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Controlled Substances Flashcards

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1
Q

Hospital registrations with the DEA are issued to the entire hospital as how?

A

An institutional practitioner

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2
Q

A DEA registration expires after how long?

A

36 months after initial expiration date

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3
Q

How soon are DEA registration forms mailed out?

A

60 days before expiration

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4
Q

When should you notify the DEA if registration form isn’t at the pharmacy?

A

45 days before expiration date

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5
Q

How should you notify the DEA if your registration form has not showed up at your pharmacy?

A

In writing

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6
Q

Does federal law require a DEA applicant for registration to be a pharmacist?

A

No

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7
Q

How can other individuals sign applications for a DEA applicant?

A

Must sign a Power of Attorney

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8
Q

What locations must have a DEA registration?

A

Anywhere controlled substances are manufactured, distributed, or dispensed.

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9
Q

Are warehouses that store controlled substances required to register with the DEA?

A

No

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10
Q

If a practitioner prescribes CS, but not administers or dispenses them, do they have to register with the DEA?

A

No

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11
Q

Do common carriers or delivery companies have to register with the DEA?

A

No

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12
Q

Any registered person with the DEA may apply to be registered when?

A

Not more than 60 days before expiration date

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13
Q

Commercial containers containing controlled substances must have what on the label?

A

The symbol designating the products controlled substance schedule.

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14
Q

How large must a controlled substance symbol be on a commercial container?

A

Large enough to be easily seen without taking it off the shelf

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15
Q

Do schedule 1 meds have accepted medical uses?

A

No

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16
Q

What illicit drugs are schedule 2?

A

Cocaine

PCP

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17
Q

What barbitals are schedule 2?

A

Pentobarbital
Secobarbital
Amobarbital

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18
Q

What schedule are anabolic steroids?

A

Schedule 3

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19
Q

What schedule are schedule 2 barbitals when formulated as an salt or with other active ingredients?

A

Schedule 3

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20
Q

If schedule 2 barbitals are in suppository form, what schedule are they?

A

Schedule 3

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21
Q

What schedule are benzos?

A

4

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22
Q

What schedule is phentermine?

A

4

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23
Q

What schedule is phenobarbital?

A

4

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24
Q

What schedule is modafinil?

A

4

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25
Q

What schedule is soma?

A

4

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26
Q

What schedule is lomotil?

A

5

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27
Q

What schedule is phenergan with codeine?

A

5

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28
Q

What is required for the transfer of sale of a schedule 1 or 2 controlled substance?

A

DEA 222 form

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29
Q

Is a 222 form required when controlled substances are transferred from a central fill to a retail pharmacy?

A

No

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30
Q

How many 222 forms will come mailed in an envelope?

A

7 or 14

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31
Q

How many items can be entered on each line of a 222 form?

A

Only 1

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32
Q

How can a person fill out a 222 on behalf of the purchaser?

A

Creating a Power of Attorney for each individual

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33
Q

A purchaser retains which copy of the 222 form?

A

Copy 3

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34
Q

Which copy’s of the 222 form go to the supplier?

A

Copy 1 and 2

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35
Q

If a supplier can’t completely fill a CS order, how long do they have to complete it?

A

Within 60 days

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36
Q

What must a purchaser do with its 222 copy once the items are received?

A

Must record each item received and the dates when they were received

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37
Q

Who keeps the original copy of the 222 form?

A

The person who fills the 222 order

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38
Q

What happens with copy 2 of the 222 form?

A

First goes to supplier then forwarded to the DEA

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39
Q

If a supplier endorsed a CS order to another supplier, can the original supplier fill any part of the order?

A

No

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40
Q

What provides an electronic equivalent of the DEA 222 form?

A

Controlled Substances Ordering System (CSOS)

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41
Q

How many lines is a 222 order form limited to?

A

10

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42
Q

Is the CSOS limited to any amount?

A

No

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43
Q

In the CSOS can you only order schedule 1 and 2 items?

