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Questions and Answers
What is the primary restriction placed on Schedule II substance prescriptions as specified in section 80.67?
What is the primary restriction placed on Schedule II substance prescriptions as specified in section 80.67?
Schedule II prescriptions cannot be refilled.
List three specific substances classified under Schedule II according to the provided content.
List three specific substances classified under Schedule II according to the provided content.
Alprazolam, Diazepam, and Clonazepam.
What mediums are approved for writing prescriptions for Schedule II substances?
What mediums are approved for writing prescriptions for Schedule II substances?
Ink, indelible pencil, typewriter, or approved electronic means.
Identify two pieces of information that must be included in a prescription for a Schedule II substance.
Identify two pieces of information that must be included in a prescription for a Schedule II substance.
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What is the importance of the practitioner's handwriting on a Schedule II prescription?
What is the importance of the practitioner's handwriting on a Schedule II prescription?
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When electronic prescriptions are used for Schedule II substances, what compliance must practitioners follow?
When electronic prescriptions are used for Schedule II substances, what compliance must practitioners follow?
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What specific information about the ultimate user is required if the user is an animal?
What specific information about the ultimate user is required if the user is an animal?
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What role does the DEA registration number play in the prescription for Schedule II substances?
What role does the DEA registration number play in the prescription for Schedule II substances?
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What electronic action must a pharmacist take if a handwritten notation would be required on a filled prescription?
What electronic action must a pharmacist take if a handwritten notation would be required on a filled prescription?
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What must a practitioner indicate on a replacement prescription issued after an electronic transmission failure?
What must a practitioner indicate on a replacement prescription issued after an electronic transmission failure?
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Under what condition is an electronic prescription deemed invalid?
Under what condition is an electronic prescription deemed invalid?
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What action is required from pharmacists when filling prescriptions under subdivisions (g) or (h)?
What action is required from pharmacists when filling prescriptions under subdivisions (g) or (h)?
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What is the responsibility of a pharmacy when an electronic prescription is found to be invalid?
What is the responsibility of a pharmacy when an electronic prescription is found to be invalid?
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How does the electronic annotation process impact the overall prescription filling workflow?
How does the electronic annotation process impact the overall prescription filling workflow?
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What legal requirement cannot be replaced by an imprinted or stamped name on a prescription?
What legal requirement cannot be replaced by an imprinted or stamped name on a prescription?
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What specific information must be included concerning dosage on a prescription?
What specific information must be included concerning dosage on a prescription?
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What is the maximum duration for which a prescription can be issued under specific conditions for a controlled substance?
What is the maximum duration for which a prescription can be issued under specific conditions for a controlled substance?
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How should the quantity of dosage units be indicated on an official New York State prescription?
How should the quantity of dosage units be indicated on an official New York State prescription?
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What identifies a prescription as an electronic prescription according to the content?
What identifies a prescription as an electronic prescription according to the content?
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What must a practitioner include if prescribing for a patient who is limited English proficient?
What must a practitioner include if prescribing for a patient who is limited English proficient?
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Under what condition can a practitioner issue a prescription for a controlled substance exceeding a 30-day supply?
Under what condition can a practitioner issue a prescription for a controlled substance exceeding a 30-day supply?
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What must be specified on a prescription when issuing a multi-month supply under subdivision (d)?
What must be specified on a prescription when issuing a multi-month supply under subdivision (d)?
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What elements must be included in an electronic prescription as per the guidelines?
What elements must be included in an electronic prescription as per the guidelines?
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What happens if a prescription fails to indicate that a patient is limited English proficient?
What happens if a prescription fails to indicate that a patient is limited English proficient?
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What must be included on a prescription to comply with the Public Health Law's section 3332(3)?
What must be included on a prescription to comply with the Public Health Law's section 3332(3)?
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In which circumstances can a prescription for a hospice patient or RHCF patient be transmitted via facsimile?
In which circumstances can a prescription for a hospice patient or RHCF patient be transmitted via facsimile?
