FedPharmLawControlled3 Flashcards
Which of the following hard copy prescriptions cannot be transferred?
A. Dilaudid (Hydromorphone)
B. Fiorinal (Butalbital/aspirin/caffeine)
C. Qsymia (Phentermine/topiramate)
D. Lyrica (Pregabalin)
E. Soma (Carisoprodol)
A. Dilaudid (Hydromorphone)
A patient drops off a prescription issued the same day for Oxycontin (Oxycodone) #60 and asks the pharmacy to dispense only 10 tablets today. After filling the prescription for #10, what should the pharmacist tell the patient about the remaining 50 tablets?
A. The remainder must be filled within 72 hours.
B. The remainder must be filled within 7 business days.
C. The remainder must be filled within 144 hours.
D. The remainder must be filled within 30 days.
E. The remainder must be forfeited.
D. The remainder must be filled within 30 days.
Under the 2016 Comprehensive Addiction and Recovery Act (CARA), pharmacists can partially fill schedule II drugs at the request of the patient or prescriber. The remaining balance must be filled within 30 days after the issue date. Currently, not all states have added this requirement to their legal statutes.
A 60-year-old man comes into the pharmacy with a prescription for oxycodone 10 mg PO 1 tablet every 4 to 6 hours as needed for pain #42. The pharmacist reviews the state prescription drug monitoring program and finds that he filled 90 tablets of oxycodone a week ago from a different provider. What is the MOST appropriate action for the pharmacist to take?
A. Call the police
B. Call the prescriber of the new prescription
C. Shred the new prescription
D. Refuse to fill the prescription and give it back to the patient
E. Ask the patient about the oxycodone that he filled last week
B. Call the prescriber of the new prescription
A recent prescription for the same drug from a different provider is a “Red Flag of Diversion”. The pharmacist has a corresponding responsibility to ensure that the new prescription is valid. There are legitimate reasons that the patient could need the second prescription, so the pharmacist should call the prescriber to confirm that it is valid.
A doctor gives authorization to a pharmacy over the phone for an emergency fill of MS Contin on August 15. By what day must the prescriber send the pharmacist an original prescription?
A. August 16
B. August 18
C. August 20
D. August 22
E. August 24
D. August 22
A prescription was written for 60 tablets of Endocet on July 1st. The patient only wants 30 tablets today (July 1st). Which of the following statements is correct?
A. The pharmacist can dispense 30 tablets.
B. The patient can pick up the other 30 tablets next month.
C. The pharmacist can only fill the full 60 tablets.
D. The pharmacist must notify the physician before dispensing a partial fill.
E. The pharmacist must obtain a new verbal order from the prescriber for 30 tablets.
A. The pharmacist can dispense 30 tablets.
After authorizing an emergency prescription by phone for a schedule II drug, how long does a physician have to provide an original prescription to the pharmacy?
A. Oral authorization counts as an original prescription since this was an emergency.
B. 7 days following the oral order.
C. 3 days following the oral order.
D. Oral prescriptions for schedule II drugs are never permitted.
E. 30 days following the oral order.
B. 7 days following the oral order.
Which of the following healthcare providers are mid-level practitioners as defined by the DEA? (Select ALL that apply.)
A. Nurse practitioner
B. Dentist
C. Optometrist
D. Physician assistant
E. Veterinarian
A. Nurse practitioner
C. Optometrist
D. Physician assistant
According to the DEA, the term mid-level practitioner means an individual practitioner, other than a physician, dentist, veterinarian, or podiatrist, who is licensed, registered, or otherwise permitted by the United States or the jurisdiction in which he/she practices, to dispense a controlled substance in the course of professional practice.
A prescriber faxes Dilaudid and Klonopin prescriptions to the pharmacy for a patient who is a resident at a long-term care facility. What should the pharmacist do?
A. Fill the Dilaudid and Klonopin.
B. Fill the Klonopin and call the prescriber to receive an oral prescription for Dilaudid.
C. Fill the Dilaudid and call the prescriber to receive an oral prescription for Klonopin.
D. Fill the Klonopin and request a paper prescription for Dilaudid on a tamper-resistant form.
E. Fill neither.
A. Fill the Dilaudid and Klonopin.
A faxed prescription can serve as an original for a schedule II drug if the medication is going to a resident of a long-term care facility.
Question: A prescription for 20 tablets of oxycodone is issued for a man with a terminal illness. On the date of issue, the man’s daughter brings the prescription to the pharmacy but only wants to fill 5 tablets today. How long after the issue date can the pharmacist continue to fill this prescription in increments?
A. Up to 180 days
B. Up to 120 days
C. Up to 90 days
D. Up to 15 days
E. Up to 60 days
E. Up to 60 days
Partial fills of schedule II medications are acceptable for terminally ill patients, up to 60 days from the issue date.
A prescriber writes the following prescriptions for Adderall XR on 8/16/2021. What is wrong with the following prescriptions?
