Exam 2 Flashcards
Controlled Substances
How long do DEA registration last for?
36 months/3 years
What is the DEA 224 form?
this applies to pharmacies
-for renewal of the pharmacy
-must be completed at least 60 days before expiration
Marijuana, LSD, heroin, mescaline are what schedule of drug?
C-1
-lack safety
-high potential for abuse
High potential for abuse that are allowed to be used?
C-2 drugs
-pure opiates:
–morphine, hydromorphone, oxcycodone
–methadone, fentanyl, cocaine
What drugs include C-2 drugs but compounded with other ingredients/have smaller dose?
C-3
-Less potential for abuse compared to C-1/C-2
Federal Government vs. NYS - classification of anabolic steroids?
Federal government: C-3
NYS (and other strict states): C-2
Benzodiazepines are classified as what controlled substances?
C-4
-low potential use
-possible limited physical or psychological dependence
Lowest potential for abuse is?
C-5 drugs
-lead to physical or psychological dependence
-pure opiates C-2 + limited quantities C-5
(divisible by 5)
-“exempt narcotics”: Robitussin AC dont need prescriptions
Rank from most to least possibility of substance abuse?
C-1 > C-2 > C-3 > C-4 > C-5
When can manufacturers apply to DEA for exemption of a controlled substance?
-in exempt substances, this can go from controlled substance status to non-controlled if it is UNLIKELY THAT THE PRODUCT WILL BE ABUSED
What is required in order to order and transfer C-1 and C-2 substances?
DEA form 222. this is REQUIRED to returned a C-2 to the supplier
Who is allowed to fill out the DEA 222 form?
only PHARMACISTS with power of attorney can sign
Can any prescriber prescribe controlled substances? If not, who can?
prescriber must be authorized to prescribe controlled substances
-must be registered with the DEA or exempt from registration pursuant to the CSA
What makes a controlled prescription valid?
RX must be issued for LEGITIMATE MEDICAL PURPOSE (proper treatment)
When can we not accept/dispense a controlled substance?
RX may not be issued in order to gain access by the MD for general dispensing to patients
How can MDs give patients controlled substances?
must get the medication directly from the wholesaler or manufacturer (this means they would be responsible and require documentation to prescribe and administer drug)
What are the must have requirements on a controlled substance RX?
-full NAME and ADDRESS of patient
-drug NAME, STRENGTH, and FORM
-QUANTITY
-SIG
-name, address, DEA number of MD
-DATED AND MANUALLY SIGNED ON THE DAY IT WAS WRITTEN (written RX)
-written in INK, INDELIBLE PENCIL, TYPEWRITE (written RX)
What are the NYS specific requirements in regards to e-RXs?
-ELECTRONIC RX required for C-2 products
-some exceptions where they can be paper
If a MD doesn’t have a personal DEA number, can. they still prescribe a controlled substance? If so, when is this allowed?
Yes!
-IF they work for a HOSPITAL, they must use the hospital DEA number and numerical suffix designated to the prescriber (usually residents)
-IF they work for the MILITARY OR PUBLIC HEALTH SERVICE, requirement to provide service identification number
Can all pharmacists fill controlled substances? Why or why not?
yes as long as they are acting in the usual course of his or her professional practice
-pharmacist must be registered with DEA (rare) or employed by a registered pharmacy (pharmacy locations are REQUIRED to have a DEA for that practice)
T/F: Prescribers are required to have a separate DEA registration to dispense AND administer?
False
PRACTITIONERS who dispense and administer are required to have separate DEA registration
if a physician isn’t registered to conduct treatment through prescribing medications, what can they do?
ADMINISTER drugs for acute withdrawal
-requires referral for treatment
-not more than 1 day of medication at a time and not more than 3 days
From a federal standpoint, does buprenorphine (Suboxone) require a special registration?
NOT ANYMORE
However, if the STATES require it or its considered the stricter law in that individual state, then YES, special registration is required.
In regards to ELECTRONIC (E-) controlled RXs, do presribers need to send in e-RXs for controlled substances?
Federally, NO it isn’t required
NYS: REQUIRED (few exceptions)