Emergency Oral Prescriptions for Schedule II Drugs

Questions and Answers

What is the maximum quantity allowed for an emergency oral prescription for controlled substances?

A ten-day supply

Unlimited quantity

A seven-day supply

A five-day supply (correct)

Which statement is true regarding the actions a pharmacist must take when dispensing an emergency oral prescription?

The pharmacist must write down the prescription within 24 hours of dispensing.

The pharmacist may dispense a quantity exceeding the normal labeling requirements.

The pharmacist can dispense the prescription without verifying the practitioner’s identity.

The pharmacist must make a good-faith effort to verify the identity of both the practitioner and the ultimate user. (correct)

What should be noted on the prescription delivered by the practitioner within 72 hours following an emergency oral prescription?

The quantity of medication prescribed

The patient’s medical history summary

The initial phone consultation details

Authorization for emergency dispensing (correct)

How long must a pharmacy retain the endorsed emergency prescription?

For a period of five years Signup and view all the answers

What must a pharmacist do if they do not receive the written prescription from the practitioner within 72 hours?

Notify the department within seven days from the date of dispensing Signup and view all the answers

What is required from the pharmacist when filling an emergency oral prescription?

To endorse the prescription with the date of delivery and their signature Signup and view all the answers

Which of the following is NOT a requirement for a pharmacist dispensing an emergency oral prescription?

Record the practitioner's social security number Signup and view all the answers

What are the labeling requirements when dispensing an emergency oral prescription?

The label must conform to the requirements of the prescription type that would be required but for the emergency Signup and view all the answers

What is the maximum filing period allowed for a pharmacy waiver granted due to exceptional circumstances?

The 15th day of the next month Signup and view all the answers

Which of the following is NOT required information when filing with the department?

Patient's occupation Signup and view all the answers

An emergency situation is defined as lacking which essential condition?

The availability of alternative treatment options Signup and view all the answers

What must a pharmacy demonstrate to be granted a waiver for filing extensions?

Economic hardship or technological limitations Signup and view all the answers

Which identifier is required when filling out the filing information?

Serial number of official prescription form Signup and view all the answers

How should the name field be filled in relation to animal patients?

With the animal's owner's name Signup and view all the answers

What type of circumstances can justify the issuance of a waiver?

Technological limitations not within pharmacy's control Signup and view all the answers

Which of the following pieces of information is related specifically to the prescriber?

Prescriber's Drug Enforcement Administration number Signup and view all the answers

Study Notes

Emergency Oral Prescriptions for Schedule II Substances

Practitioners can orally prescribe controlled substances in emergencies, specifically Schedule II and substances listed in section 80.67 for ultimate users.
Pharmacists must contemporaneously document the prescription in writing or electronically, based on federal guidelines.
Dispensed prescriptions must adhere to applicable labeling requirements that would normally apply in non-emergency situations.
Pharmacists are required to verify the identities of both the practitioner and the patient in good faith.

Limits and Follow-Up Requirements

Oral prescriptions can only be filled for a quantity that does not exceed a five-day supply, as per the prescribed usage directions.
Within 72 hours after an emergency oral prescription is provided, the practitioner must deliver a written or electronic prescription to the pharmacist, marked with "Authorization for emergency dispensing."
If the written prescription is not received within the specified time, the pharmacist must notify the department within seven days.

Record Keeping and Reporting

Pharmacists must endorse prescriptions with the date of delivery and their signature, retaining this information for five years.
Prescription details must be submitted to the Bureau of Narcotic Enforcement electronically within 24 hours post-delivery.
A waiver for extended filing times may be requested under hardship or exceptional circumstances, allowing reports to be filed by the 15th day of the following month.

Required Information for Reporting

Filing must include essential details such as:
- Pharmacy prescription number and national identification number
- Patient's name, address, date of birth, and sex
- Date of prescription filling and issued
- Metric quantity, national drug code, days' supply
- Prescriber’s DEA number, and payment method
- For animal prescriptions: owner's name, species code, and animal's name if applicable.

Definition of Emergency

An emergency is characterized by the necessity for immediate drug administration for proper treatment, absence of alternative treatments, and the impracticality of providing a written or electronic prescription at that moment.

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Description

This quiz covers the regulations surrounding emergency oral prescriptions for Schedule II controlled substances. It emphasizes the responsibilities of practitioners and pharmacists, including documentation and labeling requirements. Test your knowledge on federal guidelines and the proper handling of these prescriptions in urgent situations.