HRS 329 - Uniform control substance act Flashcards
(57 cards)
how many members are on the hawaii advisory commission on drug abuse and controlled substances?
9-15; appointed by the governor; one member must be a member of the state council on mental health
are precursors to tighter scheduled medications automatically upgraded in schedule?
no
does the advisory committee have authroization to update the scheduling of a substance?
only temporarily, must be legislatively changed during the next regular legislative session
when is registration as a clinic required?
when an out-patient facility maintains centralized ordering/storage/record keeping of CS to be administered or dispensed to patients
what record requirements exists for clinics
centralized record signed/dated by treating provider
indicating patient, CS, date, time
must be stored with the current controlled substance inventory, ordering and receipt records
how long must clinic records be maintained?
for 5 years
how many registrations does a clinic organization require for each site?
at each principal place of business
can any providers utilize schedule I drugs?
yes for research purposes if allowed by the DEA registration
what are the filing requirements for scheduled medications?
anyone manuf/distribute/reverse distribute/dispense/transport/warehouse/handle CS file with department of public safety –> copies of order/recpeit an distribution
may CII rx’s be dispensed with oral orders?
only under emergency situations.
conditions:
* limited to adequate amount for emergency period
* reasonable effort to confirm validity of the provider
* written rx must be provided within 7 days with “authorization for emergency dispensing”
what is the max quantity you can dispense CIIs?
30 day supply (exception: single unit dose package that exceeds 30 day limit OR terminal patient certified by a physician)
May CII rx’s be refilled?
never
what are the limitations of a CII rx?
never refilled
must be written/electronic
filled w/in 7 days of written date
be given to patient no later than 7 days post-filling
stipulations for providing benzo+opioid
not for longer than 7 consecutive days unless qualified specific indications
- subsequent co-prescribing can be via phone, but in person visit required q90 days
- provider must indicate in chart the indication and that non combos are ineffective/inappropriate
what conditions are allowed for a benzo+opioid combo?
post-op pain care
chronic pain management
SUD
Cancer
palliative care
hospice car
how many times may a controlled substance be transferred?
one time only; electronic can transfer all refills
transferring a CS - sending rph responsibilities
- “VOID” on face of rx
- name/address/DEA# of new pharmacy and rph name
- date of transfer and your name
transferring a CS - recieving rph responsibilities
- “transfer” on the face of rx
- date of origional rx
- origional refills, valid refills remaining
- dates/locations of previous fills
- date of origional dispensing
- sending pharmacy name/addresss/dea/origional RX#
- sending rph name
- pharmacy name/address/DEA/rx number from original fill
how long to keep transferred rx?
5 years from last fill
can CS be faxed?
only III-IV via fax to central fill pharmacy
can CS be filled at a central pharmacy?
yes, but not CIIs
May a provider write a CS script for themselves?
only in a medical emergency
what is the max amount of sudafed packages someone may have?
3 packages
from which states can providers write for CIIs?
only hawaii
