Lec 14 - CS Transfers and Unique Scenarios Flashcards
T or F: in 2023, the DEA noted that electronic CS prescriptions may be transferred to another pharmacy, even if they have never been filled
T
any non-electronic CS transfers are limited to what schedules? They must be filled at least how many times before being eligible to be transferred?
CIII-CV; at least once
how many times can an rx be transferred if the two pharmacies share a real-time online database?
maximum refills in this case
which of the following does the Transferring pharmacist NOT NEED to do?
a. write “VOID” on the face of the invalidated script
b. for an electronic script, note that the prescription has been transferred in the prescription record
c. record the name, address, and DEA # of the receiving pharmacy
d. note the date of original dispensing
e. record the date of transfer and the name of the transferring pharmacist
d. note the date of original dispensing
(only the receiving pharmacist must note this)
short term detoxification is ___ days or less
30
long term detoxification is ___-___ days
30-180 days
what is considered maintenance of substance use disorder?
maintaining a pt on a stable dose of a narcotic drug for more than 180 days
a prescription may not be issued for ‘detoxification tx’ or ‘maintenance tx’ unless it is what control narcotic schedules and approved by the FDA for these indications?
CIII-CV
which of the following can an NTP or OTP NOT do in regards to a narcotic listed in any schedule for maintenance or detox treatment?
a. adminster
b. dispense
c. prescribe
c. prescribe
T or F: methadone is approved for detox or maintenance tx by the FDA; an NTP or OTP may prescribe an rx for this indication
F (not approved for detox or maintenance; NTP or OTP cannot prescribe; cannot fill an Rx for this indication)
how many days supply may a SUD practitioner dispense, but not prescribe, a narcotic drug to one person or for one person at one time for the purpose of initiating maintenance tx and/or detox tx?
3 days supply
when can we prescribe/administer a narcotic drug to maintain or detox a hospitalized pt for SUD?
when they are hospitalized due to an issue outside of SUD; goal is to not interrupt their tx
SUD: Rx for direct administration - what dosage forms are allowed? (2 of them)
injection or implantation
SUD: Rx for direct administration - when must it be administered?
within 14 days of receiving the product from the pharmacy
T or F: a prescription for injection for SUD can be used if it is marked as “for office use”
F (must be linked to individual pt)
A Dispensing Registrant may distribute a controlled substance to another registrant, so long as: (4 conditions)
-that registrant is appropriately registered with the DEA (2, 2N, 3, 3N, 4, 5, etc.),
-The pharmacy records the distribution and receiving registrant as required,
-If a C-I or C-II, a DEA Form 222 is completed by both parties, and
-The number of dosage units does not exceed 5% of the total dosage units of all controlled substances distributed and dispensed in the same calendar year.
T or F: distributions to an automated dispensing system in a LTCF count towards the 5% of all CS distributed and dispensed in the same calendar year
F
what is a reverse distributor?
a person which accepts CS for destruction
how are CS destroyed? (4 steps)
- The pharmacy contacts the reverse distributor with a list of all drugs needing disposal
- The reverse distributor creates an invoice to the pharmacy with exact quantities of substances to be destroyed (DEA Form 222 for C-I/C-II)
- Pharmacy completes suppliers’ requirements and sends drugs to the reverse distributor for destruction.
- Reverse distributor fills out a DEA Form 41 and complete other records as required
two employees handle the destruction, which renders the substance non-retrievable (also known as “wasting”)
a. on-site destruction
b. delivery to a reverse distributor
c. sending product back to distributor, warehouse, or manufacturer
d. request assistance directly from local DEA field office
a. on-site destruction
only done related to a recall or return
a. on-site destruction
b. delivery to a reverse distributor
c. sending product back to distributor, warehouse, or manufacturer
d. request assistance directly from local DEA field office
c. sending product back to distributor, warehouse, or manufacturer
only done by practitioners
a. on-site destruction
b. delivery to a reverse distributor
c. sending product back to distributor, warehouse, or manufacturer
d. request assistance directly from local DEA field office
d. request assistance directly from local DEA field office
T or F: once a DEA Form 41 is competed, it is maintained with other CS records and must be sent to the DEA within 24 hours
F (does not need to be sent to the DEA unless requested)
a DEA form 106 must be filed within ___ days of discovery of robbery
45
any theft or significant loss must be reported to the local DEA field office and Board of Pharmacy within ___ day(s) of discovery
one
T or F: theft or significant loss: all theft must be reported, but only significant losses must be reported
T
(all theft (1 or 10,000 tablets) must be reported; but only significant (non-theft) losses must be reported as well)
look at slides 18-22 for DEA Form 41, DEA Form 106, and significant lossed
for sure boss
