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MPJE > Controls > Flashcards

Controls Flashcards

1
Q

what are the 8 factors that decide scheduling or removal of scheduling

A

1 - potential for abuse
2 - scientific evidence
3 - state of knowledge
4 - history of abuse
5 - significance of abuse
6 - risk to public health
7 - psychic dependence
8 - immediate precursor to controlled drug

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2
Q

what are CI drug examples

A

MDMA
marijuana
heroin
mescaline
etorphine (not HCl)
GHB

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3
Q

what are CII drug examples

A

ADHD stimulants
cocaine
codeine
MS Contin, Roxanol, Oramorph, RMS, MSIR (morphine)
fentanyl
Dolophine (methadone)
phenobarbital (non-suppository)
Desoxyn (methamphetamine)
percocet
Norco
Vyvanse
OxyContin
Endocet
Etorphine HCl
Thianil (thiafentinil)

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4
Q

what are CIII drug examples

A

fiorcet
fiornial
anabolic steroids
suboxone, temgesic
ketaset, ketalar (ketamine)
tylenol 3
Soma
Xyrem

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5
Q

what are CIV drug examples

A

BZD
luminal, bellergal-S (phenobarbital)
lonamin, fastin, adipex, obe-nix, zantril
ultram
urbadan, urbanyl
ambian, ivadal, stilnoct, stilnox
halcion
librium, libritabs, limbitrol, SK-lygen

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6
Q

what are CV drug examples

A

vimpat
lomotil, logen
lyrica
robitussin AC

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7
Q

what are the 10 types of DEA registrations

A

1 - manufacturing
2 - distributing
3 - reverse distributing
4 - research CI
5 - research CII-V
6 - dispensing or instructing
7 - narcotic treatment program
8 - importer
9 - exporter
10 - chemical analysis

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8
Q

which DEA registration types do not have coincident activities

A

narcotic treatment program
reverse distributing
exporting

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9
Q

what are the coincident activities for the types of DEA registrations

A

manufacture - dispense and chemical analysis
distribute - reverse distribute
dispense or instruct - research, compound
research - manufacture, import, distribute, chemical analysis
import - distribute
chemical analysis - manufacture, import, distribute, research, export

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10
Q

what forms need to be filled out for registration from the DEA

A

form 224 - dispense or instruct
form 225 - manufacture, distribute, research, import, export
form 363 - narcotic treatment program
form 510 - chemical analysis

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11
Q

how often do DEA registrations need to be renewed

A

annually
every 3 years for form 224

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12
Q

what are the exemptions to DEA registration

A

pharmacies in institutions
contract carrier
patient

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13
Q

how do you store controls in a pharmacy

A

disperse CII-V throughout the stock
CI required to be in a safe

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14
Q

how do you store controls in a practitioner’s office

A

MUST be in a locked cabinet
thiafentanil, carfentanil, etorphine HCl, diprenorphine MUST be in a safe or steel cabinet

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15
Q

what information is required to record for dispensed controls

A

name and address of patient
date dispensed
quantity
dispenser initials

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16
Q

central recordkeeping requirements

A

notify board in writing
can start 14 days after DEA receives notification and MUST transfer to location within 2 days

17
Q

what records CANNOT be stored centrally

A

completed DEA 222
inventories
prescriptions

18
Q

how do we physically order CII

A

1 - DEA 222
2 - person who signed registration OR POA has to do order
3 - drug, strength, pack size, quantity
4 - send original and keep copy

19
Q

can a manufacturer partial fill or endorse physical CII orders

A

YES - has 60 days to complete order or can endorse and has to be done within 60 days

20
Q

how to electronically order CII

A

MUST apply for digital certificate from DEA to use CSOS

21
Q

can a manufacturer partial fill or endorse electronic CII orders

A

NO

22
Q

how are physical CII orders filled

A

copy is sent to DEA by the end of the month or reported to ARCOS

23
Q

how are electronic CII orders filled

A

copy is sent to DEA within 2 business days

24
Q

how often should inventory be taken

A

biennial inventory

25
Q

what are red flags for prescribers writing controls

A

1 - prescriber writes a lot
2 - writes large quantities
3 - patient fills to frequently
4 - writes for antagonistic drugs
5 - patient has rx for other names
6 - multiple patient with same rx
7 - not regulars
8 - rx looks too good
9 - quantities differ from guidelines
10 - not acceptable abbreviations in sig
11 - photocopied
12 - directions written in full
13 - different color ink

26
Q

rx requirement for controls

A

date
name and address of patient
drug name, strength, dosage form
quantity
directions
name, address, DEA of prescriber
signature

27
Q

what can pharmacists change on prescriptions

A

patient’s address
dosage form, strength, quantity, directions

28
Q

what can pharmacists NOT change on prescriptions

A

patient’s name
drug
prescriber
need new rx for CII
can take oral for other controls

29
Q

partial filling for CII

A

ONLY OPIOIDS
remaining is filled no later than 30 days or 72 hours if emergency (60 days for LTCF)

30
Q

emergency rx for CII

A

can take oral
prescriber MUST write covering rx within 7 days with “authorize for emergency dispensing”

31
Q

rx label requirements for controls - does not apply if <7 day supply for CII or <34 days in institution

A

date filled
pharmacy name, address, number
serial number
patient name
prescriber name
directions
cautionary statements
drug name
“this is an opioid”
“federal law prohibits transfer”

32
Q

when can CII be faxed

A

narcotic INJ for immediate use
narcotic for LTCF
any for hospice

33
Q

transfer information requirements - receiving pharmacy

A

date of original
original refills
date of first fill
valid refills remaining
pharmacy name, address, DEA, rx number
name of pharmacist

34
Q

methadone clinic requirements for prescriber

A

CANNOT prescribe but can administer for a max of 3 days

35
Q

can a pharmacist deliver controls to a practitioner’s office

A

YES - if delivering based on prescription for an individual for them to administer within 14 days

36
Q

how to destroy controls

A

fill out form 41
on site - two employees
deliver to reverse distributor
send back to distributor
request DEA

37
Q

how are physical CII orders filled

A

copy is sent to DEA by the end of the month or reported to ARCOS

37
Q

what should you do for loss of theft of controls

A

submit form 106 within 15 days
report within 1 day of discovery

MPJE (4 decks)

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