Part 5 Flashcards

1
Q

What can be changed on a controlled rx

A

DEA has minimal guidance putting it up to the pharmacists professional judgement - need to look at state specific

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2
Q

Who owns a great prescription?

A

Pt owns until it has been filled once filled it is the legal property of the pharmacy

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3
Q

Can a copy of the rx be given to a patient

A

Yes as long as it is noted on the copy that it is a copy and has been filled

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4
Q

If a partial of a cii is filled how long does the pharmacy have to fill the remaining amount?

A

72 hours

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5
Q

Can you partially fill an rx for a long term care or terminally Ill patient

A

Yes if verified and documented and you have a 60 day window to dispense patials

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6
Q

Can a partial fill of a cii be filled by a different pharmacy than the original dispensing pharmacy

A

No

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7
Q

What 4 things must be documented on a partial cii fill

A
  1. Date of partial fill
  2. Amount dispensed
  3. Drug qty left to fill
  4. Signature and initials of dispensing pharmacist
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8
Q

Can a pharmacy do an emergency telephone rx fill for a cii

A

Yes, but can only dispense up to a 72 hour supply

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9
Q

After the up to 72 hour emergency fill is dispensed, what does the pharmacy still need

A

A written rx should be provided

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10
Q

How long does the provider have to get the emergency written rx to the pharmacy that dispensed the emergency fill?

A

Should be postmarked or received within 7 days

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11
Q

If the written rx for the emergency fill is not received, what should the pharmacy do?

A

Contact the local DEA office to report

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12
Q

How should the emergency written rx be filed

A

File with the telephone rx copy - need to make a note on the prescription that it was “authorized for emergency dispensing”

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13
Q

Can a cii erx be considered the written copy?

A

Yes as long as the prescriber is authorized

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14
Q

On schedule 3-4 how many refills are authorized

A

Refills are good for up to 6 months from the written date with a maximum of 5 refills

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15
Q

Does federal law limit the number of refills and duration of schedule 5 substances?

A

No - need to check specific state guidelines

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16
Q

If a c3-4 states 3 refills can you do more that 3 in the case of a partial fill?

A

Yes as long as the total quantity with refills is not exceeded

17
Q

How many times Cana cii / ciii - civ be transferred?

A

Cii can never be transferred
Ciii-c4 can be transferred only once

18
Q

What is the labeling requirement statement for all controlled substances

A

Caution Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed

19
Q

What is the exception to having the caution statement on a controlled substance?

A

If it is included in a research study where participants are to be blinded in the clinical investigation

20
Q

What type of authentication does an electronic prescription need

A

Two factor authentication - considered the same as a physical signature

21
Q

Two factor authentication must meet two of what three principles

A
  1. Physical object (fob key that only the prescriber has access to)
  2. Password only known by prescriber
  3. Something that can physically identify the prescriber (fingerprint or retinal scanner)
22
Q

what does a prescribed need to prescribe schedule 3-5 drugs used for addiction dependence for detoxification?

A
  1. Must have proper training to treat narcotic addiction
  2. Holds a unique registration number with the DEA to prescribe these
23
Q

Drugs examples for treating narcotic dependence with buprenorphine

A

Schedule 3
1. Buprenes
2. Belbuca
3. Subutex
4. Suboxone

24
Q

How many patients can an addiction specialist treat

A

Up to 275 patients

25
Q

Can buprenorphine be prescribed just for pain not for addiction

A

Yes, if deemed appropriate by the prescriber and pharmacist