Issuing Prescriptions Flashcards
Prescription must be dated and signed on day of issuance. True or False
True, prescription has to be dated on the date it is signed
Does a prescription have to be manually signed?
Yes
How many months does the original prescription have to be filled?
6 months; Original Rx must be filled within 6 months of issuance
* **except opioids which in that case it is 14 days
prescription is prescribed on September 1st 2024, the patient gets it filled on October 1st and they have 3 refills. When does the patient have to use the refills by?
September 1st , 2025.
Refills good for 1 year from date of issuance (non-controls and schedule V drugs)
Refills good for 1 year from date of issuance only applies to which drugs?
non-controls and schedule V drugs
prescription prescribed on September 1st, 2024, the patient has 5 refills for controlled substance CIII, when does the patient have to use those 5 refills?
by March 1st, 2025
Refills good for 6 months from date of issuance or a maximum of five refills (controlled substances schedules III and IV)
Refills good for 6 months from date of issuance or a maximum of five refills applies to which drugs?
controlled substances schedules III and IV
Which schedule of controlled substances are there no allowed refills?
No refills on C-II’s
For preprinted Rx forms (multiple drugs on there) how any drugs can a physician select for the prescription? Can controlled substances be on there?
- 1 drug per form
- no controlled substances on there (only non-controlled)
What do prescriptions for controlled substances have to have for quantity to prevent forgery?
Prescriptions for controlled substances must have quantity in **both numbers and words. **
Under Ohio Law, How many years must all prescription records be kept?
3 years (under ohio law)
Under federal Law, How many years must all prescription records be kept?
2 years
Does the prescriber’s phone number need to be on every written prescription?
yes
The prescriber’s name must be typed, pre-printed, or handwritten (legibly) on every written prescription. True or False
True
What is the limited number of non-controlled sutbances prescriptions per prescription form?
limted to 3
What if you get 4 non-controlled substance prescriptions on a prescription form? Can you still fill all 4?
yes,
***Do not refuse to fill prescriptions with more than three prescriptions per form. Use this opportunity to educate the prescriber. Don’t put the patient in the middle during this transition. Don’t refuse to fill prescriptions solely for this reason.
What is the limit for controlled substances on prescription form?
Controlled substance prescriptions have been limited to one per prescription form
for several years.
The pharmacist who fills any prescription has a corresponding responsibility with the physician to make sure that the prescription has been issued for a what?
Legitimate Medical Purpose
If prescriptions for non-controlled substances have “PRN” how many refills? Does this rule apply to controlled susbtances?
- refill prescription for up to one year (year worth of refills)
- This is NOT permitted for controlled substance prescriptions.
Controlled substance hard copy prescriptions may be scanned and stored electronically. However, can the pharmacy destroy any original copy-controlled substance prescriptions?
NO, the pharmacy is not permitted to destroy any original hard copy-controlled substance prescriptions.
What are the important parts of prescription?
- Full name and residential address (cannot be PO box)
- appropriate and explicit directions (cannot use “take as directed”)
- number of times or period of time for refills (If none is indicated, refills = zero)
- At least the first four digits of an ICD-10 code for all controlled substances. If it is a prescription from a dentist, the CDT code is required. (Does not apply to veterinarians). These must be entered into OARRS or NC if not available.
- Days supply for controlled substances and gabapentin
Can a physician write “take as directed” on a prescription?
no
You need the first 4 digits of an ICD-10 code for all what substances?
controlled substances
If ICD-10 code for controlled substance on prescription is not available where must prescription be entered?
into OARRS or NC
Which 2 substances need to include days supply on prescription?
- controlled substances
- gabapentin
**can still fill prescription if they don’t have days supply