A

No can order anything, including non-controlled substances

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44
Q

No CS order is valid how long after its executed by the purchaser?

A

60 days

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45
Q

Is a registrant purchases controlled substances to repackage them, how just the registrant register?

A

As a manufacturer

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46
Q

A pharmacist can compound CS for office use as long as the product is compounded in what form?

A

Aqueous
Oleaginous
Or solid

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47
Q

A pharmacist can compound CS for office use if the product doesn’t contain more than what % of CS?

A

20%

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48
Q

A pharmacist can compound CS for office use if it’s only distributed to who?

A

A practitioner who’s authorized to dispense

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49
Q

Who can communicate a prescription issued by a practitioner to a pharmacist?

A

An employee or agent of individual practitioner

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50
Q

Who is responsible for correctly dispensing a controlled substance?

A

Corresponding liability

Both pharmacist and practitioner

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51
Q

Can a practitioner prescribe CS for office use?

A

No

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52
Q

How must a practitioner obtain his CS if he wishes to dispense?

A

Directly from a supplier

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53
Q

What date must be on a CS prescription?

A

When written

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54
Q

What must be on a CS prescription?(10)

A
  1. Full name of pt
  2. Address of pt
  3. Drug name
  4. Drug strength
  5. Dosage form
  6. Quantity prescribed
  7. Directions for use
  8. Name of practitioner
  9. Address of practitioner
  10. Registration # of practitioner
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55
Q

Can an agent of a practitioner prepare a prescription for a practitioners signature?

A

Yes

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56
Q

If an individual practitioner is exempted from registration under the CSA, what must they include on a CS prescription?

A

Registration # of hospital/institution

Special internal code they are assigned

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57
Q

Who can fill a prescription for a CS?

A

Only a pharmacist is who individually registered or who works at a registered pharmacy

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58
Q

Is use of electronic prescribing of CS mandatory or voluntary?

A

Voluntary

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59
Q

Can a practitioner print copies of electronic prescriptions for CS?

A

Yes

Must write copy only- not valid for dispensing

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60
Q

When can copies of electronic prescriptions of CS be printed?

A

Only after transmission

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61
Q

Is a practitioner allowed to sign multiple prescriptions for a single pt at one time?

A

Yes

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62
Q

Can a practitioner print, sign, and fax a failed to send electronic prescription?

A

Yes as long as the practitioner provides info with it about the failed to send prescription

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63
Q

How often must electronic pharmacy systems back up files?

A

Daily

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64
Q

If administering or dispensing narcotic meds for use of detoxification or maintenance treatment, what must a practitioner do?

A

Register separately with the DEA

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65
Q

If a practitioner is not registered to conduct narcotic treatment programs, can he administer narcotic drugs to these people?

A

Yes only for acute withdrawal while making arrangements for referral treatment

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66
Q

Can a practitioner administer a schedule 2 med for maintenance or detox treatment without registration?

A

Yes only for acute withdrawal symptoms while referral being arranged

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67
Q

Not more than how much detox maintenance treatment can be given at once if the practitioner isn’t registered?

A

1

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68
Q

How long can short term detox maintenance treatment last of practitioner isn’t specially registered?

A

3 days

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69
Q

Can a pharmacist dispense an emergency supply of a schedule 2 med?

A

Yes only upon oral authorization of a prescribing practitioner

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70
Q

What must a pharmacist immediately do for an oral authorization of a emergency prescription?

A

Reduce it to writing

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71
Q

What must the written emergency prescription contain?

A

Everything required expect the practitioners signature

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72
Q

The pharmacist what do what if she is unsure if the prescriber who authorizes an oral emergency fill of schedule 2

A

Make reasonable efforts to identify them

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73
Q

Within how many days should a prescriber deliver a written prescription to the pharmacist for the emergency quantity prescribed?

A

7 days

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74
Q

What must be written on an emergency authorization written prescription? 2

A

Authorization for Emergency Dispensing

Date of oral order

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75
Q

If a written prescription for an emergency fill is mailed, when must it be postmarked by?

