MPJE Ch.2

<p>Cocaine</p> Signup and view all the answers

<p>DEA Form 222</p> Signup and view all the answers

<p>20</p> Signup and view all the answers

<p>The person authorized by the registrant</p> Signup and view all the answers

<p>To authorize the person being authorized to execute DEA Form 222</p> Signup and view all the answers

<p>They include opiates and derivatives such as heroin and dihydromorphine.</p> Signup and view all the answers

<p>Marijuana is classified as a Schedule I (C-I) drug under federal law.</p> Signup and view all the answers

<p>Cocaine</p> Signup and view all the answers

<p>The U.S. Attorney General</p> Signup and view all the answers

<p>Ephedrine, pseudoephedrine, and phenylpropanolamine</p> Signup and view all the answers

<p>20%</p> Signup and view all the answers

<p>1.8 9/100 ml and 90 mg/dosage unit</p> Signup and view all the answers

<p>Electronic copies can be stored at a different location.</p> Signup and view all the answers

<p>The purchaser</p> Signup and view all the answers

<p>When not reporting transactions to ARCOS</p> Signup and view all the answers

<p>Prepare another DEA Form 222 with a statement</p> Signup and view all the answers

<p>Dispensing controlled substances</p> Signup and view all the answers

<p>Officials of the U.S. Armed Services</p> Signup and view all the answers

<p>Mid-level practitioners</p> Signup and view all the answers

<p>Step 1: Add 1st, 3rd, and 5th digits. Step 2: Add 2nd, 4th, and 6th digits and multiply the sum by 2. Step 3: Add the sum of steps 1 and 2.</p> Signup and view all the answers

<p>Power of Attorney applicants</p> Signup and view all the answers

<p>An independent third-party auditor</p> Signup and view all the answers

<p>All of the above</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>Marijuana is classified as a Schedule I (C-I) controlled substance.</p> Signup and view all the answers

<p>A drug must have a high potential for abuse, have currently accepted medical use in treatment in the U.S. or currently accepted medical use with severe restrictions, and abuse of the drug or other substances may lead to severe physical or psychological dependence (addiction).</p> Signup and view all the answers

<p>Some examples of drugs classified as Schedule II (C-II) are opium, morphine, codeine, oxycodone, methadone, cocaine, amphetamine, and methylphenidate.</p> Signup and view all the answers

<p>Listed Chemicals are chemicals that, in addition to legitimate uses, are used in manufacturing a controlled substance. In addition to specific chemicals, OTC products containing ephedrine, pseudoephedrine, or phenylpropanolamine are considered Listed Chemicals.</p> Signup and view all the answers

<p>The U.S. Attorney General, as head of the Department of Justice, may add, delete, or reschedule substances but must obtain a scientific and medical recommendation from the FDA.</p> Signup and view all the answers

<p>The concentration limit for codeine in Schedule C-III products is 1.8 9/100 ml and 90 mg/dosage unit.</p> Signup and view all the answers

<p>Under federal law, the C-V limit for opium is 100 mg/100 ml. Under Texas law, the C-V limit for opium is 50 mg/100 ml.</p> Signup and view all the answers

<p>The required data fields must be completed, the order must be signed using a digital certificate issued by DEA, the digital certificate used must not be expired or revoked prior to signature, the purchaser's public key must validate the digital certificate, and the order must be valid for any reason.</p> Signup and view all the answers

<p>To ensure that the software is in compliance with DEA regulations.</p> Signup and view all the answers

<p>An electronic order for controlled substances may not be filled if any of the following occurs: the required data fields have not been completed, the order is not signed using a digital certificate issued by DEA, the digital certificate used has expired or been revoked prior to signature, the purchaser's public key will not validate the digital certificate, or the validation of the order shows that the order is invalid for any reason.</p> Signup and view all the answers

<p>The purpose of the Power of Attorney (POA) in relation to DEA Form 222 is to authorize another individual to sign the application and renewals on behalf of the applicant.</p> Signup and view all the answers

<p>All CSOS applications must be audited by an independent third-party auditor.</p> Signup and view all the answers

<p>If a completed order form is lost or stolen, the purchaser must prepare another DEA Form 222 along with a statement containing the serial number and date of the lost form and stating that the goods covered by the first order were not received because the form was lost.</p> Signup and view all the answers

<p>If a supplier is not required to report transactions to ARCOS, it must submit a copy of the original DEA Form 222 to DEA either by mail or by email.</p> Signup and view all the answers

<p>The purpose of separate registrations for these activities is to ensure that each activity is properly regulated and monitored by the DEA.</p> Signup and view all the answers

<p>Individual practitioners are not required to register at another site if they only prescribe controlled substances at that site and do not maintain a supply of controlled substances at that site or if the site is in another state.</p> Signup and view all the answers

<p>The process for verifying a DEA registration number involves adding the 1st, 3rd, and 5th digits of the number, then adding the 2nd, 4th, and 6th digits and multiplying the sum by 2. Finally, the sum of the two previous steps is added to the last digit of the DEA number, and the last digit of the sum should correspond to the last digit of the DEA number.</p> Signup and view all the answers

<p>The purpose of a Power of Attorney (POA) in relation to DEA Form 224 is to authorize another individual to sign the application and renewals on behalf of the applicant. The POA must be filled out and filed with the DEA Registration Unit.</p> Signup and view all the answers

<p>The purpose of the temporary use procedure is to allow the new owner time to obtain a DEA registration after a change in ownership while still allowing patients to obtain refills and have prescriptions filled.</p> Signup and view all the answers

<p>If a completed order form is lost or stolen, the purchaser must notify the supplier and the DEA in writing, providing details of the loss or theft.</p> Signup and view all the answers

<p>When ordering Schedule II controlled substances using DEA Form 222, each sale or transfer of C-II drugs (except dispensing to the ultimate user) requires a separate form. Only one item may be ordered on each numbered line, and the name and address of the supplier must be entered. The form must be signed by the registrant and the person authorized to execute DEA Form 222. Registrants may authorize other individuals to execute forms by creating a Power of Attorney (POA), which does not need to be sent to the DEA but must be maintained in the pharmacy.</p> Signup and view all the answers

<p>The transition from triplicate DEA Form 222 to single copy DEA Form 222 with additional security features allows for a more streamlined ordering process. The single forms contain 20 order lines on each form, rather than 10 order lines on the triplicate forms. The purchaser filling out a single copy of DEA Form 222 must make a copy of the original form for its records and submit the original form to the supplier. The copy may be retained in paper or electronic form if kept electronically, the copy of DEA Form 222 does not need to be stored on a different server or system from the purchaser's other records.</p> Signup and view all the answers

<p>Drugs that are derivatives of opium, poppy straw, cocaine, or ecgonine.</p> Signup and view all the answers

<p>While all narcotics are controlled substances, not all controlled substances are narcotics.</p> Signup and view all the answers

<p>Schedule III drugs have a potential for abuse less than Schedules I and II.</p> Signup and view all the answers

<p>Examples of Schedule IV drugs include alprazolam, diazepam, and phenobarbital.</p> Signup and view all the answers

<p>Narcotics are drugs that are derivatives of opium, poppy straw, cocaine, or ecgonine, while controlled substances include a wider range of drugs, not limited to narcotics.</p> Signup and view all the answers

<p>Schedule III drugs have a potential for abuse less than Schedules I and II. They have currently accepted medical use in treatment in the U.S. and may lead to moderate or low physical dependence or high psychological dependence.</p> Signup and view all the answers

<p>Schedule IV drugs have a low potential for abuse relative to Schedule III. They have currently accepted medical use in treatment in the U.S. and may lead to limited physical or psychological dependence relative to Schedule III.</p> Signup and view all the answers

