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MPJE > HRS 329 - Uniform control substance act > Flashcards

HRS 329 - Uniform control substance act Flashcards

1
Q

how many members are on the hawaii advisory commission on drug abuse and controlled substances?

A

9-15; appointed by the governor; one member must be a member of the state council on mental health

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2
Q

are precursors to tighter scheduled medications automatically upgraded in schedule?

A

no

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3
Q

does the advisory committee have authroization to update the scheduling of a substance?

A

only temporarily, must be legislatively changed during the next regular legislative session

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4
Q

when is registration as a clinic required?

A

when an out-patient facility maintains centralized ordering/storage/record keeping of CS to be administered or dispensed to patients

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5
Q

what record requirements exists for clinics

A

centralized record signed/dated by treating provider
indicating patient, CS, date, time

must be stored with the current controlled substance inventory, ordering and receipt records

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6
Q

how long must clinic records be maintained?

A

for 5 years

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7
Q

how many registrations does a clinic organization require for each site?

A

at each principal place of business

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8
Q

can any providers utilize schedule I drugs?

A

yes for research purposes if allowed by the DEA registration

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9
Q

what are the filing requirements for scheduled medications?

A

anyone manuf/distribute/reverse distribute/dispense/transport/warehouse/handle CS file with department of public safety –> copies of order/recpeit an distribution

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10
Q

may CII rx’s be dispensed with oral orders?

A

only under emergency situations.

conditions:
* limited to adequate amount for emergency period
* reasonable effort to confirm validity of the provider
* written rx must be provided within 7 days with “authorization for emergency dispensing”

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11
Q

what is the max quantity you can dispense CIIs?

A

30 day supply (exception: single unit dose package that exceeds 30 day limit OR terminal patient certified by a physician)

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12
Q

May CII rx’s be refilled?

A

never

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13
Q

what are the limitations of a CII rx?

A

never refilled
must be written/electronic
filled w/in 7 days of written date
be given to patient no later than 7 days post-filling

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14
Q

stipulations for providing benzo+opioid

A

not for longer than 7 consecutive days unless qualified specific indications

  • subsequent co-prescribing can be via phone, but in person visit required q90 days
  • provider must indicate in chart the indication and that non combos are ineffective/inappropriate
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15
Q

what conditions are allowed for a benzo+opioid combo?

A

post-op pain care
chronic pain management
SUD
Cancer
palliative care
hospice car

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16
Q

how many times may a controlled substance be transferred?

A

one time only; electronic can transfer all refills

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17
Q

transferring a CS - sending rph responsibilities

A
  • “VOID” on face of rx
  • name/address/DEA# of new pharmacy and rph name
  • date of transfer and your name
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18
Q

transferring a CS - recieving rph responsibilities

A
  • “transfer” on the face of rx
  • date of origional rx
  • origional refills, valid refills remaining
  • dates/locations of previous fills
  • date of origional dispensing
  • sending pharmacy name/addresss/dea/origional RX#
  • sending rph name
  • pharmacy name/address/DEA/rx number from original fill
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19
Q

how long to keep transferred rx?

A

5 years from last fill

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20
Q

can CS be faxed?

A

only III-IV via fax to central fill pharmacy

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21
Q

can CS be filled at a central pharmacy?

A

yes, but not CIIs

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22
Q

May a provider write a CS script for themselves?

A

only in a medical emergency

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23
Q

what is the max amount of sudafed packages someone may have?

A

3 packages

24
Q

from which states can providers write for CIIs?

A

only hawaii

25
Q

which medications require the addition of the medical need (“….for treatment of XYZ”)

A

methadone, buprenorphine, GHB

26
Q

what are the size limits for a written CS script?

A

3x4” to 8x11”

27
Q

are CS quantities indicated in numerical or alpha style?

A

both

example: four (4) tabs

28
Q

when a CS is called in, what extra piece of information is required?

