Controlled Substances Part 3: Prescribing and Dispensing Flashcards Preview

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Flashcards in Controlled Substances Part 3: Prescribing and Dispensing Deck (23)
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1

Which controlled substance schedules can each type of mid-level practitioner prescribe?

APRNs (Np's and midwives) can prescribe schedules 2-5 based on delegated authority. The delegating prescriber's name and DEA number must appear on the prescription with the APRN's name and DEA number.

Physician assistants can prescribe schedule 2-5 controlled substances independently

2

List the schedules of drugs collected in the states prescription drug monitoring program.

Schedules 2-5

3

In what timeframe must a pharmacy submit the records of dispensed controlled substances to the states PDMP?

The pharmacy must submit the records daily

4

Which healthcare professionals are authorized to access the PDMP?

Licensed prescribers (including vets) and pharmacists can access data

5

Is there a limit to the number of medications that can be written on one prescription form?

Yes

Non-controlled drugs:
4 per prescription form if handwritten
6 per prescription form if computer-generated

Controlled drugs:
Limits not specified in state law

6

Other than prescriptions for Medicaid patients, what prescriptions require tamper-resistant security forms?

All controlled substance prescriptions

7

What security elements must be present on tamper-resistant security forms?

1) The quantity must be in both written and numerical terms. A written prescription is in compliance if it contains preprinted numbers representative of the quantity next to which is a box or line the prescriber may check.
2) Must be written in ink or indelible pencil

8

What changes can be made, at the pharmacists discretion, to schedule 2 prescriptions?

After consultation with and agreement from the prescriber, a pharmacist may add or change a patients address, a dosage form, a drug strength, a drug quantity, a direction for use, or an issue date with regard to a prescription. A pharmacist must note the details of the consultation and agreement on the prescription.

A pharmacist cannot change the patients name, controlled substance prescribed (unless authorized to dispense a lower cost generically equivalent drug product) or the prescribers signature with regard to a prescription.

9

What changes can be made, at the pharmacists discretion, to schedule 3-5 prescriptions?

After consultation with and agreement from the prescriber, a pharmacist may add or change a patients address, dosage form, drug strength, quantity, SIG, or an issue date. Must make a note.

A pharmacist cannot change the patients name, controlled substance prescribed (unless authorized to dispense a lower cost generically equivalent drug product) or the prescribers signature with regard to a prescription.

10

What is the time limit that a schedule 2 prescription must be filled from the date of issue?

A prescription for a schedule 2 cannot be filled more than 90 days after it was written

11

Is there a max quantity or days supply that a patient can receive of a schedule 2 drug?

No

12

Are partial fills for schedule 2s permitted at request of the patient or prescriber?

Yes

13

Are there any additional requirements for an emergency oral schedule 2 compared to federal law?

No, Michigan follows the federal law

14

What is the time limit that a schedule 3-5 must be filled from the date of issue?

3 and 4: 6 months
5: 12 months (same as non-controlled)

15

Is there a max quantity or days supply that a patient can receive of schedule 3-5 drugs?

No

16

How long are refills valid for schedule 3,4, and 5 prescriptions?

3 and 4: 6 months
5: 12 months

17

What is the max number of refills allowed for a schedule 3, 4, and 5 substances?

3 and 4: 5
5: No limit

18

Can a pharmacist provide an emergency filling of a schedule 3-5 drug without the prescribers authorization?

No

19

What controlled drug schedules require identification for dispensing?

Identification is required for any controlled substance prescription

20

What are the state-specific requirements for selling select schedule 5 cough syrups without a prescription?

1) Not more than 240mL (8 ounces) or 48 solid doses of a substance containing opium or more than 120 mL (4 ounces) or 24 solid doses of any other substance to the same purchaser in any 48-hour period
2) The purchaser is at least 18 years of age and must show proof of identification
3) Affix a label that shows the date, the dispensing pharmacists name and address of the place of practice in which the substance is dispensed
4) Maintain a record of the dispensing in the same manner as required for schedule 5 prescription medications

21

Is naloxone distribution by a pharmacist permissible in all situations, or is it pursuant to a standing order, a protocol or authorization from a prescriber?

It is permissible under a state-wide standing order

22

Are there any requirements a pharmacist must meet in order to furnish naloxone under the protocol?

No

23

Other than exceeding the quantity limit, are there any conditions in which a psuedoephedrine sale can be rejected?

No