E2 Lecture 6 Flashcards
4 Situations to Accept C-II Fax Prescriptions
- Injectable (narcotic)
- LTCF
- Hospice (narcotic)
- Schedule III, IV, V
Electronic C-II Prescription
transferred only ONCE
Electronic C-III, C-IV, C-V Prescription
transferred only ONCE but can still fill refills at new pharmacy
Written, Oral, Faxed C-II Prescription
cannot be transferred
Written, Oral, Faxed C-III, C-IV, C-V Prescription
transferred after at least 1 fill
Transferring Pharmacist Duty to Written Prescription
VOID on face of prescription
name, address, DEA of receiving pharmacy
name of pharmacist receiving prescription
name of pharmacist transferring prescription
date of transfer
Transferring Pharmacist Duty to Electronic Prescription
TRANSFER in the prescription record
name, address, DEA of receiving pharmacy
name of pharmacist receiving prescription
name of pharmacist transferring prescription
date of transfer
Receiving Pharmacist Duty to Written/Electronic Prescription
date written of original prescription (not needed if electronic)
original number of refills authorized on original prescription (not needed if electronic)
date of original dispensing
number of valid refills remaining, date & location of previous fills
name, address, DEA, prescription number of transferring pharmacy
name, address, DEA, prescription number of original fill pharmacy
name of pharmacist transferring prescription
Recordkeeping of Transfers
original & transferred prescription x 2 years
Exceptions to Provide Detox or Maintenance Medications
- registered with NTP or OTP (cannot prescribe)
- dispense from office supply ≤ 3 day supply (one & done)
- hospitalization due to issue not related to SUD
- pharmacist deliver prescription for injection/implantation to be administered within 14 days
- prescribing Suboxone & derivatives for OUD (no longer require X waiver)
2 Situations a Dispenser can Distribute to Another Registrant
distributing to another registrant wanting to dispense the medication to patients
- registered with DEA
- pharmacy records distributing & receiving
- DEA Form 222 (if schedule 1 or 2)
- # of dosage units do not exceed 5% of total dosage units of controlled substance in calendar year
pharmacy sends drugs to reverse distributor
What form does reverse distributor fill out when receiving drugs for destruction?
DEA Form 41
DISTRIBUTION TO AN AUTOMATED DISPENSING SYSTEM IN A LTCF DO NOT COUNT TOWARDS THE 5%
DISTRIBUTION TO AN AUTOMATED DISPENSING SYSTEM IN A LTCF DO NOT COUNT TOWARDS THE 5%
4 Ways to Dispose Controlled Substances
On-site Method
- requires 2 employees to handle/observe destruction & make non-retrievable
Deliver controlled substances to reverse distributor
Sending product back to distributor, warehouse, or manufacturer
- only in cases of recall or return
Request assistance from DEA office
- only done by practitioners
- submit a DEA Form 41
DEA Form 41
Registrant Information
- registration #, name, address, phone #, contact name
Inventory Information
- name, strength, form, quantity
Method of Destruction
- date, location, method
Witnesses
What is required if theft/loss is known?
Notify the DEA & Board of Pharmacy within 1 business day of discovery
DEA Form 106 within 45 days of discovery
