Podcast
Questions and Answers
How many days in advance must the DEA be notified before establishing central record keeping?
How many days in advance must the DEA be notified before establishing central record keeping?
Which method is NOT acceptable for notifying the DEA of central record keeping?
Which method is NOT acceptable for notifying the DEA of central record keeping?
What is the maximum time a supplier has to fulfill the balance of an order they couldn't fill completely?
What is the maximum time a supplier has to fulfill the balance of an order they couldn't fill completely?
Which of the following records CANNOT be kept at a central location?
Which of the following records CANNOT be kept at a central location?
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If a mistake is made on a DEA Form 222, what should be done with the form?
If a mistake is made on a DEA Form 222, what should be done with the form?
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Who can sign a DEA 222 order form?
Who can sign a DEA 222 order form?
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What action can the DEA take if a registrant fails to comply with central record-keeping conditions?
What action can the DEA take if a registrant fails to comply with central record-keeping conditions?
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In addition to the DEA, which organization must New Jersey pharmacies make records available to?
In addition to the DEA, which organization must New Jersey pharmacies make records available to?
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What technology is used by CSOS for secure electronic transmission of controlled substance orders?
What technology is used by CSOS for secure electronic transmission of controlled substance orders?
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Who is responsible for appointing a CSOS coordinator for a registrant?
Who is responsible for appointing a CSOS coordinator for a registrant?
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Under what condition can a CSOS digital certificate be revoked?
Under what condition can a CSOS digital certificate be revoked?
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Which of the following is NOT a reason for an electronic order to be rejected?
Which of the following is NOT a reason for an electronic order to be rejected?
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What is required of a purchaser when receiving a controlled substance shipment via CSOS?
What is required of a purchaser when receiving a controlled substance shipment via CSOS?
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What happens if an electronic order cannot be filled?
What happens if an electronic order cannot be filled?
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How long is a CSOS digital certificate valid?
How long is a CSOS digital certificate valid?
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What is the electronic equivalent of a DEA 222 form, according to the text?
What is the electronic equivalent of a DEA 222 form, according to the text?
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What action can the Attorney General take against a retailer that violates sales restrictions for scheduled listed chemical products?
What action can the Attorney General take against a retailer that violates sales restrictions for scheduled listed chemical products?
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What is a permissible measure retail stores can take when screening job applicants regarding scheduled listed chemical products?
What is a permissible measure retail stores can take when screening job applicants regarding scheduled listed chemical products?
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What is the current requirement regarding DATA-Waiver registration numbers for buprenorphine prescriptions?
What is the current requirement regarding DATA-Waiver registration numbers for buprenorphine prescriptions?
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Given that an individual can purchase 3.6 grams of base per day, what is the maximum amount of 30mg Pseudoephedrine HCl tablets they can purchase?
Given that an individual can purchase 3.6 grams of base per day, what is the maximum amount of 30mg Pseudoephedrine HCl tablets they can purchase?
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What is the required action regarding a loss or disappearance of scheduled listed chemical products?
What is the required action regarding a loss or disappearance of scheduled listed chemical products?
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What was the previous limit on the number of patients a practitioner could treat with buprenorphine in their first year?
What was the previous limit on the number of patients a practitioner could treat with buprenorphine in their first year?
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In New Jersey, in addition to reporting to the DEA, when is it necessary to report a loss of SLCP product to local law enforcement??
In New Jersey, in addition to reporting to the DEA, when is it necessary to report a loss of SLCP product to local law enforcement??
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Which of the following healthcare providers are now eligible to prescribe buprenorphine if authorized by state law, holding a schedule III DEA?
Which of the following healthcare providers are now eligible to prescribe buprenorphine if authorized by state law, holding a schedule III DEA?
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What is the new one-time training requirement for all controlled substance prescribers, with some exceptions?
What is the new one-time training requirement for all controlled substance prescribers, with some exceptions?
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How many hours of applicable CE were previously required for Physician Assistants (PA) and Nurse Practitioners (NP) to prescribe buprenorphine?
How many hours of applicable CE were previously required for Physician Assistants (PA) and Nurse Practitioners (NP) to prescribe buprenorphine?
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Besides continuing education credits, what other way can physicians, physician assistants, and nurse practitioners qualify to prescribe buprenorphine?
Besides continuing education credits, what other way can physicians, physician assistants, and nurse practitioners qualify to prescribe buprenorphine?
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Subutex and Suboxone are classified under which schedule of controlled substances?
Subutex and Suboxone are classified under which schedule of controlled substances?
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Which of the following statements correctly reflects federal or state requirements for storing controlled drugs?
Which of the following statements correctly reflects federal or state requirements for storing controlled drugs?
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When a purchaser discovers that order forms have been stolen or lost, to whom must it be reported immediately?
When a purchaser discovers that order forms have been stolen or lost, to whom must it be reported immediately?
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If a supplier cannot provide the serial numbers of stolen or lost original order forms received from purchasers, what information should they report?
If a supplier cannot provide the serial numbers of stolen or lost original order forms received from purchasers, what information should they report?
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What should a purchaser do if they recover a previously reported stolen or lost order form?
