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CPJE
Controlled Substances
| Question | Answer |
|---|---|
| Lead time to report cost of controlled substance | - DEA immediately (within 1 business day) - CA BoP: within 30 days. OR 14 days if the loss is due to a licensed employee's theft |
| Schedule classification - Codeine | II |
| who can fill out the DEA Form 222 | - DEA registrant - Anyone that the DEA registrant has authorized by granting a power of attorney. |
| Which pseudoephedrine sale does not require documentation into a logbook? | The purchase of a single dose package of pseudoephedrine that contains a MAXIMUM of 60 mg |
| A security form is not required for prescriptions for controlled substances in terminally ill patients if | the prescriber adds the notation "11159.2 Exemption" |
| 11167.3 Exemption | |
| Qty of OTC syringes and needles can be sold | OTC syringes and needles can be sold to customers who are at least 18 years old. There is NO limit on the number of needles and syringes that can be provided. |
| dextromethorphan | At high doses it can cause visual and auditory hallucinations. |
| Who use what DEA form for register | - Form 224: retail pharmacies, hospitals/clinics, practitioners, teaching institutions and mid-level practitioners. - Form 225: drug manufacturers, distributors, researchers - Form 363: narcotic (opioid) treatment clinics (e.g., a methadone clinic) |
| What is the purpose of the DEA's Controlled Substance Ordering System (CSOS)? | Allows for secure electronic transmission of Schedule I-V controlled substance orders. This is an alternative to using the DEA Form 222. |
| Robitussin DM | guaifenesin and dextromethorphan |
| Is Pharmacists / Prescribers required to check CURES each time before dispensing / prescribing a controlled drug | NO |
| When Emergency refills without the prescriber's authorization is allowed | Non-scheduled and schedule III-V drugs if the prescriber is unavailable to authorize the refill and failure to refill the prescription might interrupt the patient's ongoing care and have a significant adverse effect on the patient's well-being. |
| Dextroamphetamine brand names | Dextrostat, Dexedrine, Zenzedi |
| Barbiturates schedule II | • Secobarbital • Pentobarbital • Amobarbital |
| Barbiturates schedule III | • Butalbital/Acetaminophen/Caffeine • Butalbital/Aspirin/Caffeine |
| Barbiturates schedule IV | • Phenobarbital |
| DEA Form 106 | The drug loss must also be reported to the California Board of Pharmacy. A copy of the DEA Form 106 can be sent to the California Board of Pharmacy. Alternatively, any documentation with the required information can be sent to the board. |
| Lead time for prescriber to send the pharmacist a written prescription for the emergency oral authorization? | The written prescription can be hand-delivered or mailed and postmarked by the 7th day. |
| Can a pharmacist amend a controlled substance prescription if the physician forgets to write an issue date on the security form | NO |
| Can a pharmacist amend a controlled substance prescription if the physician forgets to indicate the number of refills authorized | YES |
| Can a pharmacist amend a controlled substance prescription if the physician forgets to check the quantity box to match the written quantity in the description | YES |
| Can a pharmacist amend a controlled substance prescription if the physician forgets to Sign the security form | NO |
| Can CA pharmacy dispense schedule II directly to the patient if Rx is written out of state and pt address is OOS | Yes, but the schedule II must be delivered back to the pt address OOS |
| MAX Pseudoephedrine (PSE) daily purchased | 3.6 g (read the Q to see how many tabs rather than DO calculation) |
| IS a pharmacy permitted selling controlled substances to a prescriber or pharmacies? | It is permitted if the sales do not exceed 5% of the total of the controlled substance sales per year. |
| IS schedule II partial filled | When the pharmacy does not have sufficient stock of a schedule Il drug, the pharmacy can dispense a partial fill and the patient must return to the pharmacy within 72 hours for the remaining balance. Otherwise, the remaining balance is forfeited. |
| A prescription for AndroGel is issued on February 1. The prescription is placed on hold at the pharmacy on February 15. When is the last day it can be filled? | August 1 (same year): Prescriptions for controlled substances are valid for 6 months from date of issue. |
| Mail delivery for schedule | Tthe outer wrapper/container is plain and has no markings that can indicate what is inside. This is to prevent drug diversion. |
| Requirement to process Pseudoephedrine (PSE) selling to a customer | - Sign - Record their name, date and time of sale. Some stores can swipe the drivers license to get the name and address recorded. |
| Who can sign the DEA Form 222 and CSOS? | - The person who signed the DEA Form 224 (the "registrant") - The person granted power of attorney |
| fax and electronic prescriptions | Electronic prescriptions are permissible for non-controlled prescriptions and for controlled substances if the computer software is DEA-approved. |
| Xyrem | Sodium oxybate, a central nervous system (CNS) depressant used to treat cataplexy or excessive daytime sleepiness associated with narcolepsy. Schedule III |
| Schedule V drug - refill or day supply limitation | There is no refill or day supply limit as long as the refill is authorized by the prescriber. |
| how to define the last number of a DEA number | - sum odd (1) - sum even, then double (2) - (1) + (2): the first digit of this sum (eg. 3 in 43) |
| Vyvanse | lisdexamfetamine |
| Suboxone | buprenorphine and naloxone |
| Partial fills for refills of schedule Ill, IV and V | Partial fills for refills of schedule Ill, IV and V controlled substances are permitted if it is recorded in the same manner as a refill and if the total quantity dispensed in all of the fills does not exceed the total quantity prescribed. |
| Action if schedule II prescription missing prescriber's signature | - Return the prescription to the patient to have it signed by the prescriber - Alternatively, the prescriber can send an electronic prescription and the pharmacist can void the original prescription. |
| CA pharmacies may dispense prescriptions for Schedule Ill, IV and V drugs written from out-of- state prescribers directly to the patient? | YES if the prescription meets the requirements for controlled substance prescriptions of the state it was written in. - CII: to be delivered to pt address at out of state |
Created by:
dao.vo11017