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Pharm 441: LAW > Controlled Substances > Flashcards

Controlled Substances Flashcards

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1
Q

Can an optometrist prescribe analgesics of hydrocodone products?

A

Yes, as long as they complete an exam and gives no more than 72 hours worth of med and the rx can not have refills

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2
Q

According to NRS 634 what can a chiropractor do?

A

They can not practice medicine, osteopathic medicine, dentistry, optometry or podiatry and they can not administer or prescribe drugs

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3
Q

What does the Controlled substance act provide ?

A

It provides 5 schedules of CS, and a drug is placed into one of the schedules according to its abuse potential and accepted medical use

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4
Q

What can not be written as directions for a controlled substance?

A

It can not say “take as directed” this doesnt fulfill the requirements.

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5
Q

What must be included on a CS rx in terms of directions

A

It must clearly state the dosage, frequency and manner in which the rx is to be taken or applied

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6
Q

Who is not required to register and lawfully possess and distribute a CS in NV?

A
  1. Agent or employee of a registered dispenser; if acting in normal course of business
  2. Common or contract carrier of warehouseman (delivery driver) *as long as normal course of business
  3. The ultimate user
  4. A physician who: holds locum tenens license issued by board, Has registered with DEA at location outside of the sate
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7
Q

When thinking about a chain pharmacy does the whole company need a DEA or do the individual stores need DEA numbers?

A

Each store needs a separate DEA to dispense CS.
*same goes for manufactures, distributors, research.
Only thing that does not is a warehouse where the CS are stored on behalf of the registered person

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8
Q

What does a certificate of registration show?

A

1 sets the name, address, and registration number of the registrant, what activities they are allowed to do and which CS they can handle.
2. it must be displayed

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9
Q

Can an individual practitioner dispense a CS of C2,3,4 to himself or family?

A

No, unless it is for a medical emergency

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10
Q

When can a pharmacist accept a C2 in an emergency?

A

Can be taken over the phone

  1. The qty can only be enough to treat the pt for the emergency.
  2. must immediatly write the RX and document all needed info *MUST also write “auth for emergency disp” and the date of oral order
  3. make reasonable effort to determine the rx came from authorized dr
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11
Q

How long do you have to get a written rx from the dr after taking an emergency C2?

A

Must within 72 hours deliver a written RX to the pharmacist. this must be attached to copy of phoned in RX.
**RPh must notify the board if the dr fails to bring in a written rx in 72 hours

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12
Q

What are some of the restrictions on CS rx?

A
  1. Individual practitioner may not issue a RX in order to obtain CS for the purpose of general dispensing to pts
  2. Rx may not be issued for dispensing any narcotic drug for the purpose of continuing his dependence except for the course of rehabilitation
  3. Administering or dispensing directly, any narcotic drug to a person dependent on a narcotic drug for the purpose of continuing dependence.
  4. a C3,4,5 can be sent over fax
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13
Q

What are some unlawful acts when it comes to CS?

A
  1. RPh shall not knowingly fill or refill a RX for a CS for use by a person other than the person the RX was issued for.
  2. Person shall not furnish a false name or address while trying to get a CS. *ID and proof must be presented per request
  3. RPh will not fill a RX for a CS if the RX shows evidence of alteration unless they speak to prescriber and verify rx is real.
  4. RPh will not fill a C2 unless it is tendered on or before the 14th day after issue
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14
Q

What must each RX for a CS contain in the state of Nevada?

A
  1. Name of prescriber
  2. address of prescriber if not RA
  3. Date the rx was issued expressed as (MM/DD/YYYY)
  4. full name and DOB FOR PT
  5. address of the pt is not RA
  6. name, strength and qty of drug
  7. directions of use
  8. THE DAYS SUPPLY OF MED, fewest number of days necessary to take it all
  9. ICD-10 code!!!
  10. Classification of license of prescriber
  11. DEA number must be printed on rx
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15
Q

What must a written CS include in terms of signing by dr.

A

it must have a wet signature if the rx is printed out.

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16
Q

What can an RPh change on the copy of a C2 drug?

A

Only if RPh has spoken to practitioner who issued the rx

  1. Strength of drug
  2. qty of drug
  3. Directions of use
  4. date the RX was written
  5. Days supply of drug
  6. ICD 10 code
  7. DOB of the pt
17
Q

What can an RPh NOT change on the hard copy of a C2?

A
  1. name of the pt
  2. name of CS prescribed, unless changing to generic form only
  3. the signature of the prescribing dr
18
Q

Once a change is made to a C2 hard copy what must an RPh do?

A
  1. initial any addition or change made

2. make a note of; the date and time it was changed and the reason for changing it

19
Q

How many C2 drugs can be written on a single RX pad?

