Oregon FAQs Flashcards

1
Q

Is a pharmacist’s signature required on hardcopies or will initials suffice?

A

It is acceptable to either sign, initial, or utilize an electronic record identifying the verifying pharmacist

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2
Q

Can a pharamcist chand the date to fill after talking to the prescribing doctor on a CII?

A

Tesm It is considered part of the directions therefore it would be allowed to change after consulting w/ doctor

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3
Q

How are outdated CIIs destroyed?

A

They are quarantined, Transferred to a person registered or authorized to accept controlled substances for purposes of destruction.

Two employees must oversee this process.
then destroyed in a method that renders all such controlled substances non-retrievable.

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4
Q

Can PAs and Naturopaths prescribe CII medications

A

Yes, although PAs may if they hold a current DEA registration for CIIs

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5
Q

Does a pharmacist need to cancel a CII Rx across its face and sign?

A

No

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6
Q

What is the law for selling a controlled substance for office use? CII and CIII-CV

A

A prescription cannot be written to provide medical office medications. If office wants CII medications, a DEA form 222 must be used to transfer the stock. For all other meds, an Invoice must be used.

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7
Q

Is a typed CII prescription with an electronically signed signature a valid prescription?

A

No, physical copies must be handsigned by prescriber

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8
Q

Is a CII perpetual inventory required in all practice settings?

A

No, It has been required in hospitals, but a quarterly reconciliation is required for retail pharmacies. Perpetual inventory is recommended as a way to keep track of your controlled drug inventory

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9
Q

Does the CII annual inventory have to be separated from the CIII-V inventory?

A

Yes, they can be on the same report as long as listed out separately.

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10
Q

How long do we need to keep CII inventory records?

A

3 years

Federal only 2

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11
Q

What is required of drug outlets electronically ordering CIIs?

A

Pharmacist must be able to retrieve the DEA 222 from their ordering system for review by board inspectors. This electronic form must contain the date and quantity of each controlled substance received.

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12
Q

In what cases are partial fills on CIIs allowed?

A

Pharmacist unable to fill entire amount and remaining is dispensed within 72 hours. (if not filled within 72 hours, remainder is forfeit and prescriber notified of actual quantity filled)

Patients residing in a long term care facility or community based facility diagnosed w/ terminal illness in which scripts are good for 60 days from the date the prescription was written.

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13
Q

What information must be documented on the original hardcopy or electronic record (a single screen) each time you partial fill a CII for a hospice/terminally ill patient, long term care or community based care patients?

A

The date dispensed
The quantity dispensed each time
amount remaining after each fill
Pharmacist who dispensed it

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14
Q

Can a CII prescription be changed from capsule to tablet or liquid of the same medication.

A

Yes with prescriber authorization

Yes If prescriber not reasonably available for consulation, and the drug does not utilize a unique delivery system technololgy and as the long as the form dispensed has the same strength, dose, and frequency, and it therapeutically equivalent.

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15
Q

If a CII medication is wirten with only the first or last name of patient, can a pharmacist call the prescriber to clarify it and then fill the prescription?

A

Yes

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16
Q

What changes can a pharmacist make to a CII prescription after speaking to the prescriber?

A

Strength
dosage form
quantity
directions

17
Q

In what situations can a faxed CII prescription serve as an original prescription?

A

A faxed prescription can serve as an original for patients in a long term care facilit, community based care, enrolled in hospice, or receiving home infusion/iv pain management therapy. Prescription must be manually signed by prescriber prior to faxing.