Review

Question 1

What pharmacies must be under continual supervisions?

Answer 1

Class A or B
Class C >100 beds
Class D
Class E

Question 2

How are scheduled drugs scheduled?

Answer 2

Potential for abuse
Level of dependence
Risk to the public

Question 3

Define Narcotic

Answer 3

Derivatives of opium

Question 4

DEA registration CANNOT

Answer 4

be sold, transferred or assigned

Question 5

Security requirements?

Answer 5

Limit access during the work day, adequate security after working hours, alarm, self closing and locking doors, key locks
Cage with 10 gauge steel (1 in diameter, set in concrete, nor more than 10 feet apart with horizontal 1.5 every 60 inches)
Secure storage area

Question 6

Selling of controlled substances not to patients limitation?

Answer 6

Less than 5% of total dosage units distributed and dispensed in 1 year

Question 7

Pharmacy Requirements for handling of controlled substances?

Answer 7

Licenses
Pay fee and submit application
No violations
Signature granting consent
Each business has its own
Certificate readily retrievable at all times

Question 8

Registration Exemptions

Answer 8

Individual pharmacist employees
Warehouse employees
User
Law enforcement official
Relief organizations

Question 9

DEA 222 form is for

Answer 9

ordering of schedule IIs

Question 10

Copy one goes to

Answer 10

Supplier/distributor/wholeslaer

Question 11

Copy Two

Answer 11

DEA

Question 12

Copy Three

Answer 12

Purchaser

Question 13

What counts as a line on the 222 form?

Answer 13

Each new drug and each new strength

Question 14

Common 222 errors

Answer 14

Ordering non-CIIs
Erasing
Ordering more than 10 items

Question 15

CSOS Ordering Services

Answer 15

Enroll with DEA and receive CSOS number (serves as the pharmacist’s signature on the order form)

Question 16

Acqusition record for CIII/IV/V

Answer 16

Invoices or packing slips from wholesaler

Question 17

DEA 106 Form

Answer 17

For theft or lost of controlled substances

Sent to DEA DPS TSBP and one kept for records

Question 18

Schedule II, III, IV must carry?

Answer 18

Transfer warning = illegal to give to someone not prescribed

Question 19

Central record keeping permission does NOT extend to

Answer 19

222 form
Prescriptions
Inventory

Question 20

III/IV/V require what to differentiate them?

Answer 20

Highlighting or underlined with red

Question 21

A physician may delegate to an APN or PA the authory to prescribe or order…

Answer 21

Schedule III, IV, V (not II)

Question 22

How many APNs or PA can a physician allow to do this?

Answer 22

No more than 7

Question 23

All written prescription for controlled substances must have?

Answer 23

Name and address of pt
Name, address, and registry number of prescriber
The date issued
Manual signature
Texas: DOB and prescriber’s DEA, quantity (written and numeric), directions for use and intended use

Question 24

Oral Prescriptions can be taken for?

Answer 24

III, IV, V (not II)

Question 25

Designated agents to communicate prescriptions via phone are?

Answer 25

registered nurse, vocational nurse, PA, or employee in office

Question 26

Refills on Schedule III, IV, V

Answer 26

5 refills within 6 months | Recorded on the back of the prescription with initials and date of refill

Question 27

Computerized record system print outs?

Answer 27

Signed by pharmacist within 72 hours

Question 28

What is required with computerized systems?

Answer 28

Auxillary system to determine refill info if a malfunction occurs

Question 29

Emergency Refill Rule

Answer 29

72 hour supply (not II)without authorization from prescriber

Question 30

Delivery of Controlled Substances

Answer 30

Name of the person KNOWN to the pharmacists | Delivered via mail or delivery person (know the name of the delivery person and address to which the delivery is made)

Question 31

Transfer of C III,IV, V

Answer 31

ONE TIME Void the prescription and write the name, address and DEA number of the pharmacy to which it was transferred and the pharmacist receiving it Record the date of transfer

Question 32

Partial Fill CII

Answer 32

Note the partial fill on the face of the prescription with the date and quantity dispensed

Question 33

How long until the entire prescription may be filled?

Answer 33

72 hours unless LTCF then they have 60 days

Question 34

What is preprinted on the pads?

Answer 34

Full name and address of prescriber | DEA and DPS number

Question 35

What if you lose a pad?

Answer 35

Report to police and DPS

Question 36

What does a pharmacist add to the controlled prescription?

Answer 36

Signature Rx number Date filled

Question 37

Triplicate copies go to who?

Answer 37

Doctor keeps 3 Patient present 1 and 2 to pharmacy (without both = invalid) 2 gets sent to the DPS every 14 days

Question 38

How long after a prescription is written can it be filled?

Answer 38

21 days

Question 39

What may NOT be changed on a prescription?

Answer 39

Name of pts Name of physician Date Drug

Question 40

If a doctor administers in his office?

Answer 40

He sends both copies 1 and 2 to DPS and the pharmacist will never see them

Question 41

Small amounts administered?

Answer 41

Sends a list with name address and age + total amount, number of patients, date issued and signs "dispense as written" and checks administered

Question 42

2 CIIs on one form?

Answer 42

Invalid

Question 43

1 CII and another controlled substance?

Answer 43

Mark out the control and write it on a new script and fill both

Question 44

Exceptions to use of offical prescriptions

Answer 44

``` Hospital Hospital outpt or ER Take home limited amount Life flight helicopter Correctional facility Animal admitted to hospital LTCF Therapeutic optometrists ```