Reading 13

Question 1

What are the three situations where a faxed C-II can be used as the Original Rx?

Answer 1

• C-II injectable
• C-II for LTCF
• C-II for hospice

Question 2

Are C-III, IV, V prescriptions allow to be kept as the original prescription?

Answer 2

• Yes, these can be used as the original

Question 3

What are the Electronic Prescription transfer requirements?

Answer 3

• Can be transfered, even if they havent been filled
• C-III, IV, V can only be transfer after filled ONCE
• C-II CANNOT be transfered

Question 4

What is important to understand about pharmacies that share a real time database and transfering?

Answer 4

• Transfer up to max refills; can continue transfering until refills are out

Like Payless and Kroger

Question 5

What is some of the information that you must have for a transfering prescription?

Answer 5

• OG date issued [not if electronic]
• OG refills [not if electronic]
• OG date dispened
• # of vaild refills, dates, locations
• Pharmacy name, address, DEA #, Rx # [transfered & OG filled]
• Pharmacist Name

Controls NEED to be fill once before tranfering
Non-Controls do not have a cap of transferings

Question 6

What is detoxification and Maintenacne?

Answer 6

• Detox: Narcotic Drug in decreasing doses to get to drug-free state
• Maintain: On stable dose of Narcotic for 180 days

Narcotic: Drugs that contain opium or opiates

Question 7

Should a prescription be used for detoxification and/or maintainance?

Answer 7

• NO, unless the Rx is C-III, IV, V & approved by FDA FOR maintiance or detox

Question 8

What is the first exception [about NTP/OTP] to maintenacne and detoxification?

Answer 8

• Dr. registered with NTP/OTP; this allows Dr. to administer or dispense, NOT PRESCRIBE for maintain/detox

Question 9

What is the second exception [offices] to maintenance and detoxifications?

Answer 9

• Dr. can NOT PRESCRIBE from office with a 3 day supply to start maintain/detox
• ONE-AND-DONE

Question 10

What is the third exception [hospitalized] to maintenacne and detoxification?

Answer 10

• Patient MUST due to an outside of substance use disorder; i.e: heart attack, accident, etc
• Pharmacist can deliver controls to Dr. Office; Rx CANNOT say Office Use

Question 11

What is the final exception [DEA Approval] for maintenance and detoxification?

Answer 11

• Use C-III, IV, V that are APPROVED by DEA for maintenacne and detox
• ONLY buprenorphine/naloxone used for Opioid Use Disorder

Question 12

What is the two ways that pharmacies are able distribute to other registrants?

Answer 12

• Other registrant WANTS to dispense to patient [needs DEA registration to dispense & pharmacy records distribution]
• Sending drugs to Reverse Distributor [Reverse sends 222 to pharmacy]

Question 13

What are the four ways to dispose of controlled substances?

Answer 13

• On-site destruciton
• Reverse Distributors
• Sending back to distributor
• Local DEA office

Question 14

What DEA forms should be used for destructions and what should be on it?

Answer 14

• DEA Form 41
• NEEDS: Registrant info, Inventory Info, Method of Destruction, Witnesses

Question 15

What is the DEA Form that is used for Theft or Significant Loss?

Answer 15

• DEA Form 106

MUST Report within 45 days of discovery

Question 16

After a thief, do you need to report it?

Answer 16

• Yes; doesnt matter if it was 5000 units or 1 unit

Question 17

After losses, do you need to report it?

Answer 17

• ONLY significant losses; which vary for each registration type

Question 18

What are the six things to determine if a loss is significant?

Answer 18

• Actual quantity lost [based on type of business]
• Specfic control lost
• Loss assoicated with access
• Patterns of loss over time [Random]
• Controlls are candidates
• Local Trands