Federal-CS Rx requirements Flashcards
A CS Rx issuance date can be date it should be filled. True or false
False! Date of issuance must be accurate. Can have do not fill until date on Rx if needed.
CS Rx requirements
-patient name
-patient address
-prescriber’s name
-prescriber’s address
-DEA number
CS Rx can be written if you meet one of the 3 qualifications:
-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
**Clarify*
eRx CS written by mid level practitioners must have what on Rx?
Supervisor’s name and DEA number if required by state
Max CII supply to be written by prescriber at once?
90 day supply (3 30 day Rx)
When can CII be faxed (and serve as original Rx)?
-must be compounded
-LTCF
-hospice (must write it is for hospice pt)
You can transfer an unfilled CIII-V Rx. True or false?
True-can be transferred ONE time prior to first fill electronically. Thereafter all refills must be filled at that pharmacy.
What federal caution must be on CS?
“CAUTION: federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed”
What happens if CII full amount cannot be dispensed in 72 hours?
Pharmacist must call provider to make them aware. No further fills allowed. New Rx needed.
How long does patient have to pick up CII partial fill?
30 days after Rx written
What needs to be on Rx to do partial fills for CII LTCF/hospice?
-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
Can CIII-V Rx be oral?
yes
Can you transfer CIII-V prior to being filled?
-eRx may be transferred prior to fill BUT then all refills must be there
-if not eRx then nope
What must be on a CS fax?
-date of fax
-name/address/phone num/fax num of prescriber
-institution if applicable (address, etc)
Can a prescriber give verbal order for CII 30 day supply?
No-just emergency period
If you become an ‘authorized collector’ for waste, CS and non CS must be kept separate?
False-can comingle
CII Prescription label must contain the date the prescription was issued. True or false
False
What should you do if you lose a 222 form?
execute another 222 form
What is form 224?
pharmacy registration with DEA to obtain/dispense CS
What changes may pharmacist make to CII rx?
-dosage form
-strength
-directions for use
-quantity
-issue date
only after discussion w prescriber
Without provider permission
-address
-pt name
-DEA
Can you do emergency refills of CS?
No, legend only
Can you transfer CS more than once at chain?
Yes
What buprenorphine products may be dispensed to practitioner for direct dispensing?
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
How do you get rid of CS at LTCF when patient dies?
Authorized collection receptacle at LTCF within 3 days
How long do you have to report to PMP
24 hrs
Also naloxone, cannabis *not OTC CV
