) and how many pharmacist members serve on the board of pharmacy Correct Answers 1 public member (non-pharmacist), 6 pharmacists What is the name of the agency that issues pharmacist licenses Correct Answers Indiana Board of Pharmacy What is the minimum age to become a licensed pharmacist Correct Answers 18 years What exams are required for pharmacist licensure Correct Answers

Correct Answers <3 years:

• Submit renewal application
• Payment of renewal fees
• Payment of reinstatement fee
• Submit completion of continuing education hours

3 years: -All of the above PLUS

• Complete such remediation and additional training as deemed by the board given lapse of time involved
• Any other requirement provided for by the board (i.e., retake IN MPJE) What are the requirements to become an immunizing pharmacist Correct Answers

1. Must complete an ACPE accredited immunization training program
2. Active cardiopulmonary resuscitation (CPR) certification Are preceptors required to register with the state board Correct Answers No What are the requirements to serve as a pharmacist preceptor Correct Answers
3. Have at least 1 year of experience as a licensed pharmacist
4. Maintain a pharmacy license in good standing

Do individuals need to submit fingerprints to register as an intern Correct Answers No Are interns required to have a criminal background check Correct Answers No When does an intern license expire Correct Answers 1 year (may be renewed) How many intern hours are required Correct Answers 1,500 hours; these hours will be satisfied by completing the practical experience requirements at an accredited college or school of pharmacy What is the ratio of interns for each pharmacist in a community/hospital setting

Are there permitted conditions in which the number of technicians per pharmacist can increase Correct Answers No What are the requirements for pharmacy staff identification badges Correct Answers

• The public shall be able to identify a pharmacist from a technician while engaged in the provision of care
• A technician shall wear identification while on duty
• Identify himself or herself verbally in any telephone or electronic communication What organization operates the impaired pharmacist recovery program Correct Answers The Indiana Professionals Recovery Program (IPRP) What healthcare professionals can enroll in the state's impaired pharmacist recovery program Correct Answers Pharmacists Can a healthcare professional self-enroll in the impaired pharmacist recovery program Correct Answers Yes Are a mail-order pharmacy's hours and/or toll-free number required to be listed on the prescription container labeling Correct Answers Yes

Are mail-order pharmacies required to be open for a defined number of days and hours per week Correct Answers No, but the toll-free telephone service must be available at least six days per week and at least 40 hours per week. What is the name of the inspection or assessment form/s used by pharmacists Correct Answers Indiana Pharmacy Inspection Report Questions Who is required to complete the pharmacy inspection or assessment form and how often does it need to be completed Correct Answers Not addressed in the state law Are licenses required to be displayed in public view Correct Answers Yes Do the licenses displayed for public view need to be the originals or is a photocopy or printed copy acceptable Correct Answers Not addressed in the state law What are the space and/or equipment requirements for a pharmacy (e.g., pharmacy size, hot/cold water, compounding equipment, references) Correct Answers The pharmacy will have a prescription filling area of sufficient size to permit the practice of pharmacy as practiced at that particular pharmacy.

What are the regulations for pharmacist breaks or the maximum break duration Correct Answers Not addressed in the state law During a pharmacist break, does a sign need to be posted that the pharmacist is not on duty Correct Answers Yes What intern/technician functions can be done without the presence of a pharmacist Correct Answers None; a pharmacy intern may engage in the practice of pharmacy if the activities are under the direct supervision of a pharmacist. Licensed pharmacy technicians or pharmacy technicians in training must practice under a licensed pharmacist's immediate and personal supervision at all times. What are the limitations on medication delivery (by couriers, pharmacy employees or by kiosk) Correct Answers

1. Before a pharmacy may operate an automated dispensing system, the automated dispensing system must be registered with the board.
2. The board shall establish minimum standards and practices that ensure the safety, accuracy, security, record keeping, and patient confidentiality of an automated dispensing system. Are there any limitations on drive-up windows Correct Answers Not addressed in the state law Does the state recognize pharmacists as providers for reimbursement purposes Correct Answers

No Does a collaborative practice agreement need to be submitted to the board Correct Answers No How often does a collaborative practice agreement need to be renewed Correct Answers At least annually What actions are pharmacists allowed to perform under a collaborative practice agreement (e.g., initiate, modify, monitor medications) Correct Answers

1. Adjust drug therapy regimens including adjusting a drug's strength, dosage form, frequency of administration, route of administration or duration of treatment.
2. Add a drug to or discontinue a drug from a patient's regimen. Are there any restrictions on what diseases a pharmacist can manage under a collaborative practice agreement Correct Answers No Is every pharmacy required to have a qualifying pharmacist (i.e., a pharmacist-in-charge) Correct Answers Yes

-Secretary -Clerk -Cashier -Delivery Person Are there limits on prescribing controlled or non-controlled drugs to oneself or family members Correct Answers No Can new prescriptions or refills be filled if the prescriber is known to be deceased or retired Correct Answers A pharmacist may not knowingly dispense a prescription after the demise of the practitioner unless in the pharmacist's professional judgment it is in the best interest of the patient's health. Can pharmacists fill prescriptions written by prescribers in other countries Correct Answers The board does not specify if it is acceptable to fill prescriptions written by prescribers of another country. How many years must prescription records be kept Correct Answers 2 years Within what time frame from the issue date are non-controlled prescriptions permitted to be refilled Correct Answers 1 year