First prescription: Adderall XR 10 mg, 1 cap once daily #30, date 8/16/2021
Second prescription: Adderall XR 10 mg, 1 cap once daily #30, date 9/16/2021, do not fill until 9/16/2021
Third prescription: Adderall XR 10 mg, 1 cap once daily #30, date 10/16/2021, do not fill until 10/16/2021
A. The total prescribed quantity exceeds the legal limit.
B. The issue dates on the second and third prescriptions are incorrect.
C. The total days’ supply of the prescriptions is over the legal limit.
D. The “do not fill until” date is incorrect.
E. Multiple prescriptions for schedule II drugs are not allowed.
B. The issue dates on the second and third prescriptions are incorrect.
A prescription for Androgel written on February 1 was not filled until February 15. When is the last day it can be refilled?
A. May 1
B. August 1
C. August 15
D. February 1, the following year
E. February 15, the following year
B. August 1
Which of the following drugs may be refilled up to a maximum of 5 times according to the Federal Controlled Substances Act? (Select ALL that apply.)
A. TussiCaps – Schedule II (Contains hydrocodone, which is a controlled substance)
B. Xyrem – Schedule III (Sodium oxybate, the sodium salt of GHB, is tightly controlled due to its potential for abuse)
C. Fycompa – Schedule III (Perampanel is classified due to its abuse potential)
D. Ultram – Schedule IV (Tramadol has a lower potential for abuse but is still controlled)
E. Epidiolex – Not Scheduled (Cannabidiol (CBD) is not classified as a controlled substance under federal law)
B. Xyrem – Schedule III (Sodium oxybate, the sodium salt of GHB, is tightly controlled due to its potential for abuse)
C. Fycompa – Schedule III (Perampanel is classified due to its abuse potential)
D. Ultram – Schedule IV (Tramadol has a lower potential for abuse but is still controlled)
Which federal schedule contains select drugs that are available without a prescription?
A. Schedule II
B. Schedule III
C. Schedule IV
D. Schedule V
E. All scheduled drugs are by prescription only
D. Schedule V
A physician writes a prescription for 60 Marinol tablets. The patient would like to get only 10 tablets today. What would be the MOST appropriate action for the pharmacist to take?
A. Dispense the entire amount; partial filling is not allowed.
B. Dispense 10 tablets, but the remaining quantity (i.e., 50 tablets) is forfeited.
C. Dispense 10 tablets; the remaining tablets must be picked up within three days.
D. Dispense 10 tablets; the remaining tablets must be picked up within three months.
E. Dispense 10 tablets; the remaining tablets must be picked up within six months.
E. Dispense 10 tablets; the remaining tablets must be picked up within six months.
The pharmacist receives a new prescription for Ritalin and notices that the prescriber’s signature is missing. What should the pharmacist do?
A. Fix the error without consulting with the prescriber.
B. Fix the error after consulting with the prescriber.
C. Fix the error after consulting with an agent of the prescriber.
D. Return the prescription to the patient to have the prescription amended by the prescriber.
E. Call the prescriber for a new, oral prescription.
D. Return the prescription to the patient to have the prescription amended by the prescriber.
A patient calls a large chain pharmacy and requests that his Lyrica prescription be transferred to one of their locations closer to home. The pharmacist notices that this prescription has already been transferred once. Can the pharmacist transfer the Lyrica prescription again?
A. Yes, if the two pharmacies have a common owner
B. Yes, if the two pharmacies share a real-time, online electronic database
C. Yes, if the prescriber is notified
D. Yes, at the pharmacist’s discretion
E. No, the prescription can only be transferred once
B. Yes, if the two pharmacies share a real-time, online electronic database
When receiving a transferred prescription for a controlled drug, what should the pharmacist write on the face of the prescription?
A. Void
B. Transfer
C. Invalid
D. Received
E. New
B. Transfer
Two pharmacists are on duty on August 20. Their pharmacy’s daily prescription log is printed in the building’s computer room. By what date does the printout need to be received by the pharmacy and signed by the pharmacists who were on duty on August 20?
A. August 21
B. August 22
C. August 23
D. August 25
E. August 27
C. August 23
Signing a printout of the daily controlled substance refills takes the place of signing the back of each paper (hard copy) prescription and is required if the pharmacy is receiving written prescriptions instead of, or in addition to, electronic prescriptions. If the printout is received from a central location, it must be provided to the pharmacy within 72 hours (i.e., August 23) and signed by all pharmacists who were on duty the day the refills were dispensed.
Which type/s of prescriptions are permitted for schedule III-V drugs? (Select ALL that apply.)
A. Faxed
B. Oral
C. Written
D. Typewritten
E. Electronic
A. Faxed
B. Oral
C. Written
D. Typewritten
E. Electronic
supposed to be for Zohydro ER. What should the pharmacist do?
