Controlled Substances (Part 2) Flashcards Preview

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Flashcards in Controlled Substances (Part 2) Deck (118)
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What must ALL controlled substance prescriptions have (6):

-signature and date written
-full name and address of the patient
-drug name, strength, dosage form
-quantity prescribed
-directions for use
-name, address, and DEA number of the practitioner


Prescriber's signature must be______

indelible (cannot be erased)


T/F Prescriber's "agent" may not prepare prescriptions for practitioners to sign

False; they may prepare rx, but its the responsibility of the practitioner to assure accuracy


T/F Pharmacists are not held accountable for assuring accuracy of the prescription.

FALSE; pharmacist has corresponding responsibility


T/F Practitioners MAY prescribe and pharmacies MAY receive, dispense, and archive electronic prescriptions, including controls



What must prescribers use to electronically sign the prescription?

a two-factor credential


When can a paper copy of an electronic rx be given to the patient

if it is clearly labeled with "COPY ONLY NOT VALID FOR DISPENSING"


How long does a back-up of an electronic rx be kept for?

2 years and must be backed up daily


When multiple prescriptions are received, the pharmacist must exercise ______ to determine whether or not the prescription was filled

due diligence


What must a pharmacist do If a paper or oral prescription indicates the original prescription was transmitted electronically to another pharmacy?

the pharmacist must check with the “other” pharmacy to determine if the e-prescription was received and dispensed


T/F If the e-prescription was received but NOT dispensed, the pharmacy must mark the e-prescription “VOID”



T/F If the e-prescription was received AND dispensed to the transferred pharmacy, the pharmacy presented with the paper / oral prescription MAY NOT dispense the drug and MUST mark the paper / oral prescription “VOID”



When can a practitioner administer or dispense a CII in the course of professional practice without a prescription

for maintenance or detoxification treatment if requirements are met


______ may administer or dispense a CII upon receipt of a written prescription or an order to be dispensed for immediate administration to the ultimate user

institutional practitioners


RPh may dispense CII in an emergency upon receipt of oral authorization by a prescriber, but what must be true (3)

-immediate administration is necessary for proper treatment
-no appropriate alternative is available
-no way for the prescriber to provide a written prescription to the patient before dispensing


T/F The quantity prescribed and dispensed for emergency rx, it is limited to an amount adequate for emergency period ONLY



How long does the prescriber have to deliver a hand written prescription for the quantity dispensed during the emergency for a Schedule II? What happens if they don't? What needs to be written on the RX?

7 days;
the RPh must notify the DEA;
"Authorization for Emergency Dispensing"


T/F Central fill pharmacies MAY prepare CIIs for dispensing from oral authorization

FALSE; central fills MAY NOT; they take too long and would have to send rx to dispensing pharmacy


When can CIIs be faxed: (3)

-a resident of long term care facility (LTCF must be written on it)
-if patient enrolled in hospice (HOSPICE must be written on it)
-home infusion pharmacy receives rx for parental administration



Long term care facility


Is an assisted living facility the same as a LTCF?



T/F Faxing a CII prescription to the dispensing the pharmacy for any other reason is for informational purposes only.



When can dispensing occur for faxed CIIs?

only after the original prescription is presented


RPh are NEVER allowed to change this on CIIs: (3)

Patient’s name
Drug prescribed
Prescriber’s signature


What can RPh add to CII prescriptions? (2)
What must be documented?

- the date and time the RpH spoke with the prescriber with brief explanation; RPh must initial


T/F Refills for Schedule II are not prohibited

FALSE; are prohibited


T/F Partial Filling of Schedule II prescriptions are permissible



When are partial fills of Schedule IIs permissible? (2)

-RPh is unable to supply the full quantity because of inventory
-patient is in a LTCF or has "terminal illness"


Requirements when RPh is unable to supply full quantity for Schedule II (2)

-quantity dispensed must be noted on face of RX and remaining portion filled within 72 hours
-if not filled in 72 hours, RPh must notify prescriber


Requirements when patient is in LTCF or has terminal illness for Schedule II drugs (3)

-Quantity dispensed, date, remaining quantity authorized for dispensing, and RPh identification must be recorded with each partial fill
- Total quantity dispensed in partial filling cannot exceed total quantity prescribed
-Prescription is valid for partial filling for up to 60 days from issue date