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Controlled Substance

QuestionAnswer
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."
Created by: user-1957732
 

 



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