Exam 2 Flashcards
controlled substance act of 1970
established 5 schedules of controlled substances. reflect the relative potential for abuse
schedule 1
- high potential for abuse
- no currently accepted medical use in US
- lack of safety
- NOT prescribed
schedule 1 examples
LSD, PCP, marijuana, mescaline, heroin
schedule II
- high potential for abuse
- currently accepted medical use in US
- pay cause severe psychologic or physical dependence
schedule II examples
cocaine, morphine, dilaudid, fentanyl, amphetamine, secobarbital, pentobarbital, methylpenidate, ritalin, tylox, demeral, mepergan fortix, hydrocodone
schedule III
- potential for abuse is less
- accepted medical use
- abuse may lead to mod-low physical or high psychological dependence
schedule III examples
anabolic steroids, growth hormone, tylenol #3 with codeine
schedule IV
- low potential for abuse
- accepted medical treatment
- abuse may lead to limited physical or psychologic dependence
schedule IV examples
valium, ativan, ambien, tramadol
schedule V
- low potential for abuse
- accepted medical use
- abuse may lead to limited physical or psychologic dependence
schedule V examples
novahistine DH, robitussin AC, lomotil
the authority to decide in which schedule a drug is placed is vested in
the US attorney general
how often do you have to register with DEA?
every 3 years
how often do you have to register with DPS?
yearly
what organization uses a form for registration that grants them consent for inspection?
DPS
the DPS certificate must be kept
readily available at all times
when does DPS registration expire for pharmacies?
August 31- renewal form is sent out 60 days prior
222 forms are issued by
the DEA to order CII drugs
who can fill out a 222 form to order CIIs?
the person who signed the application for registration or someone with power of attorney
returning CIIs to the supplier
Pharmacist contacts distributor and request that the distributor/wholesaler issue an order form, the pharmacist “fills” the order form with the mdse. he/she is returning. The pharmacy (acting as a distributor) would retain one copy and forward one to the DEA.
what RXs have to have the transfer warning?
II, III, IV
- NOT V bc it is OTC in some states
receipt records for CII
222 form
receipt records for CIII-CV & non-controlls
packing lists or invoices
records of dispersals
prescriptions
an estimated count for CIII-CV is okay unless
container holds >1000 dosage units
initial inventory in Texas have to be signed by PIC & notarized within
3 working days
federal law required inventory how often?
biennially- every 2 years
Texas law requires inventory how often?
every year
change in PIC inventory must include
all controlled substances; all dosage forms containing nalbuphine,carisoprodol & tramadol
if the departing & incoming PIC are unable to conduct the inventory together:
a new, separate beginning inventory must be done by the incoming pIC
the board must be notified of a PIC change within
10 days- in writing
institutional practitioners inventory
biennial
who defines who may prescribe drugs?
the medical practice act in each state
when can a PA or ANP prescribe a CII?
-in-patient/ER or hospice patients
how many PA/ANPs can have prescriptive authority under a physician?
total of 7
on a PA/ANP prescribed med what is required?
- only the prescriber’s signature
- needs the name of the MD on the RX but NOT the label
refills on controlls
max of 5 refills within 6 months
when can a faxed CII serve as the original hard copy?
- if written for a compounded product to be administered parenterally
- when patient is a resident of a long term care facility
- when patient is in hospice care
partial fill on a CII must be completed:
within 72 hours
or 60 days if in a long-term care facility
who provides the CII prescription pads?
DPS
Texas prescription program
what is preprinted on CII prescription pads?
Full name & address of prescriber, prescribers DEA number , control number (barcode w/ control & DPS)
controlled substance prescription info must be sent to the DPS
within 7 days after completely filled