A. Refer the patient to a different pharmacy.
B. Fix the error without consulting with the prescriber.
C. Fix the error after consulting with the prescriber.
D. Fix the error after consulting with the patient.
E. Return the prescription to the patient and have the prescriber issue a new prescription.
E. Return the prescription to the patient and have the prescriber issue a new prescription.
Which of the following are acceptable authentication methods to sign and transmit controlled e-prescriptions? (Select ALL that apply.)
A. A personal security question that only the prescriber knows
B. The prescriber’s fingerprint scan
C. A USB flash drive that pharmacy staff have access to
D. A digital certificate
E. A common password used by a group of prescribers in the same office
A. A personal security question that only the prescriber knows
B. The prescriber’s fingerprint scan
D. A digital certificate
Prescribers must use a two-factor authentication method to sign and transmit e-prescriptions for controlled drugs.
Which of the following is a valid DEA number for N. Oliver, NP?
A. AO5623740
B. BO5623740
C. MO5623740
D. XO5623740
E. PO5623740
C. MO5623740
A doctor gives authorization to a pharmacy over the phone for an emergency fill of Dilaudid. If the pharmacist does not receive an original prescription from the doctor within the timeframe required by federal law, who must the pharmacist notify?
A. State Board of Pharmacy
B. State Medical Board
C. Local police
D. Local DEA office
E. FDA
D. Local DEA office
The pharmacy receives a prescription for Duragesic from an unknown prescriber. The pharmacist would like to check the validity of the DEA number. For Dr. Grey’s DEA number (AG225587_) to be valid, what must the last number be?
A. 1
B. 2
C. 3
D. 4
E. 5
C. 3
On July 7, a doctor writes a prescription for 360 tablets of oxycodone for a patient who resides at a long-term care facility. The patient’s nurse wants to fill 56 tablets. What is the MOST appropriate action for the pharmacist to take?
A. Dispense the entire amount; partial filling is not allowed
B. Contact the prescriber; partial filling is permitted if the physician is aware
C. Dispense the requested amount; the remaining quantity is forfeited
D. Dispense the requested amount; the remaining quantity can be picked up for 72 hours
E. Dispense the requested amount; the remaining quantity can be picked up until September 5
E. Dispense the requested amount; the remaining quantity can be picked up until September 5
According to federal law, which of the following is a scheduled drug that can be sold without a prescription?
A. Sudafed
B. Ephedrine
C. Cheratussin AC
D. Lyrica
E. Gabapentin
C. Cheratussin AC
Which errors and omissions are pharmacists permitted to amend on a prescription written for TussiCaps? (Select ALL that apply.)
A. Patient’s name
B. Prescriber’s signature
C. Quantity to be dispensed
D. Minor misspelling of the drug name
E. Drug to be dispensed
C. Quantity to be dispensed
D. Minor misspelling of the drug name
In which of the following conditions can a health care provider (HCP) prescribe controlled substances using a hospital’s DEA number?
A. The HCP is authorized by their state to prescribe controlled substances, and they are employed at the hospital.
B. The HCP is authorized by their state to prescribe controlled substances, and they are employed in private practice.
C. The HCP is employed at the hospital; a state license is not required.
D. An HCP cannot ever prescribe controlled substances using the hospital’s DEA number.
E. The HCP is caring for a patient with a terminal illness.
A. The HCP is authorized by their state to prescribe controlled substances, and they are employed at the hospital.
According to the Controlled Substances Act, which of the following drugs are required to have the following warning on the container when dispensed:
“CAUTION: Federal law prohibits the transfer of this drug to any person other than the person for whom it was prescribed”?
(Select ALL that apply.)
A. Duragesic
B. Fiorinal
C. Lomotil
D. Lyrica
E. Ultram
A. Duragesic
B. Fiorinal
E. Ultram
According to the DEA, how long must prescription records for controlled substances be kept?
A. 1 year
B. 2 years
C. 3 years
D. 5 years
E. 7 years
B. 2 years
Which online database helps to identify and prevent drug abuse and diversion?
A. Risk Evaluation and Mitigation Strategy
B. State’s Prescription Drug Monitoring Program
C. DEA’s Prescription Drug Monitoring Program
D. Retrospective Drug Utilization Review
E. Prospective Drug Utilization Review
B. State’s Prescription Drug Monitoring Program
A patient brings in a prescription for 60 tablets of Tylenol with Codeine #3 to the pharmacy. He wants 20 tablets today and will come back next week for the rest. Which is the most appropriate action for the pharmacist to take?
A. Dispense 20 tablets now and dispense the remaining amount when the patient returns.
B. Call the prescriber to receive permission to dispense 20 tablets.
C. Advise the patient that he will lose the remaining 40 tablets if he wants to purchase a partial amount now.
D. Dispense 20 tablets now and advise the patient to return to 72 hours if he wants the remaining amount.
E. Partial dispensing is not allowed, advise the patient that he must take the full amount.
A. Dispense 20 tablets now and dispense the remaining amount when the patient returns.
