Benzodiazepines & Other Targeted Substances Regulations (BOTSR)

Question 1

How does the BOTSR define a “targeted substance”?

Answer 1

-Ctrl’ed sub set out in Schedule I…

or

(In respect to NP / Podiatrist / Midwife)

-Is a ctrl’ed sub set out in Schedule I that they may prescribe, possess, or conduct activities with.

Question 2

Who can Licensed Dealers sell Targeted Substances to?

Answer 2

Exact same as seen in Pt. G of the FDA…

-Other LD’s
-Pharmacist
-Practitioner
-Hospital
-Minister
-Person under Exemption 56

Question 3

What must Licensed Dealers record for sales (exactly same as in FDA)?

Answer 3

-Brand Name or Cpd. Name & Specified Name

-DIN

-Form / Qty / Strength per Unit / # Units per Pack / # of Packs

-Name & Address of person sold to

-Date sold or provided

Question 4

What sections of the BOTSR do not apply to Pharmacists practicing in a hospital???

Answer 4

Sec. 49-56

Question 5

Pharmacists who provide or sell a TS must do so in a container that contains what labelling?

Answer 5

-Pharmacy / Pharmacist Name & Address

-Date Issued & Rx #

-Pt. Name

-Issuing Practitioner’s Name

-Drug Name / Qty / Strength

-Directions of Use

Question 6

Before a Pharmacist fills a verbal prescription for a TS, it must be reduced to writing & the hard copy must be retained [S. 51 (3)]… What must be on that reduced prescription?

Answer 6

-Name & Address of Pt. (& name of person caring for animal if pt. is an animal).

-Date provided & dispensed

-Drug Name / Qty / Strength

-Name of recording Pharmacist & Practitioner

-Directions of Use

-Refills & Intervals btw. fills (if applicable)

Question 7

What parameters outlined in S. 52 permit a Pharmacist to refill a TS?

Answer 7

-Practitioner provided refills & specified # of refills

-Pharmacist records each refill

• <1yr since day Rx written

-Refills Remaining

-Interval btw. has passed

Question 8

TS Rx’s (either filled or refilled) must have what information recorded (S. 53)?

Answer 8

-Date filled or refilled

-Qty provided

-Pharmacist’s name or initials

-Rx #

Question 9

How many times can a BZD prescription be transferred (over its lifetime)?

Answer 9

ONCE!!!

Question 10

When a BZD is transferred, what info must be recorded?

Answer 10

-Name & Address of Transferring Pharmacist

-# of refills remaining & intervals btw. refills

-Date of last refill

Question 11

TS transactions with a LD / Minister / Sec. 56 Exempts must be in what?

Answer 11

Written in writing

Question 12

TS transactions with a Practitioner / Pharmacist / Hospital Employee can be what?

Answer 12

Verbal

Question 13

If a Pharmacy decides to move to a new location or close altogether, what information regarding TS movement must be provided to the Minister (S. 56)?

Answer 13

-Date of Closure
-Location & Qty of TS moved

ALL WITHIN 10d!!!

Question 14

Who are the only hospital personnel authorized to order TS’s [S. 63 (2)]?

Answer 14

Pharmacists or Practitioners (can’t be people like Nurses)

Question 15

TS’s can be sold or provided w/o Rx’s upon order receipts to whom (provided that name / qty & strength per unit is given)?

Answer 15

-LD’s who provided TS

-Practitioner or Pharmacist when shortfalls in supply exist

Question 16

What sorts of Hospital Closure rules exist?

Answer 16

Exactly the same as Community Pharmacy closures… Date of closure / location in which TS’s are being moved within 10d!

Question 17

What parameters must be followed for Canadians who decide they want to bring TS’s into Canada?

Answer 17

-Prescribed

-Labelled

-For personal use or use by person / animal they’re travelling with & responsible for

-Meets individual medical needs

-Declared to customs

-In Qty that doesn’t exceed lesser of a singular treatment course or 90d supply (whichever is less).

Question 18

Who qualifies as a witness of BZD / TS destruction?

Answer 18

Practitioner or other Pharmacist (NOT PHARMACY TECHNICIANS).

Question 19

Do BZD’s or TS’s require prior approval of HC before destruction?

Answer 19

Nope… Narcotics & Controlled Drugs do though!

Question 20

What symbol must be contained on Targeted Substance packaging?

Answer 20

T\C (contained within a box)

Question 21

What is contained on the Targeted Substance list???

Answer 21

Benzo’s, their salts, & their derivatives (all end in “pam”)

-Chlordiazepoxide, Triazolam, Estazolam, Clorazepate, Alprazolam also part.

Question 22

What Benzo-like substances are exempt from Schedule 1?

Answer 22

-Clozapine
-Olanzapine
-Flunitrazepam
-Zolpidem