Prescription Basics

Question 1

Controlled Drug

Answer 1

medications with abuse potential

Question 2

Non-Controlled Drugs

Answer 2

Medications without likely abuse potential

Question 3

Over-the-Counter Medications

Answer 3

medications that do not require a prescription

Question 4

Patient Profile

Answer 4

must be maintained in all pharmacies for individuals who prescriptions are dispensed for

-must be immediately retrievable

Question 5

Prescription Label

Answer 5

information permanently affixed to immediate container

Question 6

Verbal Transmission of Prescription Orders

Answer 6

may be received by pharmacist, tech, or intern

-Class II drugs cannot be given over phone except in emergencies and only for 72 hr supply

Question 7

Electronic Transmission of Prescription Orders

Answer 7

-transmission system must be DEA compliant to receive C-II
-scheduled drugs must be signed electronically

Question 8

Fax Transmission of Prescription Orders

Answer 8

-cannot receive C-II by Fax (except for hospice or LTC patients)
-fax machine must be located in pharmacy
-scheduled drugs must be signed
-fax should be copied or put in writing to prevent fading

Question 9

Prescription Order Requirements

Answer 9

-Name and Address
-Date
-Drug name
-Qty
-Strength
-Sig directions
-Prescribers name
-Prescribers indication of # of refills
-Reminder legend
-Signature (unless oral or telephone)

C-II must have Dr DEA # and signature

Question 10

Filling the Prescription Order

Answer 10

-preserved for 5 year min
-filed numerically
-techs cannot screen for allergies

Question 11

Prescription Label Requirements (controlled)

Answer 11

-same requirements as non-controlled
+ Transfer Warning auxiliary label “Federal law prohibits the transfer of this drug to any person other than the on whom it was prescribed for”

Question 12

Generic Substitution

Answer 12

Bioequivalence: Rate and extent of absorption of a test drug compared to the rate and extent of a reference drug

-May not substitute with a more expensive product
-must notify patient of generic
-can not substitute if provider indicates “Brand Medically Necessary”

Question 13

Life of a prescription

Answer 13

-Non-controlled: # of refills or 1 year whichever is less
-Controlled: # of refills (5max) or 6 months whichever is less
-must be on file for 5 years
-NO refills on C-II

Question 14

Emergency Practice Pharmacy

Answer 14

-cannot contact prescriber
-up to 72 hour supply: not C-II, essential drug

Question 15

Return of Drugs Dispensed

Answer 15

-no refund
-prohibited except for: hospitals, LTC, repository program
-may only redispense once

Question 16

Prescription Transfer

Answer 16

-original and transfer must be kept for min 5 years after date of last fill
-VOID if all refills are transferred out
-CIII-CV may only be transferred once (must exchange DEA numbers, original is void)