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Questions and Answers
What must the prescribing practitioner do within 72 hours after authorizing an oral prescription?
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?
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?
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?
How should follow-up prescriptions for controlled substances be handled by the pharmacist?
What information must be included by the pharmacist on the follow-up prescription?
What information must be included by the pharmacist on the follow-up prescription?
What specific endorsements must the pharmacist make on the follow-up prescription?
What specific endorsements must the pharmacist make on the follow-up prescription?
When maintaining records electronically, what information may be stored by the pharmacy?
When maintaining records electronically, what information may be stored by the pharmacy?
In relation to prescription filing, which section governs the process for filing that must be followed?
In relation to prescription filing, which section governs the process for filing that must be followed?
What is the maximum quantity that an oral prescription for schedule IV substances can prescribe?
What is the maximum quantity that an oral prescription for schedule IV substances can prescribe?
What must a pharmacist do when reducing an oral prescription to written memoranda?
What must a pharmacist do when reducing an oral prescription to written memoranda?
Which of the following is NOT required when dispensing oral prescriptions for controlled substances?
Which of the following is NOT required when dispensing oral prescriptions for controlled substances?
What should a pharmacist do if the oral prescription exceeds the five-day supply limit?
What should a pharmacist do if the oral prescription exceeds the five-day supply limit?
What document must a pharmacist file for oral prescriptions?
What document must a pharmacist file for oral prescriptions?
Which of the following details is required to be recorded by the pharmacist when filling an oral prescription?
Which of the following details is required to be recorded by the pharmacist when filling an oral prescription?
Which of the following statements is true regarding the verification process for oral prescriptions?
Which of the following statements is true regarding the verification process for oral prescriptions?
What is the purpose of keeping memoranda for oral prescriptions filed electronically?
What is the purpose of keeping memoranda for oral prescriptions filed electronically?
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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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