Reading 8, 9, 10 - Controlled Substances Flashcards

1
Q

C-I definition

A

NO MEDICAL USE
High abuse potential
Psych and Physical dependence not defined

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2
Q

C-II Definition

A

High abuse potential
Severe psych and physical dependence

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3
Q

C-III definition

A

High psych dependence
moderate to low physical dependence

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4
Q

C-IV definition

A

Limited pysch and physical dependence

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5
Q

Maxium doses in 48 hours if C-V product contains opium

A

240 mL or 48 doses units

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6
Q

Maxium doses of C-V OTC products that are not opium

A

120 mL and 24 dosage units

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7
Q

Max amount of Sudafed someone can buy in a day?

A

3.6 grams

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8
Q

How can an OTC product controlled substance be sold legally?

A

ONLY by a pharmacist to a patient 18 years or older who shows their ID
—- must record name and address of purchaser, name and quantity, date, initials of pharmacist

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9
Q

The activities that do NOT have coincidence actitivities:

A

Reverse distributing
Narcotic treatment program
Exporting

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10
Q

What form should manufacturers fill out in order to manufacture controlled substances?

A

DEA Form 225

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11
Q

What form should narcotic treatment program fill out in order to manufacture controlled substances?

A

DEA From 363

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12
Q

What form should hospitals fill out in order to contain control substances?

A

DEA Form 224

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13
Q

What form should domestic chemical fill out in order to make controls?

A

DEA Form 510

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14
Q

What form should importers fill out in order to import controlled substances?

A

DEA Form 225

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15
Q

What form do you have to fill out in order to do research with controlled substances?

A

DEA Form 225

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16
Q

What is DEA registration based on?

A

Schedules of drugs handled
Activities engaged in

17
Q

What DEA registration activities do practitioners and pharmacists need to apply under?

A

Dispenser

18
Q

A DEA number starting with R indicates?

A

A distributor

19
Q

What are the 3 exceptions to people obtaining DEA numbers to handle controlled substances?

A
  1. Pharmacists and Practitioners using their institutions DEA
  2. UPS and FedEx
  3. Patient or Law enforcement
20
Q

If a practitioner is using the hospital DEA number as a surgeon, can she/he prescribe Norco after a hip replacement of their daughter?

A

NO, no prescribing to family or friends under DEA hospital number

21
Q

If a OBGYN physician treats a patient for cervical pain, then tweaks their ADHD medications to give Adderall. Is this okay under hospital DEA number?

A

NO, needs to be under the course of their professional practice

22
Q

If a practitioner hold controlled substances in their office, how must it be stored?

A

IN A LOCKED CABINET

23
Q

What type of controlled substances HAVE to be locked away?

A

C-1

24
Q

An employee application came in and they were convicted with a misdemeanor pertaining to controlled substances. Can you hire them without filling out a waiver?

A

Yes

25
Q

How long should records of controlled substance inventory be kept>

A

2 years

26
Q

What does a 2 file system look like?

A

C-II file
Everything else file (other schedules within non-controlled marked with red c in lower RIGHT corner)

27
Q

What can you NOT store in a central recordkeeping place for controlled substances?

A

Executed DEA forms
Inventories
Prescriptions

28
Q

How long must you wait for denial of a central recordkeeping from the DEA before assuming you are approved?

A

14 days

29
Q

How do you order C-III medications?

A

Just like non-controlled substances

30
Q

How do you order C-II medications?

A

DEA Form 222
Electronic Order form on CSOS

31
Q

What information should be on a DEA 222 form?

A

Drug name
Strength
Package size
number of packages
may include NDC
supplier’s name and address
Sign and date by Registrant (plus POA if needed)

32
Q

What is the ONLY way a purchaser can edit a DEA form?

A

By calling the manufacturer and canceling an item

33
Q

What do manufactuers add to the DEA form once they receive it?

A

DEA number
NDC for each drug
Number of containers sent
the date

34
Q

How long does a manufacturer have to fill a partial C-II order fill?

A

60 days from the order date

35
Q

What is the major different between DEA Written Form 222 and Electronic order forms when it comes to manufacturers not able to fill the order?

A

With electronic order forms the manufacturers CANNOT endorse the order to another supplier

36
Q

How often should a pharmacy update its controlled substance inventory?

A

Every two years (Biennial)