Law Exam Controlled Substances

Front 1

Amphetamine

Back 1

Adderall C-II

Front 2

Codeine

Back 2

C-II

Front 3

Fentanyl

Back 3

Duragesic C-II

Front 4

Meperidine

Back 4

Demerol C-II

Front 5

Methylphenidate

Back 5

Concerta, Ritalin C-II

Front 6

Opium

Back 6

C-II

Front 7

Oxycodone + acetaminophen

Back 7

Percocet, Roxicet, Tylox C-II

Front 8

Cocaine

Back 8

C-II

Front 9

Dextroamphetamine

Back 9

Dexedrine C-II

Front 10

Hydromorphone

Back 10

Dilaudid, Palladone C-II

Front 11

Methadone

Back 11

Dolophine C-II

Front 12

Morphine

Back 12

MS Contin, Roxanol C-II

Front 13

Oxycodone

Back 13

Oxycontin C-II

Front 14

Oxycodone + acetylsalicyclic acid

Back 14

Percodan C-II

Front 15

methamphetamine

Back 15

Desoxyn C-II

Front 16

Butorphanol

Back 16

Stadol C-IV

Front 17

Eszoplicone

Back 17

Lunesta C-IV

Front 18

Pregabalin

Back 18

Lyrica C-IV

Front 19

Zolpidem

Back 19

Ambien C-IV

Front 20

Dichloralphenazone

Back 20

Midrin C-IV

Front 21

Phenobarbital

Back 21

C-IV

Front 22

Zaleplon

Back 22

Sonata C-IV

Front 23

Alprazolam

Back 23

Xanax C-IV

Front 24

Clonazepam

Back 24

Klonopin C-IV

Front 25

Estazolam

Back 25

ProSom C-IV

Front 26

Temazepam

Back 26

Restoril C-IV

Front 27

Chlordiazepoxide

Back 27

Librium C-IV

Front 28

Diazepam

Back 28

Valium C-IV

Front 29

Lorazepam

Back 29

Ativan C-IV

Front 30

Trizolam

Back 30

Halcion C-IV

Front 31

Acetaminophen + hydrocodone

Back 31

Vicodin, Lorcet, Lortab, Zydone C-III

Front 32

Acetaminophen + codeine

Back 32

Tylenol w/ codeine C-III

Front 33

Methyltestosterone

Back 33

C-III

Front 34

Paregoric

Back 34

C-III

Front 35

Testosterone

Back 35

C-III

Front 36

Acetylsalicycic acid + codeine

Back 36

Empirin w/ codeine C-III

Front 37

Hydrocodone + chlorpheniramine

Back 37

Tussionex suspension C-III

Front 38

Nandrolone

Back 38

C-III

Front 39

Stanozolol

Back 39

C-III

Front 40

What class schedule has a high potential for abuse which may lead to severe psychological or physical dependence? (assuming there is a medical use in the US)

Back 40

C-II

Front 41

Which class schedule has a moderate or low physical dependence or high psychological dependence?

Back 41

C-III

Front 42

Which class schedule have a low potential for abuse and limited physical or psychological dependence?

Back 42

C-IV or C-V

Front 43

In SD, there are only C-I through C-IV? True or False

Back 43

True

Front 44

Title II refers to Act?

Back 44

Federal Controlled Substances Act

Front 45

What agency enforces the CSA?

Back 45

DEA

Front 46

What does DEA stand for?

Back 46

Drug Enforcement Administration

Front 47

As long as the pharmacy does not distribute more than 5% of its controlled substances doses in one year, they do not have to register as a distributor with the DEA? True or False

Back 47

True

Front 48

In regards to distribution, does strength of the Rx or name of distributing pharmacy have to be on the records heading to the receiving pharmacy? page 58

Back 48

Strength needs to be there if there is more than one strength. Distributing pharmacy's name must be on the receiving pharmacy's records.

Front 49

Why would a pharmacy transfer its registration with the DEA to another pharmacy? page 59

Back 49

Another pharmacy might be buying it

Front 50

Unless being used in research, a typical pharmacist should not order or receive a C-I? True or False

Back 50

True

Front 51

Who specifically can fill out a DEA form-222?

Back 51

One person fills out the application for a pharmacy to be registered with the DEA - it might be the pharmacy manager, someone at the home office, a hospital adminstrator, etc. Those are the only people who can fill out the form except the others whom that person gives the power of attorney to fill out the form.

Front 52

Supplier has 60 days to fill order from the time of issuance? True or False

Back 52

True

Front 53

On page 65, what does it mean that inventory should be a concerted process?