Is there a maximum number of refills permitted for non-controlled drugs Correct Answers No, however, prescriptions are only valid up to 1 year from when they are issued. What is the maximum days' supply that can be dispensed for an emergency refill of non-controlled drugs without prescriber authorization Correct Answers An emergency refill may not be for more than the quantity on the most recent fill or a 30-day supply, whichever is less. What are the additional restrictions when dispensing an emergency refill of non-controlled drugs without prescriber authorization (e.g., time period to receive a prescription, notification of the prescriber) Correct Answers

1. The original prescription must have contained refills, and refills were dispensed at the same pharmacy as the emergency refill
2. The pharmacist determines that the drug is being taken properly
3. The pharmacist must notify the original prescribing practitioner by the practitioner's next business day
4. Only one pharmacist initiated refill may be dispensed for a single prescription in a six month period What information is required to be on a prescription container label Correct Answers

1. Patient's name
2. Directions for use
3. Prescriber's name
4. Name and address of dispenser
5. Phone number of pharmacy

8. Pharmacist's comments relevant to the individual's drug therapy Is patient identification required to dispense non-controlled drugs in the community pharmacy setting Correct Answers No Is the offer to counsel required for all prescriptions Correct Answers Yes Who can provide the offer to counsel (e.g., pharmacist, intern or technician) Correct Answers Offer to counsel may be delegated to other pharmacy personnel. What are the counseling requirements for medications delivered to the patient or sent by mail Correct Answers A written notice containing the pharmacy's phone number and an offer to counsel should be provided when a drug or device is delivered by the United States Postal Service, parcel delivery, or hand delivery. Are pharmacies required to provide translation services to limited-English proficient (LEP) patients Correct Answers Not addressed in the state law What are the requirements for generic substitution (e.g., must notify the patient) Correct Answers Patient must be notified

What resource/s can be used to select a suitable substitution (e.g., Orange Book, state formulary) Correct Answers The Orange Book What actions can be taken by the prescriber or patient to prevent generic interchange Correct Answers The prescriber includes "Brand Medically Necessary" or words of similar meaning on the prescription or verbally communicates this to the pharmacist. What documentation is required when a generic substitution occurs Correct Answers -Within 10 days after dispensing, the pharmacist shall document the name and manufacturer of the biologic product dispensed using:

• Electronic health record system shared with prescribing physician OR;
• Any other prevailing means to relay the message to the prescribing practitioner. Are there any drugs (e.g., narrow therapeutic index) that cannot be substituted Correct Answers No Does the state have a conscience clause (if so, what are the stipulations of the clause, or what drugs does it specifically apply to) Correct Answers Yes, current policy allows healthcare providers to deny abortions in a private institutional setting. Does the state have death with dignity laws Correct Answers

Fioricet is classified as schedule III Can marijuana be legally obtained from a state-approved dispensary Correct Answers No What agencies must a controlled substance loss or theft be reported to and within what time frame must this be reported Correct Answers Upon discovery of the theft, the DEA field office (using DEA Form 106) and the Indiana Board of Pharmacy (written notification) must be notified. How long does the pharmacy need to keep paper and electronic documents for scheduled drugs (e.g., DEA Form 222, DEA Form 106, prescriptions, invoices) Correct Answers 2 years Which controlled substance schedules (if any) can each type of mid-level practitioner prescribe Correct Answers Advanced practice registered nurses (nurse practitioners) and physician assistants may prescribe schedule II-V controlled substances. Physician assistants must be working with a collaborating physician who has delegated authority to the physician assistant to write prescriptions. List the schedules of drugs collected in the state's prescription drug monitoring program (PDMP). Schedule II - V drugs, ephedrine and pseudoephedrine must be reported to INSPECT (the state PDMP) In what timeframe must a pharmacy submit the records of dispensed controlled substances to the state's PDMP Correct Answers

By the end of the following business day Which healthcare professionals are authorized to access the prescription drug monitoring program (PDMP) Correct Answers Health professionals who are licensed to prescribe or dispense controlled substances and who are actively and directly providing treatment, or evaluating the need for providing such treatment to a patient. This includes physicians, dentists, veterinarians, podiatrists, nurse practitioners and pharmacists. Prescriber delegates who are approved and supervised by a registered prescriber may also access the system. Can controlled and non-controlled drugs be written on the same prescription form Correct Answers No. Only one prescription for a controlled substance may be written per prescription blank. The prescription is void if more than one prescription is written per blank. Is there a limit to the number of medications that can be written on one prescription form Correct Answers Indiana Board of Pharmacy does not specify this in the law. Other than prescriptions for Medicaid patients, what prescriptions require tamper-resistant security forms Correct Answers All controlled substance prescriptions must be written on tamper-resistant forms. What security elements must be present on tamper-resistant security forms Correct Answers Indiana follow federal requirements