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Prescribing and Prescription Types
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Prescribing and Prescription Types

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@GutsyRoseQuartz8170

Questions and Answers

What is not a type of prescription according to the Public Health Law?

  • An official New York State prescription
  • A handwritten prescription
  • A faxed prescription (correct)
  • An out-of-state prescription

    • When is the use of preprinted prescriptions allowed?

  • When generated by an electronic medical record system (correct)
  • Never, it is always prohibited
  • When it indicates the controlled substance, strength, dosage, and/or quantity
  • When generated by a computer (correct)

    • What must a practitioner do before prescribing a controlled substance to a patient?

  • Consult the prescription monitoring program registry (correct)
  • Check the patient's insurance
  • Call the patient's previous doctor
  • Consult the patient's medical chart

    • How often must a practitioner consult the prescription monitoring program registry?

    <p>Before every prescription</p> Signup and view all the answers

    What type of information must be documented in the patient's medical chart?

    <p>The practitioner's consultation with the prescription monitoring program registry</p> Signup and view all the answers

    What is the purpose of consulting the prescription monitoring program registry?

    <p>To review the patient's controlled substance history</p> Signup and view all the answers

    What is the consequence of not consulting the prescription monitoring program registry?

    <p>The practitioner must document the reason for not consulting the registry</p> Signup and view all the answers

    What schedule of controlled substances requires a practitioner to consult the prescription monitoring program registry?

    <p>Schedules II, III, and IV</p> Signup and view all the answers

    How long is the consultation with the prescription monitoring program registry valid for?

    <p>24 hours</p> Signup and view all the answers

    What is the purpose of the prescription monitoring program registry?

    <p>To review a patient's controlled substance history</p> Signup and view all the answers

    Under which circumstances is a practitioner exempt from consulting the prescription monitoring program registry?

    <p>When the practitioner is dispensing pursuant to public health law section 3351(3)</p> Signup and view all the answers

    What must a practitioner document in the patient's medical chart when consultation of the registry is not performed due to circumstances specified in subparagraph (2)(vii) of this Subdivision?

    <p>The conditions, occurrences, or circumstances that caused consultation to be unreasonable</p> Signup and view all the answers

    Under what circumstances may a practitioner prescribe a controlled substance without consulting the registry?

    <p>When the practitioner is unable to access the registry due to technical issues</p> Signup and view all the answers

    What is the maximum quantity of controlled substance that a practitioner may prescribe without consulting the registry?

    <p>A 5-day supply</p> Signup and view all the answers

    Who is exempt from consulting the prescription monitoring program registry?

    <p>Veterinarians and practitioners dispensing pursuant to public health law section 3351(3)</p> Signup and view all the answers

    What must a practitioner do when the registry is not operational or is temporarily unavailable due to a technological or electrical failure?

    <p>Seek to correct the cause of the failure without undue delay</p> Signup and view all the answers

    On what grounds may the commissioner grant a waiver from the requirement to consult the registry?

    <p>Technological limitations that are not reasonably within the control of the practitioner</p> Signup and view all the answers

    When may a practitioner prescribe a controlled substance without consulting the registry due to circumstances specified in subparagraph (2)(viii) of this Subdivision?

    <p>When consultation of the registry would, as determined by the practitioner, result in a patient's inability to obtain a prescription in a timely manner</p> Signup and view all the answers

    What must a practitioner document in the patient's medical chart when consultation of the registry is not performed due to circumstances specified in subparagraph (2)(viii) of this Subdivision?

    <p>The circumstances supporting the practitioner's conclusion that consultation of the registry would adversely impact the patient's ability to obtain a prescription in a timely manner</p> Signup and view all the answers

    Under what circumstances may a practitioner prescribe a controlled substance to a patient who is under the care of a hospice?

    <p>Without consulting the registry</p> Signup and view all the answers

    What must a practitioner's showing include when applying for a waiver?

    <p>A sworn statement of facts detailing the circumstances in support of a waiver</p> Signup and view all the answers

    What is the maximum period of time for which a waiver can be granted?

    <p>1 year</p> Signup and view all the answers

    When must a practitioner notify the department after gaining the capability to consult the prescription monitoring program registry?

    <p>Within 5 business days</p> Signup and view all the answers

    Who can a practitioner authorize to consult the prescription monitoring program registry on their behalf?

