CONTROLLED SUBSTANCES

Question 1

Physician

Answer 1

MD

Question 2

Doctor of Osteopathy

Answer 2

DO

Question 3

Dentist

Answer 3

DMD

Question 4

DDS

Answer 4

Doctor of Dental Surgery

Question 5

DPM

Answer 5

Podiatrist

Question 6

DVM

Answer 6

Veterinarian

Question 7

PA

Answer 7

Physician Assistant

Question 8

OD

Answer 8

Optometrist

Question 9

NP

Answer 9

Nurse Practitioner

Question 10

ARNP

Answer 10

Advance Registered Nurse Practitioner

Question 11

CRNP

Answer 11

Certified Registered Nurse Practitioner

Question 12

Required for a prescriber to write a controlled substance prescription

Answer 12

DEA Numbers

Question 13

• First 2 characters are letters

- Last 7 characters are computer - generated numbers

Answer 13

DEA Numbers

Question 14

Starts w/ letter X of DEA NUMBER

Answer 14

• Unique Identification number or UIN

- used when prescribing buprenorphine-containing prescriptions, like Suboxone for opioid dependence

Question 15

First Letter: DEA NUMBER

Answer 15

Physicians or Dentist -A, B, or F

Mid level prescribers (PA, NP) - M

Question 16

Mid level prescribers

Answer 16

PA, NP

Question 17

Second Letter: DEA NUMBER

Answer 17

First letter of last name or company name

Question 18

First letter : (B)

Answer 18

Pharmacy DEA Numbers

Question 19

2 Ways to Verify DEA numbers

Answer 19

Manual calculation (formula)
Electronically (DEA website)

Question 20

1. Add 1, 3, and 5 digits of DEA number to find =SUM 1
2. Add 2, 4, and 6 digits of DEA number and multiple total by 2 =SUM 2.
3. SUM 1 + SUM 2 =verification #
   - Last digit of verification # should match the last digit of DEA number

Answer 20

Manual calculation (formula) to verify DEA number.

Question 21

DEA AR1479355 for DR DANNA RONNY - verify if DEA is valid

Answer 21

1. 1+7+3=11 (SUM 1)
2. 4+9+5=18
   18 x 2 = 36 (SUM 2)
3. 11+36= 47
   Does not match last digit of DEA number.
   Answer =No, DEA number is not valid.

Question 22

Controlled Substance Refill

Answer 22

• Schedule II : no refills
  
  • Schedule III, IV : 5 refills
    Schedule V : up to prescriber, within 1 year

Question 23

Types of Controlled Substance Prescriptions

can be faxed, verbal, electronic, written (according to federal law)

Answer 23

• Schedule III, IV, V :

Question 24

• Emergency situations : verbal, only for amount needed during emergency period
  - Pharmacy must receive written signed Rx within 7 days
  
  • Federal law allows prescriptions to be faxed under limited circumstances.
    - To expedite processing : fax, must have original written Rx BEFORE dispensing
• Long term care/Hospice : fax, consider original Rx

Answer 24

Exceptions for Schedule II - prescriptions

Question 25

Expirations of Controlled Substances Prescriptions

Answer 25

• C-II : time limit up to the pharmacist
  
  • C-III, IV : up to 6 months after date of issue
    C-V : time limit up to the pharmacist (federal law) 6-12 months (some state laws)

Question 26

- Must contain : 
	  Pharmacy name and address
	  Rx number
	  Pt's name
	  Prescriber's name
	  Direction for use
	  Date of filling
	- C- II, III, IV : warning statement

Answer 26

Prescription Labels

Question 27

CSA requires C-II to be ordered on this special form.

Answer 27

DEA Form 222

Question 28

1st - Supplier’s copy, 2nd : DEA’s copy, 3rd : Pharmacy’s copy

Answer 28

Triplicate

Question 29

Date and amount of drug received must be documented on the pharmacy’s copy of the 222 form.

Answer 29

File and save for 2 years.

Question 30

order through your supplier/wholesaler like non-controlled meds

Answer 30

C-III, IV, V

Question 31

Federal law requires pharmacies to keep records on all controlled substances that come in and out of the pharmacy. T or F

Answer 31

True

Question 32

“C-II” book to manually keep track of each prescription and order of C-II meds

Answer 32

Perpetual inventory (ongoing record)

Question 33

Inventory Requirements for C-__

Exact count

Answer 33

C-II

Question 34

Inventory Requirements for C-__
can have an ESTIMATED count unless a container hold more than 1,000 dosage units.
- If more than 1,000 dosage units, then EXACT count must be taken.

Answer 34

C-III,IV,V

Question 35

Inventory Records - Keep for at least ___ years

Answer 35

2

Question 36

• Complete manual inventory

Every __yrs from the date of the first inventory

Answer 36

2

Question 37

BIENNIALLY

Answer 37

Every 2 yrs

Question 38

Process where Tech may be asked to witness the disposal of the remaining dose

Answer 38

wasting

Question 39

Community Pharmacies - must request permission from DEA BEFORE destroying. Needs to submit what form?

Answer 39

DEA form 41

Question 40

Pharmacy sends back expired or defective CS to DEA-registered reverse distributor. Needs to submit what form?

Answer 40

DEA form 222 or electronic form must be completed.

Question 41

Stolen Controlled Substances Meds, must submit what form to DEA?

Answer 41

DEA form 106

Question 42

Dispensing C-II between pharmacies, must submit what form?

Answer 42

DEA 222 form or electronic form is required

Question 43

May not exceed 5% of all dispensed controlled substances within 1 year. T or F

Answer 43

True

Question 44

Rx cannot be transferred to another pharmacy.

Answer 44

C-II

Question 45

can be done on a one-time basis over the phone.

-Shared electronic online database, then can transfer up to the max refills allowed on Rx.

Answer 45

C-III, IV, V

Question 46

Online program used to reduce diversion and prescription drug abuse

Answer 46

Prescription Drug Monitoring Programs ( PDMP or PMP)

Question 47

Types of Controlled Substance Prescriptions

canNOT be called in over the phone or faxed to the pharmacy

Answer 47

Schedule II