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What is the time frame within which the original prescription must be delivered to the pharmacist after it is transmitted via facsimile?
What is the time frame within which the original prescription must be delivered to the pharmacist after it is transmitted via facsimile?
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What should a pharmacist do if they do not receive the original prescription within the specified time frame?
What should a pharmacist do if they do not receive the original prescription within the specified time frame?
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Under what condition can a practitioner orally provide missing information on a prescription?
Under what condition can a practitioner orally provide missing information on a prescription?
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What details are pharmacists not required to obtain authorization from the practitioner for when entering patient information?
What details are pharmacists not required to obtain authorization from the practitioner for when entering patient information?
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What changes can a pharmacist make to a prescription based on oral authorization from a practitioner?
What changes can a pharmacist make to a prescription based on oral authorization from a practitioner?
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What is required for a pharmacist when they receive oral authorization for changes to a prescription?
What is required for a pharmacist when they receive oral authorization for changes to a prescription?
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What is the significance of identifying a patient as a 'hospice patient' or 'RHCF patient' on a prescription?
What is the significance of identifying a patient as a 'hospice patient' or 'RHCF patient' on a prescription?
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What happens to a prescription for a Schedule II narcotic substance if it is transmitted by facsimile?
What happens to a prescription for a Schedule II narcotic substance if it is transmitted by facsimile?
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Prescriptions for Schedule II substances shall not be ______.
Prescriptions for Schedule II substances shall not be ______.
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The printed name of the prescriber must be ______ or stamped legibly on the prescription.
The printed name of the prescriber must be ______ or stamped legibly on the prescription.
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Electronic prescriptions for controlled substances must comply with federal ______ for electronic prescribing.
Electronic prescriptions for controlled substances must comply with federal ______ for electronic prescribing.
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The prescription must include the name, sex, address, and age of the ______ user.
The prescription must include the name, sex, address, and age of the ______ user.
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A prescriber must include their Drug Enforcement Administration ______ number on the prescription.
A prescriber must include their Drug Enforcement Administration ______ number on the prescription.
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If the ultimate user is an animal, the prescription must also state the ______ of the animal.
If the ultimate user is an animal, the prescription must also state the ______ of the animal.
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Prescriptions must be written in ink, indelible pencil, typewriter, or by other ______ means.
Prescriptions must be written in ink, indelible pencil, typewriter, or by other ______ means.
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The prescriber’s handwritten signature is required on the ______ for Schedule II substances.
The prescriber’s handwritten signature is required on the ______ for Schedule II substances.
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When a pharmacist fills a prescription under subdivision (g) or (h), they must make a notation electronically when filling an ______ prescription.
When a pharmacist fills a prescription under subdivision (g) or (h), they must make a notation electronically when filling an ______ prescription.
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If the content of the information required for a prescription is altered during transmission, the prescription is deemed to be ______.
If the content of the information required for a prescription is altered during transmission, the prescription is deemed to be ______.
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A practitioner shall indicate on any written or oral prescription issued as a replacement that the original prescription was transmitted ______.
A practitioner shall indicate on any written or oral prescription issued as a replacement that the original prescription was transmitted ______.
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In case the electronic prescription is not successfully delivered, the practitioner must specify to which pharmacy the prescription was originally ______.
In case the electronic prescription is not successfully delivered, the practitioner must specify to which pharmacy the prescription was originally ______.
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When filling electronic prescriptions, pharmacists must retain annotations ______ in the prescription record.
When filling electronic prescriptions, pharmacists must retain annotations ______ in the prescription record.
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The pharmacy may not dispense the controlled substance if the ______ of any required information is altered during transmission.
The pharmacy may not dispense the controlled substance if the ______ of any required information is altered during transmission.
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Either the name of the condition or one of the designated ______ shall fulfill the requirement.
Either the name of the condition or one of the designated ______ shall fulfill the requirement.
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The practitioner shall note on the prescription that the patient is a ______ patient or RHCF patient.
