Federal-CS Rx requirements

Question 1

A CS Rx issuance date can be date it should be filled. True or false

Answer 1

False! Date of issuance must be accurate. Can have do not fill until date on Rx if needed.

Question 2

CS Rx requirements

Answer 2

-patient name
-patient address
-prescriber’s name
-prescriber’s address
-DEA number

Question 3

CS Rx can be written if you meet one of the 3 qualifications:

Answer 3

-authorized to prescribed CS by licensed jurisdiction
-registered with DEA or exempt from registration
-employee of hospital under registration of hospital that is registered with DEA

Question 4

**Clarify*
eRx CS written by mid level practitioners must have what on Rx?

Answer 4

Supervisor’s name and DEA number if required by state

Question 5

Max CII supply to be written by prescriber at once?

Answer 5

90 day supply (3 30 day Rx)

Question 6

When can CII be faxed (and serve as original Rx)?

Answer 6

-must be compounded
-LTCF
-hospice (must write it is for hospice pt)

Question 7

You can transfer an unfilled CIII-V Rx. True or false?

Answer 7

True-can be transferred ONE time prior to first fill electronically. Thereafter all refills must be filled at that pharmacy.

Question 8

What federal caution must be on CS?

Answer 8

“CAUTION: federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed”

Question 9

What happens if CII full amount cannot be dispensed in 72 hours?

Answer 9

Pharmacist must call provider to make them aware. No further fills allowed. New Rx needed.

Question 10

How long does patient have to pick up CII partial fill?

Answer 10

30 days after Rx written

Question 11

What needs to be on Rx to do partial fills for CII LTCF/hospice?

Answer 11

-record on Rx ‘terminally ill’ or ‘LTCF’
-must fill within 60 days of issuance
remember normal partial CII fill must be filled within 72 hours vs these can do as many as you need

Question 12

Can CIII-V Rx be oral?

Answer 12

yes

Question 13

Can you transfer CIII-V prior to being filled?

Answer 13

-eRx may be transferred prior to fill BUT then all refills must be there
-if not eRx then nope

Question 14

What must be on a CS fax?

Answer 14

-date of fax
-name/address/phone num/fax num of prescriber
-institution if applicable (address, etc)

Question 15

Can a prescriber give verbal order for CII 30 day supply?

Answer 15

No-just emergency period

Question 16

If you become an ‘authorized collector’ for waste, CS and non CS must be kept separate?

Answer 16

False-can comingle

Question 17

CII Prescription label must contain the date the prescription was issued. True or false

Answer 17

False

Question 18

What should you do if you lose a 222 form?

Answer 18

execute another 222 form

Question 19

What is form 224?

Answer 19

pharmacy registration with DEA to obtain/dispense CS

Question 22

What changes may pharmacist make to CII rx?

Answer 22

-dosage form
-strength
-directions for use
-quantity
-issue date
only after discussion w prescriber

Without provider permission
-address
-pt name
-DEA

Question 23

Can you do emergency refills of CS?

Answer 23

No, legend only

Question 24

Can you transfer CS more than once at chain?

Answer 24

Yes

Question 25

What buprenorphine products may be dispensed to practitioner for direct dispensing?

Answer 25

Injection or implanted. NOT SL tabs.
It still must be for a specific patient and must be given within 45 days of prescriber receiving delivered rx

Question 26

How do you get rid of CS at LTCF when patient dies?

Answer 26

Authorized collection receptacle at LTCF within 3 days

Question 27

How long do you have to report to PMP

Answer 27

24 hrs
Also naloxone, cannabis *not OTC CV