Indiana Code Title 25. Professions and Occupations § 25-26-26-18

(1) The prescription drugs or supplies are prescribed for the individual by a practitioner.

(2) The individual attests that the individual is an eligible recipient.

(3) The individual acknowledges that the drugs may have been donated and consents to a waiver releasing the central or local repository from any liability for injury, death, or loss to a person or property related to the donation, acceptance, distribution, or dispensing of the donated prescription drug, unless the person's acts or omissions were not performed reasonably and in good faith.