Controlled Substance: Distribution

Question 1

Federal Comprehensive Drug Abuse Prevention and Control Act of 1970 (Controlled Substances Act)

Answer 1

Established a closed system for manufacturing, distributing, and dispensing of controlled substances enforced by the DEA

Question 2

Three titles of the Controlled Substances Act

Answer 2

Title I: rehabilitation for drug abusers
Title II: registration and distribution of CS
Title III: importation and exports of CS

Question 3

Do states have individual CS laws?

Answer 3

Yes

Question 4

Responsibility of DEA under the Controlled Substances Act

Answer 4

1. Prevent diversion and abuse of CS

2. Ensure adequate and uninterrupted supply to meet country’s legitimate medical, scientific, and research needs

Question 5

What are the 2 separate classifications of Controlled Substances?

Answer 5

Narcotics and nonnarcotics

Question 6

What is a narcotic

Answer 6

Any drug derived from opium

Question 7

What 3 factors influence which controlled schedule drugs fall under

Answer 7

currently accepted medical use, abuse potential, and degree to which drug may cause physical or physiological dependence

Question 8

What is a C-I drug?

Answer 8

drugs that have no accepted medical use and may not be prescribed, dispensed, or administered from medical use

Question 9

Which CS schedule has the highest potential for abuse

Answer 9

C-I/C-II

Question 10

What are C-II drugs?

Answer 10

drugs that currently have an accepted medial use in treatment in the U.S.

Question 11

Are there any exceptions to C-II drugs?

Answer 11

yes, but they must have severe restrictions

Question 12

The abuse of C-II drugs may lead to

Answer 12

severe physical or psychological dependence

Question 13

what are examples of C-II drugs

Answer 13

morphine, amphetamine, methylphenidate, lisdexamfetamine, cocaine, fentanyl, oxycodone, hydrocodone, methadone, meperidine, hydromorphone

Question 14

what are examples of C-I drugs

Answer 14

marijuana, LSD, peyote, mescaline, heroin, bath salts, THC, GHB, ecstasy

Question 15

What are C-III drugs

Answer 15

have a potential for abuse less than C-I or C-II drugs and have a currently accepted medical use

Question 16

examples of C-III drugs

Answer 16

anabolic steroids (oxandrolone, testosterone), dronabinol, ketamine, buprenorphine

Question 17

are there any exceptions to C-III drugs

Answer 17

yes, tablet products that contain no more than 90 mg codeine per dosage unit

Question 18

What are C-IV drugs

Answer 18

drugs that have a lower potential for abuse than C-III drugs and may lead to limited physical or psychological dependence

Question 19

examples of C-IV drugs

Answer 19

phenobarbitol, benzodiazepines (alprazolam, diazepam, lorazepam), butorphanol, carisoprodol, tramadol, lorcaserin, modafinil, suvorexant, zaleplon, zolpidem, eszopiclone

Question 20

What are C-V drugs

Answer 20

drugs that have a low potential for abuse relative to C-IV drugs and abuse may lead to physical or psychological dependence

Question 21

examples of C-V drugs

Answer 21

codeine suspensions, diphenoxylate/atropine, pregablin, lacosamide, ezogabine

Question 22

Who schedules controlled substances?

Answer 22

the attorney general, however they must request scientific and medical evaluation of the drug and have recommendation from secretary of DHHS

Question 23

Do you have to be registered to handle controlled substances?

Answer 23

yes, every person who handles controlled substances must be registered with the DEA or be exempt from registration

Question 24

Who does not have to register with the DEA to handle CS?

Answer 24

agents or employees of registrants, drug reps, common carriers, ultimate users, prescribers/dispensers in the service of the US government, and law enforcement officers

Question 25

How do practitioner's at hospitals register

Answer 25

they use the hospital's dea registration number

Question 26

what is the definition of dispensing CS?

Answer 26

to deliver a CS to an ultimate user pursuant to the lawful order of a practitioner

Question 27

what does dispensing include

Answer 27

prescribing, administering, and dispensing

Question 28

do community pharmacists have to register with the DEA

Answer 28

no, they are agents of an institutional practitioner and are exempt

Question 29

What is the definition of manufacturing

Answer 29

the production, preparation, compounding, or processing of a drug as well as packaging, repackaging, labeling, or relabeling

Question 30

What must manufacturers ensure when labeling CS

Answer 30

each bottle must contain identification symbol of the schedule

Question 31

what is the definition of distributing

Answer 31

to deliver CS other than administering or dispensing

Question 32

can practitioners return CS to the manufacturer or supplier?

Answer 32

yes and they don't need to register as a distributor as long as appropriate records are maintained