Schedules III, IV, and V Controlled Substances

Questions and Answers

Under what circumstances can a prescription for a controlled substance be transmitted by facsimile?

If the dispensing pharmacy has a written agreement with the practitioner, but not with the hospice program or RHCF

If the practitioner is authorized by the Department to transmit prescriptions by facsimile

For any patient in a licensed or approved hospice program or RHCF (correct)

Only for patients residing in a RHCF, but not in a hospice program

What must the prescribing practitioner do within 72 hours of transmitting a prescription by facsimile?

Confirm with the pharmacist that the prescription has been received

Notify the Department that the prescription has been transmitted

Verify the patient's identity with the hospice program or RHCF

Cause the original prescription to be delivered to the pharmacist (correct)

How many times can a prescription for a Schedule III, IV, or V controlled substance be refilled?

Only once, unless authorized by the prescriber

An unlimited number of times, as long as the prescriber authorizes it

No more than three times, regardless of the prescriber's authorization

Up to five times, unless authorized for more by the prescriber (correct)

How long is an authorization for refills effective?

Six months from the date the prescription is signed Signup and view all the answers

What must the dispensing pharmacist indicate on the prescription when refilling?

The amount dispensed, the date dispensed, and the signature of the dispensing pharmacist Signup and view all the answers

What is required when refills are recorded in an electronic recordkeeping system?

The computer application must provide online retrieval of original prescription information Signup and view all the answers

What must the dispensing pharmacist do each time an official New York State prescription or an out-of-state written prescription for a Schedule III, IV, or V controlled substance is refilled?

Document that the refill information entered into the computer has been reviewed and is correct Signup and view all the answers

How often must a pharmacist review and sign the refill information entered into the computer?

Each time a prescription is refilled Signup and view all the answers

What is the consequence if the pharmacist fails to receive the original prescription within 72 hours?

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

Under what circumstances can a prescription for a controlled substance be refilled earlier than seven days prior to the date the previously dispensed supply would be exhausted?

If authorized by the prescriber Signup and view all the answers

What should a pharmacy do when a prescription is received electronically?

Retain the prescription and all required annotations electronically only. Signup and view all the answers

What should a pharmacy do in the event of system downtime for controlled substance prescriptions?

Employ a procedure to document refills that ensures authorization by the original prescription. Signup and view all the answers

What is not a valid prescription for a controlled substance?

A prescription with a pharmacy prescription number only. Signup and view all the answers

What happens when the authorization of a prescription to be refilled expires or reaches the six-month limitation?

The practitioner must execute a new prescription if they want the medication to be continued. Signup and view all the answers

What can a practitioner orally furnish to a pharmacist regarding a prescription?

The missing information on an incomplete prescription. Signup and view all the answers

What should a pharmacist do when receiving oral authorization from a practitioner to enter missing information on a prescription?

Write the date of receipt of the oral authorization on the prescription and affix their signature. Signup and view all the answers

What information cannot be orally authorized by a practitioner for changes to a controlled substance prescription?

The practitioner's signature and date. Signup and view all the answers

What should a pharmacist do when filling an electronic prescription that requires a notation under subdivision (l) or (m) of this section?

Make the notation electronically and retain it in the prescription record. Signup and view all the answers

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

Issue a written or oral prescription as a replacement, indicating the original pharmacy and transmission failure. Signup and view all the answers

What happens if the content of any required information for a controlled substance prescription is altered during electronic transmission?

The prescription is deemed invalid and cannot be dispensed. Signup and view all the answers

What is the primary requirement for prescribing Schedule III, IV, or V substances in New York State?

The prescription must be issued in good faith and in the course of the practitioner's professional practice. Signup and view all the answers

What is the minimum information required for identifying the ultimate user on a prescription for a controlled substance?

Name, address, and age Signup and view all the answers

What is the primary requirement for an electronic prescription of a controlled substance?

The practitioner must comply with federal requirements for electronic prescribing of controlled substances. Signup and view all the answers

What is the purpose of the prescriber's printed name on the prescription form?

To provide a clear and legible record of the prescriber's signature Signup and view all the answers

What is the significance of the prescriber's handwritten signature on the prescription?

It authenticates the prescription and confirms the prescriber's identity Signup and view all the answers

What information is required for an animal as the ultimate user on a prescription?

