Prescribing
The Opthalmologists or Optometrists can prescribe a C II other than hydrocodone
What is Opthalnologist
This schedule has No accepted medical use as opposed to the drugs in the other schedules
- High potential for abuse
- No accepted medical use in treatment in US
-Lack of safety information, even under medical supervision
What is Schedule I
An example of where separate registrations are required
- Eath principal place of business where C2s are administered or store
- Chain pharmacy must have a registration for EACH STORE
This controlled class has no refills allowed
What is a C II
A patient comes in and has a prescription for 30 oxycodone (CII) and only wants 5 filled. What are the conditions that must be satisfied before we fill it
What is the prescription drug order is written and fill in accordance with law, partial fill requested by pt, one acting on behalf of pt, or practitioner who wrote the Rx, and total quantity dispensed in all partials does not exceed the total quantity prescribed
If a PA or NP prescribe C III - CIV they
Have to have there own DEA number
Examples of schedule I drug
What is Marijuana and Heroin
The action a pharmacist must take if a oral prescription is not called in on time
What is notify the DEA
The time a C II prescription expire?
What is , it does not expire, you can fill it anytime
A non-emergency patient comes in and has a prescription for 30 oxycodone (CII) and only wants 5 filled. How many days must must he fill the remaining 25?
What is no later than than 30 days
The situation with requirements of when a advanced practice registered who has at least one year of post - licensure experience and a PA can prescribe CI or CII
Emergency situations:
1.) specifically included in the nurse protocol agreement
2.) directly evaluated the patient
3.) does not exceed 5 days
4.) prescription for 18 years or older
5.) one hour of continuing education biennially in the appropriate ordering and use
The people who must register for DEA number
What is
-Researchers , manufacturers, Distributors, Laboratories, Exporters, Narcotic tx programs, Dispensing location, Hospital, Reverse distributor, and return to manufacturer
The incidents where you are denied DEA resistant
What is Materially falsified information on application, a drug related felony, committed acts which would make registration inconsistent with public interest, had license suspending revoked or denies, and excluded from participation in Medicare or state health care program
A patient walks in with a C II prescription and the quanitity or the strength has not even included what must the pharmacist do?
What is speak to the prescriber, write changes on back and initial and on back write who the pharmacist spoke with along with brief explanation
A emergency patient comes in and has a prescription for 30 oxycodone (CII) and only wants 5 filled. How many days must must he fill the remaining 25?
What is 72 hours
To Check DEA registration
First letter A,B, or F; M, mid level
Second letter - First letter of last name
The sum of the 1st, 3rd, and 5th digit
the sum of the 2nd, fourth and sixth digit multiplied by 2 and add to first sum
the last number should = the last number in the DEA number
The pharmacy registration for DEA is ___, the form for manufacturers, distributors, importer/exporter of research is _____, the form for narcotic treatment program is _____
Form 224, Form 225, and Form 363
This is what constitutes for emergency for oral CII's
What is immediate administration of the CS is necessary for proper tx, no appropriate alternative tx is available, including administration of a drug which is not CII, and possible for the prescriber to provide written prescription to be presented prior to dispensing
A doctor called the pharmacist and phones in a CII prescription, the pharmacist must ________ , the prescriber must ______ , and pharmacist must then ____
What is the pharmacist must make a reasonable effort to verify order is legit, prescriber delivers within 7 days of the original prescription (in person or mail), and pharmacist attaches written prescription to the oral prescription upon receiving
A LTCF with cancer patient comes in and has a prescription for 30 oxycodone (CII) and only wants 5 filled. How many days must must he fill the remaining 25?
What is up to 60 days from date of issuance
The amount of time a DEA registration is good ?
What is 36 months
Examples of Schedule II drugs
What is Morphine, Codeine, Opium, Cocaine, Percocet, Amphetamine, and methamphetamine, Hydrocodone, Hydromorphone, Pentobarbital
What is home infusion, a resident of a LTCF, a hospice patient ( note on prescription)
Can C II E-Prescriptions be accepted? Can ANY pharmacy accept them? Does a patient have to have a hard copy? Can you fill 90 days of a C-II?
CII prescriptions can be accepted by e-prescription. The pharmacy has to have encryption service. The patient does not have to be presented as a hard copy. You cannot fill a 90 day supply of a CII but a doctor can write a 90 day supply.
A patient comes in on Feb. 7th and has a prescription for 30 oxycodone (CII). The pharmacist only has 5 in stock. The next order comes in on Feb 12th. What should the pharmacist do and why?
What is do not fill it because balance must be filled within 72 hours after partial filling or notifying the prescriber if unable to complete.
A pharmacist may partially fill if unable to supply full quantity