Questions and Answers
Is there a six-month/five-refill limit on CV drugs?
False
When can a pharmacy transfer prescription drugs to another pharmacy?
For emergency medical reasons.
Any transfer of a C__ prescription should be communicated directly between two licensed pharmacists.
C-III, C-IV, or C-V
A Drug Disaster & Loss Report should be completed and filed with the NC BOP office within __ day(s) of the drug loss/theft.
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Prescriptions for a non-control require the prescriber's DEA number.
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If a pharmacy provides delivery, do delivery personnel have to get ID information from the patient at the time of delivery?
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What documentation is required when getting photographic IDs for C2s?
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What is an acceptable form of identification for C2 ID requirement?
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Must a dispensing physician/PA/NP comply with ID check requirement for C2s?
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How long does the registered collector need to keep the DEA Form 41 in its records?
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How should a pharmacy dispose of drugs, both non-controlled medications & controlled substances?
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What is my responsibility as a pharmacist in case of drug loss or theft?
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The FDA maintains the '___ Book,' which lists biological products. What is it called?
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Child-resistant test protocol states that a package passes if at least __% of the kids were unable to get it open within the first five minutes.
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Children younger than __ should not take codeine-containing products to treat pain or cough.
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Children younger than __ should not take tramadol products to treat pain.
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Children younger than __ should not take tramadol products to treat pain after surgery to remove the tonsils.
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What are the degrees of seriousness for recalls and seizures from most severe to least severe?
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Are PAs and NPs who only dispense sample medications required to register with the Board?
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Can a pharmacist manage a pharmacy and a charitable pharmacy at the same time?
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Physicians who dispense drugs for a fee must register with the Board annually.
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Drugs dispensed by an NP or PA must be dispensed from a place holding a pharmacy permit.
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Are volunteer pharmacy technicians who only work at free clinics required to register with the Board?
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Pharm tech training must be completed within __ days of the technician's beginning work.
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Does a free or charitable clinic require a Drug Enforcement Agency registration for dispensing, storing, or administering controlled substances?
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What are the consequences of a pharmaceutical manufacturer failing to follow the Board's rule on return goods?
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May I dispense quinine sulfate for leg cramps?
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Are volunteer pharmacy technicians that work at regular pharmacies required to register with the Board?
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May a pharmacist disclose to a treating physician that a patient is receiving a prescription drug for the treatment of substance abuse?
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Study Notes
Prescription Regulations
- No six month or five refill limit on Schedule V (CV) drugs; prescriptions can be refilled as authorized.
- Emergency medical reasons allow pharmacies to transfer prescription drugs between pharmacies.
- Transfers of Schedule III, IV, or V prescriptions must be communicated directly between two licensed pharmacists.
Reporting and Documentation
- A Drug Disaster & Loss Report must be filed with the NC BOP within 10 days of a drug loss or theft.
- Pharmacists must notify the DEA within one business day regarding drug loss or theft, complete a DEA 106 form, and submit the Drug Disaster & Loss Report to the NC BOP.
Controlled Substance Identification
- Delivery personnel must verify ID information from C-II patients at the time of delivery.
- Required documentation when obtaining photographic IDs for C-II includes the person's name, type of ID, and ID number.
- Acceptable forms of identification for C-II drugs: driver's license, NC DMV special ID card, military ID.
Special Considerations
- Dispensing physicians, PAs, and NPs must comply with C-II ID check requirements.
- Registered collectors must keep DEA Form 41 for at least two years.
Disposal and Recall Protocols
- Pharmacies should use the NCBOP Drug Disposal Form for disposing of both controlled and non-controlled substances.
- Recalls are classified by severity:
- Class 1: Harm likely
- Class 2: Moderate risk
- Class 3: Adverse effects unlikely
Pediatric Considerations
- Children younger than 12 should not use codeine or tramadol for pain treatment.
- Children under 18 should not take tramadol post-tonsil surgery.
Registration and Training
- PAs and NPs dispensing only sample medications do not need to register with the Board.
- Pharmacists can manage both a pharmacy and a charitable pharmacy simultaneously.
- Physicians dispensing drugs for a fee must register annually with the Board.
- Volunteer pharmacy technicians working at free clinics are required to register, but are exempt from fees.
- Pharmacy technician training must be completed within 180 days of starting work.
Miscellaneous Regulations
- Free or charitable clinics must have DEA registration for dispensing controlled substances.
- Failure by pharmaceutical manufacturers to follow return goods rules renders products ineligible for dispensing unless specifically requested.
- Pharmacists may dispense quinine sulfate for leg cramps but may refuse due to civil liability concerns.
- Volunteer pharmacy technicians in regular pharmacies must register with the Board.
- Pharmacists can disclose to treating physicians if a patient is receiving prescriptions for substance abuse treatment, provided they don't work for a federal agency.
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Description
Test your knowledge on the regulations surrounding prescriptions for controlled substances, including refills and transfer protocols. This quiz will cover important reporting and documentation requirements for pharmacists in North Carolina. Ensure you understand the identification requirements for the delivery of C-II medications.