A

the oral code of the provider

29
Q

when a CS is provided for a pet, is the pets name or owners name used when filling the rx?

A

owners name

30
Q

how long does information stay in the central repository?

A

the ID number of the patient must be removed no later than 5 years after a prescriptions info is made available to the state agency (except if on-going investigation)

31
Q

what must be included on all non-dea registered provider’s CII orders?

A

offial’s branch of service or agency, service identification (public service = SSN)

32
Q

Whose DEA does a PA include when writing a CS - PA or MD’s DEA?

A

both

33
Q

can cIIs be partially filled?

A

only if unable to supply full quantity; ameks a notation on the written rx; remaining must be filled w/in 72 hours or otherwise call provider

34
Q

can non CII CS be partially filled?

A

yes; each partial is considered a refill; no dispensing after 3 months; cannot be refilled more than 2x times

35
Q

what situations require policies for informed consent of CS

A

opioids >30 days
benzos + opioids
>90 MME/dose

36
Q

how long is a CS good for?

A

CII: must be filled w/in 7 days then picked up w/in 7 days of filling
non CII CS: 3 months

37
Q

can a CII be faxed?

A

only if a written hard copy is provided to the RPH before the medication is dispensed (same as MA)

OR if for home infusion/hospice/LTCF

38
Q

can a non CII be faxed?

A

yes; if the provider maintains the original prescription; includes the physician’s oral code

39
Q

what are the conditions for a faxed hospice CII?

A

* pt is enrolled in hospice program certified/paid for by medicare or state
* note on the rx that its for hospice patient
* RPH to note “HOSPICE” in red ink on fax
* original RX maintained by provider

40
Q

what are the conditions for a faxed home infusion CII?

A

* not for PO usage
* RPH to note “Home Infusion/IV” in red ink on fax
* original RX maintained by provider

41
Q

what are the conditions for a faxed LTCF CII?

A

* Pt is in a state licensed LTCF
* RPH to note “LTCF” in red ink on fax
* original RX to be maintained by provider

42
Q

can CS be sent via e-scribing?

A

yes; using prudent judgement to determine validity

43
Q

are take home methadone doses acceptable?

A

yes - but max 14 day supply

44
Q

how long do records of sudafed sales need to be kept?

A

2 years

45
Q

what is the max amount of sudafed packages someone may have?

A

3 packages

46
Q

what is the max quantity of sudafed someone may purchase in a single day?

A

3.6g/day

47
Q

what is the max quantity of sudafed someone may purchase in a 30-day period?

A

9 grams

48
Q

what information must be collected during the sale of sudafed?

A

gneric or other name
qty sold
date of sale
name and address of wholesaler
name and address of retailer

49
Q

what information is recorded/needed when dispensing a CS?

A

pt name
pt ID number
DOB
address
NDC code (8 digits)
date of issue
date of dispense
qty and nuber of refills authorized
MD DEA
pharmacy NABP
MD’s practice specialty/subspecialties

50
Q

what special requirements do central repositories have?

A

they must provide 24/7 on line access to information to a state agency for all Erx’s processed

51
Q

can the central repository deny access to information on CS rx’s for any reason?

A

only if the state agency fails to pay agreed fees and charges

52
Q

how long does information stay in the central repository?

A

the ID number of the patient must be removed no later than 5 years after a prescriptions info is made available to the state agency (except if on-going investigation)

53
Q

what is an “adequate” supply of marijuana?

A

7 plants at any stage, and 4 ounces of usable marijuana at any time

54
Q

how long are written certifications of marijuana good for?

A

1 year

55
Q

how many people may someone be a primary caregiver for?

A

only 1 at a time

56
Q

can a caregiver grow marijuana for a qualifying patient?

A

only if the patient is a minor or incapable adult and the caregiver is responsible for the patient

or if the patient has no dispensary on their island

57
Q

what situations require policies for informed consent of CS

A

opioids >30 days
benzos + opioids
>90 MME/dose

MPJE (6 decks)

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