Lec 11 - CS Ordering and Inventory Flashcards

1
Q

DEA recommended questions:
“Within the past _____ years, have you been convicted of a felony, or within the past _____ years, of any misdemeanor or are you presently formally charged with committing a criminal offense”

“In the past _____ years, have you ever knowingly used any narcotics, amphetamines or barbiturates, other than those prescribed to you by a physician?

A

five
two
three

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2
Q

If a registrant wants to employ and individual who does not qualify for employment, they may apply for a _______

A

waiver

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3
Q

The CSA requires all records and reports involving controlled substances to be kept for at least _____ years from their origin date

A

two

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4
Q

the DEA is serious about recordkeeping, how much is the fine for each unintentional violation?

A

$10,000

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5
Q

two criteria for a prescription to be readily retrievable (it only needs to meet one of the two criteria)

A
  1. have a red “C”, no less than 1 inch high, stamped in the lower right corner of the Rx’s face
  2. Must identify prescriptions by prescription number in a computer system, and be able to search by
    a. Prescriber name,
    b. Patient name,
    c. Drug dispensed, and
    d. Date filled
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6
Q

in which file system must CIII, CIV, and CV prescriptions be readily retrievable?

a. one file
b. two file
c. three file
d. four file

A

b. two file

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7
Q

which file system is most common?

a. one file
b. two file
c. three file
d. four file

A

c. three file

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8
Q

The DEA allows central recordkeeping if the registrant notifies the DEA of its intent in writing ___ days in advance. If allowed records must be transferred to central location within ___ business days

a. 10; 5
b. 3; 2
c. 14; 2
d. 28; 5

A

c. 14; 2

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9
Q

which is NOT included in a note to the DEA for a registrant to allow central recordkeeping?

a. the records to be kept centrally
b. the name of the manager of the central recordkeeping facility
c. the exact location of the records
d. name, address, DEA registration #, and type of DEA registration of the registrant storing records centrally
e. whether central records will be maintained manually or by a computer

A

b. the name of the manager of the central recordkeeping facility

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10
Q

what three things cannot be stored centrally?

A
  1. Executed order forms (DEA Form 222)
  2. Inventories
  3. Prescriptions

(these must be maintained at the registered location)

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11
Q

what form is used to order C-II’s and C-I’s?

A

DEA Form 222

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12
Q

Only the signatory of the DEA registration may fill out order forms, but agency may be provided to others to execute DEA Form 222s through a _____ _____ _____

A

power of attorney (POA)

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13
Q

which of the following is FALSE about power of attorneys?

a. a separate POA must be filled out for each person individually
b. POAs cannot be revoked
c. POA agents should sign “Roberta Registrant by Agnes Agent, Attorney in Fact”
d. POAs allow pharmacist to operate efficiently and prevent regular changes related to changing pharmacy positions

A

b. POAs cannot be revoked

may be revoked at any time, and must be available for inspections alongside other records (keep at registered locations)

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14
Q

form to order DEA Form 222s

A

DEA Form 222a

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15
Q

for a DEA Form 222, if you are ordering more than ___ products, you must complete multiple forms

A

20

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16
Q

which of the following does the supplier NOT add upon receiving the order for a DEA Form 222?

a. manufacturer DEA number
b. supplier DEA number
c. # of bottles or containers sent
d. NDC for products sent
e. date sent

A

a. manufacturer DEA number

17
Q

a supplier may partially fill an order, after which time they have 60 days to supply the balance of the order

a. partial filling an order
b. endorsing an order
c. defective order
d. order refusal
e. voiding part of an order

A

a. partial filling an order

18
Q

a supplier may send an order to another supplier within 60 days. Second supplier fills full order (all or nothing)

a. partial filling an order
b. endorsing an order
c. defective order
d. order refusal
e. voiding part of an order

A

b. endorsing an order

19
Q

if a supplier finds an issue with a DEA 222, they must send the form back to the purchaser with a statement explaining the refusal to fill

a. partial filling an order
b. endorsing an order
c. defective order
d. order refusal
e. voiding part of an order

A

c. defective order

20
Q

a supplier may refuse to accept an order. They must send the form back to the purchaser with a not that the order was not accepted.

a. partial filling an order
b. endorsing an order
c. defective order
d. order refusal
e. voiding part of an order

A

d. order refusal

21
Q

if a supplier cannot fill a full order, they may draw a line through the voided items and print “canceled” on the number of items shipped. Purchasers can cancel drugs as well, with the same modification completed by the supplier.

a. partial filling an order
b. endorsing an order
c. defective order
d. order refusal
e. voiding part of an order

A

e. voiding part of an order

22
Q

when the purchaser receives the order, they must record all EXCEPT (SELECT ALL THAT APPLY):

a. date the order is received
b. date the order was shipped
c. number of containers of each item received
d. NDCs received

23
Q

what to do if an executed DEA 222 is lost in the mail?

a. purchaser must execute a new DEA 222 identical to the first. Note accompanying this states the original form number, date of lost form, and a note that substances were not received.
b. Must report immediately to the DEA, with form numbers if known, or dates ordered if unknown. If found, report to DEA immediately. Stolen DEA forms do not usually yield successful drug diversion
c. return order forms to DEA

A

a. purchaser must execute a new DEA 222 identical to the first. Note accompanying this states the original form number, date of lost form, and a note that substances were not received.

24
Q

what to do if an unexecuted DEA 222 form is either lost or stolen?

a. purchaser must execute a new DEA 222 identical to the first. Note accompanying this states the original form number, date of lost form, and a note that substances were not received.
b. Must report immediately to the DEA, with form numbers if known, or dates ordered if unknown. If found, report to DEA immediately. Stolen DEA forms do not usually yield successful drug diversion
c. return order forms to DEA

A

b. Must report immediately to the DEA, with form numbers if known, or dates ordered if unknown. If found, report to DEA immediately. Stolen DEA forms do not usually yield successful drug diversion

25
Q

what do if you have an unused DEA 222 due to termination of business?

a. purchaser must execute a new DEA 222 identical to the first. Note accompanying this states the original form number, date of lost form, and a note that substances were not received.
b. Must report immediately to the DEA, with form numbers if known, or dates ordered if unknown. If found, report to DEA immediately. Stolen DEA forms do not usually yield successful drug diversion
c. return order forms to DEA

A

c. return order forms to DEA

26
Q

look at slide 24 for the electronic DEA Form 222

A

you got it

27
Q

must be conducted on the day the registrant first engages in activities with controlled substances

a. initial inventory
b. official inventory
c. rescheduling inventory
d. final inventory

A

a. initial inventory

28
Q

must be conducted at least once every two years (biennially). Some states have stricter requirements, CSA states two year

a. initial inventory
b. official inventory
c. rescheduling inventory
d. final inventory

A

b. official inventory

29
Q

must be conducted when a previously non-controlled medication becomes a controlled substance. Only includes the newly controlled drug

a. initial inventory
b. official inventory
c. rescheduling inventory
d. final inventory

A

c. rescheduling inventory

30
Q

conducted when a registrant goes out of business

a. initial inventory
b. official inventory
c. rescheduling inventory
d. final inventory

A

d. final inventory

31
Q

two ways inventories can be taken

A
  1. at the opening of business on the inventory date
  2. at the close of business on the inventory date

(must note which method is used)

32
Q

when doing inventory, CIII, CIV, and CV substances may be estimated unless:

A

the bottle holds more than 1000 units

33
Q

T or F: when doing inventory, CI and CII substances may be estimated

A

F (exact count)