Pharmacy Schedule II Substances Quiz

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Questions and Answers

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.

Alprazolam, Diazepam, and Clonazepam.

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.

The name and address of the ultimate user, and the practitioner's printed name and DEA registration number. Signup and view all the answers

What is the importance of the practitioner's handwriting on a Schedule II prescription?

It is necessary for verification and prevents fraudulent prescriptions. Signup and view all the answers

When electronic prescriptions are used for Schedule II substances, what compliance must practitioners follow?

They must adhere to all state and federal requirements for electronic prescribing of controlled substances. Signup and view all the answers

What specific information about the ultimate user is required if the user is an animal?

The species of the animal and the name and address of the owner or custodian. Signup and view all the answers

What role does the DEA registration number play in the prescription for Schedule II substances?

It verifies that the practitioner is authorized to prescribe controlled substances. Signup and view all the answers

What electronic action must a pharmacist take if a handwritten notation would be required on a filled prescription?

The pharmacist must make the same notation electronically and retain it in the prescription record. Signup and view all the answers

What must a practitioner indicate on a replacement prescription issued after an electronic transmission failure?

The practitioner must indicate that the original prescription was transmitted electronically, the pharmacy it was sent to, and that the original transmission failed. Signup and view all the answers

Under what condition is an electronic prescription deemed invalid?

An electronic prescription is deemed invalid if any required information is altered during transmission. Signup and view all the answers

What action is required from pharmacists when filling prescriptions under subdivisions (g) or (h)?

Pharmacists must electronically record notations that would be required if the prescription were handwritten. Signup and view all the answers

What is the responsibility of a pharmacy when an electronic prescription is found to be invalid?

The pharmacy may not dispense the controlled substance associated with the invalid prescription. Signup and view all the answers

How does the electronic annotation process impact the overall prescription filling workflow?

It standardizes information retention and ensures that any required notes are preserved regardless of transmission types. Signup and view all the answers

What legal requirement cannot be replaced by an imprinted or stamped name on a prescription?

The requirement for the prescription to be signed by the prescriber. Signup and view all the answers

What specific information must be included concerning dosage on a prescription?

The dosage, frequency of dosage, and maximum daily dosage must be specified. Signup and view all the answers

What is the maximum duration for which a prescription can be issued under specific conditions for a controlled substance?

Up to a three-month supply can be prescribed in certain cases. Signup and view all the answers

How should the quantity of dosage units be indicated on an official New York State prescription?

It must be indicated in both numerical and written word form. Signup and view all the answers

What identifies a prescription as an electronic prescription according to the content?

An electronic signature and transmission by electronic means are required. Signup and view all the answers

What must a practitioner include if prescribing for a patient who is limited English proficient?

They must indicate the preference of language specified by the patient. Signup and view all the answers

Under what condition can a practitioner issue a prescription for a controlled substance exceeding a 30-day supply?

If the patient has a specific medical condition as designated by codes A through F. Signup and view all the answers

What must be specified on a prescription when issuing a multi-month supply under subdivision (d)?

The condition being treated must be specified on the face of the prescription. Signup and view all the answers

What elements must be included in an electronic prescription as per the guidelines?

It must include all requirements listed in subdivisions (b)(1-5) of the content. Signup and view all the answers

What happens if a prescription fails to indicate that a patient is limited English proficient?

Failure to include such indication shall not invalidate the prescription. Signup and view all the answers

What must be included on a prescription to comply with the Public Health Law's section 3332(3)?

The name of the condition or one of the designated codes must be included. Signup and view all the answers

In which circumstances can a prescription for a hospice patient or RHCF patient be transmitted via facsimile?

It can be transmitted if the hospice program or RHCF is licensed, the pharmacy has a contract with them, and the patient status is noted on the prescription. Signup and view all the answers

What is the time frame within which the original prescription must be delivered to the pharmacist after it is transmitted via facsimile?

The original prescription must be delivered within 72 hours. Signup and view all the answers

What should a pharmacist do if they do not receive the original prescription within the specified time frame?

They must notify the Department in writing or electronically within 7 days. Signup and view all the answers

Under what condition can a practitioner orally provide missing information on a prescription?

The practitioner can do this if the prescription is incomplete but not unsigned or undated. Signup and view all the answers

What details are pharmacists not required to obtain authorization from the practitioner for when entering patient information?

They can enter the patient's address, sex, or age through a good-faith effort without authorization. Signup and view all the answers

What changes can a pharmacist make to a prescription based on oral authorization from a practitioner?

