Issuing Prescriptions

Question 1

Prescription must be dated and signed on day of issuance. True or False

Answer 1

True, prescription has to be dated on the date it is signed

Question 2

Does a prescription have to be manually signed?

Answer 2

Yes

Question 3

How many months does the original prescription have to be filled?

Answer 3

6 months; Original Rx must be filled within 6 months of issuance
* **except opioids which in that case it is 14 days

Question 4

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?

Answer 4

September 1st , 2025.
Refills good for 1 year from date of issuance (non-controls and schedule V drugs)

Question 5

Refills good for 1 year from date of issuance only applies to which drugs?

Answer 5

non-controls and schedule V drugs

Question 6

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?

Answer 6

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)

Question 7

Refills good for 6 months from date of issuance or a maximum of five refills applies to which drugs?

Answer 7

controlled substances schedules III and IV

Question 8

Which schedule of controlled substances are there no allowed refills?

Answer 8

No refills on C-II’s

Question 9

For preprinted Rx forms (multiple drugs on there) how any drugs can a physician select for the prescription? Can controlled substances be on there?

Answer 9

• 1 drug per form
• no controlled substances on there (only non-controlled)

Question 10

What do prescriptions for controlled substances have to have for quantity to prevent forgery?

Answer 10

Prescriptions for controlled substances must have quantity in **both numbers and words. **

Question 11

Under Ohio Law, How many years must all prescription records be kept?

Answer 11

3 years (under ohio law)

Question 12

Under federal Law, How many years must all prescription records be kept?

Answer 12

2 years

Question 13

Does the prescriber’s phone number need to be on every written prescription?

Answer 13

yes

Question 14

The prescriber’s name must be typed, pre-printed, or handwritten (legibly) on every written prescription. True or False

Answer 14

True

Question 15

What is the limited number of non-controlled sutbances prescriptions per prescription form?

Answer 15

limted to 3

Question 16

What if you get 4 non-controlled substance prescriptions on a prescription form? Can you still fill all 4?

Answer 16

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.

Question 17

What is the limit for controlled substances on prescription form?

Answer 17

Controlled substance prescriptions have been limited to one per prescription form
for several years.

Question 18

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?

Answer 18

Legitimate Medical Purpose

Question 19

If prescriptions for non-controlled substances have “PRN” how many refills? Does this rule apply to controlled susbtances?

Answer 19

• refill prescription for up to one year (year worth of refills)
• This is NOT permitted for controlled substance prescriptions.

Question 20

Controlled substance hard copy prescriptions may be scanned and stored electronically. However, can the pharmacy destroy any original copy-controlled substance prescriptions?

Answer 20

NO, the pharmacy is not permitted to destroy any original hard copy-controlled substance prescriptions.

Question 21

What are the important parts of prescription?

Answer 21

1. Full name and residential address (cannot be PO box)
2. appropriate and explicit directions (cannot use “take as directed”)
3. number of times or period of time for refills (If none is indicated, refills = zero)
4. 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.
5. Days supply for controlled substances and gabapentin

Question 22

Can a physician write “take as directed” on a prescription?

Answer 22

no

Question 23

You need the first 4 digits of an ICD-10 code for all what substances?

Answer 23

controlled substances

Question 24

If ICD-10 code for controlled substance on prescription is not available where must prescription be entered?

Answer 24

into OARRS or NC

Question 25

Which 2 substances need to include days supply on prescription?

Answer 25

1. controlled substances
2. gabapentin

**can still fill prescription if they don’t have days supply