<p>Schedule V drugs have a low potential for abuse relative to Schedule IV. They have currently accepted medical use in treatment in the U.S. and may lead to limited physical or psychological dependence relative to Schedule IV.</p> Signup and view all the answers

<p>Schedule III = Potential for abuse less than Schedules I and II Schedule IV = Low potential for abuse relative to Schedule III Schedule V = Low potential for abuse relative to Schedule IV Schedule I = Highest potential for abuse</p> Signup and view all the answers

<p>Fiorinal = Schedule III Phenmetrazine = Schedule II Phendimetrazine = Schedule III Phentermine = Schedule IV</p> Signup and view all the answers

<p>Dextropropoxyphene = Schedule IV Chloral Hydrate = Schedule IV Ketamine = Schedule III Cocaine = Schedule II</p> Signup and view all the answers

<p>Pregabalin = Schedule V Diazepam = Schedule IV Amobarbital = Schedule III Opium = Schedule II</p> Signup and view all the answers

<p>Required data fields have not been completed = Order cannot be filled Order is not signed using a digital certificate issued by DEA = Order cannot be filled Digital certificate used has expired or been revoked prior to signature = Order cannot be filled Purchaser's public key will not validate the digital certificate = Order cannot be filled</p> Signup and view all the answers

<p>Order is not signed using a digital certificate issued by DEA = Order cannot be filled Digital certificate used has expired or been revoked prior to signature = Order cannot be filled Purchaser's public key will not validate the digital certificate = Order cannot be filled Validation of the order shows that the order is invalid for any reason = Order cannot be filled</p> Signup and view all the answers

<p>Approved Registrants = Eligible for a Signing Certificate Power of Attorney applicants = Eligible for a Signing Certificate Approved Coordinator applicants without a valid Power of Attorney = Not eligible for a Signing Certificate Approved Coordinator applicants with a valid Power of Attorney = Eligible for a Signing Certificate</p> Signup and view all the answers

<p>Codeine C-V limit = $200$ mg/$100$ ml Dihydrocodeine C-V limit = $100$ mg/$100$ ml Opium Federal C-V limit = $100$ mg/$100$ ml Morphine C-III limit = $50$ mg/$100$ ml</p> Signup and view all the answers

<p>Cheracol and Robitus- sin A.C. = Schedule V Codeine or opium mixed with water or simple syrup = Schedule II Products containing opium in Texas = Schedule III Morphine products = Either Schedule II or Schedule III</p> Signup and view all the answers

<p>Federal = U.S. Attorney General State = The Commissioner of the Texas Department of State Health Services</p> Signup and view all the answers

<p>Ephedrine = Removed from the market by DEA Pseudoephedrine = Considered a Listed Chemical Phenylpropanolamine = Removed from the market by DEA</p> Signup and view all the answers

<p>Schedule I (C-I) = High potential for abuse and severe potential for dependence (addiction). No currently accepted medical use in treatment in the U.S. Lack of accepted information on the safety of their use under medical supervision. Schedule II (C-II) = High potential for abuse. Have currently accepted medical use in treatment in the U.S. or currently accepted medical use with severe restrictions. Abuse of the drug or other substances may lead to severe physical or psychological dependence (addiction). Schedule III (C-III) = Potential for abuse less than Schedule I or II drugs and abuse may lead to moderate or low physical dependence or high psychological dependence. Schedule IV (C-IV) = Low potential for abuse relative to Schedule III substances. Limited physical or psychological dependence compared to Schedule III substances. Schedule V (C-V) = Low potential for abuse relative to Schedule IV substances. Limited physical or psychological dependence compared to Schedule IV substances.</p> Signup and view all the answers

<p>Heroin = Schedule I (C-I) Methadone = Schedule II (C-II) Amobarbital = Schedule II (C-II) Fentanyl = Schedule II (C-II)</p> Signup and view all the answers

<p>Has high potential for abuse and severe potential for dependence, but has currently accepted medical use in treatment in the U.S. = Schedule II (C-II) Has low potential for abuse relative to Schedule III substances and limited physical or psychological dependence compared to Schedule III substances = Schedule IV (C-IV) Has high potential for abuse and severe potential for dependence, and no currently accepted medical use in treatment in the U.S. = Schedule I (C-I) Has low potential for abuse relative to Schedule IV substances and limited physical or psychological dependence compared to Schedule IV substances = Schedule V (C-V)</p> Signup and view all the answers

<p>Step 1 = $1+3+5$ Step 2 = $(2+4+6) imes 2$ Step 3 = $1+3+5+(2+4+6) imes 2+4$ Last digit of the DEA number = The last digit of the sum from step 3</p> Signup and view all the answers

<p>Manufacturing = Separate registration required Distributing = Separate registration required Reverse Distributing = Separate registration required Dispensing = Separate registration required</p> Signup and view all the answers

<p>Individual practitioners = Not required to register at another site if they only prescribe controlled substances at that site Pharmacy = Must have a separate DEA registration Campus = May include multiple buildings, but approval for a campus registration is done on a case-by-case basis Emergency Medical Services Agency = New category of registration proposed by DLA on October 5, 2020</p> Signup and view all the answers

<p>An agent or employee of any registered manufacturer, distributor, or dispenser = If acting in the usual course of business or employment A common or contract carrier or warehouseman or an employee thereof = Whose possession is in the usual course of business or employment An ultimate user (patient) = Who possesses a controlled substance for a lawful purpose Officials of the U.S. Armed Services, Public Health Service, or Bureau of Prisons = Acting in the course of their official duties</p> Signup and view all the answers

<p>Only the actual registrant may grant a Power of Attorney (POA) for signing DEA Form 222 = Clarifying the current rule regarding who can grant a POA Forms that show any alteration, erasure, or changes will not be accepted = Ensuring the integrity of the form The purchaser filling out a single copy of DEA Form 222 must make a copy of the original form for its records and submit the original form to the supplier = Procedure for submitting the form The single forms contain 20 order lines on each form, rather than 10 order lines on the triplicate forms = Change in the number of order lines on the form</p> Signup and view all the answers

<p>Required for each sale or transfer of C-II drugs (except dispensing to the ultimate user) = Conditions for using DEA Form 222 Only one item may be ordered on each numbered line = Limitation on the number of items per line Name and address of the supplier from whom the controlled substances are being ordered must be entered = Information to be provided on the form Must be signed by the registrant (individual, partner, or officer) and by the person being authorized to execute DEA Form 222 = Signature requirements for the form</p> Signup and view all the answers

<p>The new owner must expeditiously apply for an appropriate DEA registration and state licensure = Action required by the new owner The previous owner grants a Power of Attorney to the new owner = Procedure for transferring controlled substance activities The previous owner agrees to allow the controlled substance activities of the pharmacy to be carried out under his or her DEA registration = Agreement by the previous owner The previous owner agrees that the controlled substance activities of the pharmacy may be carried out under his or her DEA registration and shall remain in effect for no more than 45 days after the purchase date = Time limit for the temporary use of registration</p> Signup and view all the answers

<p>There was a two-year transition period during which existing triplicate DEA Form 222 could have been used = Time period for the transition As of October 30, 2021, only the single copy DEA Form 222 may be used = Effective date of the new form The single forms contain 20 order lines on each form, rather than 10 order lines on the triplicate forms = Change in the number of order lines on the form The copy of DEA form 222 does not need to be stored on a different server or system from the purchaser's other records = Storage option for the copy of the form</p> Signup and view all the answers

