Pharmacy Law II

Question 1

Out of date prescriptions

Answer 1

1. non-controlled meds considered out of date after 12 months from date written
2. controlled meds considered out of date 6 months after date written

Question 2

Emergency refills

Answer 2

Nc allows for emergency refills of up to 30 days of meds without new prescription

under the understanding that:
1. its essential & could produce undesirable consequences if not filled
2. physician is unavailable to fill it
3. not a C-II but ok for C-III and C-IV
4. physician’s office must be contacted within 72 hours

No emergency refills on CIIs.

Question 3

Controlled Substance Categories

Answer 3

C-I: highest potential for abuse & no medical purpose
C-V: lowest potential for above with evidence supporting medical purpose

ALL opioids are C-II meds –> high abuse potential; evidence supporting medical purpose

Question 4

Ordering CIIs for pharmacy

Answer 4

Requires form 222

Any error on form 222 voids entire form **

Question 5

Destroying controlled substances

Answer 5

ALL controlled substances:
form 41
requires 2 witness signatures (to make sure you aren’t diverting drugs)

Question 6

In-office use

Answer 6

pharmacies can sell prescriptions to doctors for in-office use only

for controlled substances:
doc must be registered with DEA
must document via an invoice for CIII to CIVs
for CIIs: must also fill out form 222

Question 7

Therapeutic equivalence

Answer 7

keep pts on same narrow therapeutic index (NTI) products

** may change in rare circumstances

Question 8

orange book

Answer 8

can be used to determine therapeutically equivalent meds
**helpful when switching between NTIs
AB code must match

Question 9

Changing NTIs Laws

Answer 9

if we need to change manufacturer of an NTI:
1. must get documented consent from doc
2. must get documented consent from pt