Reading 12 Flashcards
What is a refill?
- Filling the Rx amount after the inital fill has been dispensed
What is the refill requirements for C-IIs in Indiana?
- Within ONE year from date written & CANNOT be refilled
NO LIMIT TO HOW MANY A C-II CAN BE WRITTEN FOR
Since C-IIs have NO refills, what is one thing that the doctor can do?
- 90-day supply at one time [writing multiple Rxs]
When doing a 90-supply for C-IIs, what are some of the requirements to be able to do that?
- Rx MUST have legit purpose
- MUST have issued date & earliest to fill
- Dr says not risk of abuse
- Action must be legal in that state
- MUST meet C-II requirements
PROHIBITS post-dating; should have “2/21/24 & DO NOT DISPENSE BEFORE 3/21/24”
What is the refill requirements for C-III, IV, V?
- Within SIX months from issue date & have FIVE refills
What refill information should be kept for controls and how should it be kept?
- Written on the back of the Rx OR Computer system
- Name/Dosage of Control, Date filled/refilled, quantity, initials, total refills
What are the two recordkeeping methods for refills?
- Print out control refills
- Bound logbook that is filled out
What is a partial fill?
- Filling that is less than what is prescribed
Helps patient see if they like it, cant afford, not enough stock
What are some of the rules behind partially filling a C-II?
- Can if NOT prohibited by state law
- Patient, Patients Representative, or Doctor okays it
- Partial fill isnt more than total quantity
- Remaining gets filled within 30 days
- Doesnt apply in emergencies [72h]
Coming from the patient, represetative, or doctors means if you dont have enough; it follows the 72h rule and you have to fill the rest in 30d
How much are you able to fill when the prescriber write the amount they want?
- MUST specify the amount on the face - we ONLY fill that amount.
What are some of the situtations where a partial filling is ok for C-II products?
- Requested by Patient, Representative, or Doctor; partially fill UP TO 30 days
- Patient is LTCF; partailly fill UP TO 60 days, MUST not “LTCF patient or Terminall Illness”
- Other than these two; can partial fill BUT have to fill remainder within 72h
What are some of the rules behind partially filling C-III, IV, V?
- As long as dispensed doesnt exceed total
- NOT after expiration
- CAN fill more than 5 fives
What are some of the emergency situtations where a C-II can be given over the phone?
- IMMEDIATE administration for proper treatment
- NO other alternatives
- NOT possible to get written Rx before dispensing?
ALL must be met before taking a C-II over the phone
How much should an emergency prescription be?
- JUST ENOUGH for the “emergency period”
What are some of the important rules/laws that go with emergency prescriptions?
DEA??
- Within 7 days the doctors needs to send a “covering prescription”
- NO Covering: Pharmacist MUST tell DEA [would make it void - also if dispensed = misbranded]
- Central Pharmacies CANNOT fill emergencies
Covering Prescription must say Authorization fro Emergency Dispensing