<p>Electronic copies of DEA Form 222 may be stored on a system at a location different from the registered location = Allowed, as long as the forms are readily retrievable at the registered location The supplier may fill an order from the original form and not from a copy = The supplier is only allowed to fill an order from the original form The number of containers furnished for each ordered item and the date the products are shipped to the purchaser must be recorded on the original form = The supplier must record this information on the original form If a completed order form is lost or stolen, the purchaser must prepare another DEA Form 222 along with a statement containing the serial number and date of the lost form and stating that the goods covered by the first order were not received because the form was lost = Procedure to follow if a completed order form is lost or stolen</p> Signup and view all the answers

<p>Each pharmacy must appoint a CSOS coordinator who will serve as that pharmacy's recognized agent regarding issues pertaining to issuance of, revocation of, and changes to digital certificates = Responsibility of the CSOS coordinator CSOS Certificates are issued to individual subscribers and must never be used by anyone other than the individual subscriber to whom the certificate was issued = Restriction on the use of CSOS Certificates There are two types of CSOS Certificates: Administrative Certificates and Signing Certificates = Types of CSOS Certificates CSOS Administrative Certificates are used to digitally sign communications with the DEA as well as with other participants in the CSOS community = Usage of CSOS Administrative Certificates</p> Signup and view all the answers

<p>Most suppliers are required to report the acquisition and disposition of Schedule II and certain Schedule III and IV controlled substances to ARCOS = Reporting requirement for most suppliers A supplier who reports transactions to ARCOS is not required to send a copy of the original DEA Form 222 to the DEA = Exemption from sending a copy of DEA Form 222 to the DEA If a supplier is not required to report transactions to ARCOS, it must submit a copy of the original DEA Form 222 to DEA either by mail or by email = Reporting requirement for suppliers not using ARCOS When a pharmacy acts as a supplier, it must submit a copy of DEA Form 222 to DEA by mail or email = Reporting requirement for pharmacies acting as suppliers</p> Signup and view all the answers

<p>Electronic copies of DEA Form 222 may be stored on a system at a location different from the registered location = Allowed, as long as the forms are readily retrievable at the registered location At all times, the forms must be readily retrievable at the registered location = Requirement for the storage of DEA Form 222 The supplier may fill an order from the original form and not from a copy = The supplier is only allowed to fill an order from the original form The purchaser or the person obtaining the product always provides the original DEA Form 222 to the supplier and makes a copy for their records to record the products received = Procedure for providing DEA Form 222 to the supplier and making a copy</p> Signup and view all the answers

<p>CSOS Certificates are valid until the expiration of the DEA registration for the facility.</p> Signup and view all the answers

<p>To serve as the recognized agent for the pharmacy regarding CSOS certificate issues.</p> Signup and view all the answers

<p>To ensure that the software is in compliance with DEA regulations.</p> Signup and view all the answers

<p>The digital certificate used has expired or been revoked prior to signature.</p> Signup and view all the answers

<p>Notify the purchaser and provide a statement as to the reason.</p> Signup and view all the answers

<p>2 years</p> Signup and view all the answers

<p>A new order must be issued.</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>The required data fields must be completed, the order must be signed using a digital certificate issued by DEA, the digital certificate used must not be expired or revoked, the purchaser's public key must validate the digital certificate, and the order must be valid.</p> Signup and view all the answers

<p>The supplier must notify the purchaser and provide a statement as to the reason for non-filling, such as improper preparation or alteration.</p> Signup and view all the answers

<p>No, a defective order cannot be corrected. The purchaser must issue a new order for it to be filled.</p> Signup and view all the answers

<p>A pharmacy must document the order with an invoice provided by the wholesaler or manufacturer. The invoice must contain the name of the controlled substance, dosage form and strength, number of units per container, quantity received, date of receipt, and the name, address, and DEA number of the registrant from where the controlled substance was received.</p> Signup and view all the answers

<p>A CSOS coordinator in a pharmacy is responsible for serving as the recognized agent for issues related to digital certificates issued under the DEA registration. Their role includes handling the issuance, revocation, and changes to these certificates. They must ensure that the certificates are used only by the individual subscriber they were issued to, and not by anyone else.</p> Signup and view all the answers

<p>The two types of CSOS Certificates are CSOS Administrative Certificates and CSOS Signing Certificates. CSOS Administrative Certificates are used for digitally signing communications with the DEA and other participants in the CSOS community, but they are not valid for electronic ordering. CSOS Signing Certificates, on the other hand, are used for digitally signing controlled substance orders. They are issued to approved Registrants and Power of Attorney applicants.</p> Signup and view all the answers

<p>All CSOS applications must be audited by an independent third-party auditor prior to use and whenever changes are made to the software. This is done to ensure that the software is in compliance with DEA regulations.</p> Signup and view all the answers

<p>CSOS Administrative Certificates = Used to digitally sign communications with the DEA as well as with other participants in the CSOS community. They are not valid for electronic ordering. CSOS Signing Certificates = Used for digitally signing controlled substance orders. They are issued to approved Registrants and Power of Attorney applicants. Expired CSOS Certificate = A certificate that is no longer valid for use in electronic ordering, as it is tied to the expiration of the DEA registration for the facility. Invalid CSOS Certificate Usage = Using a CSOS Certificate issued to someone else, rather than the individual subscriber it was originally issued to.</p> Signup and view all the answers

<p>CSOS Coordinator = CSOS Administrative Certificates Approved Registrant = CSOS Signing Certificates Power of Attorney applicant = CSOS Signing Certificates Individual Subscriber = CSOS Signing Certificates</p> Signup and view all the answers

<p>CSOS Administrative Certificates = Used for communications with the DEA and other participants in the CSOS community, but not for electronic ordering. CSOS Signing Certificates = Used for digitally signing controlled substance orders. Expired CSOS Certificate = Cannot be used for any CSOS activities, as it is tied to the expiration of the DEA registration for the facility. Invalid CSOS Certificate Usage = Using a CSOS Certificate that was issued to someone else, rather than the individual subscriber it was intended for.</p> Signup and view all the answers

<p>Required data fields not completed = Order may not be filled Order not signed using a digital certificate issued by DEA = Order may not be filled Digital certificate used has expired or been revoked = Order may not be filled Purchaser's public key will not validate the digital certificate = Order may not be filled</p> Signup and view all the answers

<p>Temporary use procedure for a new owner of a pharmacy = Allows the new owner to continue business under the previous owner's DEA registration Temporary use of registration = Must be approved by the DEA Temporary use period = Maximum of 45 days Temporary use procedure = Outlined in a DEA rule</p> Signup and view all the answers

<p>ARCOS = Used to monitor the flow of controlled substances from their point of manufacture through commercial distribution channels to point of sale or distribution at the dispensing/retail level ARCOS reports = Must be submitted by manufacturers, distributors, and importers of controlled substances ARCOS reporting frequency = Must be done on a monthly basis ARCOS reporting requirements = Applies to Schedule I and II controlled substances, as well as selected Schedule III and IV substances</p> Signup and view all the answers

<p>Pharmacist = Must be registered with the DEA to handle controlled substances Purchaser = Does not have to be registered with the DEA to purchase controlled substances Person receiving in Class C-ASC and Class F pharmacies = Does not have to be a pharmacist to sign invoices for controlled substances New owner of a pharmacy = Can continue business under the previous owner's DEA registration using the temporary use procedure</p> Signup and view all the answers

<p>Storing all controlled substances on one unsecured shelf</p> Signup and view all the answers

<p>Within one business day of the discovery</p> Signup and view all the answers

<p>DEA Form 106</p> Signup and view all the answers

<p>Language in small print</p> Signup and view all the answers

<p>Transfer to a reverse distributor</p> Signup and view all the answers

<p>To document destruction of controlled substances in a pharmacy</p> Signup and view all the answers

<p>Specific requirements for collection receptacles</p> Signup and view all the answers

