Controlled Substances Oral Prescriptions

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Questions and Answers

What is the maximum period of time for which a waiver for filing can be granted to a pharmacy?

End of the year following the year in which the substance was delivered

End of the next month following the month in which the substance was delivered

End of the quarter following the quarter in which the substance was delivered

15th day of the next month following the month in which the substance was delivered (correct)

What is the purpose of the species code in the filing information?

To identify the type of drug prescribed

To identify the prescriber's DEA number

To identify the owner of the animal

To identify the species of animal being treated (correct)

What is the minimum requirement for a prescription to be considered an emergency?

The immediate administration of the drug is necessary for proper treatment, and no alternative treatment is available (correct)

The prescription is written by a specialist

The prescription is for a lifesaving medication

The prescription is for a controlled substance

What is the purpose of the national drug code number in the filing information?

To identify the drug prescribed (A) Signup and view all the answers

Under what circumstances may a pharmacy be granted a waiver for filing?

Economic hardship, technological limitations, or other exceptional circumstances (A) Signup and view all the answers

What is the maximum quantity of controlled substances that can be dispensed for an emergency oral prescription?

A 5-day supply (A) Signup and view all the answers

What information is required to be filed with the department for each prescription?

All of the above, plus additional information such as patient date of birth and prescriber's DEA number (C) Signup and view all the answers

What must a pharmacist do within 72 hours after dispensing an emergency oral prescription?

Cause a written or electronic prescription to be delivered to the department (B) Signup and view all the answers

What is the purpose of the patient's sex in the filing information?

To ensure accurate patient identification (B) Signup and view all the answers

What information must be included on the face of the prescription delivered to the pharmacist within 72 hours of an emergency oral prescription?

The words 'Authorization for emergency dispensing' (C) Signup and view all the answers

What is the consequence of not meeting the filing requirements for a pharmacy?

The pharmacy will be subject to fines and penalties (A) Signup and view all the answers

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?

7 days (B) Signup and view all the answers

What is the purpose of a pharmacist endorsing the date of delivery and their signature on the prescription?

To confirm that the prescription was dispensed (C) Signup and view all the answers

How long must the endorsed prescription be retained by the proprietor of the pharmacy?

5 years (D) Signup and view all the answers

What is the timeframe for a pharmacist to file the prescription information electronically with the Bureau of Narcotic Enforcement?

24 hours (A) Signup and view all the answers

What is required of a pharmacist when dispensing a controlled substance for an emergency oral prescription?

Make a good-faith effort to verify the identity of both the practitioner and the ultimate user (A) Signup and view all the answers

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.