*Module 7 Flashcards
What did the Harrison Narcotic Act aim to do?
Launch the modern war against drugs and ban non-medical use of opiates and cocaine by taxing and registering importation.
What did the 1986 Anti-Drug Abuse Act establish?
Minimum prison sentences for certain offenses.
What is the 2005 Combat Methamphetamine Epidemic Act (CMEA) known for?
Establishing rules for PSE.
What new category of products was created by the CMEA?
SLCP = Scheduled Listed Chemical Products.
What does SLCP refer to?
PSE.
What are the requirements for CMEA?
Sellers must have products behind counter or locked cabinets, maintain log, train employees, and set purchase limits.
What DEA form must be filled out for theft/loss of PSE?
DEA form 107 must be sent to DEA within 15 days of discovery.
What is the maximum amount of PSE that may be imported by mail services?
7.5 grams.
How long must OTC purchases of PSE be kept in a logbook?
5 years and reported in an online multi-state connected database like ‘meth-check’.
What information is documented regarding PSE?
Patient’s name, address, DOB, type of ID/identifying number, name/NDC of medicine, amount sold in grams, date of sell, and number of boxes.
What is the DEA form for transfer of C2?
DEA form 222.
What is the DEA form for destruction?
DEA form 41.
What is the DEA form for theft or loss of controlled substances?
DEA form 106.
Why was the Designer Anabolic Steroid Control Act created?
Because lawmakers did not feel the two previous anabolic steroid acts sufficiently stemmed misuse and the definition of anabolic steroid was too narrow.
What was added with the Designer Anabolic Steroid Control Act?
Labeling requirement that the label must clearly identify the anabolic steroid.
How to register for a DEA number?
Through the Diversion Control Division at www.deadiversion.usdoj.gov.
Who needs an in-state controlled substance permit?
Every person who manufactures, distributes, including reverse distributing, or dispenses any controlled substances.
When does registration renewal with BOP happen?
Yearly, expires on June 30.
What criteria may indicate that a prescription was not issued for a legitimate medical purpose?
Prescriber writes significantly more prescriptions compared to others, patient returns too frequently, prescriber writes prescriptions for antagonistic drugs, patient presents prescriptions in others’ names, multiple people present with similar prescriptions, non-residents show up with prescriptions.
What criteria may indicate a forged prescription?
Prescription looks too good, quantities differ from usual medical usage, does not comply with standard abbreviations, appears photocopied, directions are written in full, written in different color inks or handwriting.
What should a pharmacist do when there is a question about a prescription order?
Contact the prescriber for verification or clarification.
What determines the schedule of controlled substances?
Their abuse potential, potential for dependency, and medicinal value.
What does federal law state about CBD derived from any source?
It cannot be used in dietary supplements or as food additives since CBD is available as a prescription.
In what products can CBD extracted from hemp be used?
Topical products (creams, oils, sprays).
What is the maximum THC level in hemp that cannot cause psychoactive effects?
0.3%.
What act determined that products with less than 0.3% THC are not considered controlled substances?
The Agriculture and Nutrition Act of 2018.
What must a pharmacy do when the DEA reclassifies a drug schedule?
Complete an inventory of that drug on the date the change becomes effective.
What are some Schedule 2 drugs?
Opium, morphine, codeine, hydrocodone, oxycodone, hydrocodone/APAP, methadone, meperidine, hydromorphone, fentanyl, cocaine, stimulants (amphetamine, methamphetamine, methylphenidate).
What class is anything containing butalbital in WV?
Class 3.
What schedule are amobarbital, secobarbital, and pentobarbital in suppository form?
Schedule 3.
What are some Schedule 3 drugs?
Ketamine, testosterone, dronabinol, buprenorphine.
What are some Schedule 4 drugs?
Benzodiazepines, tramadol (Ultram), phentermine (Adipex).
What are some Schedule 5 drugs?
Cheracol, Cheratussin AC, Robitussin AC, antidiarrheal products that contain opium.
When is the patient name not required on a prescription?
When using Expedited Partner Therapy, for animals, or for epinephrine for an entity.
Is the patient address required for all scripts?
Yes.
In WV, how many days prior to the exhaustion of a prior dispensing can no CS refill be provided?
3 days.
What must be documented when refilling prescriptions?
Date of refill and pharmacist initials on label dispensed to patient.
Can we fill a prescription for office use?
No.
What controlled substances can be mailed?
C2-C5.
