Podcast
Questions and Answers
What circumstances might lead a pharmacy to apply for a waiver to extend its filing period?
What circumstances might lead a pharmacy to apply for a waiver to extend its filing period?
Economic hardship, technological limitations, or other exceptional circumstances.
What is the maximum allowable filing period extension granted by the commissioner?
What is the maximum allowable filing period extension granted by the commissioner?
The filing period cannot exceed the 15th day of the next month following the month of delivery.
List three key pieces of information that must be included in the filings to the department.
List three key pieces of information that must be included in the filings to the department.
Pharmacy prescription number, patient name, and date prescription filled.
How should the patient name field be filled out in the case of animal prescriptions?
How should the patient name field be filled out in the case of animal prescriptions?
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What constitutes an emergency in the context of drug administration according to the rules?
What constitutes an emergency in the context of drug administration according to the rules?
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What identifies the prescriber when filing the required information?
What identifies the prescriber when filing the required information?
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What is required for a waiver application to be granted, according to the specified section?
What is required for a waiver application to be granted, according to the specified section?
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What special identifier may be required in filings, aside from the prescription number?
What special identifier may be required in filings, aside from the prescription number?
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What requirements must a pharmacist follow when filling an emergency oral prescription for schedule II substances?
What requirements must a pharmacist follow when filling an emergency oral prescription for schedule II substances?
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What is the maximum quantity of controlled substances that can be prescribed orally in an emergency according to the regulations?
What is the maximum quantity of controlled substances that can be prescribed orally in an emergency according to the regulations?
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What must a prescribing practitioner do within 72 hours after an emergency oral prescription is authorized?
What must a prescribing practitioner do within 72 hours after an emergency oral prescription is authorized?
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What action must a pharmacist take if they do not receive the written prescription for an emergency oral prescription?
What action must a pharmacist take if they do not receive the written prescription for an emergency oral prescription?
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For how long must the endorsed prescription for an emergency oral prescription be retained by the pharmacy proprietor?
For how long must the endorsed prescription for an emergency oral prescription be retained by the pharmacy proprietor?
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What additional information must be included on the written or electronic prescription delivered after an emergency oral prescription?
What additional information must be included on the written or electronic prescription delivered after an emergency oral prescription?
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What is the timeframe for submitting prescription information to the Bureau of Narcotic Enforcement after dispensing a controlled substance?
What is the timeframe for submitting prescription information to the Bureau of Narcotic Enforcement after dispensing a controlled substance?
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What is required from a pharmacist when filling an emergency oral prescription regarding the date?
What is required from a pharmacist when filling an emergency oral prescription regarding the date?
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Study Notes
Emergency Oral Prescriptions for Controlled Substances
- Practitioners can orally prescribe Schedule II controlled substances in emergencies.
- Pharmacists are allowed to dispense these prescriptions under specific conditions.
Requirements for Pharmacists
- Must reduce the oral prescription to writing or an electronic record immediately.
- Dispensing must adhere to labeling requirements that would apply to non-emergency prescriptions.
- Pharmacists must verify the identity of both the prescribing practitioner and the ultimate user.
Limitations on Prescription Quantity
- Oral prescriptions cannot exceed a five-day supply for proper use of the substance.
Follow-Up on Prescriptions
- Practitioners must provide a written or electronic prescription within 72 hours post-emergency authorization.
- The prescription must state "Authorization for emergency dispensing."
Pharmacist Responsibilities
- Pharmacist must document the date of delivery and endorse the prescription with their signature.
- The endorsed prescription must be retained for five years.
Filing Requirements
- Prescription information must be electronically filed with the Bureau of Narcotic Enforcement within 24 hours.
- Filing must include details such as pharmacy prescription number, national identification number, patient info, prescription fill date, and prescriber's DEA number.
Waiver Provisions
- Pharmacies can request a waiver for delayed filing due to economic hardship or technological limitations.
- Waivers are subject to specific requirements and cannot extend the filing period beyond the 15th of the following month.
Definition of Emergency
- An "emergency" is characterized by the necessity for immediate drug administration with no alternative treatment available, and the inability to produce a written or electronic prescription at the time.
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Description
Test your knowledge on the guidelines for emergency oral prescriptions of Schedule II controlled substances. This quiz covers the requirements for both practitioners and pharmacists, including proper dispensing protocols and identity verification.