RXPREP Chapter 7: controlled substances part 2

Question 1

What DEA form?

registration form for retail pharmacies, hospitals/clinics, teaching insitutions, practitioners or mid-level practitioners

Answer 1

224

Question 2

What DEA form?

registration form for drug manufacturers, distributors (supplier/wholesaler) and researchers

Answer 2

225

Question 3

What DEA form?

registration form for narcotic (opioid) treatment clinics

Answer 3

363

Question 4

what dea form?

registration form for bulk chemical manufacturers and distributors

Answer 4

510

Question 5

what dea form?

ordering form for schedule I and II drugs

Answer 5

222

Question 6

reporting form for theft or significant loss of controlled substances

Answer 6

106

Question 7

record of controlled substances destroyed dea form

Answer 7

41

Question 8

individual persons must register with who for authorization to prescribed controlled substances

Answer 8

DEA

the exception: medical residents in a healthcare facility who can prescribed controlled substances for patients within the institituion by using the facility’s DEA number

Question 9

facilities participating in the manufacture, distribution, research, prescribing, and dispensing of controlled substances must also register with the DEA

Answer 9

true

Question 10

healthcare providers practicing at these facilities can prescribe, administer, or dispense controlled substances WITHOUT registering with the DEA

Answer 10

federal bureau of Prisons

IHS

us armed forces (air force, army, coast guard, navy, marine corps, space force)

US public health service

Question 11

schedule III-V drugs can be obtained from a supplier/wholesaler by using a PURCHASE ORDER or through where?

Answer 11

the controlled substance ordering system (CSOS)

this is electronic!!!!

Question 12

the receipts from the CSOS should contain what

Answer 12

name of each controlled substance in the order

drug formulation

number of dosage units in each container

number of packages ordered and delivered

Question 13

before ordering schedule I or II drugs, the PIC must first register with who with what form?

Answer 13

the DEA using the form 224

CSOS can be used to order schedlue I-V drugs, while DEA form 222 is limited to obtaining schedlue I and II drugs.

Question 14

Limit of items per order using the dea form 222 vs CSOS?

Answer 14

10 items (triplicate form); 20 items (single-sheet form)

no limit for CSOS

Question 15

what is the typical turnaround time for dea form 222 vs CSOS?

Answer 15

222: 2-5 business days

CSOS: 1-2 business days

Question 16

Type of signature used for form 222 vs CSOS?

Answer 16

handwritten for 222

digital signature for CSOS

Question 17

can the orer be endorsed to another supplier for 222 or CSOS?

Answer 17

for form 222 only not CSOS

if a supplier cannot fill all or part of the order, then the order can be endorsed to another supplier for filling. only the initial supplier can endorse the order to another supplier

Question 18

when must the supplier report the transaction to the DEA using the form 222 vs CSOS?

Answer 18

222: by the end of the month during which the order was filled

CSOS: within 2 business days of filling the orer

Question 19

ONLY the PIC/registrant authorized to order schedule I and II drugs, uless the registrant grants…

Answer 19

a power of attorney to another individual – this allos them to place orders in their absence

Question 20

the following provisions apply to the use of a POA:

it can be granted to licensed or unlicensed pharmacy personnel?

the registrant can grant how many POAs?

The registrant may terminate a POA at any time by executing a notice of:

Answer 20

licensed OR unlicensed

multiple

revocation

Question 21

the following provisions apply to the use of a POA:

the new POA is only needed if a different person signs the _____ application

the POA should be filed where with the executed DEA form 222 and must be readily retrievable

Answer 21

renewal

AT THE PHARMACY – it is not submitted to the DEA

Question 22

a copy of form 222 will accompany the drug duirng what movements?

Answer 22

distribution, purchase, or transfer

Question 23

When is a schedule II drug not documented for its drug movement?

Answer 23

dispensed to a patient/or administered

when a central fill pharmacy associated with a retail chain is filling schedule II drugs for one of the chains retail stores

Question 24

DEA Form 222 is available as both a single sheet form and a triplicate form with three carbon copies (copy 1, copy 2, copy 3). true or false

Answer 24

true

the single replaced the triplicate

Question 25

what items are preprinted on form 222

Answer 25

serial number, in a consecutive number series pharmacy name and address pharmacy DEA number drug schedules that the pharmacy is permitted to order

Question 26

if the supplier is unable to provide the entire quanitity, provide partial shipment and. supply the balance within __ days or endorse the other to another supplier

Answer 26

60

Question 27

Pharmacy orders drugs from a supplier- who keeps copy 1(brown), copy 2(green), copy 3(blue)?

Answer 27

1- supplier 2- DEA 3- pharmacy

Question 28

pharmacy returns unused drugs back to a supplier- who keeps what forms

Answer 28

1-pharmacy 2-DEA 3-supplier

Question 29

pharmacy sends unused drugs back to reverse distributor for disposal

Answer 29

1-pharmacy 2-DEA 3- reverse distributor

Question 30

pharmacy sells or lends drugs to another pharmacy

Answer 30

1-supplying pharmacy 2-DEA 3-receiving pharmacy

Question 31

pharmacy sells or lends drugs to a physician for administration or dispensing

Answer 31

1-pharmacy 2-DEA 3-physician

Question 32

each person authorized to place orders for schedule I and II drugs must obtain what to sign orders

Answer 32

personal digital certificates, it cannot be shared

Question 33

what are advantages of CSOS?

Answer 33

``` reduced ordering errors dec paperwork reduced administrative costs faster drug delivery easy to use ```

Question 34

Who reports the transaction to the DEA within TWO business days from the date of the order was filled?

Answer 34

the supplier the supplier also verifies the certificate with the DEA before supplying to hparmacy

Question 35

if a completed form 222 is lost or stolen, the purchaser must resubmit the order with a new form 222 and submit it to the supplier. the pharmacy must do what to the distributor

Answer 35

provide a statement with new form containing the following info: - serial number of the original form - date of initial order - statement that the controlled substances were not received

Question 36

all records of the inventory, form 222, and invoice of trainer should be kept for __ yeasr

Answer 36

2

Question 37

T/F? a pharmacy can cell controlled substances to other pharmacies or prescribers without registering as a distributor, provided both parties are registered with the DEA to dispense control substances. the total quantity sold cannot exceed 20% of the total quantity dispensed each year by the selling pharmacy

Answer 37

false, no more than 5%

Question 38

a pharmacy must report a significant loss or theft of controlled substances to the local DEA office in writing within ___ business day of discovery

Answer 38

1

Question 39

after initially notifying the DEA, the pharmacy must conduct an investigation and submit form ___ to the DEA with the findings

Answer 39

106 | this form also used to report in transit losses of control substances

Question 40

who is responsible for reporting in transit loss to the DEA?

Answer 40

supplier

Question 41

who must issue the form 222 or the electronic equivalent when transferring schedule II drugs for disposal?

Answer 41

the reverse distributor (they keep copy 3, pharmacy keeps copy 1 and send 2 to DEA)

Question 42

The reverse distributor will submit form ___ to the DEA once the CS have been destroyed

Answer 42

41

Question 43

if a controlled substance has damage, breakage or spillage, this isn't considered a loss; form __ must be filled out to document the disposal

Answer 43

41

Question 44

is drug wastage in a hospital reported to the DEA using form 41?

Answer 44

no but it is recorded in a logbook or electronic system

Question 45

if a pharmacy has no controlled substance at the time of opening, there needs to be a record showing..

Answer 45

zero inventory

Question 46

after the initial inventory, a complete inventory of the current stock on hand is taken minimally on a biennial bases

Answer 46

true every 2 years schedule II drug inventory records must be kept separate from all other controlled substances the record must include: date, at the beginning or close of day, names of CS, dosage form and strength, quantity or volume in each container and number of commercial containers -- don't need to send to DEA

Question 47

for opened containers of CS all schedule I and II containers require what type of count schedule III, IV, V containers holding <1000 dosage units what type of count schedule III, IV, V containers holding >1000 dosage units require what type of count:

Answer 47

exact estimated exact

Question 48

what are records that must be kept by a pharmacy in regards to record keeping of controlled substances

Answer 48

completed and blank dec form 222 or CSOS POA forms receipts/invoices for schedule III, IV, V initial and biennial inventory records records of transfers records of distribution records of dispening reports of theft or significant loss (106) drugs surrendered for disposal (41) DEA registration certificate logbook for pseuoephedrine

Question 49

what records must be kept on site?

Answer 49

original prescriptions executed copies of form 222 inventory records

Question 50

what records can be stored at a central location?

Answer 50

shipping and financial records

Question 51

unless the DEA denies the request to keep records off site, the registrant can begin storing the records at a central location ___ days after the DEA receives the request. upon request, the pharmacy must provide the DEA with the central records within __ Hours

Answer 51

14 days | 48 hours

Question 52

if pharmacies keep their schedule III, IV, and V records with all other drugs, how must they keep the record?

Answer 52

stamping a red C that is at least ONE INCH high in the LOWER RIGHT HAND CORNER

Question 53

if a prescription is received electronically, the record must be kept....

Answer 53

electronically federally, keep these for 2 eeyars

Question 54

what act was signed into law to prevent illegal sales of CS via the internet

Answer 54

the Ryan Haight Online Pharmacy Consumer Protection Act (2008)

Question 55

for a pharmacy to sell CS online, it must notify who before 30 days before dispensing through the internet

Answer 55

DEA and boards of pharmacy they intend to sell to (states)