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

What is the primary requirement for a prescription generated on an electronic system?

It must be printed out and manually signed Signup and view all the answers

What is the purpose of the prescriber's DEA registration number on the prescription?

To authenticate the prescription Signup and view all the answers

What is an exception to the rule that a prescription cannot be made for a quantity of substances exceeding a 30-day supply?

Panic disorders Signup and view all the answers

What is required on an official New York State prescription for the quantity of dosage units and the number of times the prescription may be refilled?

Both numerical and written word form Signup and view all the answers

What is the purpose of the section on the prescription for indicating whether an individual is limited English proficient?

To specify the preferred language of the patient Signup and view all the answers

What is the maximum amount of time a practitioner can prescribe a controlled substance for?

90 days Signup and view all the answers

What must be specified on the face of the prescription for certain conditions?

The condition being treated Signup and view all the answers

What is the purpose of the code on the prescription?

To denote the condition being treated Signup and view all the answers

What is required for an electronic prescription?

An electronic signature Signup and view all the answers

What is the consequence of not including the indication of limited English proficiency on the prescription?

None of the above Signup and view all the answers

What is the purpose of the date on the prescription?

To indicate when the prescription was issued Signup and view all the answers

What is the requirement for refilling a prescription for a controlled substance?

The patient must exhaust all previous prescriptions Signup and view all the answers

Study Notes

Schedule III, IV, and V Substances

Substances in schedules III, IV, and V must be prescribed by a practitioner on an official New York State prescription or an electronic prescription in good faith and in the course of their professional practice.

Prescription Requirements

A prescription must contain the following information:
- Name, address, and age of the ultimate user or, if the ultimate user is an animal, the species and the name and address of the owner or person in custody.
- The printed name, address, DEA registration number, telephone number, and handwritten or electronic signature of the prescribing practitioner.
- Specific directions for use, including dosage and frequency of dosage and maximum daily dosage.
- Date of issuance and signature of the prescribing practitioner.
- Quantity of dosage units prescribed and the number of times the prescription may be refilled.
- Section for indicating limited English proficiency and preferred language.

Electronic Prescriptions

Electronic prescriptions must contain the same requirements as above, with an electronic signature and transmission by electronic means.
The electronic signature must meet the signature requirements of subdivision (b)(2).

Quantity and Refills

Prescriptions shall not be made for a quantity exceeding a 30-day supply, unless:
- The prescription is for the treatment of specific conditions (panic disorders, attention deficit disorder, chronic debilitating neurological conditions, pain relief, narcolepsy, or hormone deficiency states).
- The prescription specifies the condition being treated and contains a code or name of the condition.
Prescriptions for up to a three-month supply may be issued for the above conditions, with specific codes and requirements.
Refills are allowed, but not more than the number of times specifically authorized by the prescriber, and not more than five refills.
Refills must be recorded, with indication of the amount dispensed, date dispensed, and signature of the dispensing pharmacist.

Special Cases

Hospice patients and patients in Residential Health Care Facilities (RHCF) may have prescriptions transmitted by facsimile, with specific requirements and agreements.
Prescriptions for Schedule III, IV, or V controlled substances to be compounded for direct administration may be transmitted by facsimile, with specific requirements.

Refill and Authorization

Refills must be authorized by the prescriber, and not more than five refills are allowed.
Refills may only be made within six months from the date the prescription was signed.
The dispensing pharmacist shall indicate on the prescription the amount dispensed, date dispensed, and signature.
Online retrieval of original prescription information and refill history is required for electronic recordkeeping systems.

Incomplete Prescriptions

Incomplete prescriptions may be completed orally by the practitioner, with specific requirements and procedures.
The pharmacist shall write the date received, oral authorization, and signature on the prescription.

Changes to Prescriptions

A practitioner may orally authorize a pharmacist to change information on a controlled substance prescription, with specific procedures and requirements.

Electronic Prescription Annotations

When a pharmacist fills an electronic prescription, the annotation must be retained electronically in the prescription record.

Failed Electronic Prescriptions

If an electronic prescription is not successfully delivered, the practitioner shall ensure that any replacement prescription indicates that the original prescription was transmitted electronically.

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Description

This quiz covers the prescription requirements for Schedule III, IV, and V controlled substances in the state of New York.