Controlled Substance Inventory

Question 1

Schedule II controlled substances are ordered using which DEA form

Answer 1

DEA 222 form

Question 2

copy 1 of DEA 222 form goes to ___
copy 2 of DEA 222 form goes to ___
copy 3 of DEA 222 form goes to ___

Answer 2

Copy 1 = distributor
Copy 2 = DEA
Copy 3 = Purchaser

Question 3

C-II drugs can be transferred to other pharmacies using a DEA 222 form as long as < __% of total annual dosage unites of controlled substances are “transfers”

Answer 3

< 5%

Question 4

Registrant may authorize one or more individuals to order controlled substances on the registrant’s behalf by executing a power of attorney. Registrant may revoke any power of attorney at any time by executing a ____

Answer 4

notice of revocation

Question 5

How often does Federal law require inventory check?

Utah?

Answer 5

Federal: every 2 years
Utah: annually

Question 6

Inventory for C-II requires ____

Answer 6

an exact count

Question 7

Inventory for CIII-CIV requires _____

Answer 7

estimates are ok if pack size is < 1000

Question 8

Which DEA form is used for lost or stolen controlled substances

Answer 8

DEA 106

Question 9

If controlled substance is lost or stolen, when should the DEA and police be notified

Answer 9

within 1 day of discovery

Question 10

What are the ways in which controlled substances may be destroyed from inventory

Answer 10

• Transferred back to the original supplier (use DEA 222)
  (Supplier will submit DEA 41)
• Transferred to a reverse distributer (use DEA 222)
  (Reverse distributor will submit DEA 41)
• Destroy with the assistance of special agent in charge of local DEA (use DEA 41)

Question 11

Pharmacies may not accept returns of controlled substances unless they are registered as a ____ with the DEA (amendment to registrant’s original DEA registration)

Answer 11

“collector”

Question 12

T/F: Law enforcement has to register with the DEA to accept controlled substances for destruction

Answer 12

false - they do not have to register with the DEA

Question 13

Controlled substance records must be kept for at least __ years (federal vs UT)

Answer 13

federal = 2 years
UT = 5 years

Question 14

What must a controlled substance prescription contain

Answer 14

• Patient full name and address
• drug name, strength & dosage form
• Qty prescribed and directions for use
• Name, address and DEA number of prescriber
• Must be manually signed in ink in the same manner as signing a legal document

Question 15

If prescriber is a federal prescriber (exempt from DEA registration), rx must include

Answer 15

branch (e.g. US ARMY) and service identification number

Question 16

T/F: a faxed C-II rx is valid

Answer 16

false - a practitioner can fax a C-II but the patient must present a manually signed rx prior to pharmacist dispensing (exceptions; LTCF and hospice)

Question 17

T/F: a faxed CIII-CV rx is valid

Answer 17

true

Question 18

In case of an emergency situation, as defined by the Secretary, a pharmacist may dispense a controlled substance listed in Schedule II upon receiving oral authorization of a prescriber, provided that:

Answer 18

• The quantity prescribed and dispensed is limited to the amount adequate to treat the patient during emergency
• The prescription shall be immediately reduced to writing by the pharmacist
• Prescriber must be known to pharmacist or pharmacist must make reasonable effort to verify prescriber’s identity
• Hard copy prescription must be provided to the pharmacist within 7 days
• The prescription must have written on its face “Authorization for Emergency Dispensing,” and date of oral order
• The pharmacist must attach the paper prescription to the oral emergency prescription

Question 19

if the prescribing individual practitioner fails to deliver a written prescription in the case of an emergency situation, who must the pharmacist contact

Answer 19

DEA

Question 20

Utah only permits ___-hour supply for emergency fills

Answer 20

72

Question 21

Which aspects of a CII prescription can the pharmacist NOT change or add

Answer 21

• The date the prescription was written (even a change to the year is not permitted)
• The patient’s name
• The name of the controlled substance being prescribed, except for a generic substitution as noted
• The signature of the prescribing practitioner

Any schedule II-controlled substance prescription missing any of the four above elements is invalid and must be re- issued by the prescribing practitioner.

Question 22

After consulting with the prescribing practitioner, a pharmacist may add to or change the following elements of a schedule II controlled substance prescription:

Answer 22

• The dosage form
• Drug strength
• Drug quantity
• Directions for use

Any change or addition must be noted on the prescription and indicated the change/addition was verified by the prescribing practitioner.

Question 23

Utah law specific for acute pain

Answer 23

max 7 day supply

max 30 days if post-surgical patient