<p>The system must have an internal audit trail</p> Signup and view all the answers

<p>The name, address, and DEA number of the pharmacy</p> Signup and view all the answers

<p>It must be stored securely</p> Signup and view all the answers

<p>An exact count</p> Signup and view all the answers

<p>An estimated count</p> Signup and view all the answers

<p>Class C (Institutional) pharmacies</p> Signup and view all the answers

<p>Remote pharmacies</p> Signup and view all the answers

<p>Change the patient's name</p> Signup and view all the answers

<p>Verification of the patient's identity</p> Signup and view all the answers

<p>Prescriptions requiring additional information that is not possible with electronic prescribing</p> Signup and view all the answers

<p>January 1, 2021</p> Signup and view all the answers

<p>Therapeutic Optometrists</p> Signup and view all the answers

<p>Pain caused by trauma</p> Signup and view all the answers

<p>No more than a 10-day supply</p> Signup and view all the answers

<p>No penalties</p> Signup and view all the answers

<p>Secure the controlled substances in the hospital room</p> Signup and view all the answers

<p>A waiver must be granted by the DEA</p> Signup and view all the answers

<p>Report the loss to the DEA</p> Signup and view all the answers

<p>&quot;Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed.&quot;</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>The purpose of the internal audit trail in the pharmacy system is to document whenever a prescription is received, altered, annotated, or deleted.</p> Signup and view all the answers

<p>Electronic prescription records must be kept electronically. No hard copy is required to be kept.</p> Signup and view all the answers

<p>A written controlled substance prescription must be manually signed by the practitioner and dated on the date issued. It must contain the full name and address of the patient, the drug name, strength, and dosage form, the quantity prescribed, and the name, address, and DEA number of the practitioner.</p> Signup and view all the answers

<p>A theft or significant loss of controlled substances must be reported in writing to the DEA within one business day of the discovery of the theft or significant loss. DEA also recommends notifying local police. TSBP also requires notification to the Board of theft or significant loss of controlled substances immediately upon discovery.</p> Signup and view all the answers

<p>Completing DEA Form 106 is required to report a theft or loss of controlled substances. This form can be filled out online at DEA's website.</p> Signup and view all the answers

<p>At the time of this book's publication, DEA required that DEA Form 106 be filed within one business day of discovery. However, there is a proposed revision to require filing within 15 days of discovery.</p> Signup and view all the answers

<p>On-site destruction using DEA Form 41</p> Signup and view all the answers

<p>DEA Form 41 requires the name and NDC number of the drug, the strength, the dosage form, the package size, and the quantity of the controlled substances destroyed. It also requires recording the method by which the drugs were destroyed and two signatures of employees who witnessed the destruction.</p> Signup and view all the answers

<p>Transfer to an Authorized (Registered) Reverse Distributor</p> Signup and view all the answers

<p>An invoice for Schedule III—V controlled substances and a DEA Form 222 for Schedule II controlled substances</p> Signup and view all the answers

<p>A written report must be provided to DEA within 15 days, describing the circumstances of the loss.</p> Signup and view all the answers

<p>The Convicted Felon Rule prohibits a pharmacy from employing someone who has been convicted of a felony involving controlled substances, unless a waiver is granted by the DEA.</p> Signup and view all the answers

<p>Pharmacies are required to screen potential employees with specific questions regarding their criminal history and use of controlled substances.</p> Signup and view all the answers

<p>If a patient brings controlled substances to a DEA-registered hospital and it is deemed medically appropriate by the treating practitioner, the hospital can secure the controlled substances with the patient's effects in their hospital room. If it is deemed medically inappropriate or against hospital policy, the hospital has options for disposal or return of the medications.</p> Signup and view all the answers

<p>To track the quantity and movement of controlled substances in a pharmacy on an ongoing basis.</p> Signup and view all the answers

<p>A perpetual inventory is required for Schedule II controlled substances in Class C (Institutional) pharmacies in Texas.</p> Signup and view all the answers

<p>Records of controlled substances must be maintained for 2 years under federal and Texas law.</p> Signup and view all the answers

<p>'Readily retrievable' means the record is kept or maintained in such a manner that it can be separated from all other records in a reasonable time or that it is identified by an asterisk, a redline, or some other identifiable manner such that it is easily distinguishable from all other records.</p> Signup and view all the answers

<p>A pharmacist may change or add the earliest fill date, dosage form, drug strength, drug quantity, and directions for use.</p> Signup and view all the answers

<p>A pharmacist can correct a patient's name, add the patient's address to the prescription when missing, and correct obvious issuance date errors.</p> Signup and view all the answers

<p>A pharmacist cannot change the name of the patient, name of the drug, name of the prescriber, and the date issued.</p> Signup and view all the answers

<p>Prescriber requirements include third-party certification of system, credentialing to verify authorization to prescribe controlled substances, and two-factor authentication for providers who sign an EPCS prescription. Pharmacy requirements include third-party certification of system, ability to sign and archive the controlled substance prescription, and electronic acceptance and storage of all required information by the DEA.</p> Signup and view all the answers

<p>Physicians (MD or DO), Dentists, Podiatrists, Veterinarians, Therapeutic Optometrists and Optometric Glaucoma Specialists, Advanced Practice Registered Nurses, Physician Assistants, and Designated Agents.</p> Signup and view all the answers

<p>A 10-day supply with no refills.</p> Signup and view all the answers

<p>Acute pain refers to the normal, predicted, physiological response to a stimulus such as trauma, disease, and operative procedures. It is time-limited and does not include chronic pain, pain being treated as part of cancer care, pain being treated as part of hospice or other end-of-life care, or pain being treated as part of palliative care.</p> Signup and view all the answers

<p>The law provides that a dispenser is not subject to criminal, civil, or administrative penalties for dispensing or refusing to dispense a controlled substance under a prescription that exceeds the limits provided above.</p> Signup and view all the answers

<p>Secure cabinet = Required for Schedule II controlled substances in Class C and Class F pharmacies in Texas Dispersal throughout non-controlled stock = Used to deter theft One unsecured shelf = Not allowed for all controlled substances Locked storage = Common practice in many pharmacies, but not always required</p> Signup and view all the answers

<p>Filling out DEA Form 106 = Not necessary to be done immediately if the pharmacy needs time to investigate the facts Initial notification to the DEA = Must be provided in writing within one business day of discovery Reporting to local police = Recommended by the DEA Notification to the Board of Pharmacy = Required by TSBP immediately upon discovery</p> Signup and view all the answers

<p>Filing deadline = Proposed to be changed to 15 days of discovery Filling out the form = Proposed to be required online, which most pharmacies already do Notification to the DEA = An initial notification must still be provided in writing within one business day of discovery Timing of DEA Form 106 submission = Not necessary to be done immediately if the pharmacy needs time to investigate the facts</p> Signup and view all the answers

<p>Limit access for the annotation, alteration, or deletion of controlled substance prescriptions = Specific individuals or roles Internal audit trail = Documents whenever a prescription is received, altered, annotated, or deleted Internal audit = Identifies any potential security problems Backup = Must be done daily</p> Signup and view all the answers

<p>Practitioner's signature = Must be manual Patient's full name and address = Must be included Drug name, strength, and dosage form = Must be included Quantity prescribed = Must be included</p> Signup and view all the answers

<p>Must be kept electronically = No hard copy is required Must be backed up = Daily Exceptions to the mandatory electronic prescription requirements = Important to know Deadline for the mandatory electronic issuance of prescriptions for controlled substances in Texas = Varies</p> Signup and view all the answers