The practitioner shall note on the prescription that the patient is a ______ patient or RHCF patient.
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An official New York State prescription or out-of-state written prescription for a Schedule II narcotic substance may be transmitted by ______.
An official New York State prescription or out-of-state written prescription for a Schedule II narcotic substance may be transmitted by ______.
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The prescribing practitioner shall cause to be delivered to the pharmacist the original official New York State prescription within ______ hours.
The prescribing practitioner shall cause to be delivered to the pharmacist the original official New York State prescription within ______ hours.
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The pharmacist shall notify the ______ in writing or electronically within 7 days from the date of dispensing the substance.
The pharmacist shall notify the ______ in writing or electronically within 7 days from the date of dispensing the substance.
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A practitioner may orally authorize a pharmacist to change information on an official ______ prescription.
A practitioner may orally authorize a pharmacist to change information on an official ______ prescription.
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If the pharmacist fails to receive the prescription, he/she shall notify the Department within ______ days.
If the pharmacist fails to receive the prescription, he/she shall notify the Department within ______ days.
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This procedure shall not apply to unsigned or ______ prescriptions.
This procedure shall not apply to unsigned or ______ prescriptions.
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The pharmacist shall write the date he or she received the oral ______ on the prescription.
The pharmacist shall write the date he or she received the oral ______ on the prescription.
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Within ______ hours, the prescribing practitioner must deliver the original prescription to the pharmacist.
Within ______ hours, the prescribing practitioner must deliver the original prescription to the pharmacist.
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The imprinted or stamped name shall not be a substitute for or fulfill any legal requirement otherwise mandating that the prescription be signed by the _______.
The imprinted or stamped name shall not be a substitute for or fulfill any legal requirement otherwise mandating that the prescription be signed by the _______.
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Specific directions for use must include the dosage and frequency of dosage and the maximum daily _______.
Specific directions for use must include the dosage and frequency of dosage and the maximum daily _______.
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A prescription shall be dated as of, and signed on, the date it is _______.
A prescription shall be dated as of, and signed on, the date it is _______.
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On an official New York State prescription, the quantity of dosage units prescribed shall be indicated in both numerical and written _______.
On an official New York State prescription, the quantity of dosage units prescribed shall be indicated in both numerical and written _______.
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A prescription generated on an electronic system and printed out or transmitted via _______ is not an electronic prescription.
A prescription generated on an electronic system and printed out or transmitted via _______ is not an electronic prescription.
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No prescription shall be made for a quantity of substances which would exceed a _______ supply if the substance were used in accordance with the directions for use.
No prescription shall be made for a quantity of substances which would exceed a _______ supply if the substance were used in accordance with the directions for use.
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A practitioner may issue a prescription for up to a three month supply of a controlled substance, including _______ _______.
A practitioner may issue a prescription for up to a three month supply of a controlled substance, including _______ _______.
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The prescription shall specify the _______ being treated on the face of the prescription.
The prescription shall specify the _______ being treated on the face of the prescription.
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If the patient is limited English proficient, a specification of the preferred language indicated by the _______ must be included.
If the patient is limited English proficient, a specification of the preferred language indicated by the _______ must be included.
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Failure to include the indication of limited English proficiency shall not _______ the prescription.
Failure to include the indication of limited English proficiency shall not _______ the prescription.
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Study Notes
Prescription Regulations for Schedule II Substances
- Refills are not allowed for Schedule II substances, including various benzodiazepines such as Alprazolam, Clonazepam, and Diazepam among others.
Prescription Writing Requirements
- Prescriptions must be written using ink, indelible pencil, typewriter, or an approved electronic method, and must be signed by the practitioner.
- Essential details include:
- Patient's name, sex, address, age, or if for an animal, species and owner's details.
- Prescriber's printed name, address, DEA registration number, and phone number, alongside a handwritten signature.
- Specific usage directions including dosage and frequency.
- Date of preparation and signing.
- Quantity of dosage units in both numerical and written forms.
