Questions and Answers
What is the maximum period of time for which a waiver for filing can be granted to a pharmacy?
What is the purpose of the species code in the filing information?
What is the minimum requirement for a prescription to be considered an emergency?
What is the purpose of the national drug code number in the filing information?
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Under what circumstances may a pharmacy be granted a waiver for filing?
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What is the maximum quantity of controlled substances that can be dispensed for an emergency oral prescription?
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What information is required to be filed with the department for each prescription?
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What must a pharmacist do within 72 hours after dispensing an emergency oral prescription?
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What is the purpose of the patient's sex in the filing information?
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What information must be included on the face of the prescription delivered to the pharmacist within 72 hours of an emergency oral prescription?
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What is the consequence of not meeting the filing requirements for a pharmacy?
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What is the timeframe for a pharmacist to notify the department in writing or electronically if they fail to receive a written or electronic prescription?
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What is the purpose of a pharmacist endorsing the date of delivery and their signature on the prescription?
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How long must the endorsed prescription be retained by the proprietor of the pharmacy?
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What is the timeframe for a pharmacist to file the prescription information electronically with the Bureau of Narcotic Enforcement?
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What is required of a pharmacist when dispensing a controlled substance for an emergency oral prescription?
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Study Notes
Emergency Oral Prescriptions for Controlled Substances
- In an emergency, a practitioner can orally prescribe controlled substances in schedule II and certain other controlled substances, and a pharmacist can dispense them to an ultimate user.
- The pharmacist must contemporaneously reduce the oral prescription to writing or an electronic record, dispense the substance in conformity with labeling requirements, and make a good-faith effort to verify the identity of the practitioner and ultimate user.
Quantity and Supply
- No oral prescription can be filled for a quantity exceeding a five-day supply, assuming the substance is used according to directions.
Written or Electronic Prescription
- Within 72 hours of authorizing an emergency oral prescription, the practitioner must deliver a written or electronic prescription to the pharmacist.
- The prescription must include the words "Authorization for emergency dispensing" on its face, along with other required information.
Pharmacist's Endorsement and Record Retention
- The pharmacist filling the prescription must endorse the prescription with the date of delivery and their signature.
- The endorsed prescription must be retained by the pharmacy proprietor for five years.
Prescription Information Filing
- The pharmacist must file prescription information electronically with the Bureau of Narcotic Enforcement within 24 hours of delivery, including:
- Pharmacy prescription number
- Pharmacy's national identification number
- Patient information (name, address, date of birth, sex)
- Prescription details (date filled, metric quantity, national drug code number, days supply)
- Prescriber's DEA number
- Date prescription issued
- Serial number of official prescription form or designated identifier
- Payment method
- Species code
- Name of animal (if applicable)
- A waiver allowing a longer filing period may be issued by the commissioner based on economic hardship, technological limitations, or exceptional circumstances.
Definition of Emergency
- An emergency means immediate administration of the drug is necessary for proper treatment, no alternative treatment is available, and it is not possible for the practitioner to provide a written or electronic prescription at the time.
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Description
Learn about the rules and regulations for emergency oral prescriptions of controlled substances, including the role of practitioners and pharmacists.