Controlled Substances - Prescriptions

Question 1

Special Prescription Pad Requirements?

Answer 1

Not Specified

Question 2

State Specific Restrictions on Controlled Substances?

Answer 2

Change of Ownership, PIC, Location: Recount Controlled Substance Inventory

C-II: (1 d / 327 d)
* Perpetual Inventory
Discrepancies Reported to PIC (One Business Day)
* Annual Inventory Taken
Any Date Within 372 Days of Last Annual Inventory

CIII-CV’s (Perpetual / 6 m / 90 day): Through One or More of the Following
* Perpetual Inventory (can be electronic)
* 6 Month Audit & Reconcilation of All Controls
* 90 Day Inventory Checks
* Other Board Approved Measure

Reporting Theft/Significant Loss:
* If Discrepancy Found:
Report Theft/Loss to Board + DEA if Significant & Not From Inadvertant Error (Report Regardless if Recovered)
* Within 7 Days of Reporting Theft/Loss: Action Plan
Develop/Initiate Implementation of Action Plan to Address Conditions Contributing to Theft/Loss.
Action Plan Can Include: Inventory Counts, Audits, & Perpetual Inventory Counts (By Board Compliance Officer)

Question 3

Out-of-State or Out-of-Country Prescriptions Allowed? Restrictions by Control Schedule?

Answer 3

Not Specified
* CII: RPh Verifies Authenticity of Written/Oral Rx with Prescriber if Prescriber/Patient is Unknown to RPh

Question 4

Separate Registration Required for Prescribing?
Separate Registration Required for Dispensing?

Answer 4

Controlled Substance Dispensing, Administering, Prescribing, or Instructing: Considered Independent Activities & Require Separate Registration:

In Iowa, Following Persons/Business Must Register
* Reverse Distributors (Outside IA)
* Telehealth Practictioners (Outside IA w/ IA Pts)
* Hospitals (Outside IA w/ IA Pts)
* Practitioners / Hospitals / Emergency Medical Services / Researchers / Analytical Laboratories / Teaching Institutions / Animal Shelters / Dog Training Facilities (Inside IA)
* Manufacturers, Distributors, Importers, Exporters (Inside & Outside of IA)

Question 5

PDMP Requirements?

Answer 5

• Prescribing Practitioners Register for PDMP During Registration (except veterinarians)
• Prescribers Use PDMP Before Prescribing Opioids
• Dispense C-V + No Rx: Report to PDMP

Question 6

Rules of Phone, Fax, or Electronic Prescriptions?

Answer 6

Electronic:
All Rx’s Must Be Electronic Unless Exempt
(Previously Learned Information)

Fax / Phone:
* CII: Emergency Only
* CIII-CV: Yes

Question 7

State-Specific Control Schedules (Schedule VI)?

Answer 7

No

(But some states can decide whether a prescription controlled or not. Gabapentin is controlled in some states while in others it is not.)

Question 8

How Long is a Controlled Prescription Valid?

Answer 8

6 Months

Question 9

Rx Days Supply Restrictions?

Answer 9

Prescriber may issue multiple 90-day-supply C-II prescriptions. (Typically Includes “Do Not Fill Until…”)

Question 10

Rx Refills Allowed?

Answer 10

CII: 0 Refills (Valid x 6 mo)
CIII-CV: 5 Refills (Valid x 6 mo)

Question 11

Rx Fill-By-Dates Allowed?

Answer 11

Yes

Question 12

Rx Postdating Allowed for Rx Issue Date?

Answer 12

No - Must Be Dated/Signed on Date Issued
(You can, however, put do not fill until a certain date on a prescription and issue multiple prescriptions on the same day. It is still only valid for 6 months if controlled.)

Question 13

Rx Partial Fills Allowed?

Answer 13

Yes

CII - Partial Filling IF:
1) Insufficent Supply On Hand (72 Hrs)
(Filled within 72 Hours of 1st Partial Fill)
2) Patient/Prescriber Requests (30 d)
(Filled within 30 Days of Issue Date)
3) LTC or Hospice (60 d):
* RPh Records if “LTCF Patient” or “Terminally Ill”
* Filled within 60 Days of Issue Date
* Total Quanitity C-II Dispensed in Partial Fillings Cannot Exceed Total Quanity Prescribed
* RPh Records Each Partial: Dispensing RPh, Date of Partial Fill, Quanity Despensed, Remaining Quanity

Question 14

Rx Emergency Fill Requirements?

Answer 14

RPh May Dispense C-II Upon Receiving Oral/Fax Authorization from Prescriber:
* RPh Records Manner Rx Received (If Not Familiar w/ Prescriber/Patient)
* Smallest Quanity to Meet Patient Needs
* Hard-Copy Record of Fax Cannot Be Obsucred/Illegible

Within 7 Days, Prescriber Sends Written Prescription for Emergency Quantity to RPh:
* Written On Face: “Authorization for Emergency Dispensing on (Insert Date of ER Order)”
* Notify Board & DEA if Prescriber Fails to Send Rx
* Pharmacist May Partial Fill Quantity of Emergency Rx; Remaining Quantity Must be Filled within 72 Hrs
(Cannot exceed total quantity prescribed)