Questions and Answers
Under what circumstances can a prescription for a controlled substance be transmitted by facsimile?
What must the prescribing practitioner do within 72 hours of transmitting a prescription by facsimile?
How many times can a prescription for a Schedule III, IV, or V controlled substance be refilled?
How long is an authorization for refills effective?
Signup and view all the answers
What must the dispensing pharmacist indicate on the prescription when refilling?
Signup and view all the answers
What is required when refills are recorded in an electronic recordkeeping system?
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?
Signup and view all the answers
How often must a pharmacist review and sign the refill information entered into the computer?
Signup and view all the answers
What is the consequence if the pharmacist fails to receive the original prescription within 72 hours?
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?
Signup and view all the answers
What should a pharmacy do when a prescription is received electronically?
Signup and view all the answers
What should a pharmacy do in the event of system downtime for controlled substance prescriptions?
Signup and view all the answers
What is not a valid prescription for a controlled substance?
Signup and view all the answers
What happens when the authorization of a prescription to be refilled expires or reaches the six-month limitation?
Signup and view all the answers
What can a practitioner orally furnish to a pharmacist regarding a 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?
Signup and view all the answers
What information cannot be orally authorized by a practitioner for changes to a controlled substance prescription?
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?
Signup and view all the answers
What should a practitioner do when notified that an electronic prescription was not successfully delivered?
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?
Signup and view all the answers
What is the primary requirement for prescribing Schedule III, IV, or V substances in New York State?
Signup and view all the answers
What is the minimum information required for identifying the ultimate user on a prescription for a controlled substance?
Signup and view all the answers
What is the primary requirement for an electronic prescription of a controlled substance?
Signup and view all the answers
What is the purpose of the prescriber's printed name on the prescription form?
Signup and view all the answers
What is the significance of the prescriber's handwritten signature on the prescription?
Signup and view all the answers
What information is required for an animal as the ultimate user on a prescription?
Signup and view all the answers
What is the primary requirement for a prescription generated on an electronic system?
Signup and view all the answers
What is the purpose of the prescriber's DEA registration number on 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?
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?
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?
Signup and view all the answers
What is the maximum amount of time a practitioner can prescribe a controlled substance for?
Signup and view all the answers
What must be specified on the face of the prescription for certain conditions?
Signup and view all the answers
What is the purpose of the code on the prescription?
Signup and view all the answers
What is required for an electronic prescription?
Signup and view all the answers
What is the consequence of not including the indication of limited English proficiency on the prescription?
Signup and view all the answers
What is the purpose of the date on the prescription?
Signup and view all the answers
What is the requirement for refilling a prescription for a controlled substance?
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.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers the prescription requirements for Schedule III, IV, and V controlled substances in the state of New York.