Lec 13 - CS Filling, Partials, and Labeling Flashcards
T or F: C-II prescriptions can be refilled
F
how long are C-II prescriptions valid from the date written?
one year
what is the limit for the amount a C-II can be prescribed for?
no limit
in lieu of refills, prescribers may authorize multiple prescriptions for a C-II for a patient to receive up to a ___ day supply of a controlled substance
90
CIII and CIV prescriptions may have up to how many refills?
5 (6 total fills including the original prescription)
what is the day supply limit on CIII and CIVs?
no limit as long as it doesn’t extend beyond 6 months from the original issue date
3 circumstances in which we can partially fill C-II’s
- at the request of pt, pt representative, or prescribing practitioner
- if the pharmacy cannot provide the full amount of the prescription
- for a pt in a LTCF or who has a medical diagnosis documenting terminal illness
when a patient requests the partial filling of CII’s, the remaining portions are filled no later than ___ days from the date the prescription is written
a. 3
b. 7
c. 30
d. 60
c. 30
T or F: when a prescriber requests a partial fill of a CII, the patient can still override that amount with how much they would prefer
F (pt cannot override that amount)
for an out of stock CII partial fill, when must the remainder be ready for pickup?
within 72 hours of the partial fill
for a CII partial fill for a pt in LTCF or a pt with a terminal illness, it may be partially filled for up to ___ days from the date issued
a. 3
b. 7
c. 30
d. 60
d. 60
T or F: a CIII-CV can only be partially filled 5 times
F (unlike refills, it can partially filled more than 5 times)
when can a CII prescription be taken over the phone?
emergency situations (look at slide 17)
if a CII emergency prescription is authorized, a “covering prescription” must be sent by the prescriber within how many days?
a. 3
b. 7
c. 30
d. 60
b. 7
a CII emergency covering prescription must have what statement written on the face of the prescription?
“authorization for emergency dispensing”
what do you do if a covering prescription for a CII emergency prescription is not received within 7 days?
notify the DEA
controlled substance central fill - community pharmacy documentation: the pharmacist sending the prescription to a central fill must write/record what 3 things?
- write the words “CENTRAL FILL” on the face of the original prescription
- record the name, address, and DEA # of the cen fill pharmacy
- record their name and the date of the transmittal to the cen fill pharmacy
controlled substance central fill - community pharmacy documentation: the original prescription must be kept at the local pharmacy for at least ___ years, as well as a record of receipt of the filled prescription
2
Controlled Substance Central Fill – Central Fill Documentation: the cen fill pharmacy must maintain a record of what 3 things?
- A copy of the faxed prescription or electronic record with the name, address, and DEA number of the community pharmacy
- The date the prescription was received, pharmacist filling the prescription, and the date the prescription was filled
- The date the prescription was delivered to the community pharmacy and the delivery method
(records must be kept for 2 years)
if a controlled substance is being filled at a cenfill, which pharmacy must indicate the number of refills already dispensed and refills remaining?
a. the community pharmacy
b. the cen fill pharmacy
c. both
d. neither
a. the community pharmacy
if a controlled substance is being filled at a cenfill, which pharmacy must record the dates the prescription was filled and refilled?
a. the community pharmacy
b. the cen fill pharmacy
c. both
d. neither
b. the cen fill pharmacy
which schedule controlled substances must have a statement on the prescription label that says “caution: federal law prohibits the transfer of this drug to any person other than the pt for whom it was prescribed”?
CII, CIII, CIV
(some pharmacies have this label on all controls, but it is not legally required for all)
for a CII prescription, labeling requirements do not apply in what situation?
administration in an institution as long as 7 day supply or less is dispensed at a time (ex. in a hospital)
for a CIII-CV prescription, labeling requirements do not apply for administration in an institution so long as no more than a ___ day supply of medication, or no more than ___ dosage units, is dispensed at a time, and the medication is not in possession of the ultimate user before administration
34; 100
