Controlled Substance Flashcards
What are the five known entities of a closed system that a pharmacy can OBTAIN
Manufacturer, Distributor, Dispencer (C2 to C5), Narcotic Treatment Program, Detox compounder
What are the three reasons a controlled substance can be returned to the pharmacy
Dispensing error, Recall of the drug, the pharmacy is registered as an authorized collector
What are the two permissible ways an authorized collector can take back a medication
1) Collection Receptacle
2) Mail back program
T/F: Patients are legally allowed to destroy controls on their own
True
T/F: Law enforcement agencies can take back control substances without a DEA #
True
What is a narcotic
A controlled substance that nulls pain
What form must be filled out to order a C2
DEA form 222
What is a registrant, who can be a registrant
Whomever applies for DEA registration
Sole proprietor, Co-Owner of an independant, officer or director of a coorperation
In order for a pharmacy to register as a dispenser of controlled substances for the first time what form must they complete, when must it be renewed and what form should be completed
DEA Form 224, every 3 years through a 224a form
Why would a pharmacy need multiple DEA registrations
Location has different street addresses and Activities are different even if at the same site
Why would a pharmacy need to register as a distributor
JOINT BUYING ACTIVITIES- location from which drugs are stored and shipped
Its annual distribution of Controlled Substances EXCEEDS 5 PERCENT OF THE TOTAL NUMBER OF DOSAGE UNITS DISPENSED
Why would a pharmacy have to register as a manufacturer
Repackages controlled substances for sale
T/F: Manufacturers/wholesalers/importers/exporters/researchers register with DEA Form 225, and renew with
225a. Renewal is every 3 years
True
What licenses are required for a pharmacy to dispense
A DEA registration, a pharmacy license, and a state controlled substance registration
What less common drugs are considered schedule 2
Methamphetamine and amphetamine, Pentobarbital and Secobarbital, Pentazocin (Illinois)
What less common drugs are considered schedule 3
Acetaminophen with Codeine, ANABOLIC STEROIDS, Butalbital, Ketamine, Buprenorphine
What less common drugs are considered schedule 4
Benzodiazepines, Z hypnotics, carisopridol, MEPROBROMATE , tramadol
T/F: Combination barbituates and suppository forms of barbituates are considered schedule 3
True
How often must inventory be done in a pharmacy, which drugs need actual counts
Once a year, C2s and controls that are in containers that have more than 1000 units (everything else can be approximate)
What is the only circumstance where methadone can be given soley as treatment for a patient’s narcotic addiction
At a Narcotics Treatment Program (dispensed or administered but NOT prescribed)
T/F: Methadone can only be prescribed for analgesic purposes
True
T/F: If a patient is taking methadone for analgesic purposes they cannot receive methadone for addiction and VICE VERSA
True
If a prescriber wants to give a patient a narcotic to relieve withdrawl symptoms what must be done
1) Practitioner makes arrangements to refer the individual to a narcotic treatment
2) Not more than one day’s medication may be administered at one time
3) This treatment cannot last more than
three days and may not be renewed or extended
What is a detox compounder pharmacy
A pharmacy that compounds product for sale or distribution to a narcotic treatment program
When can a pharmacy be considered an AUTHROZED COLLECTER of a controlled substance
Must be registered as an authorized collector of a controlled substance with the DEA
What places are considered authorized collectors
Manufacturers, distributors, reverse distributors, Narcotic treatment programs, hospitals/clinics with an onsite pharmacy, and registered retail pharmacies
T/F: CSOS is the only way to ellectrically order C2s but can also be used to order C3 thru C5
True
Can a long term hospice care facility recieve a partial fill for a c2, if so how long is the prescription valid
Yes, 60 days
How are Copy 2 of DEA 222 forms forwarded to the DEA, who from the DEA gets the 222 form
They are forwarded before the end of the month the form was filled out, THE SPECIAL AGENT IN CHARGE
T/F: At the time of filling, controlled substance prescriptions must be signed and date on the face of the prescription by the pharmacist
True
What is the required label for all prescriptions
Federal “LEgend”: Cuation Federal Law prohibits dispensing without a prescription
What is the required label for all controlled substances
“Transfer warning”- Federal Law prohibits transfer of this drug to any person other than the patient for whom it was prescribed
