E2 Lecture 2

Question 1

10 Types of Registration

Answer 1

Manufacturing
Distributing
Reverse Distributing
Dispensing & Instructing –> pharmacy
Research (Schedule I)
Research (Schedule II-V)
Narcotic Treatment Program including compounder
Importing
Exporting
Chemical Analysis

Question 2

DEA Form 224

Answer 2

retail pharmacy
hospital/clinic
practitioner
mid-level practitioner
teaching institution

Question 3

DEA Form 225

Answer 3

manufacturer
distributor
researcher
analytical laboratory
importer
exporter

Question 4

DEA Form 363

Answer 4

narcotic treatment programs

Question 5

DEA Form 510

Answer 5

domestic chemical

Question 6

How often are most registrations renewed?

Answer 6

annually

Question 7

How often are dispensing & instructing registrations renewed?

Answer 7

every 3 years

Question 8

What is a narcotic?

Answer 8

opioid or opioid containing
or
cocaine

Question 9

Typical Registration for Pharmacy includes which drug classes?

Answer 9

2
2N
3
3N
4
5

Question 10

A pharmacy can distribute up to 5% of the total amount of controlled substances dispensed, but after that, they must obtain a separate registration for distribution

Answer 10

A pharmacy can distribute up to 5% of the total amount of controlled substances dispensed, but after that, they must obtain a separate registration for distribution

Question 11

Which two registrations do not allow coincident activities?

Answer 11

Reverse Distributing
Exporting

Question 12

Coincident Activities for Dispensing & Instructing

Answer 12

May conduct research and instructional activities with substances for which registration was granted (mid-level practitioners may only conduct research to the extent authorized in state)

pharmacist may manufacture a product containing a NARCOTIC controlled substance in schedule II-V in proportion not exceeding 20% of the complete solution

pharmacy may distribute controlled substance to another practitioner for the purpose of general dispensing so long as distribution does not exceed 5% of total dosage units within same year

retail pharmacy may perform central fill pharmacy activities

Question 13

DEA Number

Answer 13

AB1234567

9 characters (two letters + 7 numbers)

Question 14

A, B, F, G

Answer 14

Big 4 Prescribers & Pharmacy

Question 15

M

Answer 15

Mid-level practitioner

Question 16

P, R

Answer 16

Distributor

Question 17

How to check legitimacy of DEA number?

Answer 17

1. Add the 1st, 3rd, and 5th digits together
2. Add the 2nd, 4th, and 6th digits together & multiple by 2
3. Add results from the steps above
4. Determine if right most digit matches DEA final digit

Question 18

DEA Registration Exemptions

Answer 18

1. Agent or employee of a person who is registered to engage in a particular activity is not required to obtain an INDIVIDUAL registration
   - pharmacist, nurse, institutional pharmacy
2. Common or contract carriers and warehouseman, who possess a controlled substance in the usual course of business
   - UPS, FedEx, USPS
3. Ultimate user who possesses a controlled substance lawfully
   - patient or caregiver

Question 19

Institutional DEA Number Usage

Answer 19

• activity is done in the usual course of the individuals professional practice
• jurisdiction in which the individual is practicing allows the action
• institution has verified the individual may perform the action in the jurisdiction in which they are practicing
• the practitioner acts only within the scope of their employement
• institution applies a specific internal code to the DEA number for each practitioner authorized to practice
• institution keeps a current list of internal codes for verification purposes