Prescribing laws and rules Flashcards
State laws may be _________, but not be less stringent than federal law
more stringent
What it comes to state laws and federal laws of prescribing medication, what must be follows?
the strictest regulation
What must Ohio PAs include on all prescriptions they issue?
their license number
If you want to dispense brand name drugs, what must you do?
write “dispense as written “D.A.W”, “do not substitute”, or “brand medically necessary”
-make it clear you want the brand
What is the maximum of non-controlled substances on a prescription order?
3 per blank
In cases where a blank has preprinted options, how many prescriptions are allowed per form?
one
What is the mission of the Drug Enforcement Administration (DEA)?
enforce the controlled substances laws and regulations… and to reduce the availability of illicit controlled substances on the domestic and international markets
What types of controlled substances have a high potential for abuse and are not accepted for medical use or lacks accepted safety for use in treatment?
schedule I
What are examples of schedule I controlled substances?
LSD, heroin, ecstasy
What types of controlled substances have a high potential for abuse but currently has accepted medical use?
schedule II
What can abuse of schedule II substances lead to?
severe psychological or physical dependence
What are examples of schedule II controlled substances?
fentanyl, oxycodone, hydrocodone, morphine, dexamphetamine, codeine (by itself), opium, GHB
What types of controlled substances have less potential for abuse than schedule I or II drugs and currently has accepted medical use?
schedule III
Abuse of schedule III substances lead to?
moderate or low physical or psychological dependence
What are some examples of schedule III substances?
testosterone, dronabinol
What type of controlled substance has less potential for abuse than schedule III drugs and currently has accepted medical use?
schedule IV
What could abuse of schedule IV substances lead to?
limited physical and or psychological dependence
What are some examples of schedule IV substances?
alprazolam, modafinil, phentermine, zolpidem
What type of controlled substance has low potential for abuse compared to other schedules and currently has accepted medical use?
schedule V
What can abuse of schedule V substances lead to?
limited physical or psychological dependence
What are some examples of schedule V substances?
codeine cough syrup, diphenoxylate/atropine
What must you include on all controlled substance prescriptions?
DEA number of prescriber
What is the maximum number of controlled substances you can put on a prescription order blank?
1
How must you write the quantity of the prescribed controlled substance?
in numbers and words
What do you need to send controlled substance prescriptions through?
handwritten or sent electronically through an approved system; schedule II can’t call in a controlled substance to a pharmacy
Are refills on CII prescriptions allowed?
no
How many refills are allowed on CIII-CIV controlled substances?
5 times in a 6 month period from date of issuance
How often can CV and non-controlled prescriptions be refilled for?
up to a year
What do you need to include when you prescribe a controlled substance?
the ICD-10-CM medical diagnosis code of the primary disease of condition that it is being used to treat
What can you do to prescribe responsibly and avoid errors?
-“always lead, never trail”: 0.1 not 1.0
-write legibly
-watch out for names easily confused
-provide diagnosis code or indication
-review order
-preferably one script per blank; no more than 3
-watch abbreviations
-DOB, pt weight
-specify exact quantities, making sure the quantity is sufficient to time of reassessment
-route of administration
-dosage form
What is quantity to prescribe based on?
-number of medication doses required to complete treatment
-duration of treatment needed
-interval of time determined to be appropriate based on state/federal prescribing guidelines and controlled substance act
The pharmacy may dispense any increment of quantity, as long as it does not what?
does not exceed the quantity ordered on the original prescription
