Final Law Exam 2 Flashcards
(30 cards)
CS OTC Opium Containing: regulations
- 240 mLs (8 o.z)
- 48 dosage units
in 48 hours - don’t need ID if RPh knows pt
CS OTC: Non-opium containing: regulations
- 120 mLs (4 oz)
- 24 dosage units
in 48 hours - don’t need ID if RPh knows pt
Federal Law: Pseudoephed, Ephed, Phenylproanolamine Restrictions
- 3.6 g/day
- 9 g in 30 days
- NEED valid ID to buy
DEA Form 224
- dispensing or instructing registration (prescribers, pharmacies, hospitals, etc)
- Renew EVERY 3 years
DEA 225
- Manufacturing, research, etc
- Renew annually
what registrations DO NOT PERMIT coincident activities?
REN
- Reverse Distributing
- Exporting
- Narcotic Treatment Programs
What letters are the big four DEA
A, B, F, G
How to check if DEA # is real
- Add 1st, 3rd, and 5th numbers = X
- Add 2nd, 4th, and 6th numbers = Y
- Last number should equal X + 2Y
What drugs MUST be stored in a safe?
- C-I’s
- Thiafentanil
- Carentinal
- Etorphine hydrochloride
- Diprenorphine
How must C-III, C-IV, and C-V records be readily retrievable
- Prescriber name
- Pt name
- Drug dispensed
- date filled
How long do you have to wait before you start maintaining records centrally?
14 days
What records CANNOT be stored centrally?
“PIE”
- Prescriptions
- Inventories
- Executed order forms (DEA Forms 222) (including power of attorney form)
What form to use to ORDER C-II’s?
DEA Form 222
CS Inventory Rules
- C-I and C-II MUST get EXACT count
- C-III, C-IV, and C-V may be ESTIMATED (unless the bottle holds MORE THAN 1000)
When can a C-II Fax Rx count as the OG
- C-II NARCOTIC for direct admin via INJECTION
- C-II for resident of a LTCF
- C-II NARCOTIC for HOSPICE CARE
Appropriate C-III, C-IV, C-V Rx types
- Written, paper
- Electronic
- Fax
- Telephone when PROMPTLY REDUCED TO WRITING BY RPh
How many total fills can everything but C-II’s have?
6 TOTAL FILLS
If pt requests a partial fill on C-IIs, when must the remaining be filled by?
Must be filled no later than 3o days from the date the Rx was written
If Pharmacy can’t provide the full Rx and has to partial fill, when must it be ready by?
ready for pick up within 72 hours of the partial fill
If a partial fill for pt in LTCF or medical diagnosis documenting terminal illness, when can it be partially filled?
May be partially filled for up to 60 days from the date issued
When must the a covering prescription be sent to the pharmacy after an emergancy Rx
within 7 days of authorizing the emergency Rx
what must be on a CS Rx LABEL
- date filled
- Dispensing RPh name/address
- Rx #
- Pt name
- Prescriber name
- Directions for use
- Cautionary statements if on the prescription
Electronic CS Transfers rules
- can be transferred, even if never been filled, if communicated between two RPh’s
- ONE TIME transfers, but refills can be honored at new pharmacy
Non-Electronic CS Transfer rules
- ONLY C-III, C-IV, and C-V Rx’s
- must be filled at least once
- one time, UNLESS the two pharmacies share a real-time database (up to max refills)
- transfer must be communicated between two RPh’s (NO techs or interns)