<p>On-site destruction in a pharmacy = DEA Form 41, name and NDC number of the drug, the strength, the dosage form, the package size, and the quantity of the controlled substances destroyed, method of destruction, two signatures of employees Transfer to a DEA-registered reverse distributor = Invoice for Schedule III—V controlled substances, DEA Form 222 for Schedule II controlled substances Collection from ultimate users = DEA Form 41 with unique identification number of the inner liner from the collection receptacle or the mail-back package Drug Take Back Days = No specific form or requirement mentioned</p> Signup and view all the answers

<p>Initial inventory = Required on the first day the pharmacy is open for business Newly scheduled drugs or drugs moved to a new schedule = Must be inventoried on the day scheduled or moved DEA biennial inventory = Must be maintained in the pharmacy for 2 years Texas annual inventory = Pharmacies in Texas must conduct an annual inventory</p> Signup and view all the answers

<p>Pharmacy = May modify their DEA registrations to serve as a collector Hospitals = May serve as a collector but not required Qualified hospice program = Authorized an employee to handle controlled substances for the purpose of destruction DEA-registered reverse distributor = May also accept controlled substances for destruction</p> Signup and view all the answers

<p>Schedule II—IV = On-site destruction in a pharmacy or Transfer to a DEA-registered reverse distributor Schedule V = No specific requirement mentioned Dangerous drugs (non-controlled substances) = No specific requirement mentioned Controlled substances collected from ultimate users = On-site destruction in a pharmacy or Transfer to a DEA-registered reverse distributor</p> Signup and view all the answers

<p>Inventory Counts = An exact count is required for all Schedule I drugs Perpetual Inventory = Only required in Texas for Schedule II controlled substances in Class C (Institutional) pharmacies Records of Receipt of Controlled Substances = C-II—Copy of DEA Form 222 (with the number of containers and date received filled in) Records of Disbursement of Controlled Substances = File 1 = Schedule II, File 2 = Schedules III, IV, and V, File 3 = Nonscheduled</p> Signup and view all the answers

<p>Class C (Institutional) pharmacies = Perpetual inventory of Schedule II controlled substances is required Class C Ambulatory Surgical Centers (ASCs) = All controlled substances must be stored at a remote location Class F (Freestanding Emergency Medical Facility) pharmacies = Perpetual inventory of all controlled substances is required All other pharmacies = Perpetual inventory of Schedule II controlled substances is not required</p> Signup and view all the answers

<p>DEA Form 106 = Used for reporting theft or significant loss of controlled substances DEA Form 41 = Used for documenting destruction of controlled substances DEA Form 222 = Used for ordering Schedule II controlled substances Supplier’s invoice = Used as a record of receipt for Schedule III—V controlled substances</p> Signup and view all the answers

<p>Central Recordkeeping = A pharmacy must notify the nearest DEA Diversion Field Office and receive permission before maintaining central records Dispensing Controlled Substance Prescriptions = For a prescription to be valid, it must be issued for a legitimate medical purpose by an individual practitioner acting in the usual scope of his or her professional practice Corresponding Responsibility = A prescription for a controlled substance must be issued for a legitimate medical purpose by an individual practitioner acting in the usual scope of his or her professional practice Central records = Shall not include executed DEA order forms, prescriptions, or inventories</p> Signup and view all the answers

<p>Multiple Schedule II controlled substance prescriptions issued at the same time = Change the earliest fill date Misspelling or valid name change = Correct the patient's name Prescription missing patient's address = Add the patient's address to the prescription Obvious issuance date errors = Correct the date issued</p> Signup and view all the answers

<p>Prescriptions written by veterinarians = Not required to be issued electronically Electronic Prescriptions for Controlled Substances (EPCS) = Valid if both the prescriber's computer and the pharmacy's computer meet all DEA security requirements Two-factor authentication for providers who sign an EPCS prescription = Prescriber requirement for EPCS Ability to sign and archive the controlled substance prescription = Pharmacy requirement for EPCS</p> Signup and view all the answers

<p>Prescriber = Two-factor authentication for signing an EPCS prescription Pharmacy = Ability to sign and archive the controlled substance prescription</p> Signup and view all the answers

<p>Temporary technological or electronic failure = Electronic prescribing is not available Practitioner to be dispensed by a pharmacy located outside of Texas = Prescriber and dispenser are not in the same location or under the same license Necessary elements not supported by the most recently implemented national data standard = Not possible with electronic prescribing DEA requires additional information in the prescription = Not possible with electronic prescribing Practitioner who has received a waiver from the requirement to use electronic prescribing = Waiver issued by the agency that licenses the practitioner</p> Signup and view all the answers

<p>DEA Form 107 = Used to report any unusual or excessive loss or disappearance of a listed chemical Convicted Felon Rule = Prohibits a pharmacy from employing someone convicted of a felony involving controlled substances, unless a waiver is granted by the DEA Federal Transfer Warning (21 CFR 209.5) = Required to be on the label of Schedule II—IV controlled substances when dispensed to a patient Patient Bringing Controlled Substances from Home to the Hospital = DEA's position on whether a hospital can secure the controlled substances with the patient's effects in his or her hospital room</p> Signup and view all the answers

<p>Treating practitioner deems it medically appropriate for the patient to continue taking any controlled substance medications = Hospital could secure the controlled substances with the patient's effects in his or her hospital room Treating practitioner deems it medically inappropriate for the patient to continue taking any controlled substance medication(s) = Hospital can turn over the patient's medications, including controlled substances, to a member of the patient's household Hospital has modified its DEA registration to become an authorized collector and has placed a collection receptacle at its registered location = A member of the patient's household may dispose of the patient's medications, including controlled substances, in the hospital's collection receptacle There is no member of the patient's household present = Contact local law enforcement or the local DEA Diversion Field Office for guidance on proper disposal procedures</p> Signup and view all the answers

<p>A member of the patient's household arrives at the hospital = Hospital can turn over the patient's medications, including controlled substances, to him or her Hospital has modified its DEA registration to become an authorized collector and has placed a collection receptacle at its registered location = A member of the patient's household may dispose of the patient's medications, including controlled substances, in the hospital's collection receptacle Hospital has empty mail-back packages = The hospital may provide one or more of the mail-back packages to a member of the patient's household to place the medications, including controlled substances, into the mail-back package(s) and seal the package(s) for mailing to the authorized DEA-registered reverse distributor for disposal purposes There is no member of the patient's household present = Contact local law enforcement or the local DEA Diversion Field Office for guidance on proper disposal procedures</p> Signup and view all the answers

<p>Hospital could secure the controlled substances with the patient's effects in his or her hospital room = The hospital has not taken possession of the controlled substances, and it would not be considered an unlawful distribution by the ultimate user under 21 USC â 841(a) A member of the patient's household arrives at the hospital = Hospital can turn over the patient's medications, including controlled substances, to him or her Hospital has modified its DEA registration to become an authorized collector and has placed a collection receptacle at its registered location = A member of the patient's household may dispose of the patient's medications, including controlled substances, in the hospital's collection receptacle There is no member of the patient's household present = Contact local law enforcement or the local DEA Diversion Field Office for guidance on proper disposal procedures</p> Signup and view all the answers

<p>Physicians (MD or DO) = Authorized to prescribe controlled substances Dentists = Authorized to prescribe controlled substances Podiatrists = Authorized to prescribe controlled substances Therapeutic Optometrists and Optometric Glaucoma Specialists = Authorized to prescribe controlled substances with some limitations</p> Signup and view all the answers

