Prescription and Record-Keeping in Pharmacy

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Questions and Answers

What is the minimum period for which records of prescriptions filled or refilled should be maintained?

10 business days

5 business days (correct)

30 business days

15 business days

Which schedule medications may be maintained separately or stored with other records as long as they are 'readily retrievable'?

Schedule III to V (correct)

Schedule II to IV

Schedule IV to V

Schedule I to III

What is the time frame within which prescription information should be filed electronically with the Bureau of Narcotic Enforcement after the substance was delivered?

96 hours

72 hours

24 hours (correct)

48 hours

What is the purpose of a pharmacist making a good-faith effort to verify the identity of both the practitioner and the ultimate user?

To ensure the validity of the prescription and the patient's medical information Signup and view all the answers

Which type of records do the restrictions on disclosure apply to, in order to ensure the privacy of the patient's medical information?

Part 2-covered records which would identify a specified patient as having or having had a substance use disorder Signup and view all the answers

What should the prescriber's signature validate in a prescription?

The validity of the prescription and the patient's medical information Signup and view all the answers

Which specific section lists the controlled substances for emergency oral prescriptions?

Section 80.67 Signup and view all the answers

What is the duration for which an endorsed prescription should be retained by the proprietor of the pharmacy?

72 hours Signup and view all the answers

What is the main purpose of maintaining records for Schedule III to V medications?

Accurate tracking of controlled substances Signup and view all the answers

What is the period for which prescriptions filled or refilled should be maintained?

At least 5 business days Signup and view all the answers

What should a pharmacist's good-faith effort to verify identity ensure?

The validity of the prescription and the patient's medical information Signup and view all the answers

What is the purpose of maintaining records involving Schedule II medications separately from all other records?

To accurately track controlled substances from initial manufacture to final dispensing Signup and view all the answers

Which of the following must be included in a prescription for a Schedule II substance?

Name and address of the patient, name, address, and DEA registration number of the practitioner, drug name, and dosage form Signup and view all the answers

Why is it important for pharmacies to keep an accurate record of every transaction involving a controlled substance?

To allow for tracking of each controlled substance from initial manufacture to final dispensing Signup and view all the answers

What is the primary purpose of the Federal Controlled Substances Act and state-regulations related to prescription and record-keeping?

To ensure the safe and appropriate use of controlled substances Signup and view all the answers

What is the significance of including the issue date in a prescription for a Schedule II substance?

To prevent backdating of prescriptions Signup and view all the answers

Why does the article emphasize the maintenance of records for Schedule II medications separately from all other records?

To ensure accurate tracking of controlled substances from manufacture to dispensing Signup and view all the answers

What role does an authorized practitioner play in prescribing a Schedule II substance?

Legitimizing the prescription for a medical purpose Signup and view all the answers

What is the primary purpose of DEA registration number in a prescription for a Schedule II substance?

To ensure authorized prescribing of controlled substances by the practitioner Signup and view all the answers

What is the main reason for including the name and address of the patient in a prescription for a Schedule II substance?

For patient identification and record-keeping Signup and view all the answers

How does maintaining records separately for Schedule II medications contribute to patient safety?

By ensuring accurate tracking of controlled substances from manufacture to dispensing Signup and view all the answers

Why is it important for pharmacies to keep accurate records of every transaction involving a controlled substance?

To ensure compliance with state regulations and allow tracking of each controlled substance from initial manufacture to final dispensing Signup and view all the answers

What is the significance of including the dosage form in a prescription for a Schedule II substance?

To ensure correct dispensing and administration of the medication by pharmacists and patients Signup and view all the answers

What is the primary responsibility of a pharmacist in record-keeping for prescriptions of controlled substances?

To verify the identity of the practitioner and the ultimate user Signup and view all the answers

Why does the pharmacist need to verify the identity of both the practitioner and the ultimate user?

To ensure the prescription is valid and accurate Signup and view all the answers

What is the significance of the pharmacist making a good-faith effort to verify identities?

To avoid legal repercussions Signup and view all the answers

In record-keeping for prescriptions of controlled substances, what does 'ultimate user' refer to?

The patient receiving the medication Signup and view all the answers

What is the intended purpose of ensuring the validity of prescriptions and patient's medical information?

To minimize prescription errors Signup and view all the answers

What potential risk is associated with not verifying the identity of the practitioner and the ultimate user?

Increased risk of adverse drug events Signup and view all the answers

How does verifying identities aid in preventing medication-related issues?

By reducing medication non-adherence rates Signup and view all the answers

What could be a consequence of failing to verify the identity of the practitioner and the ultimate user?

