Controlled Substances Part 3: Prescribing and Dispensing Flashcards
Which controlled substance schedules (if any) can each type of mid-level practitioner prescribe?
Nurse Practitioner: II-V as allowed in their written collaborative practice agreements and written protocols
Physician Assistant: II-V as allowed in the written agreement between the physician and PA
Optometrist: II-V
List the schedules of drugs collected in the state’s prescription drug monitoring program (PDMP).
All schedule II-IV drugs and drugs of concern.
Drugs of concern include:
1) Butalbital/acetaminophen/caffeine
2) Ephedrine or pseudoephedrine (if exempt from being reported to NPLEx)
3) Promethazine with codeine
4) Gabapentin
In what timeframe must a pharmacy submit the records of dispensed controlled substances to the state’s PDMP?
Outpatient pharmacies must report their prescription drug data to K-TRACS within 24 hours of the drugs being dispensed.
Pharmacies can submit “zero-claim” reports for periods during which they have not dispensed any controlled substance prescriptions. Zero-claim reports must be made every 7 days.
Which healthcare professionals are authorized to access the prescription drug monitoring program (PDMP)?
Prescribers and dispensers
Can controlled and non-controlled drugs be written on the same prescription form?
Not addressed in Kansas law
Is there a limit to the number of medications that can be written on one prescription form?
- Yes, if the provider is issuing three 30-day Schedule II prescriptions to cover a 90-day supply.
- Each prescription must be individually written on a separate prescription.
Other than prescriptions for Medicaid patients, do any prescriptions require tamper-resistant security forms?
No, Medicaid prescriptions only
What security elements must be present on tamper-resistant security forms?
Kansas follows federal regulations
What changes can be made, at the pharmacist’s discretion, to schedule II prescriptions?
A pharmacist may add the date issued if not written. They may add or change the drug strength, quantity, and directions for use after consulting with the prescriber or the prescriber’s agent. The prescriber’s DEA number may also be added. A dosage form may be selected if one is not written. Such consultations and all information added/changed must be initialed and dated.
The pharmacist is never permitted to make changes to the patient’s name, controlled substance prescribed (except for generic substitution permitted by state law), the prescriber’s signature, or any written date.
What changes can be made, at the pharmacist’s discretion, to schedule III - V prescriptions?
Address without consultation.
After consultation with the prescriber, can change dosage form, strength, quantity, directions of use and issue date.
What is the time limit (i.e., days/months) that a schedule II prescription must be filled from the date of issue?
Schedule II prescriptions are valid for 6 months from the date of issue
Is there a maximum quantity or days’ supply that a patient can receive of a schedule II drug?
No
Are partial fills for schedule II prescriptions permitted at the request of the patient or prescriber (if yes, list the requirements)?
Yes, a schedule II controlled substance may be partially filled at the request of the patient or the prescriber who wrote the prescription.
It must be filled within 30 days of the date the prescription was written.
The total quantity dispensed in all partial fillings cannot exceed the total quantity prescribed.
If the patient is in a Long Term Care Facility or has a terminal illness, the prescription can be partially filled for 60 days from the day the prescription was issued.
Are there any additional requirements for an emergency oral schedule II prescription compared to federal law?
No, Kansas follows the federal law.
Is there a maximum quantity or days’ supply that a patient can receive of schedule III - V drugs?
The only quantity limit is on controlled substances used for weight loss. The Board of Healing Arts limits each prescription to a 30-day supply.
