DEA

Question 1

CSA - Controlled Substance Act (5)

Answer 1

Enacted 1970
Regulate use and distribution of substances with potential abuse
Created DEA (Drug Enforcement Agency)
Set up drug schedules
Requires DEA222 form for ordering C-II meds

Question 2

How are drugs scheduled? (3)

Answer 2

Whether it has currently accepted medical use in treatment in US
Relative abuse potential
Likelihood of causing dependence
I - no medical use
II-V - medical use but causes dependence

Question 3

Controlled Substance Factors (3)

Answer 3

Addiction - compulsive drug use; alters the way brain looks and functions
Drug Abuse - habitual taking
Tolerance - reaction progressively reduced requiring increased dose for desired effect

Question 4

Controlled substance dependence (3)

Answer 4

Withdrawal - onset of symptoms from discontinuation
Psychological Dependence - dependency of MIND to continue (withdrawal symptoms - irritability, insomnia, depression, anorexia)
Physical Dependence - having these withdrawal symptoms: seizures, sweating, increased heart rate, tremors

Question 5

C-I

Answer 5

No accepted medical use in US (LSD, heroin)

Question 6

C-II

Answer 6

High risk dependence/abuse (psychological and physical)
Narcotic pain relievers
Stimulants

Question 7

C-III

Answer 7

Moderate dependence (low physical/high psychological)
Tylenol with codeine

Question 8

C-IV

Answer 8

Less (low) abuse potential
Benzodiazepines

Question 9

C-V

Answer 9

Slight potential abuse (some available without prescription
Robitussin AC, guaifenesin with codeine

Question 10

Legend

Answer 10

C-II through C-V, non-controlled drugs, OTC

Question 11

Non-controlled prescription drug refill rules

Answer 11

Unlimited refills within 12 months
Cannot fill after ONE YEAR from written date

Question 12

C-III through C-V refill rules

Answer 12

Prescriber’s DEA #
up to FIVE refills
Cannot fill after SIX MONTHS from written date

Question 13

C-V non-prescription rules

Answer 13

Includes cough and anti-diarrhea
Record kept in log book:
Date, Signature, Name, Address, Name of Product, Quantity, Pharmacist Signature

Question 14

Rules for C-II prescriptions

Answer 14

Prescriber’s DEA #
NO REFILLS
Cannot fill after SIX months from written date
Ordered with DEA222 form
Inventory every TWO years
Stored in locked area
ONLY HARD COPY unless both enrolled in C-II escribing
Partial fills completed in 72 hours or forfeited
Emergency - doctor can phone prescription
Hospital - doctor can fax (certain states)
If phoned or faxed, must have: “Authorization for emergency fill” and provide legitimate prescription within 72 hours

Question 15

Refill and transfer C-II

Answer 15

MAY NOT transfer
NO REFILLS

Question 16

Refill and transfer C-III through C-V

Answer 16

transfer ONCE
5 refills allowed but not necessarily given

Question 17

Refill and transfer non-controlled drugs

Answer 17

One year’s worth of refills allowed but not necessarily given

Question 18

DEA222

Answer 18

C-II drugs
Order
Return
Destroy
Receive

Question 19

DEA106

Answer 19

Report significant loss or theft of controlled substances

Question 20

How long are records kept?

Answer 20

All records kept two years from DATE FILLED

Question 21

Reverse Distributor

Answer 21

removal and disposal of pharmaceutical waste

Question 22

C-II prescription expiration

Answer 22

Original prescription expires in SIX months
no refills once filled

Question 23

C-III through C-V prescription expiration

Answer 23

Original prescription expires in SIX months
up to 5 refills

Question 24

Legend prescription expiration

Answer 24

Original prescription expires in 12 months
up to 12 refills (was this a misprint?? I think it’s 11 refills)