click below
click below
Normal Size Small Size show me how
Controlled Substance
| Question | Answer |
|---|---|
| DEA form 222 | To order or transfer C-I and C-II drugs |
| DEA form 106 | To report theft or loss of controlled substances |
| DEA form 41 | To document destruction of controlled substances |
| DEA form 224 | To apply for registration to dispense controlled substances |
| C-I - Drugs that have no accepted medical use in the US - Very high abuse potential. | - LSD - Cocaine (crack or street) - Peyote - Heroin - Marijuana (cannabis) |
| C-II | - Used for medical purposes; abuse may lead to severe psychological or physical dependence - High potential for abuse |
| Generic: Meperidine | C-II Brand: Demerol Drug Class: Opioids (narcotic analgesics) |
| Generic: Oxycodone/APAP Acetaphenetidan + Para-aminophenol → (APAP) | C-II Brand: Percocet Drug class: Narcotic analgesic combinations |
| Generic: Oxycodone/ASA (Asprin) | C-II Brand: Percodan Drug Class: Opioid analgesic/NSAID |
| Generic: Hydromorphone | C-II Brand: Dilaudid Drug Class: Opioids (narcotic analgesics) |
| Generic: Methylphenidate | C-II Brand: Ritalin Drug Class: Central Nervous System (CNS) Stimulant Indication: ADHD |
| Generic: Fentanyl | C-II Brand: Duragesic Drug Class: Opioids (narcotic analgesics) |
| Generic: Codeine | C-II Drug Class: Antitussives (for coughing)/ Opioids (narcotic analgesics) |
| Generic: Morphine | C-II Brand: Kadian, MS Contin Drug Class: Opioids (narcotic analgesics) |
| Generic: Amphetamines | C-II Drug Class: Central nervous system (CNS) stimulants Usually for ADHD |
| Generic: Methadone | C-II Brand: Dolophine and Methadose Drug Class: Opioids (narcotic analgesics) |
| Generic: Opium | C-II Drug Class: Opioid analgesic (narcotic analgesic) |
| Generic: Hydrocodone/Acetaminophen | C-II Brand: Vicodin and Norco Drug Class: Opioid analgesic combination |
| Generic: Hydrocodone/ibuprofen | C-II Brand: Vicoprofen Drug Class: Opioid analgesic + NSAID |
| C-III | Potential for abuse under this schedule is less than that of controlled substances under C-II; abuse may lead to moderate or low physical dependence or high psychological dependence; most schedule III drugs are combination narcotics |
| Generic: Acetaminophen/Codeine #2, #3, #4 | C-III Brand: Tylenol/Codeine Drug Class: Narcotic analgesic combinations |
| Generic: Testosterone | C-III Brand: Depo-Testosterone Drug Class: Androgens and anabolic steroids |
| C-IV | Potential for abuse is low compared with C-III; abuse may lead to limited physical or psychological dependence - usually anti-anxiety meds |
| Generic: Diazepam | C-IV Brand: Valium Drug Class: Benzodiazepine anticonvulsants |
| Generic: Lorazepam | C-IV Brand: Ativan Drug Class: Benzodiazepine |
| Generic: Pentazocine | C-IV Brand: Talwin Drug Class: Opioids (narcotic analgesics) |
| Generic: Chlordiazepoxide | C-IV Brand: Librium Drug Class: Benzodiazepines |
| Generic: Flurazepam | C-IV Brand: Dalmane Drug Class: Benzodiazepines |
| Generic: Phenobarbital | C-IV Brand: Dormalin and Luminal Drug Class: Barbiturate anticonvulsants |
| Generic: Quazepam | C-IV Brand: Doral Drug Class: Benzodiazepines |
| C-V | Low potential for abuse compared with C-IV drugs; abuse may lead to limited physical or psychological dependence - usually liquid cough preparations |
| Generic: Diphenoxylate/Atropine | C-V Brand: Lomotil Drug class: Antidiarrheals Indication: Diarrhea |
| Generic: Codeine/Guaifenesin | C-V Brand: Cheratussin AC Drug Class: Upper Respiratory Combination indication: Cough caused by colds or respiratory infections. |
| Generic: Promethazine/Codeine | C-V Brand: Phenergan with Codeine Drug Class: Upper respiratory combination Indication: Cough and upper respiratory symptoms |
| Prescription Rules for C-II Scheduled Substances | • No refills allowed • Valid for 6 months (some states: 30 days) Meaning you must fill the prescription within 6 months of the date it was written. • Must be written or e-prescribed (NO phone orders unless emergency) |
| Prescription Rules for C-III to C-V Scheduled Substances | • May be phoned, faxed, or e-prescribed • Refill limit: up to 5 refills within 6 months • Can be transferred one time only between pharmacies (unless they share a |
| Label Requirements for Controlled Substances must have: | • Pharmacy name and address • Patient name • Prescriber name • Prescription number • Directions for use • Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed (C-ll to C-IV only) |
| Storage and Security for Controlled Substances | • C-ll drugs must be locked in a secure cabinet OR dispersed throughout pharmacy stock to prevent theft • Regular inventory: every 2 years (biennial) • Must keep records of all controlled substances for at least 2 years. |
| Inventory Requirements for Controlled Substances | • Initial inventory required on the first day of business • Biennial inventory: every 2 years • Exact counts required for: C-II drugs (always exact count) C-III to C-V: estimated count is allowed unless; the container holds >1,000 |
| Transferring Controlled Prescriptions | • Only one transfer allowed for C-Ill to C-V • C-ll prescriptions cannot be transferred • Transfer must be between two licensed pharmacists • Must document: DEA numbers of both pharmacies Name of pharmacist Date of transfer Original Rx info |
| Generic: Carisoprodol | C-IV Brand: Soma skeletal muscle relaxant auxiliary label : Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed |
| Opioid analgesics auxiliary labels | All opioid analgesic requires the following auxiliary labels: may cause dizziness or drowsiness Avoid alcohol "Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed." |