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Controlled substances Flashcards

1
Q

Restrictions on out of state CS prescribing?

A

nope.
multiple Rx’s are allowed on one form if from out of state

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2
Q

Restrictions on out of country CS prescriptions

A

Out of Country CS Rx not allowed

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3
Q

Registrations required for a provider to prescribe CS

A

Register with DEA
Register prescribing application with NYS DOH BNE

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4
Q

DEA 224 form

A

required for pharmacies to dispense controlled substances

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5
Q

DEA 224a

A

DEA 224 renewal form
must renew every 3 years

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6
Q

Are pharmacists required to check PDMP before filling?

A

No

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7
Q

Are pharmacists required to report CS dispensing? If so, where to and how quickly?

A

Yes
Report to BNE (PDMP)
must report within 24 hrs of substance being delivered to patient

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8
Q

Are CS dispensing reporting requirements the same for mail order?

A

Mostly, but mail order pharmacies must report within 72 hrs of the meds being SHIPPED

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9
Q

Emergency verbal CS prescription: max day supply for C2s

A

5 day supply

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10
Q

Emergency verbal CS prescription: how long does the doctor have after giving the verbal order to send written or electronic authorization?

A

72 hrs

must have “Authorization for emergency dispensing” written (not typed) on the face of the script

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11
Q

Emergency verbal CS prescription: Do pharmacists have to report if they don’t get an authorization script?

A

Yes must report to DOH within 7 days of dispensing the CS

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12
Q

Emergency verbal CS prescription: max day supply for C3-5

A

C3 & 5: 5 day supply
C4: 30 day supply or 100 dosage units (Whichever is less)

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13
Q

Emergency verbal CS prescription: is a follow up prescription required?

A

yes due within 72hrs

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14
Q

When can CS prescriptions be sent via fax

A
  • hospice or RHCF if they are contracted with the pharmacy
  • rx for compounding for direct parenteral admin

both still follow 72hr and 7 day rules

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15
Q

Benzodiazepines are considered C___ for the purpose of refills

A

C2

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16
Q

Should benzodiazepines be filed with C2 or C3-5 paperword

A

C3-5

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17
Q

Is naloxone a controlled substance?

A

nope

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18
Q

CBD control schedule

A

C5

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19
Q

Anabolic steroid scheduling:
Federal vs NY

A

Fed: C3
NY: C2

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20
Q

How long are CS prescriptions valid?

A

C2: 30 days
C3-5: valid for up to 6 months

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21
Q

Day supply limit on CS prescriptions?

A

C2: 30 DS
C3-5: can be greater than 30 days, but if > 30 DS can only be refilled 1 time

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22
Q

What do CS codes on prescriptions do?

A

Allows up to 3 month supply of CS

exception: up to 6 month supply for anabolic steroids

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23
Q

Code A

A

panic disorder

24
Q

Code B

25
Code C
convulsive, seizures, spasms
26
Code D
pain
27
Code E
narcolepsy
28
Code F
- male hormone deficiency - gynecologic conditions responsive to anabolic steroids or chorionic gonadotropin -metastatic breast cancer - anemia - angioedema
29
Can you partial C2s?
yes, but remaining portion must be filled within 72 hrs. If it cannot be completed within 72hrs Rx is void and provider must send a new script
30
Exception to the 72hr rule when partial filling C2s
hospice/RCHF patients, partial fill must be completed within 30 days if Rx was coded to have > 30 DS, partial must be completed within 60 days of written date
31
Do pharmacies need DEA numbers?
Yes if they want to dispense CS
32
what does an X in front of a DEA number mean
prescriber is registered for DATA 2000 waiver (for prescribing and dispensing buprenorphine
33
DEA 224 registration renewal fee
$731 every 3 years
34
DEA 41
disposal of CS
35
DEA 222
CS ordering
36
DEA 106
Theft/loss of CS
37
requirements to administer suboxone?
register for a DATA 2000 waiver
38
Can prescribers administer suboxone?
Only if they register for a DATA 2000 waiver
39
Which CS schedules can Physicians (MD, DO) order?
C2 C3 C4 C5 Legend/OTC Methadone
40
Which CS schedules can Dentists (DDS/DMD) order?
C2 C3 C4 C5 Legend/OTC MUST BE WITHIN SCOPE OF PRACTICE
41
Which CS schedules can Optometrists (OD) order?
Legend/OTC - which agents vary by privilege MUST BE WITHIN SCOPE OF PRACTICE
42
Which agents can OD's with R privilege prescribe?
Topical agents - antibiotic/microbials - decongestants / antihistamines - NSAIDs - steroids - antiviral agents hyperosmotic/hypertonic agents - cycloplegics (for dilation) - Immunosuppressive agents
43
Which agents can OD's with T privilege prescribe?
Glaucoma & ocular HTN meds - beta blockers - alpha agonists - direct acting cholinergic agents - prostaglandin analogs - carbonic anhydrase inhibitors
44
Which agents can OD's with O privilege prescribe?
Oral agents: ABX - Amox/clav - cephalexin - azithromycin - co-trimazole - doxycycline - tetracycline Acute inc in ocular pressure - acetazolamide - methazolamide - 24h supply only Herpes zoster - acyclovir - valacyclovir
45
Which CS schedules can Podiatrists (DPM) order?
C2 C3 C4 C5 Legend/OTC WITHIN SCOPE OF PRACTICE
46
Which CS schedules can Veterinarians (DVM) order?
C2 C3 C4 C5 Legend/OTC
47
Which CS schedules can a psychiatrist (usually considered MDs) order
C2 C3 C4 C5 Legend/OTC WITHIN SCOPE
48
Which CS schedules can physician assistants (PA, RPA) order?
C2 C3 C4 C5 Legend/OTC Methadone NYS Rx form must have imprinted name of RPA & supervising physician
49
Which CS schedules can Nurse Practitioners (NP or RN-CNP) order?
C2 C3 C4 C5 Legend/OTC Methadone may certify patients for medical cannabis Collaborative agreement with physician - do not need co-sign though
50
Which CS schedules can Midwives (NM, CNM) order?
C2 C3 C4 C5 Legend/OTC WITHIN SCOPE - management of uncomplicated pregnancy and up to 28 days post partum collaborative agreement with an OBGYN
51
How soon must a supervising physician co-sign a PA's CS prescription?
within 24 hrs
52
Which CS schedules can pharmacists prescribe?
None May prescribe Legend/OTC meds within a CDTM agreement with a physician.
53
Medical Marijuana Dispensaries: Is a licensed RPh required on premesis
Yes, must be on premises and supervising
54
Medical Marijuana Dispensaries: max day supply allowed
60 DS
55
Medical Marijuana Dispensaries: how soon can MM prescriptions be refilled/new Rx filled
follows same 7 day rule as other controls
56
Does a pharmacist have to review the PDMP before dispensing medical cannabis?
yes, required
57
Medical Marijuana Dispensaries: are patient specific logs required
yes, dummy

MPJE (14 decks)

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