<p>'Acute pain' does not include chronic pain or pain being treated as part of cancer care = Acute pain is a time-limited, normal physiological response to a stimulus A dispenser is not subject to penalties for dispensing a controlled substance under a prescription that exceeds the quantity limits for acute pain = A pharmacist is protected by law if they dispense a prescription that may be difficult to determine if it is for acute pain or not An agent of the prescriber may verbally communicate a Schedule II prescription for an emergency = This practice is permitted by the TCSA, but not by the DEA A nonemployee of the prescriber can be an agent of the prescriber with a formal written appointment = This is a requirement for a nonemployee to be considered an agent of the prescriber</p> Signup and view all the answers

<p>Acute pain = The normal, predicted, physiological response to a stimulus such as trauma, disease, and operative procedures Agent of the prescriber = An authorized individual who can communicate a prescription for a C-III—C-V controlled substance when an electronic prescription is not required and cannot be authorized or prescribed Red flags = Indicators that may require a pharmacist to do further investigation as to the legitimacy of controlled substance prescriptions Designated Agents = Individuals who can communicate a prescription for a C-III—C-V controlled substance when an electronic prescription is not required and cannot be authorized or prescribed</p> Signup and view all the answers

<p>Prescribing practitioner = Responsible for the proper prescribing of a controlled substance Pharmacist = Responsible for the proper dispensing of a controlled substance and cannot simply rely on the fact that a physician has a valid DEA registration to determine if a controlled substance prescription is valid DEA and TSBP = Through enforcement actions, they have identified a number of 'red flags' that may require a pharmacist to do further investigation as to the legitimacy of controlled substance prescriptions Texas Medical Board = Interpreted the law to mean a practitioner may write an opioid prescription for acute pain for up to 10 days without a refill, with no limit on how many times this may occur</p> Signup and view all the answers

<p>Manually signing and dating the prescription</p> Signup and view all the answers

<p>Ability to sign and archive the controlled substance prescription</p> Signup and view all the answers

<p>Manually signing and dating the prescription</p> Signup and view all the answers

<p>The name, address, and DEA number of the practitioner</p> Signup and view all the answers

<p>The prescription will be rejected by the pharmacy system</p> Signup and view all the answers

<p>Within 7 days</p> Signup and view all the answers

<p>Prescriptions for Schedule III controlled substances</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>a. Third-party certification of system. b. Credentialing to verify a provider has the authorization to prescribe controlled substances. c. Two-factor authentication for providers who sign an EPCS prescription.</p> Signup and view all the answers

<p>a. Third-party certification of system. b. Ability to sign and archive the controlled substance prescription. c. The system must electronically accept and store all the information that the DEA requires to document the dispensing of a prescription. d. The system must allow the pharmacy to limit access for the annotation, alteration, or deletion of controlled substance prescriptions to specific individuals or roles. e. The system must have an internal audit trail that documents whenever a prescription is received, altered, annotated, or deleted. f. The pharmacy must conduct an internal audit daily that identifies any potential security problems, and the system must generate a report for review by the pharmacy if a problem is identified. g. Pharmacy systems must be backed up daily. h. Electronic prescription records must be kept electronically. No hard copy is required to be kept.</p> Signup and view all the answers

<ol> <li>Must be manually signed by the practitioner and dated on the date issued. 2. Must contain the full name and address of the patient.</li> </ol> Signup and view all the answers

<p>The additional requirements for controlled substance prescriptions in Texas are: (1) the quantity prescribed must be written numerically and as a word, (2) date of birth or age of the patient, (3) the practitioner's telephone number at the practitioner's usual place of business, and (4) the intended use of the drug unless the practitioner determines the furnishing of this information is not in the best interest of the patient.</p> Signup and view all the answers

<p>Within seven days of issuing an emergency verbal prescription for a Schedule III, IV, or V controlled substance, the prescriber must provide an electronic prescription to the pharmacy.</p> Signup and view all the answers

<p>Faxed prescriptions for controlled substances are generally treated the same as verbal prescriptions. Faxes for Schedule II controlled substances are only allowed in limited circumstances. Faxed prescriptions must have the prescriber's original signature. Fax prescriptions are valid for Schedule III—V controlled substances under federal law, but they technically must meet the emergency requirement under the TCSA.</p> Signup and view all the answers

<p>Yes, a pharmacist may fill a verbal prescription for a Schedule III, IV, or V controlled substance pursuant to an otherwise valid verbal prescription.</p> Signup and view all the answers

<p>Third-party certification of system = Both prescriber and pharmacy Two-factor authentication for providers who sign an EPCS prescription = Prescriber Ability to sign and archive the controlled substance prescription = Pharmacy The system must have an internal audit trail that documents whenever a prescription is received, altered, annotated, or deleted = Pharmacy</p> Signup and view all the answers

<p>Must be manually signed by the practitioner and dated on the date issued = Practitioner Must contain the full name and address of the patient = Written prescription</p> Signup and view all the answers

<p>The pharmacy must conduct an internal audit daily that identifies any potential security problems = Pharmacy The system must electronically accept and store all the information that the DEA requires to document the dispensing of a prescription = Pharmacy The system must allow the pharmacy to limit access for the annotation, alteration, or deletion of controlled substance prescriptions to specific individuals or roles = Pharmacy Electronic prescription records must be kept electronically. No hard copy is required to be kept = Record keeping</p> Signup and view all the answers

<p>Emergency Verbal Prescriptions for Schedule II controlled substances = Valid only if followed by a valid electronic or written prescription within 7 days Verbal Prescriptions for Schedule III, IV, or V controlled substances = Allowed in an emergency, but a written or electronic prescription must be provided to the pharmacy within 7 days Faxed Prescriptions for Schedule II controlled substances = Only allowed in limited circumstances Faxed Prescriptions for Schedule III—V controlled substances = Valid under federal law, but must meet the emergency requirement under the TCSA</p> Signup and view all the answers

<p>Supplier reports transactions to ARCOS = Must send a copy of the original DEA Form 222 to the DEA Purchaser or supplier corrects a defective order = Not allowed for controlled substances Pharmacist changes a patient's name on a controlled substance prescription = Not allowed without prescriber authorization or notification Pharmacist exceeds the quantity limits for opioid prescriptions for acute pain = Consequence for the dispenser</p> Signup and view all the answers

<p>Prescription is written for a Schedule II drug = Must be written on a Texas Official Prescription Form Prescription is for a Schedule III, IV, or V drug = Can be filled based on a valid verbal prescription Prescription is received via fax = Treated the same as a verbal prescription for controlled substances Prescription is issued as an emergency verbal prescription = Must be followed by a valid electronic or written prescription within 7 days</p> Signup and view all the answers

<p>Drug name, strength, and dosage form = Identifies the specific medication and its characteristics Quantity prescribed = Must be written numerically and as a word for controlled substances in Texas Practitioner's name, address, and DEA number = Identifies the authorized prescriber Earliest date on which a pharmacy may fill a prescription = Applies to Schedule II prescriptions to be filled at a later date</p> Signup and view all the answers

<p>Under federal law, there is a time limit for filling a Schedule II prescription.</p> Signup and view all the answers

<p>90-day supply</p> Signup and view all the answers

<p>It can be refilled.</p> Signup and view all the answers

<p>All of the above</p> Signup and view all the answers

<p>All codeine products require a prescription under Texas law</p> Signup and view all the answers

<p>There are no commercially available Schedule V opium products in Texas</p> Signup and view all the answers

<p>Pharmacy computer systems in Texas</p> Signup and view all the answers

<p>Only in emergencies</p> Signup and view all the answers

<p>They must have the prescriber's original signature</p> Signup and view all the answers

<p>Three</p> Signup and view all the answers

<p>A pharmacist can provide a partial quantity as long as the remaining quantity is provided within 72 hours</p> Signup and view all the answers

<p>A pharmacist can provide a partial quantity upon request and the patient may obtain additional quantities for up to 30 days</p> Signup and view all the answers