Electronic Prescriptions
- Electronic prescriptions can be generated, signed, and transmitted electronically if federal requirements are met.
- An electronic prescription must include an electronic signature and adhere to all standard requirements for controlled substances.
- Printed or faxed prescriptions from electronic systems must be manually signed.
Quantity Limitations
- Prescriptions cannot exceed a 30-day supply unless specified conditions are met.
- Additional prescriptions cannot be issued within 30 days unless the patient has less than a 7-day supply remaining.
Extended Prescribing for Chronic Conditions
- Practitioners may prescribe up to a three-month supply for certain conditions (e.g., panic disorders, chronic pain) with specific codes provided on the prescription.
- Condition must be clearly indicated on the prescription, either by name or designated code.
Facsimile Transmissions
- Written prescriptions for hospice patients or those in RHCF can be sent via facsimile, contingent on specific conditions such as licensing and agreements with dispensing pharmacies.
- For parenteral or infusion admixtures, prescriptions can also be transmitted by facsimile with a follow-up of original documentation required within 72 hours.
Incomplete Prescriptions
- Practitioners may orally provide missing prescription information to pharmacists; the pharmacist must note the date and their signature on the prescription.
- Pharmacists aren’t required to get authorization for minor details like patient's age or address if obtained in good faith.
Authorization Changes
- Practitioners can authorize pharmacists to amend prescription details orally, excluding crucial identifiers such as signature and drug name.
- Changes made by the pharmacist must be documented with the date and reason for alteration.
Electronic Record Keeping
- Pharmacists must maintain accurate electronic records of any annotations made during prescription filling processes.
Invalid Prescriptions
- If there’s any alteration of information during electronic transmission, the prescription becomes invalid, and the pharmacy cannot dispense the medication.
Schedule II Substances Regulation
- Prescriptions for Schedule II substances cannot be refilled.
- List of specified controlled substances includes Diazepam, Alprazolam, Clonazepam, and others.
Prescription Requirements
- Prescriptions must be written in ink, indelible pencil, typewriter, or approved electronic means.
- Must be signed by the prescribing practitioner with clear identification including name, address, DEA registration number, and telephone number.
- Requires specific patient details: name, sex, address, and age; or animal-related information for veterinary prescriptions.
- Directions for use, including dosage and frequency, must be clearly stated on the prescription.
- Prescription must be dated and signed on the date it's issued.
- Quantity of dosage units prescribed should be indicated in both numerical and written word form.
Electronic Prescription Guidelines
- Electronic prescriptions must have an electronic signature and comply with specific requirements.
- An electronic prescription printed or faxed must be signed manually to be valid.
- Prescriber must indicate if a patient is limited English proficient, including their preferred language.
Supply Limitations
- Prescriptions typically cannot exceed a 30-day supply.
- Practitioners can issue prescriptions for a 3-month supply for specific conditions (e.g., panic disorders, chronic pain).
- For an extended supply, the prescription must specify the condition being treated.
Special Circumstances for Transmission
- Facsimile transmission is allowed for prescriptions involving hospice programs or patients in Residential Health Care Facilities under certain conditions.
- Original prescriptions must be delivered to the pharmacy within 72 hours after transmission.
Handling Incomplete Prescriptions
- Pharmacists can receive oral authorization to complete missing prescription details, noting changes and dates.
- Unauthorized modifications by pharmacists are limited to certain prescription information.
Electronic Prescription Annotations
- Pharmacists must make notations on electronic prescriptions for any changes made, retaining records electronically.
Replacement of Failed Electronic Prescriptions
- Practitioners must note if a prescription originally transmitted electronically is replaced due to delivery failure, including original pharmacy details.
Invalidated Prescriptions
- Altered information during electronic prescription transmission renders the prescription invalid, prohibiting dispensing of the controlled substance.
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Description
Test your knowledge on Schedule II substances and their regulations. This quiz covers various medications including benzodiazepines and their prescription guidelines. Assess your understanding of the rules surrounding the refill of these controlled substances.