Questions and Answers
How long is a C-II written/electronic prescription valid for?
30 Days
Can a C-II prescription be refilled?
False
Where should written C-II prescriptions be stored?
In a separate file
How can a pharmacist fill a C-II written/electronic prescription?
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Do all C-IIs and C-IIIs need to have a maximum of 30-day supply fills? What are the exceptions?
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How long do prescriptions for controlled substances need to be kept by the pharmacy upon inspection?
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Are all controlled substance medications not refillable?
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Can a prescriber issue prescriptions for controlled substances electronically?
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What are some exceptions for authorizing the use of written/oral prescriptions instead?
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How should a written prescription be written?
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Can any controlled substance (CII-V) be dispensed without an electronic prescription from a practitioner?
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How can a controlled substance be dispensed on a written/oral prescription?
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Study Notes
C-II Prescription Validity and Refills
- C-II prescriptions are valid for 30 days from the date of issuance.
- After 30 days, these prescriptions become invalid and cannot be filled.
- C-II prescriptions cannot be refilled under any circumstances.
Storage and Handling
- Written C-II prescriptions must be stored in a separate file to ensure proper record keeping.
- Pharmacists are required to endorse their signature on the face of the prescription when filling it.
Supply Limits and Exceptions
- The general maximum supply for C-II and C-III medications is 30 days, but exceptions exist:
- 60-day supply for Dextroamphetamine Sulfate and Methylphenidate HCl for specific conditions.
- 90-day supply for implantable infusion pumps.
Record Keeping
- Pharmacies are mandated to retain prescriptions for controlled substances for a duration of 2 years upon inspection.
Refilling Regulations
- Not all controlled substances are non-refillable; some can have refills if:
- The original prescription includes refills.
- The prescription specifies the number of allowable refills.
- All C-II medications, however, are strictly non-refillable.
Electronic Prescribing
- Prescribers can issue electronic prescriptions for controlled substances, adhering to the Department's standards.
Exceptions for Written/Oral Prescriptions
- Written/oral prescriptions are permissible in specific scenarios:
- Prescriptions issued by veterinarians.
- Temporary technological or electrical failures preventing electronic prescribing.
- Economic hardships that restrict electronic systems.
- Emergency situations where electronic prescribing would harm the patient's condition.
- Prescriptions that cannot be issued electronically per federal or state regulations.
- Prescriptions from out-of-state sources (not from Massachusetts).
- Other exceptions as determined by the Commissioner under Section 17 G.
Prescription Requirements
- Written prescriptions must be completed in:
- Ink.
- Indelible pencil.
- Tamper-resistant forms as required by federal Medicaid standards, and signed by the prescribing practitioner.
Dispensing Controlled Substances
- No controlled substances can be dispensed without an electronic prescription from a practitioner.
- Controlled substances can be dispensed on a written/oral prescription only under emergency conditions defined by the Commissioner in Section 20 and related regulations.
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Description
Test your knowledge of Massachusetts General Law Chapter 94C, Section 17 with these flashcards. Focus on the validity, refilling, and storage of C-II prescriptions. Perfect for pharmacy students and professionals looking to reinforce their understanding of these regulations.