A

Within 7 days or oral authorization

76
Q

Can central fill pharmacies fill emergency schedule 2 prescriptions upon oral authorization?

A

No

77
Q

Do pharmacists have to register with the DEA for controlled substances?

A

No

78
Q

In mississippi, within how long should a complete inventory of controlled substances be done if suspected loss?

A

Within 48 hours

79
Q

Within how long of a CS loss should a pharmacy send a written report to the mississippi bop?

What else should the report include?

A

Within 15 days

A copy of the CS inventory

80
Q

What things can a pharmacist NOT make changes to on a CS subscription?

A

Patients name
CS prescribed
Prescribers signature

81
Q

What three situations can a schedule 2 prescription be faxed to a pharmacy?

A

Home infusion pharmacies
Resident of LTCF
Written for hospice pt

82
Q

Can you refill a schedule 2 prescription?

A

No

83
Q

Can a schedule 2 prescription be partially filled?

A

Yes

84
Q

What must a pharmacist do when he partially fills a schedule 2 prescription?

A

Notate quantity supplied on face of written prescription

85
Q

How long does a pharmacist have to fill the remainder of a partially filled schedule 2 prescription?

A

72 hours

86
Q

Can a pharmacist partial fill a schedule 2 prescription if a patient requests it?

A

No only if the pharmacist is unable to supply the full quantity prescribed

87
Q

What two situations can a schedule 2 prescription be filled in partial quantities?

A

Patients in LTCF

Patient with terminal illness

88
Q

When partial filling a schedule 2 script, what must a pharmacist write on the script? 4

A

Date of partial filling
Quantity dispensed
Remaining quantity
Identification of dispensing pharmacist

89
Q

How long are schedule 2 prescriptions for LTCF of terminal illness patients good for?

A

60 days

90
Q

When do labeling requirements for schedule 2 prescriptions begin to take affect?

A

When more than 7 days supply is dispensed at once

The schedule 2 med is in possession of ultimate user

91
Q

Can schedule 3 4 and 5 prescriptions be electronically prescribed?

A

Yes

92
Q

A schedule 3 4 or 5 script can be refilled no more than how many times?

A

5 times

93
Q

A schedule 3 4 or 5 prescription can only be refilled 5 times in what time frame?

A

6 months

94
Q

Can prescribers orally authorize refills on schedule 3 4 or 5 meds?

A

Yes

95
Q

Can you partial fill schedule 3 4 or 5 prescriptions?

A

Yes

96
Q

Original prescription info of CS schedule 3 4 or 5 can be transferred how many times according to federal law?

A

One time

None for mississippi

97
Q

Pharmacies sharing real time online database may transfer up to how many times a schedule 3 4 or 5 prescription?

A

Max number of refills allowed

98
Q

Only who can dispense an OTC schedule 5 controlled substance?

A

A pharmacist

99
Q

Who can complete sales of OTC schedule 5 controlled substances?

A

A non pharmacist

100
Q

A pharmacist cannot sell more than how much of a codeine containing cough syrup in a 48 hour period?

A

4 ounces

101
Q

How old must you be to purchase schedule 5 OTC products?

A

18 yo

102
Q

What must be maintained by a pharmacist who’s selling schedule 5 OTC products?

A

Bound record book

103
Q

How long must a bound record book be kept for dispensing a schedule 5 OTC product?

A

At least two years

104
Q

When a pharmacy transfers a schedule 2 CS to a reverse distributor, what must be accompanied with it?

A

DEA 222 form or electronic equivalent

105
Q

What is the max percentage of CS a pharmacy can transfer to another pharmacy without being considered a a distributor?

A

5 percent

106
Q

A pharmacist can transfer up to what percent of total CS substances dispensed in a calendar year without getting a wholesaler permit?

A

5%

107
Q

Is a 222 form required for transferring schedule 3,4 or 5 CS from one pharmacy to another?

A

No

108
Q

Only when do practitioners have to keep records of what CS they prescribe for?

A

When prescribing for detox and maintenance treatment.

