Schedule II Substances
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Questions and Answers

Which of the following substances is not listed in Schedule II?

  • Alprazolam
  • Chlorpromazine (correct)
  • Delorazepam
  • Clonazepam
  • What is the primary method of writing prescriptions for Schedule II substances?

  • Pencil or pen
  • Typewriter
  • Ink or indelible pencil (correct)
  • Electronic means
  • Who must sign the prescription for a Schedule II substance?

  • The prescribing practitioner (correct)
  • The owner of the animal
  • The pharmacist
  • The ultimate user
  • What information must be included on the prescription for a Schedule II substance?

    <p>The name and address of the prescribing practitioner</p> Signup and view all the answers

    What is the requirement for the prescriber's signature on the prescription?

    <p>It must be handwritten</p> Signup and view all the answers

    Can electronic prescriptions be used for Schedule II substances?

    <p>Yes, if the practitioner complies with all other requirements</p> Signup and view all the answers

    What information must be included on the prescription for a Schedule II substance intended for an animal?

    <p>The species of the animal</p> Signup and view all the answers

    Where must the printed name of the prescriber appear on the prescription?

    <p>In an appropriate location on the prescription form</p> Signup and view all the answers

    What is the purpose of the imprinted or stamped name on a prescription?

    <p>To fulfill the legal requirement of a prescriber's signature</p> Signup and view all the answers

    What is the requirement for the quantity of dosage units on an official New York State prescription?

    <p>Indicate in both numerical and written word form</p> Signup and view all the answers

    What is the exception to the 30-day supply rule for controlled substances?

    <p>For the treatment of certain conditions specified in the law</p> Signup and view all the answers

    What is the requirement for the electronic signature on an electronic prescription?

    <p>It must be electronic and meet the signature requirements</p> Signup and view all the answers

    What is the consequence of a prescriber failing to indicate a patient's limited English proficiency on the prescription?

    <p>The prescription is valid and enforceable, and there is no consequence</p> Signup and view all the answers

    What is the requirement for the date on a prescription?

    <p>The date it was issued</p> Signup and view all the answers

    What is the requirement for a prescription generated on an electronic system and printed out or transmitted via facsimile?

    <p>It is a manual prescription and must be manually signed</p> Signup and view all the answers

    What is the maximum supply of a controlled substance that can be prescribed for the treatment of panic disorders?

    <p>90 days</p> Signup and view all the answers

    What is the requirement for the practitioner issuing a prescription for a controlled substance for a period exceeding 30 days?

    <p>The practitioner must specify the condition being treated on the face of the prescription</p> Signup and view all the answers

    What is the purpose of the code on a prescription for a controlled substance exceeding 30 days?

    <p>To denote the condition being treated</p> Signup and view all the answers

    What notation must a pharmacist make electronically when filling an electronic prescription under subdivision (g) or (h) of this section?

    <p>The same notation as if the prescription were written</p> Signup and view all the answers

    What should a practitioner do when notified that an electronic prescription was not successfully delivered?

    <p>Indicate on the replacement prescription that the original transmission failed</p> Signup and view all the answers

    What happens if the content of an electronic prescription is altered during transmission?

    <p>The prescription is deemed to be invalid and the pharmacy may not dispense the controlled substance</p> Signup and view all the answers

    Under which subdivisions of this section must a pharmacist make a notation electronically when filling an electronic prescription?

    <p>Subdivisions (g) and (h) of this section</p> Signup and view all the answers

    What information must a practitioner indicate on a replacement prescription when the original electronic prescription was not successfully delivered?

    <p>That the prescription was originally transmitted electronically, to which pharmacy the prescription was originally transmitted, and that the original transmission failed</p> Signup and view all the answers

    What is the consequence for a pharmacy if an electronic prescription is deemed to be invalid?

    <p>The pharmacy may not dispense the controlled substance</p> Signup and view all the answers

    What is the purpose of enumerating certain conditions by the regulations of the commissioner?

    <p>To warrant the prescribing of greater than a 30 days' supply of a controlled substance</p> Signup and view all the answers

    Under what circumstances can a practitioner transmit a prescription to a dispensing pharmacy by facsimile?

    <p>For patients enrolled in a hospice program or residing in a Residential Health Care Facility (RHCF)</p> Signup and view all the answers

    What is the timeframe for the prescribing practitioner to deliver the original prescription to the pharmacist after transmitting it by facsimile?

    <p>72 hours</p> Signup and view all the answers

    What information can a pharmacist enter on a prescription without oral authorization from the practitioner?

    <p>The patient's sex or age</p> Signup and view all the answers

    When can a practitioner orally authorize a pharmacist to change information on a prescription?