'Increased risk of counterfeit medications' Signup and view all the answers

Why is it important for a pharmacist to ensure the validity of prescriptions?

To minimize medication errors Signup and view all the answers

What action should a pharmacist take if they are unable to verify an identity in good faith?

Report to regulatory authorities Signup and view all the answers

Why does verifying identities help in ensuring patient safety?

By minimizing medication errors Signup and view all the answers

How does verifying identities contribute to maintaining regulatory compliance?

By ensuring accurate dispensing procedures Signup and view all the answers

What role does verifying identities play in preventing medication errors?

It minimizes adverse drug reactions Signup and view all the answers

How does verifying identities assist in reducing prescription errors?

By minimizing medication non-adherence rates Signup and view all the answers

Why is it crucial for a pharmacist to make a good-faith effort in verifying identities?

To avoid legal repercussions Signup and view all the answers

Study Notes

The topic of prescription and record-keeping is a key area of pharmacy and medical law. This article will discuss the requirements and restrictions related to prescription and record-keeping for controlled substances, as prescribed by the Federal Controlled Substances Act and state-regulations.

Record-keeping for Schedule II medications:

Records involving Schedule II medications must be maintained separately from all other records to ensure the accurate tracking of controlled substances from initial manufacture to final dispensing. Pharmacies must keep an accurate record of every transaction involving a controlled substance, such as purchasing, receiving, dispensing, or disposal to allow for tracking of each controlled substance from initial manufacture to final dispensing.

Prescription requirements for Schedule II medications:

A prescription for a Schedule II substance must be written for a legitimate medical purpose by an authorized practitioner and must include the issue date, name and address of the patient, name, address, and DEA registration number of the practitioner, drug name, and dosage form to ensure the validity of the prescription.

Record-keeping for Schedule III to V medications:

Records for Schedule III to V medications may either be maintained separately or stored with other records, but there must be some mechanism that allows for them to be "readily retrievable" to ensure the accurate tracking of controlled substances.

Emergency oral prescriptions:

A practitioner may orally prescribe and a pharmacist may dispense, to an ultimate user, controlled substances in Schedule II and those controlled substances listed in section 80.67 of this provided, however, the pharmacist shall make a good-faith effort to verify the identity of both the practitioner and the ultimate user to ensure the validity of the prescription.

Confidentiality of substance use disorder patient records:

The restrictions on disclosure apply to any part 2-covered records which would identify a specified patient as having or having had a substance use disorder to ensure the privacy of the patient's medical information.

Record-keeping for prescriptions filled or refilled:

Records of all prescriptions filled or refilled shall be maintained for a period of at least five (5) business days to ensure the accurate tracking of prescriptions and the patient's medical information.

Record-keeping for prescriptions for controlled substances:

Records of prescriptions for controlled substances shall be maintained pursuant to requirements of the Federal Controlled Substances Act to ensure the accurate tracking of controlled substances and the patient's medical information.

Record-keeping for prescriptions written in this state by a person authorized to issue such prescription:

The prescriber's signature shall validate the prescription to ensure the validity of the prescription and the patient's medical information.

Record-keeping for prescriptions for brand name or its initials:

The prescriber shall inform the patient whether he or she has prescribed a brand name or its initials to ensure the patient's medical information is accurate and the prescription is valid.

Record-keeping for prescriptions for controlled substances in a hospital:

The provisions of this subdivision shall not apply to a hospital as defined in article twenty- to ensure the accurate tracking of prescriptions and the patient's medical information in a hospital.

Record-keeping for prescriptions for controlled substances in a pharmacy:

When administering an injection in a pharmacy, the pharmacist shall provide an area for the injection that provides for the patient's privacy to ensure the patient's privacy and the validity of the prescription.

Record-keeping for prescriptions for controlled substances in a pharmacy:

The pharmacist shall endorse upon the prescription the date of and his/her signature to ensure the validity of the prescription and the patient's medical information.

Record-keeping for prescriptions for controlled substances in a pharmacy:

The endorsed prescription shall be retained by the proprietor of the pharmacy for a period of 72 hours after the substance was delivered to ensure the validity of the prescription and the patient's medical information.

Record-keeping for prescriptions for controlled substances in a pharmacy:

The prescription information shall be filed electronically with the Bureau of Narcotic Enforcement, utilizing a transmission format acceptable to the Department, not later than 24 hours after the substance was delivered to ensure the validity of the prescription and the patient's medical information.

Record-keeping for prescriptions for controlled substances in a pharmacy: