Part 5 Flashcards
What can be changed on a controlled rx
DEA has minimal guidance putting it up to the pharmacists professional judgement - need to look at state specific
Who owns a great prescription?
Pt owns until it has been filled once filled it is the legal property of the pharmacy
Can a copy of the rx be given to a patient
Yes as long as it is noted on the copy that it is a copy and has been filled
If a partial of a cii is filled how long does the pharmacy have to fill the remaining amount?
72 hours
Can you partially fill an rx for a long term care or terminally Ill patient
Yes if verified and documented and you have a 60 day window to dispense patials
Can a partial fill of a cii be filled by a different pharmacy than the original dispensing pharmacy
No
What 4 things must be documented on a partial cii fill
- Date of partial fill
- Amount dispensed
- Drug qty left to fill
- Signature and initials of dispensing pharmacist
Can a pharmacy do an emergency telephone rx fill for a cii
Yes, but can only dispense up to a 72 hour supply
After the up to 72 hour emergency fill is dispensed, what does the pharmacy still need
A written rx should be provided
How long does the provider have to get the emergency written rx to the pharmacy that dispensed the emergency fill?
Should be postmarked or received within 7 days
If the written rx for the emergency fill is not received, what should the pharmacy do?
Contact the local DEA office to report
How should the emergency written rx be filed
File with the telephone rx copy - need to make a note on the prescription that it was “authorized for emergency dispensing”
Can a cii erx be considered the written copy?
Yes as long as the prescriber is authorized
On schedule 3-4 how many refills are authorized
Refills are good for up to 6 months from the written date with a maximum of 5 refills
Does federal law limit the number of refills and duration of schedule 5 substances?
No - need to check specific state guidelines
If a c3-4 states 3 refills can you do more that 3 in the case of a partial fill?
Yes as long as the total quantity with refills is not exceeded
How many times Cana cii / ciii - civ be transferred?
Cii can never be transferred
Ciii-c4 can be transferred only once
What is the labeling requirement statement for all controlled substances
Caution Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed
What is the exception to having the caution statement on a controlled substance?
If it is included in a research study where participants are to be blinded in the clinical investigation
What type of authentication does an electronic prescription need
Two factor authentication - considered the same as a physical signature
Two factor authentication must meet two of what three principles
- Physical object (fob key that only the prescriber has access to)
- Password only known by prescriber
- Something that can physically identify the prescriber (fingerprint or retinal scanner)
what does a prescribed need to prescribe schedule 3-5 drugs used for addiction dependence for detoxification?
- Must have proper training to treat narcotic addiction
- Holds a unique registration number with the DEA to prescribe these
Drugs examples for treating narcotic dependence with buprenorphine
Schedule 3
1. Buprenes
2. Belbuca
3. Subutex
4. Suboxone
How many patients can an addiction specialist treat
Up to 275 patients
Can buprenorphine be prescribed just for pain not for addiction
Yes, if deemed appropriate by the prescriber and pharmacist