    <p>For changes to the quantity of the controlled substance, but not the drug name or practitioner's signature</p> Signup and view all the answers

    What must the pharmacist do when a prescription is incomplete?

    <p>Contact the practitioner to obtain the missing information</p> Signup and view all the answers

    What is the purpose of the requirement for the practitioner to note the patient's status as a 'hospice patient' or 'RHCF patient' on the prescription?

    <p>To facilitate the transmission of prescriptions by facsimile</p> Signup and view all the answers

    What is the consequence if the pharmacist fails to receive the original prescription within 72 hours of dispensing the controlled substance?

    <p>The pharmacist must notify the Department in writing or electronically</p> Signup and view all the answers

    What is the significance of the Department's approval or licensing of the hospice program or RHCF?

    <p>It is required for the transmission of prescriptions by facsimile</p> Signup and view all the answers

    What is the purpose of the requirement for the practitioner to cause the original prescription to be delivered to the pharmacist?

    <p>To verify the authenticity of the facsimile prescription</p> Signup and view all the answers

    Study Notes

    Schedule II Substances

    • The following substances are listed under Schedule II:
      • Alprazolam
      • Bromazepam
      • Camazepam
      • Chlordiazepoxide
      • Clobazam
      • Clonazepam
      • Clorazepate
      • Clotiazepam
      • Cloxazolam
      • Delorazepam
      • Diazepam
      • Estazolam
      • Ethyl Loflazepate
      • Fludiazepam
      • Flunitrazepam
      • Flurazepam
      • Halazepam
      • Haloxazolam
      • Ketazolam
      • Loprazolam
      • Lorazepam
      • Lormetazepam
      • Medazepam
      • Midazolam
      • Nimetazepam
      • Nitrazepam
      • Nordiazepam
      • Oxazepam
      • Oxazolam
      • Pinazepam
      • Prazepam
      • Quazepam
      • Temazepam
      • Tetrazepam
      • Triazolam

    Prescription Requirements

    • Prescriptions for Schedule II substances must be written with ink, indelible pencil, typewriter, or by other electronic means approved by the department.
    • The prescription must be signed by the practitioner.
    • Electronic prescriptions may be created, signed, and transmitted electronically, but must comply with all other requirements for issuing a prescription for a controlled substance.
    • The prescription must contain the following information:
      • Name, sex, address, and age of the ultimate user (or species of animal and name and address of the owner if the ultimate user is an animal)
      • Printed name, address, DEA registration number, telephone number, and handwritten signature of the prescribing practitioner
      • Specific directions for use, including dosage and frequency of dosage, and maximum daily dosage
      • Date upon which the prescription was prepared and signed by the prescribing practitioner
      • Quantity of dosage units prescribed
      • An electronic signature that meets the signature requirements

    Prescription Limitations

    • Except as provided for in subdivision (d), prescriptions for Schedule II substances may not be made for a quantity that would exceed a 30-day supply.
    • No additional prescriptions may be issued to an ultimate user within 30 days of a previous prescription unless the user has exhausted all but a 7-day supply of the controlled substance.
    • A practitioner may issue a prescription for up to a 3-month supply of a controlled substance for certain specified conditions (e.g. panic disorders, attention deficit disorder, chronic debilitating neurological conditions, etc.).

    Facsimile Transmission

    • Official New York State prescriptions or out-of-state written prescriptions for hospice patients or patients residing in a Residential Health Care Facility (RHCF) may be transmitted by facsimile to the dispensing pharmacy.
    • The practitioner must note on the prescription that the patient is a hospice patient or RHCF patient.
    • The original prescription must be delivered to the pharmacist within 72 hours.

    Missing Information

    • If a prescription is incomplete, the practitioner may orally furnish the missing information to the pharmacist and authorize them to enter the information on the prescription.
    • The pharmacist must write the date they received the oral authorization on the prescription and affix their signature.

    Changes to Prescriptions

    • A practitioner may orally authorize a pharmacist to change information on a prescription, but this does not apply to the practitioner's signature, date, drug name, or name of the ultimate user.
    • The pharmacist must write the date they received the oral authorization on the prescription, the reason for the change, and their signature.

    Electronic Prescriptions

    • When a pharmacist fills a prescription under subdivision (g) or (h), they must make the same notation electronically as they would on a written prescription.
    • If a practitioner is notified that an electronic prescription was not successfully delivered, they must indicate on any replacement prescription that the original transmission failed.

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    Description

    This quiz covers the list of substances categorized under Schedule II, including various benzodiazepines and other drugs. Test your knowledge of these controlled substances.

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