Oral Prescriptions of Controlled Substances

Questions and Answers

What must the prescribing practitioner do within 72 hours after authorizing an oral prescription?

Send a verbal confirmation to the pharmacist.

Deliver a written or electronic prescription to the pharmacist. (correct)

Request the patient to pick up the medication.

Update the patient's medical record.

What phrase must be included on the electronic prescription that corresponds to an oral order?

Follow-up prescription to oral order. (correct)

Prescription verified.

Oral order processed.

Authenticated by provider.

What should a pharmacist do if they do not receive the follow-up prescription within the required time frame?

Contact the prescriber for clarification.

Notate the memorandum with specific details. (correct)

File a report with the pharmacy manager.

Proceed to dispense the medication.

How should follow-up prescriptions for controlled substances be handled by the pharmacist?

They must be attached to or stored with the corresponding oral order. Signup and view all the answers

What information must be included by the pharmacist on the follow-up prescription?

The date of receipt and pharmacy prescription number. Signup and view all the answers

What specific endorsements must the pharmacist make on the follow-up prescription?

Signature, date of filling, and order number. Signup and view all the answers

When maintaining records electronically, what information may be stored by the pharmacy?

Information regarding follow-up prescriptions. Signup and view all the answers

In relation to prescription filing, which section governs the process for filing that must be followed?

Section 80.73(f) of this Part. Signup and view all the answers

What is the maximum quantity that an oral prescription for schedule IV substances can prescribe?

A five-day supply or 100 dosage units, whichever is less Signup and view all the answers

What must a pharmacist do when reducing an oral prescription to written memoranda?

Indicate the quantity prescribed along with the practitioner's registration number Signup and view all the answers

Which of the following is NOT required when dispensing oral prescriptions for controlled substances?

Providing a printed copy of the prescription to the ultimate user Signup and view all the answers

What should a pharmacist do if the oral prescription exceeds the five-day supply limit?

Contact the prescriber to amend the prescription within legal limits Signup and view all the answers

What document must a pharmacist file for oral prescriptions?

Memoranda for the oral prescriptions in the specific prescription file Signup and view all the answers

Which of the following details is required to be recorded by the pharmacist when filling an oral prescription?

The date the prescription was filled Signup and view all the answers

Which of the following statements is true regarding the verification process for oral prescriptions?

The pharmacist must verify the identities of both the practitioner and ultimate user Signup and view all the answers

What is the purpose of keeping memoranda for oral prescriptions filed electronically?

To ensure compliance with federal and state regulations regarding prescription management Signup and view all the answers

Study Notes

Oral Prescriptions for Controlled Substances

Practitioners can orally prescribe controlled substances from schedules III, IV, and V to ultimate users.
Pharmacists must document oral prescriptions in a written memorandum or electronic record to comply with federal requirements.
Required details in the record include:
- Prescriber's name, address, and DEA registration number
- Ultimate user's name and address
- Prescription date
- Controlled substance name and quantity
- Directions for use
- Indication of being a telephone order
Memoranda for oral prescriptions must be stored in a designated prescription file; electronic records must be filed electronically.

Dispensing Requirements

Oral prescriptions must adhere to labeling requirements similar to written prescriptions.
Pharmacists are required to verify the identity of both the prescriber and the ultimate user in good faith.
There are limits on the quantity that can be dispensed:
- A maximum of a five-day supply for most controlled substances.
- A maximum of 30-day supply or 100 dosage units for schedule IV substances, whichever is less.

Follow-up Prescription Procedure

Within 72 hours of an oral prescription, a written or electronic follow-up prescription must be delivered to the pharmacist.
The follow-up electronic prescription must state "Follow-up prescription to oral order."
If the follow-up prescription is not received, the pharmacist must document this on the memorandum with the statement "Follow-up prescription not received,” alongside their name and the date.

Filing and Record-Keeping

Follow-up prescriptions must be kept with the corresponding oral orders, filed under the schedule III, IV, and V controlled substances file.
Pharmacists must endorse the follow-up prescription with:
- Their signature
- Date of filling
- Prescription number linked to the pharmacy record
- Additional information about the oral order and follow-up receipt dates.
Information pertaining to prescriptions is filed with the department as per section 80.73(f).

General Compliance

Prescribers and pharmacists must adhere to all regulations regarding controlled substances to ensure compliance and security in prescribing and dispensing practices.

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Description

This quiz focuses on the regulations surrounding oral prescriptions for controlled substances in schedule III, IV, and V. It examines the guidelines healthcare practitioners and pharmacists must follow for proper documentation and dispensing. Test your understanding of these essential protocols.