A
  • another C2 drug
  • Other CS not in C2
  • any other rx drug
  • The org file must be kept with the C2s and a copy must be placed for the other drug categories
20
Q

If an RX has C2 written on it as well another another drug which is not a C2 how will it be filed?

A
  1. the org copy will be filed with the C2s.
  2. a copy of the other drugs will be placed in the correct file and contain a reference to the serial number to the rx with the C2.
21
Q

Can an RPh return a C2 hard copy to the pt?

A

Yes, unless the RPh verifies that the Rx has been filled and dispensed to the pt, then they will not return it

22
Q

What are the rules a dr must follow when writing a “do not fill before date”?

A
  1. the date must not be later than 3 months after the date the rx was writen
  2. the rx must be tendered on or before the 14th day after “date indicated”
  3. no combo of rx for the same medication can exceed a 90 day supply
  4. The C2 must be the only drug listed on the RX pad. Can not contain any other CS
23
Q

Can an RPh partial fill a CS?

A

Yes, as long as you follow:

  1. Can not exceed the total amount the Rx was written for
  2. the remaining portion of the RX must not be filled more than 30 days after the date on which the rx was written
  3. In an emergency situation the remaining portion of the RX must be filled not later than 72 hours the rx was issued
24
Q

How does partial filling of a C2 work in “long term care” (LTC)?

A

Must record on the rx:

  1. The pt is LTC
  2. Date of the partial filling
  3. qty of the med that is dispensed
  4. remaining qty auth to be dispensed
  5. signature or initials of RPh on record on back of rx
25
Q

How long is a partial rx for C2 valid if the Pt is in LTC?

A

*total qty dispensed in all partial fillings can not be more than qty prescribed
The rx is valid for 60 days after the issue date

26
Q

What must a pharmacist who is hired or promoted to manage a pharmacy do?

A
  1. perform a CS inventory within 48 hours (with RPh who preceded them as the managing RPh)
  2. After this first day a CS inventory must be done at least once every 2 years
    * *records must be kept of the inventory
27
Q

How must the records for RX files be kept?

A

Option 1: One file for C2s; and then a seperate file for C3, 4, and 5 as well as non controlled RX.
Option 2: One file for C2,3,4,5 as long as the C3,4,5 are stamped with letter C; then a file for the noncontrolled
Option 3: One file for C2, Second file for C3,4,5. Then a third file for non controls

28
Q

What does the RPh need to do if a DEA 222 form is lost or stolen?

A
  1. immediately upon discovery; RPh must report the loss to the office of diversion control, DEA.
29
Q

What must be followed to allow a pharmacist to dispense a CS without an RX?

A

Must be a C5.

  1. only done by RPh (or intern)
  2. not more than 60 cc distributed to same purchaser in any 48 hours
  3. purchaser is at least 21
  4. RPh must have ID, including proof of age
  5. Must keep a long that contains
  6. name and address of purchaser
  7. name and qty purchased
  8. date
  9. name of RPh and substance given
30
Q

What are some limitation on CS for a practitioner?

A
  1. only give CS for legit medical purpose

2. Not give a C2 for himself, spouse or children expect in case of emergency

31
Q

What are some limitations on CS for a vet?

A
  1. Cant give a CS for human use

2. may possess and administer CS and allow for supervised administration by a tech if they are in a vet clinic.

32
Q

What are some limitation on CS for a pharmacist?

A

Shall not fill an order which they believe is not issued in the usual course of professional practice of a practitioner

33
Q

When does loss or theft of a CS need to be reported?

A

Must be filled out on forms within 10 days after the date of discovery of the theft or loss

34
Q

where must methamphetamine be kept?

A

A retail distributor shall keep, store or place in a locked case or cabinet or behind a counter so that public doesnt have direct access to the product

35
Q

What are the requirements for the sale of methamphetamine?

A
  1. retail distributor shall maintain a logbook
  2. at the time of sale the following info must be kept in the log book;
    a. name of product sold
    b. qty sold
    c. name and address of purchaster
    d. date and time of sale
36
Q

How long does a log book for methamphetamine need to be kept?

A

Each entry in the log book shall be kept for not less than 2 years after the date on which the entry is made

37
Q

What is a real-time, stop sale system

A

its a computer system that tracks the sale of methamphetamine

38
Q

what is required of a real-time, stop sale system

A
  1. allow pharmacy to electronically submit info
  2. determine whether the sale or transfer violates NRS 453.355 or any other law
  3. send an alert to pharmacies to stop the sale if it does violate NRS 453.355 or any other law
  4. allow law enforcement to have access of the system is needed
  5. available for use by pharmacies and law enforcement free of charge

Pharm 441: LAW (5 decks)

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