Controlled Substances - Prescriptions Flashcards
Special Prescription Pad Requirements?
Not Specified
State Specific Restrictions on Controlled Substances?
Change of Ownership, PIC, Location: Recount Controlled Substance Inventory
C-II:
* Perpetual Inventory
Discrepancies Reported to PIC (One Business Day)
* Annual Inventory Taken
Any Date Within 372 Days of Last Annual Inventory
CIII-CV’s: 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:
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)
Out-of-State or Out-of-Country Prescriptions Allowed? Restrictions by Control Schedule?
Not Specified
* CII: RPh Verifies Authenticity of Written/Oral Rx with Prescriber if Prescriber/Patient is Unknown to RPh
Separate Registration Required for Prescribing?
Separate Registration Required for Dispensing?
Dispensing, Administering, Prescribing, or Instructing w/ Controlled Substances are Independent Activities & Require Separate Registration:
In Iowa, Following Persons/Business Must Register
* Manufacturers, Distributors, Importesr, Expoerters Located (Inside & Outside of IA)
* Reverse Distributors (Outside IA)
* Practitioners / Hospitals / Emergency Medical Services / Researchers / Analytical Laboratories / Teaching Institutions / Animal Shelters / Dog Training Facilities (Inside IA)
* Telehealth Practictioners (Outside IA w/ IA Pts)
* Hospitals (Outside IA w/ IA Pts)
PDMP Requirements?
- Prescribing Practitioners Register for PMP During Registration (except veterinarians)
- Prescribers Use PDMP Before Prescribing Opioids
- Note: PDMP Reporting of Dispensing of C-V w/o Rx
Rules of Phone, Fax, or Electronic Prescriptions?
Electronic:
All Rx’s Must Be Electronic Unless Exempt
(Previously Learned Information)
Fax:
* CII: Emergency Only
* CIII-CV: Yes
Phone
* CII: Emergency Only
* CIII-CV: Yes
State-Specific Control Schedules (Schedule VI)?
No
(But some states can decide whether a prescription controlled or not. Gabapentin is controlled in some states while in others it is not.)
How Long is a Controlled Prescription Valid?
**6 Months*
Rx Days Supply Restrictions?
Prescriber may issue multiple 90-day-supply C-II prescriptions. (Typically Includes “Do Not Fill Until…”)
Rx Refills Allowed?
CII: 0 Refills
CIII-CV: 5 Refills
Rx Fill-By-Dates Allowed?
Yes
Rx Postdating Allowed?
**No - Must Be Dated/Signed on Date Issued
Rx Partial Fills Allowed?
Yes
CII - Partial Filling IF:
1) Insufficent Supply On Hand
(Filled within 72 Hours of 1st Partial Fill)
2) Patient/Prescriber Requests
(Filled within 30 Days of Issue Date)
** 3) LTC or Hospice:**
* 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
Rx Emergency Fill Requirements?
RPh May Dispense C-II Upon Reciving 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)