109
Q

Must maintain inventories of schedule 1 and 2 CS how?

A

Separate from all others

110
Q

What must be present in CS prescriptions if not electronically maintained?

A

Red letter C stamp

111
Q

An inventory of all CS on hand must be first done when?

A

When the registrant first engages in manufacturing, distribution, or dispensing

112
Q

A CS inventory must be done how often?

A

At least once every 2 years

113
Q

What schedule of CS must you have an exact count on when conducting inventory?

A

1 and 2

114
Q

When must you have exact counts on schedule 3 4 or 5 CS?

A

When the container holds more than 1000 tablets or capsules

115
Q

When can a practitioner who is at an institution or hospital prescribe CS under the hospitals DEA registration?

A

If they allow him too and if they have their own internal code number

116
Q

Do mid level practitioners receive a DEA number?

A

Yes

But authority to prescribe CS is decided by state

117
Q

How must CS be stored when used for research by practitioners and non practitioners?

A

Securely locked cabinet

118
Q

What form must be completed in a theft in CS situation?

A

DEA Form 106

119
Q

If a shipment disappears of CS, who is responsible for reporting in transit losses of CS?

A

The supplier

120
Q

Any recoverable CS after damage or spillage constitutes filling out what form?

A

DEA Form 41

121
Q

What provides federal investigation of pharmaceutical thefts and robberies?

A

Controlled Substance Registrant Protection Act of 1984

122
Q

What money amount stolen constitutes a federal investigation?

A

$500

123
Q

What kind of harm must occur in a pharmacy robbery to constitutes federal investigation?

A

Significant bodily injury

124
Q

What sort of commercial must be involved in planning or executing a robbery will constitute a federal investigation?

A

Interstate or foreign

125
Q

How many options does one have for filing prescriptions?

A

3

126
Q

What is max mg/day of PSE?

A

3,6

127
Q

How much can you purchase of PSE in 30 days?

A

9 grams

128
Q

All non liquid forms of PSE must be sold how?

A

In blister packs

NMT 2 doses/unit dose packet

129
Q

What is max mail order pharmacies can sell to a person in 30 days?

A

7.5 mg

130
Q

How must all PSE products be stored?

A

Behind the counter

Locked display cabinet on selling floor

131
Q

Do different locations of the same company of pharmacy require individual registrations?

A

Yes

132
Q

If there are multiple pharmacies in an institution, do they all require separate registrations with the DEA?

A

No one covers the whole institution

133
Q

Controlled substance registrations must be renewed how often I’m Mississippi?

A

Annually

134
Q

How much is a CS registration in mississippi?

A

$50

135
Q

A physician is not allowed to do what with C2 prescriptions?

A

Order prescriptions for office use.

Only applies to C2’s

136
Q

How must a practitioner request a C2 drug for office use?

A

Using a DEA 222 form

137
Q

What does the person who has power of attorney write when signing for something?

A

Registrants name
His/her own name
Words “attorney in fact”

138
Q

What forms do dispensers fill out to obtain CS?

A

224

139
Q

What would make a DEA 222 form unacceptable?

A

Alterations
Erasing
Change of description

140
Q

If a supplier cannot completely fill an order from a DEA 222 form, then what can the supplier do?

A

Endorse the entire order to a different supplier

141
Q

If the first supplier endorses an order, can the first supplier fill any of the order before endorsing it?

A

No, just endorse entire DEA 222 order

142
Q

Are DEA 222 forms transferable to another registrant?

A

No, specific for each registrant

143
Q

How long are DEA 222 forms kept?

A

Minimum of 2 years

144
Q

When an institutional pharmacy dispensing area is closed and area is available to non pharmacy personnel, where must CS be stored?

A

Securely locked cabinet

145
Q

Who can access area of CS storage in institutional pharmacy when dispensing area is closed?

A

Pharmacist or person authorized by pharmacist

146
Q

What registrations does mississippi require of reverse distributors?

A

DEA registration

MBOP registration

147
Q

What must be filled out to destroy controlled substances?