<p>Partial fills of Schedule II prescriptions are allowed as many times as needed within 60 days</p> Signup and view all the answers

<p>They may be refilled up to 5 times or 6 months from the date of issuance</p> Signup and view all the answers

<p>Prescriptions faxed by a practitioner for a Schedule II controlled substance to be compounded for the direct administration to a patient.</p> Signup and view all the answers

<p>Insurance plans may limit the amount that may be filled on a single prescription.</p> Signup and view all the answers

<p>When the immediate administration of the drug is necessary for the proper treatment of the ultimate user and no alternative treatment is available.</p> Signup and view all the answers

<p>The pharmacist must immediately reduce the prescription order to writing and include all information except the practitioner's signature.</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>30 days</p> Signup and view all the answers

<p>Yes, in an emergency</p> Signup and view all the answers

<p>There is no limit on the number of partial fills that can be provided.</p> Signup and view all the answers

<p>No, this is not legally accurate.</p> Signup and view all the answers

<p>Emergency refills of controlled substances in Schedules III-V are permitted under specific circumstances.</p> Signup and view all the answers

<p>No, TSBP rules permit pharmacies to implement automatic refill programs for controlled substance prescriptions in Schedules IV and V, but not Schedule III.</p> Signup and view all the answers

<p>cough suppressant products and products for diarrhea</p> Signup and view all the answers

<p>because there are no commercially available Schedule V products that can be purchased without a prescription in Texas</p> Signup and view all the answers

<p>TSBP is not enforcing this part of the law since all commercially available Schedule V products in Texas require a prescription</p> Signup and view all the answers

<p>72 hours</p> Signup and view all the answers

<p>5 times</p> Signup and view all the answers

<p>Hospital inpatient medication orders, Hospital inpatients requiring an emergency quantity of a Schedule II drug upon discharge, Persons receiving treatment from a life flight helicopter medical team, emergency medical ambulance crew, or paramedic emergency medical technician, Persons receiving treatment while an inmate in a correctional facility operated by the Texas Department of Criminal Justice, Animals admitted to animal hospitals or in wildlife parks, exotic game ranches, wildlife management programs, or state or federal research facilities, Therapeutic optometrists administering topical cocaine as permitted under the Texas Optometry Act, Prescriptions from out-of-state practitioners if the pharmacy has a plan approved by TSBP, Electronic prescriptions</p> Signup and view all the answers

<p>They must be transmitted electronically unless one of the exceptions to the mandatory electronic prescription requirements is met, or the prescriber has obtained a waiver.</p> Signup and view all the answers

<p>Fax prescriptions can serve as the original prescription for a Schedule II controlled substance in three limited situations: when the prescription is for a Schedule II narcotic controlled substance to be compounded for direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous, or intraspinal infusion; when the prescription is for a Schedule II controlled substance for a resident of a long-term care facility; and when the prescription is for a Schedule II narcotic controlled substance for a patient enrolled in a hospice care program certified and/or paid for by Medicare or licensed by the state.</p> Signup and view all the answers

<p>In an emergency situation, a practitioner may provide a verbal prescription for a Schedule II controlled substance to a pharmacy. The communication must be from the prescriber and not a designated agent. The drug must be immediately necessary for the proper treatment of the patient, no alternative treatment is available, and the prescribing practitioner is unable to provide a written prescription. The quantity prescribed and dispensed must be limited to the amount needed to treat the patient during the emergency period. The pharmacist must immediately reduce the prescription order to writing, including all information except the practitioner's signature. Within 7 days, the prescribing practitioner must furnish the pharmacist with a valid electronic prescription for the controlled substance prescribed.</p> Signup and view all the answers

<p>If the prescriber is not known to the pharmacist, the pharmacist must make a reasonable effort to determine that the phone authorization came from a valid practitioner. The pharmacist must immediately reduce the prescription order to writing, including all information except the practitioner's signature. Within 7 days, the prescribing practitioner must furnish the pharmacist with a valid electronic prescription for the controlled substance prescribed.</p> Signup and view all the answers

<p>If the prescriber fails to deliver an electronic (or written) prescription within 7 days after authorizing an emergency verbal prescription for a Schedule II drug, the pharmacist must notify the nearest DEA office.</p> Signup and view all the answers

<p>Verbal prescriptions for Schedule II drugs = Not permitted except in an emergency Time limit for filling a Schedule II prescription under federal law = No time limit Prescription for a Schedule II controlled substance must be filled in Texas = Within 30 days after the date issued or the first date authorized to fill Multiple Schedule II prescriptions on the same day = Total of no more than a 90-day supply, must be dispensed within 30 days after the earliest fill date indicated</p> Signup and view all the answers

<p>Physician = Can prescribe Schedule II-V substances Dentist = Can prescribe Schedule II-V substances Podiatrist = Can prescribe Schedule II-V substances Optometrist = Can prescribe Schedule III-V substances</p> Signup and view all the answers

<p>Refilling = Not allowed Time limit to be filled under federal law = No time limit Time limit to be filled under Texas law = Within 30 days after the date issued or the first date authorized to fill Verbal prescriptions = Not permitted except in an emergency</p> Signup and view all the answers

<p>These products are mainly cough suppressant products containing small amounts of codeine = Robitussin AC products for diarrhea containing small amounts of opium = Diarrhea products While the same laws can be found in the TCSA because all codeine products require a prescription under Texas law = Codeine products require prescription there are no commercially available Schedule V products that can be purchased without a prescription in Texas = No Schedule V products without prescription in Texas</p> Signup and view all the answers

<p>Codeine = Requires a prescription under Texas law Opium = Stricter concentration limits for opium products Schedule V products = No commercially available products without a prescription in Texas Robitussin AC = Mainly cough suppressant products containing small amounts of codeine</p> Signup and view all the answers

<p>Cough suppressant products containing small amounts of codeine = Robitussin AC Products for diarrhea containing small amounts of opium = Diarrhea products Codeine products = Require a prescription under Texas law Schedule V products in Texas = No commercially available products without a prescription</p> Signup and view all the answers

<p>72-Hour Rule = If a pharmacist is unable to fill the entire quantity on a Schedule II controlled substance prescription, a partial quantity may be provided so long as the remaining quantity is provided within 72 hours 30-Day Rule = If requested by the patient or the prescriber, a pharmacist can provide a partial quantity of a Schedule II controlled substance prescription, and the patient may obtain additional quantities for up to 30 days 60-Day Rule = For terminally ill and LTCF patients, both federal and Texas laws allow partial fills of Schedule II prescriptions as many times as needed as long as the partial fillings are completed within 60 days Official Prescription Form = Written prescriptions for Schedule II controlled substances in Texas must be written on this form, which contains security features</p> Signup and view all the answers

<p>Hospital inpatient = Medication orders Persons receiving treatment from a life flight helicopter medical team = Emergency quantity of a Schedule II drug upon discharge Persons receiving treatment while an inmate in a correctional facility = Operated by the Texas Department of Criminal Justice Animals = Admitted to animal hospitals or in wildlife parks, exotic game ranches, wildlife management programs, or state or federal research facilities</p> Signup and view all the answers

<p>Schedule III, IV, and V = May be refilled up to 5 times or 6 months unless it is for an opioid for acute pain Schedule II = No refills allowed</p> Signup and view all the answers

<p>Advanced practice registered nurses and physician assistants = Can prescribe controlled substances in Schedules III-V with no restrictions Therapeutic optometrists = Administering topical cocaine as permitted under the Texas Optometry Act Out-of-state practitioners = If the pharmacy has a plan approved by TSBP Life flight helicopter medical team = Emergency quantity of a Schedule II drug upon discharge</p> Signup and view all the answers

