Pharm law Exam 2 lecture 4 Flashcards
What are rules for practitioners prescribing CS
Can only be doneby practitioners authorized to prescribe
CS prescribers must have a DEA number or be exempt from registration.
can a prescriber give agency to anyone for CS? C II emergency prescriptions?
No
NO
What are the responsibilities of a prescriber when issuing a prescription
Prescriber needs to ensure that it is for a legitimate medical purpose, patient has medical need for medication.
Prescriber needs to have a valid patient-provider relationship
Does the responsibilities of prescribing a CS prescription require an in person visit?
Since COVID 19 it has included telemedicine visits.
What is pharmacists responsibility for CS
Pharmacists are accountable in making sure CS are prescribed and dispensed appropriately
To violate a law, what does pharmacist need to do.
Must have knowingly filled a fraudulent prescription to violate the law.
What does knowingly mean
Pharmacist recognized the possibility of wrong doing but refused to conduct a proper investigation
What are things to do and not to do when documenting issues when refusing to fill a CS
It is important not to deface the prescription, as that is the property of the patient.
If you determine not to fill a prescription, the prescription should be returned to the patient, unless the prescriber asks you to destroy it
DOCUMENT REFUSAL TO FILL
Controlled substance prescription signatures
Written prescription- wet signature required (signed by hand by prescriber)
Fax prescription- Wet signature required
Electronic- e-signature required
Telephone prescription- transcribed by pharmacist or intern when received at pharmacy
A c II Prescription may be dispensed pursuant to each of the following prescription types
- A written paper prescription signed by the prescriber
- AN electronic prescription transmitted by the prescriber
- A fax prescription, of the patient presents the manually signed prescription to the pharmacist prior to dispensing
What are acceptable C II faxed original prescriptions
C II narcotic substance to be compounded for the direct administration to a patient by a parenteral, IV, intramuscular, SQ or intraspinal infusion.
C II for a resident of a long term care facility
C II narcotic substance for a patient enrolled in a hospice care program
Federally, when can C III, IV and V prescriptions be dispensed
- a written paper prescription signed by prescriber
- An alectronic prescription transmitted by the prescriber
- A fax prescription trasnmitted by the prescriber or the prescribers agent
- A telephone prescription promptly reduce to writing by the pharmacist
What are some CS quirks
Any C-II through C-V may be dispensed or administered without a prescription by an individual prescriber.
Institutions may administer or dispense (not prescribe) C II- V drugs based on a prescription or order from an individual practitioner
Required information for controlled substance prescriptions (exam)
- date the prescription was issued
- full name an daddress of patient
- Drug name, strength and dosage form
- Quantity prescribed
- Directions for use
- Name, address and DEA number of prescriber
- Signature of prescriber
What are things pharmacists can not update on C II prescriptions
Name of patient
Name of drug
Name of prescriber, including signature
A new prescription must be issued for mitakes that can not be updated
What is the difference in the rules related to correction between C II compounds and C III-V compounds
We can accept verbal orders for these prescriptions, we can convert erroneous written prescriptions into telephone prescriptions
- Need to get authorization from the prescriber to do this
- State specific electronic prescribing requirements may impact the ability to perform this change
Who is entitiled to fill prescriptions
A prescription for CS may only be filled by a pharmacist. “Pharmacist” includes any person authorized to dispense CS under the supervision of a pharmacist
Can prescribers fill prescriptions
Prescribers can not fill prescriptions. They may dispense controls, but not pursuant to a prescription