A

DEA form 41

148
Q

What DEA form 41 aka?

A

Inventory of drugs surrendered by destruction

149
Q

If a drug changes schedules, do you have to do an inventory of it the day it changes schedules?

A

No only if it goes from not scheduled to scheduled

150
Q

Mississippi wants another inventory of CS when what events occur? 3

A

Change in ownership
Change in PIC
Pharmacy is permanently closed

151
Q

Every facility permitted by the MBOP must complete CS inventories how often?

A

Annually

152
Q

How soon must you alert MBOP of remaining CS within discovery of CS loss?

A

Within 48 hours

153
Q

Directly report missing CS to MBOP when?

A

Immediately

154
Q

Must provide MBOP with written report of CS lost within how long of discovery?

A

Within 15 days

155
Q

For codeine to be schedule 3, it may not exceed what g/100mL?

A

1.8 g/100mL

156
Q

For codeine to be schedule 3, it must not contain how many mg/dose unit?

A

90 mg

157
Q

Are there any codeine containing products that are schedule 4?

A

No

158
Q

For codeine products to be schedule 5, it may not exceed what mg/100mL?

A

200mg

159
Q

What schedule in mississippi are ephedrine / PSE containing products?

A

3

160
Q

What are butalbital containing products scheduled in MS?

A

Schedule 4

161
Q

What schedule is tramadol in Mississippi?

A

4

162
Q

Who is given a DEA registration number?

A

Dispensers including prescribers

163
Q

What can the first letter of a DEA number be?

A

A B X or M

164
Q

What is the second letter of a DEA number?

A

First letter of last name

165
Q

How many numbers are in a DEA registration number?

A

7

166
Q

Do all people authorized to prescribe CS have a DEA registration number?

A

No

167
Q

What is required in Mississippi for filling a c2 prescription?

A

Hard copy unless in an emergency

168
Q

What does mississippi law say about how long you can fill a c2 prescription?

A

Cannot be filled 6 months after date of issuance

169
Q

When is a prescription for a stimulant not valid?

A

When written for the treatment of obesity

170
Q

What three things cannot be changed on a c2 script by the pharmacist?

A

Patients name
Drug name
Signature of practitioner

171
Q

Can a pharmacist partially fill an emergency c2 script if they are short the med?

A

Yes

172
Q

How soon does Mississippi regulations say a pharmacist has to complete a partial fill of a c2?

A

50 days

173
Q

No more than how many sales of a OTC C5 in any 7 day period?

A

2 sales

174
Q

No more than how many sales of an OTC C5 in any 30 days?

A

3 sales

175
Q

Can additional sales of an OTC C5 be made past the 3 sales per 30 days limit?

A

Yes if the person has a prescription for it

176
Q

How does MBOP say prescriptions should be filed?

A

Assigned a serial number
Maintained in numerical and chronological order
Kept for at least 6 years from dispensing

177
Q

When are red C’s required for filing controlled substance prescriptions?

A

When C3 thru C5 prescriptions are mixed in a file with any other prescriptions

178
Q

Can an agent of a prescriber manually sign a CS prescription for the prescriber?

A

No

179
Q

When can c2 prescriptions be taken over the phone?

A

During emergency situations

180
Q

What is the emergency time frame allowed for pharmacists to fill an emergency prescription in Mississippi?

A

48 hours

181
Q

What kind of prescription must a practitioner get to the pharmacist for an emergency fill?

A

Written and signed

182
Q

What two things must be written on the face of the covering prescription?

A

Authorization for Emergency Dispensing

Must be dated for date of emergency authorization

183
Q

Can an authorization of an emergency c2 prescription be faxed in?

A

No only by telephone

184
Q

What two situations can a c2 prescription be faxed in and serve as an original prescription?

A

For LTCF patient

For compounding for direct administration

185
Q

Can a supplier endorse an order from an electronic order?

A

No

186
Q

What must a purchaser do after receiving an CS order?

A

Record amount and date received

Law (11 decks)

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