What should a purchaser do if they recover a previously reported stolen or lost order form?
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How often do pharmacies need to register with the Attorney General for controlled substance activities?
How often do pharmacies need to register with the Attorney General for controlled substance activities?
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Which statement is true regarding a hospital's DEA registration, according to the text?
Which statement is true regarding a hospital's DEA registration, according to the text?
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If an entire book of order forms is lost or stolen, what is the reporting requirement if the purchaser doesn't know the serial numbers?
If an entire book of order forms is lost or stolen, what is the reporting requirement if the purchaser doesn't know the serial numbers?
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Although there is no requirement to use 222 forms sequentially, why does it make sense to do so?
Although there is no requirement to use 222 forms sequentially, why does it make sense to do so?
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Which statement best describes the registration requirements for pharmacies under DEA rules?
Which statement best describes the registration requirements for pharmacies under DEA rules?
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Which condition must be met for a practitioner to issue multiple prescriptions for a Schedule II controlled substance, allowing up to a 90-day supply?
Which condition must be met for a practitioner to issue multiple prescriptions for a Schedule II controlled substance, allowing up to a 90-day supply?
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What is the key difference in the statutory authority for issuing multiple prescriptions for schedule II controlled substances between physicians and other prescribers in New Jersey?
What is the key difference in the statutory authority for issuing multiple prescriptions for schedule II controlled substances between physicians and other prescribers in New Jersey?
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In New Jersey, how many multiple prescriptions, for Schedule II controlled substances, are allowed for a 90-day supply, and what are the timeframes associated with filling them?
In New Jersey, how many multiple prescriptions, for Schedule II controlled substances, are allowed for a 90-day supply, and what are the timeframes associated with filling them?
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According to the DEA, who is now considered an authorized agent who can transmit a prescription for a controlled substance to a pharmacist?
According to the DEA, who is now considered an authorized agent who can transmit a prescription for a controlled substance to a pharmacist?
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What is the key condition that limits all prescriptions for controlled substances in New Jersey?
What is the key condition that limits all prescriptions for controlled substances in New Jersey?
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Prior to the change in DEA policy, what was the DEA's stance on nurses or employees transmitting physician orders to pharmacies?
Prior to the change in DEA policy, what was the DEA's stance on nurses or employees transmitting physician orders to pharmacies?
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What specific instruction must be included in each multiple prescription (except for the first one meant to be filled immediately) for a Schedule II controlled substance?
What specific instruction must be included in each multiple prescription (except for the first one meant to be filled immediately) for a Schedule II controlled substance?
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In the context of issuing multiple prescriptions for Schedule II controlled substances, which of the following is NOT a condition that must be met?
In the context of issuing multiple prescriptions for Schedule II controlled substances, which of the following is NOT a condition that must be met?
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Study Notes
Controlled Substances
- This section is crucial for the MPJE exam
- New Jersey law differs from federal law in over 20 areas related to controlled substances
- Schedules are divided based on dependence and abuse potential
Schedules
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Schedule I: No currently accepted medical use.
- Examples: Methaqualone, Heroin, Mescaline, GHB, THC, LSD, Marijuana, Peyote
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Schedule II: High potential for abuse and dependence.
- Examples: Cocaine, Methamphetamine, Pentobarbital (Nembutal), Fentanyl, Amobarbital, Oxycodone, etc.
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Schedule III: Moderate potential for abuse and dependence. Includes some narcotics.
- Examples: Alprazolam (Xanax), Butorphanol (Stadol), Chloral Hydrate (Noctec).
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Schedule IV: Low potential for abuse and dependence.
- Examples: Chlordiazepoxide (Librium), Clonazepam (Klonopin), Diazepam (Valium), Flurazepam (Dalmane), Lorazepam (Ativan), Oxazepam (Serax).
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Schedule V: Low potential for abuse and dependence. Primarily used for cough suppressants and anti-diarrheals.
- Examples: Actifed/Codeine, Lomotil, Novahistine Expectorant.
Schedule II Combination Products
- Hydrocodone-combination products changed from Schedule III to Schedule II effective October 6, 2014
- Schedule II suppositories became Schedule III substances.
Scheduling Authority
- The Attorney General has the final say about scheduling, but must get scientific and medical input from HHS
- The attorney general can bypass HHS if there's an “imminent hazard to public safety” on a drug.
Emergency Dispensing of Schedule II Drugs
- Allowed in emergencies when immediate administration is needed, no alternative tx exists, or a 72-hour supply is required.
- An emergency period is limited to a 72-hour supply.
- The prescription must be documented (in writing) within 7 days.
Partial Filling of Schedules II-V
- Partial fillings are allowed for many schedules, but there are guidelines for specific situations
- Schedule II partial fills are possible for a limited 60-day supply under certain conditions
- Special rules exist for terminally ill patients in LTC.
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Description
This quiz tests your knowledge on the regulations surrounding controlled substances, specifically focusing on Central Record Keeping and DEA requirements. You will explore various aspects of DEA Form 222, CSOS technology, and notification procedures necessary for compliance. Prepare to apply your understanding to ensure compliance in your practice.