    <p>A designee employed by the same professional practice</p> Signup and view all the answers

    What is a requirement for a designee to access the prescription monitoring program registry?

    <p>The designee must be employed by the same professional practice</p> Signup and view all the answers

    Who is responsible for ensuring that access to the registry by the designee is limited to authorized purposes?

    <p>The practitioner</p> Signup and view all the answers

    What must a pharmacist do upon a designee's relinquishment or termination of employment?

    <p>Notify the department immediately</p> Signup and view all the answers

    Who can a pharmacist designate to consult the prescription monitoring program registry on their behalf?

    <p>Another pharmacist or a pharmacy intern</p> Signup and view all the answers

    What must a designating pharmacist do regarding active designees?

    <p>Select and maintain all active designees in a format acceptable to the department</p> Signup and view all the answers

    What can a pharmacist consult the prescription monitoring program registry to review?

    <p>The controlled substance history of a patient</p> Signup and view all the answers

    What must a designating pharmacist do when a designee's employment or authorization is terminated?

    <p>Immediately notify the department of the revocation of the designee's authorization</p> Signup and view all the answers

    Under what circumstances can a controlled substance prescription be issued prior to the examination of the patient by the practitioner?

    <p>Only in emergency situations where the immediate administration of the drug is necessary</p> Signup and view all the answers

    What must a practitioner consider when determining the frequency and necessity for future examinations prior to prescribing controlled substances?

    <p>The drug to be prescribed and the patient's condition, history, and disposition toward the use of controlled substances</p> Signup and view all the answers

    What must an authorized practitioner do in the temporary absence of the initial prescriber to issue a controlled substance prescription?

    <p>Have direct access to the patient's medical records and document the prescription</p> Signup and view all the answers

    What must a practitioner do if the patient record is not available when issuing a controlled substance prescription?

    <p>Document the activity for their own record and transmit the prescription information to the initial prescriber</p> Signup and view all the answers

    What is an 'emergency' in the context of controlled substance prescribing?

    <p>A situation where the immediate administration of the drug is necessary for the proper treatment of the patient and no alternative treatment is available</p> Signup and view all the answers

    How long can a controlled substance prescription be issued for in an emergency situation?

    <p>Up to 5 days</p> Signup and view all the answers

    What is required if a practitioner prescribes a controlled substance orally in an emergency situation?

    <p>The practitioner must comply with the requirements of section 80.68 and section 80.70 of this Part</p> Signup and view all the answers

    What is the purpose of the rules surrounding controlled substance prescribing?

    <p>To ensure the safe and responsible use of controlled substances</p> Signup and view all the answers

    What is the role of a designating pharmacist in relation to the prescription monitoring program registry?

    <p>To authorize designees to access the registry on the practitioner's behalf</p> Signup and view all the answers

    What is the primary liability for the proper prescribing and dispensing of controlled substances?

    <p>The physician, dentist, podiatrist, veterinarian or other authorized practitioner</p> Signup and view all the answers

    What is the purpose of a prescription according to the Public Health Law?

    <p>To provide medical treatment for legitimate medical purposes only</p> Signup and view all the answers

    What is the consequence of issuing an order to an addict or habitual user of controlled substances?

    <p>Both the person issuing the order and the person filling it are subject to penalties</p> Signup and view all the answers

    What type of prescription is not considered a legitimate prescription?

    <p>A prescription issued to an addict or habitual user of controlled substances for the purpose of providing the user with narcotics or other controlled substances</p> Signup and view all the answers

    Who shares liability with the authorized practitioner for the proper prescribing and dispensing of controlled substances?

    <p>The pharmacist who fills the prescription</p> Signup and view all the answers

    What is the purpose of the rules surrounding controlled substance prescribing?

    <p>To prevent the diversion of controlled substances to illegitimate use</p> Signup and view all the answers

    What is the primary responsibility for the proper prescribing and dispensing of controlled substances?

    <p>The authorized practitioner</p> Signup and view all the answers

    What is the consequence of issuing an order to an addict or habitual user of controlled substances?

    <p>The person issuing and filling the order will be subject to penalties</p> Signup and view all the answers

    What is the purpose of a prescription according to the Public Health Law?

    <p>To issue medications for legitimate medical purposes only</p> Signup and view all the answers

    Who shares liability with the authorized practitioner for the proper prescribing and dispensing of controlled substances?

