40 Questions
Which government agency administers the Comprehensive Drug Abuse Prevention and Control Act (CSA)?
Drug Enforcement Administration (DEA)
What factors are considered in determining the schedule of controlled substances?
The potential for abuse and pharmacological effect
Which schedule of controlled substances has the highest abuse potential?
Schedule II
Which of the following substances is classified as a Schedule IV controlled substance?
Diazepam
According to the text, how long is a prescription for a CII medication valid for?
30 days
According to the text, what is the maximum number of days a prescription for an implantable infusion pump consisting of CII medications can be filled for?
90 days
According to the text, what is the supply limitation for first outpatient use of opiates for adults?
7 days
According to the text, how long is a prescription for a CIII-V medication valid for?
6 months
Which type of inventory requires an actual physical count for CII substances and may be an estimated count for CIII-V substances, unless the container holds more than 1,000 tablets or capsules?
Biennial inventory/Initial inventory
Which type of inventory must be done every 10 days at the minimum?
Perpetual inventory
Which type of inventory is required to be taken every 2 years and has the same requirements as the initial inventory?
Biennial inventory
What does a valid DEA number consist of?
2 letters followed by 7 digits
Which of the following is a validity check for a DEA number?
Add the second, fourth, and sixth digits and multiply by 2
In Massachusetts, prescriptions for narcotic CII medications from out-of-state practitioners can be filled from which states?
Maine, New Hampshire, Vermont, Rhode Island, Connecticut, and New York
Which of the following is NOT an exception to the Massachusetts Care Act requiring electronic prescriptions?
Prescriber discretion
How many times can a prescription for CIII-V medications be refilled within a 6 month period in Massachusetts?
5 times
According to the text, what is the limit for importing PSE by mail?
7 g
According to the text, what must be recorded for sales over 60 mg PSE?
Product name, quantity sold, name and address of purchaser, date and time of sale, and purchaser's signature
According to the text, what is the purpose of the Prescription Drug Monitoring Program?
Electronic monitoring of controlled substances
Which of the following is NOT a requirement for reporting the loss of controlled substances in Massachusetts?
The loss must be reported within 48 hours of discovery.
Which of the following is NOT a method for treating narcotic addiction in Massachusetts?
Prescribing narcotic controlled substances to maintain or detoxify the addict.
What is the maximum duration for short-term detoxification in an opioid treatment program in Massachusetts?
30 days
Which of the following is NOT a restriction or requirement under the CMEA for the sale of products containing ephedrine, pseudoephedrine, and PPA?
Prescription requirement for purchase
Which of the following is a requirement for commercial containers of drugs in Massachusetts Schedule I-V?
They must bear a CS symbol indicating the assigned schedule.
Which of the following is NOT exempt from registration for controlled substances in Massachusetts?
Individual practitioners
Who is authorized to dispense controlled substances in Massachusetts?
All of the above
Which is NOT a security requirements for storing controlled substances (CII-CV) in Massachusetts?
They can be stored adjacent to the pharmacy area.
True or false: If a patient runs out of refills/medication of a CVI and the prescriber cannot be reached, the pharmacist may dispense a supply not to exceed 30 day supply or the smallest package size.
True
True or false: Federal law does not indicate an expiration for CII prescriptions.
True
True or false: Federal law does not limit the amount prescribed for CII prescriptions.
True
True or false: A prescription for a CII medication from an out of state prescriber is only valid for 5 days from the date of issuance.
True
True or false: Controlled substances schedule II prescriptions cannot be filled for more than a 30 day supply upon any single filling.
False
According to federal law, a prescription for a CII medication is only valid for ______ days from the date of issuance (applicable to MA providers only)
30
Exceptions: Dextroamphetamine sulfate and methylphenidate hydrochloride may be filled for up to a ______ day supply if for the treatment of minimal brain dysfunction (ADHD) or narcolepsy
60
Implantable infusion pumps consisting of CII medications can be filled for a maximum of ______ days
90
Adults, first outpatient use: ______ day supply limitation
7
Minors: ______ day supply limitation
7
Massachusetts also allows partial CII fills up to ______ days after the issuance date for in state prescribers
30
Out of state CII prescriptions: the initial partial fill must be within ______ days of issuance of the prescription and the subsequent partial fills must occur within 30 days of the issuance date
5
Prescriptions for CIII-V medications expire ______ months after the date of issuance and is not authorized to be refilled more than 5 times
6
Study Notes
Key Facts and Requirements for Controlled Substances in Massachusetts
- Difenoxin and atropine are combined in a dosage unit, with each unit containing 5 mg difenoxin and at least 25 mcg of atropine.
- Massachusetts Schedule II-V classification for prescription drugs is consistent with the federal Schedule VI classification, which includes non-II-V drugs and legend drugs that are not controlled substances.
- Commercial containers of drugs in Schedule I-V must bear a CS symbol indicating the assigned schedule.
- Prescription containers for Schedule II, III, or IV drugs must include a label stating that it is a crime to transfer the drug to anyone other than the patient.
- Manufacturers and distributors of controlled substances must renew their registration annually, while dispensers must renew every 3 years.
- Certain individuals and entities are exempt from registration, such as pharmacists, USPS as a common carrier, and patients possessing controlled substances for lawful purposes.
- Individual practitioners, such as physicians, dentists, and veterinarians, are authorized to dispense controlled substances but not pharmacists or pharmacies.
- Institutional practitioners, such as hospitals, can administer, dispense, and prescribe controlled substances under their registration.
- Conditions for administering, dispensing, and prescribing controlled substances include being authorized or permitted by the jurisdiction and acting within the scope of practice.
- Interns, residents, and foreign-trained physicians can dispense or prescribe under the hospital registration with a special internal code added to the DEA number.
- Registration is required for activities such as manufacturing, distributing, dispensing, research, narcotic treatment programs, and chemical analysis of controlled substances.
- Security requirements include effective controls and procedures to prevent theft and diversion of controlled substances, taking into account factors such as type of activity, quantity handled, and location. In Massachusetts, all controlled substances must be stored in the pharmacy area, except for CVI which can be stored adjacent to the pharmacy area. CII-V substances must be locked in a secure cabinet or dispersed throughout the CVI stock.
Test your knowledge of the key facts and requirements for controlled substances in Massachusetts. This quiz covers topics such as drug classifications, labeling requirements, registration, dispensing regulations, and security measures. See how well you understand the rules surrounding controlled substances in Massachusetts.
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