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Questions and Answers
Under what circumstances can a prescription for a controlled substance be transmitted by facsimile?
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?
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?
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?
How long is an authorization for refills effective?
What must the dispensing pharmacist indicate on the prescription when refilling?
What must the dispensing pharmacist indicate on the prescription when refilling?
What is required when refills are recorded in an electronic recordkeeping system?
What is required when refills are recorded in an electronic recordkeeping system?
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?
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?
How often must a pharmacist review and sign the refill information entered into the computer?
How often must a pharmacist review and sign the refill information entered into the computer?
What is the consequence if the pharmacist fails to receive the original prescription within 72 hours?
What is the consequence if the pharmacist fails to receive the original prescription within 72 hours?
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?
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?
What should a pharmacy do when a prescription is received electronically?
What should a pharmacy do when a prescription is received electronically?
What should a pharmacy do in the event of system downtime for controlled substance prescriptions?
What should a pharmacy do in the event of system downtime for controlled substance prescriptions?
What is not a valid prescription for a controlled substance?
What is not a valid prescription for a controlled substance?
What happens when the authorization of a prescription to be refilled expires or reaches the six-month limitation?
What happens when the authorization of a prescription to be refilled expires or reaches the six-month limitation?
What can a practitioner orally furnish to a pharmacist regarding a prescription?
What can a practitioner orally furnish to a pharmacist regarding a prescription?
What should a pharmacist do when receiving oral authorization from a practitioner to enter missing information on a prescription?
What should a pharmacist do when receiving oral authorization from a practitioner to enter missing information on a prescription?
What information cannot be orally authorized by a practitioner for changes to a controlled substance prescription?
What information cannot be orally authorized by a practitioner for changes to a controlled substance prescription?
What should a pharmacist do when filling an electronic prescription that requires a notation under subdivision (l) or (m) of this section?
What should a pharmacist do when filling an electronic prescription that requires a notation under subdivision (l) or (m) of this section?
What should a practitioner do when notified that an electronic prescription was not successfully delivered?
What should a practitioner do when notified that an electronic prescription was not successfully delivered?
What happens if the content of any required information for a controlled substance prescription is altered during electronic transmission?
What happens if the content of any required information for a controlled substance prescription is altered during electronic transmission?
What is the primary requirement for prescribing Schedule III, IV, or V substances in New York State?
What is the primary requirement for prescribing Schedule III, IV, or V substances in New York State?
What is the minimum information required for identifying the ultimate user on a prescription for a controlled substance?
What is the minimum information required for identifying the ultimate user on a prescription for a controlled substance?
What is the primary requirement for an electronic prescription of a controlled substance?
What is the primary requirement for an electronic prescription of a controlled substance?
What is the purpose of the prescriber's printed name on the prescription form?
What is the purpose of the prescriber's printed name on the prescription form?
What is the significance of the prescriber's handwritten signature on the prescription?
What is the significance of the prescriber's handwritten signature on the prescription?
What information is required for an animal as the ultimate user on a prescription?
What information is required for an animal as the ultimate user on a prescription?
What is the primary requirement for a prescription generated on an electronic system?
What is the primary requirement for a prescription generated on an electronic system?
What is the purpose of the prescriber's DEA registration number on the prescription?
What is the purpose of the prescriber's DEA registration number on the prescription?
What is an exception to the rule that a prescription cannot be made for a quantity of substances exceeding a 30-day supply?
What is an exception to the rule that a prescription cannot be made for a quantity of substances exceeding a 30-day supply?
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?
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?
What is the purpose of the section on the prescription for indicating whether an individual is limited English proficient?
What is the purpose of the section on the prescription for indicating whether an individual is limited English proficient?
What is the maximum amount of time a practitioner can prescribe a controlled substance for?
What is the maximum amount of time a practitioner can prescribe a controlled substance for?
What must be specified on the face of the prescription for certain conditions?
What must be specified on the face of the prescription for certain conditions?
What is the purpose of the code on the prescription?
What is the purpose of the code on the prescription?
What is required for an electronic prescription?
What is required for an electronic prescription?
What is the consequence of not including the indication of limited English proficiency on the prescription?
What is the consequence of not including the indication of limited English proficiency on the prescription?
What is the purpose of the date on the prescription?
What is the purpose of the date on the prescription?
What is the requirement for refilling a prescription for a controlled substance?
What is the requirement for refilling a prescription for a controlled substance?
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.