    <p>The pharmacist</p> Signup and view all the answers

    What is not considered a legitimate prescription?

    <p>A prescription issued to an addict or habitual user of controlled substances</p> Signup and view all the answers

    What is the liability of the pharmacist in relation to controlled substances?

    <p>The pharmacist shares liability with the authorized practitioner</p> Signup and view all the answers

    Study Notes

    Prescribing Controlled Substances

    • A prescription can be an official New York State prescription, electronic prescription, oral prescription, or out-of-state prescription issued by a licensed practitioner.
    • The use of preprinted prescriptions indicating controlled substances, strength, dosage, or quantity is prohibited, except for those generated by a computer or electronic medical record system.

    Consultation of Prescription Monitoring Program Registry

    • Practitioners must consult the prescription monitoring program registry before prescribing or dispensing controlled substances listed on schedules II, III, or IV to review the patient's controlled substance history.
    • The consultation must occur no more than 24 hours prior to prescribing or dispensing, and the practitioner must document the consultation in the patient's medical chart.
    • Exceptions to consultation include:
    • Veterinarians
    • Practitioners dispensing pursuant to public health law section 3351(3)
    • Practitioners administering controlled substances
    • Practitioners prescribing or ordering controlled substances for institutional dispenser patients
    • Practitioners prescribing controlled substances in emergency departments or hospice care
    • Situations where consultation is not reasonably possible or would delay patient care
    • Temporary technological or electrical failures
    • Waivers granted by the commissioner due to technological limitations or exceptional circumstances

    Designees

    • Practitioners can authorize designees to consult the prescription monitoring program registry on their behalf, provided the designee is employed by the same practice, is competent in using the registry, and aware of relevant privacy statutes.
    • The practitioner remains responsible for ensuring authorized access and confidentiality.
    • Designees must be located in New York State when accessing the registry.

    Pharmacist Consultation

    • Pharmacists can consult the prescription monitoring program registry to review controlled substance history before dispensing.
    • Pharmacists can designate other pharmacists or interns to consult the registry on their behalf, provided they are employed by the same pharmacy and located in New York State.

    Issuance of Controlled Substance Prescriptions

    • Controlled substance prescriptions must not be issued prior to patient examination, except in certain circumstances.
    • Practitioners must utilize generally accepted medical standards to determine the frequency and necessity of future examinations before prescribing.
    • In the temporary absence of the initial prescriber, an authorized practitioner can issue a controlled substance prescription for a patient as part of continuing therapy if the practitioner has direct access to the patient's medical records or adequate consultation with the initial prescriber.

    Purpose of a Prescription

    • A prescription must be issued for legitimate medical purposes only to be effective in legalizing the possession of controlled substances.

    Responsibility for Prescribing and Dispensing

    • The responsibility for proper prescribing and dispensing of controlled substances lies with the physician, dentist, podiatrist, veterinarian, or other authorized practitioner.
    • A corresponding liability rests with the pharmacist who fills the prescription.

    Invalid Prescriptions

    • An order issued to an addict or habitual user of controlled substances, not in the course of professional treatment, is not a valid prescription.
    • Such an order is considered invalid if it is intended to provide the user with narcotics or other controlled substances sufficient to maintain their customary use.
    • Both the person issuing such an order and the person filling it are subject to penalties for violating controlled substances laws.

    Purpose of a Prescription

    • A prescription must be issued for legitimate medical purposes only to be effective in legalizing the possession of controlled substances.

    Responsibility for Prescribing and Dispensing

    • The responsibility for proper prescribing and dispensing of controlled substances lies with the physician, dentist, podiatrist, veterinarian, or other authorized practitioner.
    • A corresponding liability rests with the pharmacist who fills the prescription.

    Invalid Prescriptions

    • An order issued to an addict or habitual user of controlled substances, not in the course of professional treatment, is not a valid prescription.
    • Such an order is considered invalid if it is intended to provide the user with narcotics or other controlled substances sufficient to maintain their customary use.
    • Both the person issuing such an order and the person filling it are subject to penalties for violating controlled substances laws.

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    Description

    Learn about the different types of prescriptions, including official New York State prescriptions, electronic prescriptions, oral prescriptions, and out-of-state prescriptions. Understand the rules and regulations surrounding prescribing controlled substances.

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