MGL Chapter 94C Section 17 Flashcards
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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?

<p>Endorse their own signature on the face</p> Signup and view all the answers

Do all C-IIs and C-IIIs need to have a maximum of 30-day supply fills? What are the exceptions?

<p>No, exceptions include 60 days for specific medications and 90 days for implantable infusion pumps.</p> Signup and view all the answers

How long do prescriptions for controlled substances need to be kept by the pharmacy upon inspection?

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

Are all controlled substance medications not refillable?

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

Can a prescriber issue prescriptions for controlled substances electronically?

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

What are some exceptions for authorizing the use of written/oral prescriptions instead?

<p>Veterinarian prescriptions, temporary technological failures, economic hardships, emergency situations, federal/state limitations, out-of-state prescriptions.</p> Signup and view all the answers

How should a written prescription be written?

<p>In ink, indelible pencil, or other tamper-resistant means signed by the prescribing practitioner.</p> Signup and view all the answers

Can any controlled substance (CII-V) be dispensed without an electronic prescription from a practitioner?

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

How can a controlled substance be dispensed on a written/oral prescription?

<p>In emergency situations defined by the commissioner.</p> Signup and view all the answers

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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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.

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