The pharmacist can change information except for the practitioner's signature, date, drug name, or name of the ultimate user. Signup and view all the answers

What is required for a pharmacist when they receive oral authorization for changes to a prescription?

The pharmacist must write the date of authorization, the reason for the change, and affix their signature. Signup and view all the answers

What is the significance of identifying a patient as a 'hospice patient' or 'RHCF patient' on a prescription?

It indicates that specific regulatory provisions apply to their care involving controlled substances. Signup and view all the answers

What happens to a prescription for a Schedule II narcotic substance if it is transmitted by facsimile?

The original prescription must still be delivered to the pharmacist within 72 hours of transmission. Signup and view all the answers

Prescriptions for Schedule II substances shall not be ______.

refilled Signup and view all the answers

The printed name of the prescriber must be ______ or stamped legibly on the prescription.

imprinted Signup and view all the answers

Electronic prescriptions for controlled substances must comply with federal ______ for electronic prescribing.

requirements Signup and view all the answers

The prescription must include the name, sex, address, and age of the ______ user.

ultimate Signup and view all the answers

A prescriber must include their Drug Enforcement Administration ______ number on the prescription.

registration Signup and view all the answers

If the ultimate user is an animal, the prescription must also state the ______ of the animal.

species Signup and view all the answers

Prescriptions must be written in ink, indelible pencil, typewriter, or by other ______ means.

electronic Signup and view all the answers

The prescriber’s handwritten signature is required on the ______ for Schedule II substances.

prescription Signup and view all the answers

When a pharmacist fills a prescription under subdivision (g) or (h), they must make a notation electronically when filling an ______ prescription.

electronic Signup and view all the answers

If the content of the information required for a prescription is altered during transmission, the prescription is deemed to be ______.

invalid Signup and view all the answers

A practitioner shall indicate on any written or oral prescription issued as a replacement that the original prescription was transmitted ______.

electronically Signup and view all the answers

In case the electronic prescription is not successfully delivered, the practitioner must specify to which pharmacy the prescription was originally ______.

transmitted Signup and view all the answers

When filling electronic prescriptions, pharmacists must retain annotations ______ in the prescription record.

electronically Signup and view all the answers

The pharmacy may not dispense the controlled substance if the ______ of any required information is altered during transmission.

content Signup and view all the answers

Either the name of the condition or one of the designated ______ shall fulfill the requirement.

codes Signup and view all the answers

The practitioner shall note on the prescription that the patient is a ______ patient or RHCF patient.

hospice Signup and view all the answers

An official New York State prescription or out-of-state written prescription for a Schedule II narcotic substance may be transmitted by ______.

facsimile Signup and view all the answers

The prescribing practitioner shall cause to be delivered to the pharmacist the original official New York State prescription within ______ hours.

72 Signup and view all the answers

The pharmacist shall notify the ______ in writing or electronically within 7 days from the date of dispensing the substance.

Department Signup and view all the answers

A practitioner may orally authorize a pharmacist to change information on an official ______ prescription.

New York State Signup and view all the answers

If the pharmacist fails to receive the prescription, he/she shall notify the Department within ______ days.

7 Signup and view all the answers

This procedure shall not apply to unsigned or ______ prescriptions.

undated Signup and view all the answers

The pharmacist shall write the date he or she received the oral ______ on the prescription.

authorization Signup and view all the answers

Within ______ hours, the prescribing practitioner must deliver the original prescription to the pharmacist.

72 Signup and view all the answers

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 _______.

prescriber Signup and view all the answers

Specific directions for use must include the dosage and frequency of dosage and the maximum daily _______.

dosage Signup and view all the answers

A prescription shall be dated as of, and signed on, the date it is _______.

issued Signup and view all the answers

On an official New York State prescription, the quantity of dosage units prescribed shall be indicated in both numerical and written _______.

word form Signup and view all the answers

A prescription generated on an electronic system and printed out or transmitted via _______ is not an electronic prescription.

facsimile Signup and view all the answers

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.

30-day Signup and view all the answers

A practitioner may issue a prescription for up to a three month supply of a controlled substance, including _ _.

chorionic gonadotropin Signup and view all the answers

The prescription shall specify the _______ being treated on the face of the prescription.

condition Signup and view all the answers

If the patient is limited English proficient, a specification of the preferred language indicated by the _______ must be included.

patient Signup and view all the answers

Failure to include the indication of limited English proficiency shall not _______ the prescription.

invalidate Signup and view all the answers

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.