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MPJE > Controlled substances > Flashcards

Controlled substances Flashcards

1
Q

Restrictions on out of state CS prescribing?

A

nope.
multiple Rx’s are allowed on one form if from out of state

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2
Q

Restrictions on out of country CS prescriptions

A

Out of Country CS Rx not allowed

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3
Q

Registrations required for a provider to prescribe CS

A

Register with DEA
Register prescribing application with NYS DOH BNE

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4
Q

DEA 224 form

A

required for pharmacies to dispense controlled substances

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5
Q

DEA 224a

A

DEA 224 renewal form
must renew every 3 years

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6
Q

Are pharmacists required to check PDMP before filling?

A

No

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7
Q

Are pharmacists required to report CS dispensing? If so, where to and how quickly?

A

Yes
Report to BNE (PDMP)
must report within 24 hrs of substance being delivered to patient

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8
Q

Are CS dispensing reporting requirements the same for mail order?

A

Mostly, but mail order pharmacies must report within 72 hrs of the meds being SHIPPED

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9
Q

Emergency verbal CS prescription: max day supply for C2s

A

5 day supply

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10
Q

Emergency verbal CS prescription: how long does the doctor have after giving the verbal order to send written or electronic authorization?

A

72 hrs

must have “Authorization for emergency dispensing” written (not typed) on the face of the script

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11
Q

Emergency verbal CS prescription: Do pharmacists have to report if they don’t get an authorization script?

A

Yes must report to DOH within 7 days of dispensing the CS

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12
Q

Emergency verbal CS prescription: max day supply for C3-5

A

C3 & 5: 5 day supply
C4: 30 day supply or 100 dosage units (Whichever is less)

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13
Q

Emergency verbal CS prescription: is a follow up prescription required?

A

yes due within 72hrs

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14
Q

When can CS prescriptions be sent via fax

A
  • hospice or RHCF if they are contracted with the pharmacy
  • rx for compounding for direct parenteral admin

both still follow 72hr and 7 day rules

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15
Q

Benzodiazepines are considered C___ for the purpose of refills

A

C2

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16
Q

Should benzodiazepines be filed with C2 or C3-5 paperword

A

C3-5

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17
Q

Is naloxone a controlled substance?

A

nope

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18
Q

CBD control schedule

A

C5

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19
Q

Anabolic steroid scheduling:
Federal vs NY

A

Fed: C3
NY: C2

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20
Q

How long are CS prescriptions valid?

A

C2: 30 days
C3-5: valid for up to 6 months

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21
Q

Day supply limit on CS prescriptions?

A

C2: 30 DS
C3-5: can be greater than 30 days, but if > 30 DS can only be refilled 1 time

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22
Q

What do CS codes on prescriptions do?

A

Allows up to 3 month supply of CS

exception: up to 6 month supply for anabolic steroids

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23
Q

Code A

A

panic disorder

24
Q

Code B

A

ADD

25
Q

Code C

A

convulsive, seizures, spasms

26
Q

Code D

A

pain

27
Q

Code E

A

narcolepsy

28
Q

Code F

A
  • male hormone deficiency
  • gynecologic conditions responsive to anabolic steroids or chorionic gonadotropin -metastatic breast cancer
  • anemia
  • angioedema
29
Q

Can you partial C2s?

A

yes, but remaining portion must be filled within 72 hrs. If it cannot be completed within 72hrs Rx is void and provider must send a new script

30
Q

Exception to the 72hr rule when partial filling C2s

A

hospice/RCHF patients, partial fill must be completed within 30 days

if Rx was coded to have > 30 DS, partial must be completed within 60 days of written date

31
Q

Do pharmacies need DEA numbers?

A

Yes if they want to dispense CS

32
Q

what does an X in front of a DEA number mean

A

prescriber is registered for DATA 2000 waiver (for prescribing and dispensing buprenorphine

33
Q

DEA 224 registration renewal fee

A

$731 every 3 years

34
Q

DEA 41

A

disposal of CS

35
Q

DEA 222

A

CS ordering

36
Q

DEA 106

A

Theft/loss of CS

37
Q

requirements to administer suboxone?

A

register for a DATA 2000 waiver

38
Q

Can prescribers administer suboxone?

A

Only if they register for a DATA 2000 waiver

39
Q

Which CS schedules can Physicians (MD, DO) order?

A

C2
C3
C4
C5
Legend/OTC
Methadone

40
Q

Which CS schedules can Dentists (DDS/DMD) order?

A

C2
C3
C4
C5
Legend/OTC

MUST BE WITHIN SCOPE OF PRACTICE

41
Q

Which CS schedules can Optometrists (OD) order?

A

Legend/OTC
- which agents vary by privilege

MUST BE WITHIN SCOPE OF PRACTICE

42
Q

Which agents can OD’s with R privilege prescribe?

A

Topical agents
- antibiotic/microbials
- decongestants / antihistamines
- NSAIDs
- steroids
- antiviral agents
hyperosmotic/hypertonic agents
- cycloplegics (for dilation)
- Immunosuppressive agents

43
Q

Which agents can OD’s with T privilege prescribe?

A

Glaucoma & ocular HTN meds
- beta blockers
- alpha agonists
- direct acting cholinergic agents
- prostaglandin analogs
- carbonic anhydrase inhibitors

44
Q

Which agents can OD’s with O privilege prescribe?

A

Oral agents:
ABX
- Amox/clav
- cephalexin
- azithromycin
- co-trimazole
- doxycycline
- tetracycline
Acute inc in ocular pressure
- acetazolamide
- methazolamide
- 24h supply only
Herpes zoster
- acyclovir
- valacyclovir

45
Q

Which CS schedules can Podiatrists (DPM) order?

A

C2
C3
C4
C5
Legend/OTC

WITHIN SCOPE OF PRACTICE

46
Q

Which CS schedules can Veterinarians (DVM) order?

A

C2
C3
C4
C5
Legend/OTC

47
Q

Which CS schedules can a psychiatrist (usually considered MDs) order

A

C2
C3
C4
C5
Legend/OTC

WITHIN SCOPE

48
Q

Which CS schedules can physician assistants (PA, RPA) order?

A

C2
C3
C4
C5
Legend/OTC
Methadone

NYS Rx form must have imprinted name of RPA & supervising physician

49
Q

Which CS schedules can Nurse Practitioners (NP or RN-CNP) order?

A

C2
C3
C4
C5
Legend/OTC
Methadone
may certify patients for medical cannabis

Collaborative agreement with physician
- do not need co-sign though

50
Q

Which CS schedules can Midwives (NM, CNM) order?

A

C2
C3
C4
C5
Legend/OTC

WITHIN SCOPE
- management of uncomplicated pregnancy and up to 28 days post partum

collaborative agreement with an OBGYN

51
Q

How soon must a supervising physician co-sign a PA’s CS prescription?

A

within 24 hrs

52
Q

Which CS schedules can pharmacists prescribe?

A

None
May prescribe Legend/OTC meds within a CDTM agreement with a physician.

53
Q

Medical Marijuana Dispensaries: Is a licensed RPh required on premesis

A

Yes, must be on premises and supervising

54
Q

Medical Marijuana Dispensaries: max day supply allowed

A

60 DS

55
Q

Medical Marijuana Dispensaries: how soon can MM prescriptions be refilled/new Rx filled

A

follows same 7 day rule as other controls

56
Q

Does a pharmacist have to review the PDMP before dispensing medical cannabis?

A

yes, required

57
Q

Medical Marijuana Dispensaries: are patient specific logs required

A

yes, dummy

MPJE (14 decks)

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