Controlled Substance

Question 1

What are the five known entities of a closed system that a pharmacy can OBTAIN

Answer 1

Manufacturer, Distributor, Dispencer (C2 to C5), Narcotic Treatment Program, Detox compounder

Question 2

What are the three reasons a controlled substance can be returned to the pharmacy

Answer 2

Dispensing error, Recall of the drug, the pharmacy is registered as an authorized collector

Question 3

What are the two permissible ways an authorized collector can take back a medication

Answer 3

1) Collection Receptacle

2) Mail back program

Question 4

T/F: Patients are legally allowed to destroy controls on their own

Answer 4

True

Question 5

T/F: Law enforcement agencies can take back control substances without a DEA #

Answer 5

True

Question 6

What is a narcotic

Answer 6

A controlled substance that nulls pain

Question 7

What form must be filled out to order a C2

Answer 7

DEA form 222

Question 8

What is a registrant, who can be a registrant

Answer 8

Whomever applies for DEA registration

Sole proprietor, Co-Owner of an independant, officer or director of a coorperation

Question 9

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

Answer 9

DEA Form 224, every 3 years through a 224a form

Question 10

Why would a pharmacy need multiple DEA registrations

Answer 10

Location has different street addresses and Activities are different even if at the same site

Question 11

Why would a pharmacy need to register as a distributor

Answer 11

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

Question 12

Why would a pharmacy have to register as a manufacturer

Answer 12

Repackages controlled substances for sale

Question 13

T/F: Manufacturers/wholesalers/importers/exporters/researchers register with DEA Form 225, and renew with
225a. Renewal is every 3 years

Answer 13

True

Question 14

What licenses are required for a pharmacy to dispense

Answer 14

A DEA registration, a pharmacy license, and a state controlled substance registration

Question 15

What less common drugs are considered schedule 2

Answer 15

Methamphetamine and amphetamine, Pentobarbital and Secobarbital, Pentazocin (Illinois)

Question 16

What less common drugs are considered schedule 3

Answer 16

Acetaminophen with Codeine, ANABOLIC STEROIDS, Butalbital, Ketamine, Buprenorphine

Question 17

What less common drugs are considered schedule 4

Answer 17

Benzodiazepines, Z hypnotics, carisopridol, MEPROBROMATE , tramadol

Question 18

T/F: Combination barbituates and suppository forms of barbituates are considered schedule 3

Answer 18

True

Question 19

How often must inventory be done in a pharmacy, which drugs need actual counts

Answer 19

Once a year, C2s and controls that are in containers that have more than 1000 units (everything else can be approximate)

Question 20

What is the only circumstance where methadone can be given soley as treatment for a patient’s narcotic addiction

Answer 20

At a Narcotics Treatment Program (dispensed or administered but NOT prescribed)

Question 21

T/F: Methadone can only be prescribed for analgesic purposes

Answer 21

True

Question 22

T/F: If a patient is taking methadone for analgesic purposes they cannot receive methadone for addiction and VICE VERSA

Answer 22

True

Question 23

If a prescriber wants to give a patient a narcotic to relieve withdrawl symptoms what must be done

Answer 23

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

Question 24

What is a detox compounder pharmacy

Answer 24

A pharmacy that compounds product for sale or distribution to a narcotic treatment program

Question 25

When can a pharmacy be considered an AUTHROZED COLLECTER of a controlled substance

Answer 25

Must be registered as an authorized collector of a controlled substance with the DEA

Question 26

What places are considered authorized collectors

Answer 26

Manufacturers, distributors, reverse distributors, Narcotic treatment programs, hospitals/clinics with an onsite pharmacy, and registered retail pharmacies

Question 27

T/F: CSOS is the only way to ellectrically order C2s but can also be used to order C3 thru C5

Answer 27

True

Question 28

Can a long term hospice care facility recieve a partial fill for a c2, if so how long is the prescription valid

Answer 28

Yes, 60 days

Question 29

How are Copy 2 of DEA 222 forms forwarded to the DEA, who from the DEA gets the 222 form

Answer 29

They are forwarded before the end of the month the form was filled out, THE SPECIAL AGENT IN CHARGE

Question 30

T/F: At the time of filling, controlled substance prescriptions must be signed and date on the face of the prescription by the pharmacist

Answer 30

True

Question 31

What is the required label for all prescriptions

Answer 31

Federal “LEgend”: Cuation Federal Law prohibits dispensing without a prescription

Question 32

What is the required label for all controlled substances

Answer 32

“Transfer warning”- Federal Law prohibits transfer of this drug to any person other than the patient for whom it was prescribed