Questions and Answers
What is the primary purpose of issuing a prescription for controlled substances?
Who bears the primary responsibility for proper prescribing and dispensing of controlled substances?
What is the consequence of filling an order for an addict or habitual user of controlled substances outside of professional treatment?
What is considered a legitimate prescription within the meaning of subdivision 30 of section 3302 of the Public Health Law?
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Who shares liability with the pharmacist for filling an invalid prescription?
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What is the purpose of regulating prescriptions for controlled substances?
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Which of the following benzodiazepines is not mentioned in the Schedule II substances list?
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What is the primary requirement for a prescription for a Schedule II substance?
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What information is required on a prescription for a Schedule II substance?
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Who must sign a prescription for a Schedule II substance?
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What is a requirement for electronic prescriptions for Schedule II substances?
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What must be imprinted or stamped legibly and conspicuously on a prescription for a Schedule II substance?
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What is not a requirement for a prescription for a Schedule II substance?
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What is a consequence of not complying with the requirements for prescribing Schedule II substances?
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What is a requirement for transmitting a prescription for a patient enrolled in a hospice program or residing in a Residential Health Care Facility (RHCF)?
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What is the time limit for the prescribing practitioner to deliver the original prescription to the pharmacist after transmitting it by facsimile?
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What is not allowed when a practitioner orally furnishes missing information to the pharmacist?
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Under what condition can a practitioner issue a prescription for up to a six month supply of an anabolic steroid?
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What is the maximum duration of a prescription that can be issued for a controlled substance?
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Who is responsible for notifying the Department if the pharmacist fails to receive the original prescription?
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What is a requirement for transmitting a prescription for a Schedule II narcotic substance or certain controlled substances?
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What information must be indicated on an official New York State prescription?
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What information can a pharmacist obtain through a good-faith effort?
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What is the purpose of the section on the prescription where prescribers may indicate whether an individual is limited English proficient?
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What is not allowed when a practitioner orally authorizes a pharmacist to change information on a prescription?
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What is the requirement for an electronic prescription?
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Who must note on the prescription that the patient is a hospice patient or RHCF patient?
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What happens if a practitioner issues a prescription for a controlled substance beyond the 30-day supply?
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What is the requirement for a prescription generated on an electronic system and printed out or transmitted via facsimile?
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What must the pharmacist do when receiving an incomplete prescription?
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What information must the pharmacist include when orally authorizing a change to a prescription?
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What is the purpose of the code on the prescription?
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What is the consequence of failing to include the indication of limited English proficiency on the prescription?
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What is the requirement for the date on a prescription?
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What notation must a pharmacist make when filling an electronic prescription under subdivision (g) or subdivision (h) of this section?
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What must a practitioner indicate on a replacement prescription when an electronic prescription was not successfully delivered?
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What happens to an electronic prescription if its content is altered during transmission?
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Why must a pharmacist retain annotations electronically in the prescription record?
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What is the significance of a notation on a prescription indicating that it was originally transmitted electronically?
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What is the consequence of filling an electronic prescription with altered content during transmission?
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Study Notes
Purpose of a Prescription
- A prescription must be issued for legitimate medical purposes only to be effective in legalizing the possession of controlled substances.
Responsibility for Prescribing and Dispensing
- The responsibility for proper prescribing and dispensing of controlled substances lies with the physician, dentist, podiatrist, veterinarian, or other authorized practitioner.
- A corresponding liability rests with the pharmacist who fills the prescription.
Invalid Prescriptions
- An order issued to an addict or habitual user of controlled substances, not in the course of professional treatment, is not a valid prescription.
- Such an order is considered invalid if it is intended to provide the user with narcotics or other controlled substances sufficient to maintain their customary use.
- Both the person issuing such an order and the person filling it are subject to penalties for violating controlled substances laws.
Schedule II Substances
- The following substances are listed under Schedule II:
- Alprazolam
- Bromazepam
- Camazepam
- Chlordiazepoxide
- Clobazam
- Clonazepam
- Clorazepate
- Clotiazepam
- Cloxazolam
- Delorazepam
- Diazepam
- Estazolam
- Ethyl Loflazepate
- Fludiazepam
- Flunitrazepam
- Flurazepam
- Halazepam
- Haloxazolam
- Ketazolam
- Loprazolam
- Lorazepam
- Lormetazepam
- Medazepam
- Midazolam
- Nimetazepam
- Nitrazepam
- Nordiazepam
- Oxazepam
- Oxazolam
- Pinazepam
- Prazepam
- Quazepam
- Temazepam
- Tetrazepam
- Triazolam
Prescription Requirements
- Prescriptions for Schedule II substances must be written with ink, indelible pencil, typewriter, or by other electronic means approved by the department.
- The prescription must be signed by the practitioner.
- Electronic prescriptions may be created, signed, and transmitted electronically, but must comply with all other requirements for issuing a prescription for a controlled substance.
- The prescription must contain the following information:
- Name, sex, address, and age of the ultimate user (or species of animal and name and address of the owner if the ultimate user is an animal)
- Printed name, address, DEA registration number, telephone number, and handwritten signature of the prescribing practitioner
- Specific directions for use, including dosage and frequency of dosage, and maximum daily dosage
- Date upon which the prescription was prepared and signed by the prescribing practitioner
- Quantity of dosage units prescribed
- An electronic signature that meets the signature requirements
Prescription Limitations
- Except as provided for in subdivision (d), prescriptions for Schedule II substances may not be made for a quantity that would exceed a 30-day supply.
- No additional prescriptions may be issued to an ultimate user within 30 days of a previous prescription unless the user has exhausted all but a 7-day supply of the controlled substance.
- A practitioner may issue a prescription for up to a 3-month supply of a controlled substance for certain specified conditions (e.g. panic disorders, attention deficit disorder, chronic debilitating neurological conditions, etc.).
Facsimile Transmission
- Official New York State prescriptions or out-of-state written prescriptions for hospice patients or patients residing in a Residential Health Care Facility (RHCF) may be transmitted by facsimile to the dispensing pharmacy.
- The practitioner must note on the prescription that the patient is a hospice patient or RHCF patient.
- The original prescription must be delivered to the pharmacist within 72 hours.
Missing Information
- If a prescription is incomplete, the practitioner may orally furnish the missing information to the pharmacist and authorize them to enter the information on the prescription.
- The pharmacist must write the date they received the oral authorization on the prescription and affix their signature.
Changes to Prescriptions
- A practitioner may orally authorize a pharmacist to change information on a prescription, but this does not apply to the practitioner's signature, date, drug name, or name of the ultimate user.
- The pharmacist must write the date they received the oral authorization on the prescription, the reason for the change, and their signature.
Electronic Prescriptions
- When a pharmacist fills a prescription under subdivision (g) or (h), they must make the same notation electronically as they would on a written prescription.
- If a practitioner is notified that an electronic prescription was not successfully delivered, they must indicate on any replacement prescription that the original transmission failed.
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Description
This quiz covers the purpose and responsibility of prescribing controlled substances, highlighting the roles of medical professionals and pharmacists. Understand the legal aspects of possession and dispensing controlled substances.