<p>Pharmacist receives a controlled substance prescription in a manner other than electronically = Not required to verify that the prescription is exempt from the requirement that it be submitted electronically Prescriber issues an emergency verbal prescription for a Schedule III, IV, or V controlled substance = Must provide an electronic prescription to the pharmacy within seven days Pharmacy shares an electronic, real-time, online database of prescriptions = May transfer up to the maximum number of refills permitted by law and the prescriber's authorization Prescriber is exempt from the mandatory electronic prescription requirements = Should send a written prescription within 7 days</p> Signup and view all the answers

<p>Verbal and Faxed Prescriptions = Permits prescriptions for Schedule III, IV, or V controlled substances to be communicated verbally to a pharmacist by a practitioner or his or her agent Transfers Refills of Schedule III—V controlled substances = May be transferred to another pharmacy on a one-time basis if pharmacies share an electronic, real-time, online database of prescriptions OTC Sale of Schedule V Products = Allow certain Schedule V products to be purchased from a pharmacy without a prescription Exceptions to transferring an original controlled substance prescription = An original electronic prescription for a controlled substance (EPCS), including a Schedule II prescription, may be transferred to another pharmacy if both pharmacies have the capability to forward and receive the EPCS using an electronic sharing program</p> Signup and view all the answers

<p>Emergency Verbal Prescription = Requires that, within seven days of issuing, the prescriber must provide an electronic prescription to the pharmacy Verbal Prescription for a Schedule III—V Controlled Substance = Pharmacist may fill it based on the language in TCSA Faxed Prescription for Schedule III—V controlled substances = Must have the prescriber's original signature OTC Sale of Schedule V Products = The FCSA (and some state laws) allow certain Schedule V products to be purchased from a pharmacy without a prescription</p> Signup and view all the answers

<p>Pharmacist receives a controlled substance prescription in a manner other than electronically = Not required to verify that the prescription is exempt from the requirement that it be submitted electronically Prescriber issues an emergency verbal prescription for a Schedule III, IV, or V controlled substance = Must provide an electronic prescription to the pharmacy within seven days Pharmacy shares an electronic, real-time, online database of prescriptions = May transfer up to the maximum number of refills permitted by law and the prescriber's authorization Prescriber is exempt from the mandatory electronic prescription requirements = Should send a written prescription within 7 days</p> Signup and view all the answers

<p>Prescriptions for a Schedule II narcotic controlled substance to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous, or intraspinal infusion = 21 CFR 1306.11(e) Prescriptions for a Schedule II controlled substance for a resident of a long-term care facility = 21 CFR 1306.11(f) Prescriptions for a Schedule II narcotic controlled substance for a patient enrolled in a hospice care program certified and/or paid for by Medicare or licensed by the state = 21 CFR 1306.11(g) Prescriptions for a Schedule II controlled substance for a patient enrolled in a hospice care program certified and/or paid for by Medicare or licensed by the state = 21 CFR 1306.11(h)</p> Signup and view all the answers

<p>The prescriber is not known to the pharmacist = Make a reasonable effort to determine that the phone authorization came from a valid practitioner A verbal prescription for a Schedule II controlled substance is provided in an emergency situation = Immediate reduction to writing by the pharmacist and contain all information except the practitioner's signature The prescribing practitioner fails to deliver an electronic (or written) prescription within 7 days after authorizing an emergency verbal prescription for a Schedule II drug = Notify the nearest DEA office A patient needs a 90-day supply of a Schedule II controlled substance = The prescriber issues multiple prescriptions on the same day with instructions that some of the prescriptions are not to be filled until a later date</p> Signup and view all the answers

<p>Practitioner or practitioner's agent = Furnish the pharmacist with a valid electronic prescription for the controlled substance prescribed within 7 days after authorizing an emergency telephone prescription Pharmacist = Make a reasonable effort to determine that the phone authorization for a Schedule II controlled substance came from a valid practitioner if the prescriber is not known DEA = Has the authority to add, delete, or reschedule substances in the controlled substances list Insurance plans = May limit the amount that may be filled on a single controlled substance prescription</p> Signup and view all the answers

<p>Schedule II = A category of controlled substances with a high potential for abuse but also have accepted medical uses Emergency = A situation where the immediate administration of a drug is necessary for the proper treatment of the ultimate user, no alternative treatment is available, and it is not possible for the prescribing practitioner to provide a written prescription Hospice patient = A patient enrolled in a hospice care program certified and/or paid for by Medicare or licensed by the state Facsimile = A method of transmitting prescriptions that is generally treated the same as verbal prescriptions and is not valid for Schedule II prescriptions, except in specific limited situations</p> Signup and view all the answers

<p>146 tablets</p> Signup and view all the answers

<p>16 years old</p> Signup and view all the answers

<p>50 mg/100 ml</p> Signup and view all the answers

<p>No limit</p> Signup and view all the answers

<p>Class C-S pharmacies</p> Signup and view all the answers

<p>Three</p> Signup and view all the answers

<p>Class C-S pharmacies</p> Signup and view all the answers

<p>16 years or older</p> Signup and view all the answers

<p>The PMP collects prescription dispensing data on Schedule II, III, IV, and V controlled substances dispensed by a pharmacy in Texas or to a Texas resident from an out-of-state pharmacy.</p> Signup and view all the answers

<p>Pharmacists, pharmacist interns, pharmacy technicians, and pharmacy technician trainees acting at the direction of a pharmacist.</p> Signup and view all the answers

<p>Before prescribing or dispensing opioids, benzodiazepines, barbiturates, or carisoprodol, unless the patient has been diagnosed with cancer or sickle cell disease or is receiving hospice care.</p> Signup and view all the answers

<p>Subutex and Suboxone</p> Signup and view all the answers

<p>30, 100, or 275</p> Signup and view all the answers

<p>Office-based, specially trained practitioners</p> Signup and view all the answers

<p>To control the sale of OTC products used in the illicit manufacturing of methamphetamine</p> Signup and view all the answers

<p>By the next business day after the prescription is filled</p> Signup and view all the answers

<p>The patient's name and address</p> Signup and view all the answers

<p>If it did not dispense any controlled substances during a period of seven consecutive days</p> Signup and view all the answers

<p>Narcotic treatment clinics</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>False</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>The purpose of the Texas PMP is to assist pharmacists and physicians in identifying patients who may be getting prescriptions for controlled substances from multiple physicians or having prescriptions filled by multiple pharmacies.</p> Signup and view all the answers

<p>Practitioners (other than veterinarians) and pharmacists are required to check the PMP before prescribing or dispensing opioids, benzodiazepines, barbiturates, or carisoprodol.</p> Signup and view all the answers

<p>Unauthorized access to PMP information is a violation of the TCSA, the Texas Pharmacy Act, and TSBP rules.</p> Signup and view all the answers

<p>3.6 grams</p> Signup and view all the answers

<p>108 tablets</p> Signup and view all the answers

<p>73 tablets</p> Signup and view all the answers

<p>36 tablets</p> Signup and view all the answers

<p>Locked storage</p> Signup and view all the answers

<p>File 1-Schedule II prescriptions, File 2-Schedule III—V prescriptions, File 3—Dangerous drugs and other non-controlled prescriptions (OTC)</p> Signup and view all the answers

<p>Invoices must have the initials of the pharmacist and the actual date of receipt recorded on the invoice</p> Signup and view all the answers

<p>Written prescriptions are only allowed if an exception to electronic prescription applies or the prescriber has a waiver</p> Signup and view all the answers

<p>The dispensing information for controlled substances must be transmitted to TSBP no later than the next business day after the date the prescription was filled. If a prescription is partially filled, the information must be transmitted no later than the next business day after the prescription is completely filled.</p> Signup and view all the answers