Back 53

It shouldn't be done whenever there is a down time at the pharmacy - they should get it done right away at the beginning of the day or at the end of the day

Front 54

Who is the head of the Department of Justice and what is that person's title?

Back 54

Eric Holder is the Attorney General of the US

Front 55

What federal department is the DEA part of?

Back 55

DEA is an agency within the Department of Justice

Front 56

How do drugs become controlled substances?

Back 56

When the US attorney general(Eric Holder) decides it should be so...1. a hearing takes place 2. Eric hears from Kathleen Sebelius(Secretary of HHS) opinions in regards to the scientific and medical evaluation. She then recommends as to whether it should be controlled 3. Eric considers the MOA, abuse factors, history, risk of public health and dependence issues 4. Eric is bound by recommendations of secretary(meaning he can take or leave the recommendations)

Front 57

What is coincident activity?

Back 57

Distribution of less than 5% of a pharmacy's total controlled substances doses in a year...pharmacy does not have to register as a distributor with the DEA

Front 58

How long should controlled substances records be kept? (all classes)

Back 58

2 years

Front 59

Is the DEA form-222 a duplicate form?

Back 59

No its a triplicate form with a carbon copy in the middle

Front 60

Should a C-II Rx every have a red C on it?

Back 60

I would say no, because the C-II are stored and kept separate and locked away from all others

Front 61

Inventories occur how often?

Back 61

Once when the pharmacy opens and every two years afterwards

Front 62

Records of inventories should be kept how long?

Back 62

2 years (the records should contain the name, address and DEA # of pharmacy, plus the actual date of inventory)

Front 63

C-II records are kept by themselves? True or False

Back 63

True

Front 64

Where can C-III and C-IV records be kept?

Back 64

They can be kept separately or with non-controlled Rx records, the main thing is that they should be readily retrievable

Front 65

How does a physician go about obtaining controlled substances for office use?

Back 65

A physician must be authorized by the state, CSA or might be exempt through the military(working at a VA). Registered with the DEA and uses DEA form-222, creates invoices and has controlled substances records as like any other pharmacy for 2 years.

Front 66

Controlled Rx's must be written in...?

Back 66

Must be typed, ink or indelible pencil(non-erasable)

Front 67

What information(federally) must be on a controlled Rx?

Back 67

Name & address of pharmacy and prescriber, DEA # of prescriber, date of issuance, signature of prescriber

Front 68

What information(federally) must be on a controlled Rx label?

Back 68

Patients name, Sig, name and address of pharmacy, date of dispersal, Rx #, Doctor's name, transfer warning for C-II, C-III and C-IV

Front 69

Transfer warnings on Rx labels are only required for what classes?

Back 69

C-II, C-III and C-IV

Front 70

Written Rx's must be signed on the date of issuance? True or false?

Back 70

True

Front 71

Is a MD allowed to sign his name on a blank prescription pad for pharmacists to fill out?

Back 71

No

Front 72

Anyone can communicate an Rx that a doctor has written over the phone, but you should probably verify and use your best judgement on the situation. True or false

Back 72

True

Front 73

May an agent phone in a C-II Rx?

Back 73

No, only the doctor/prescriber

Front 74

BNDD stands for what?

Back 74

Bureau of Narcotics and Dangerous Drugs

Front 75

DEA replaced the BNDD? True or False

Back 75

True

Front 76

What is paregoric(a C-III) used for?

Back 76

medication known for its antidiarrheal, antitussive, and analgesic effects

Front 77

Under the Harrison Narcotic Act, what class of drugs were exempt from taxation, making them in some states able to be dispensed without an Rx?

Back 77

C-V

Front 78

If the Attorney General finds a drug is a public safety issue, he may temporarily place the drug in the C-I class without consulting the secretary of the HHS. True or False

Back 78

True

Front 79

How often do manufacturers and distributors register with the DEA to handle controlled Rx's?

Back 79

Annually

Front 80

How often do dispensers register with the DEA to handle controlled Rx's?

Back 80

every 3 years

Front 81

Who or what are considered dispensers?

Back 81

Physicians, Pharmacies, Dentists, Vets

Front 82

If a pharmacy wants to transfer its registration to another pharmacy, it must send considerable information to the DEA at least how many days in advance?

Back 82

14 days prior to the transfer

Front 83

MAR stands for?

Back 83

Medication Administration Record = hospital patient's chart

Front 84

Are dittos allowed on the form-222?

Back 84

No

Front 85

Form 222 is only for?

Back 85

C-I and C-II drugs

Front 86

When you are electronically ordering C-I or C-II's, what other Rx's can you also include?

Back 86

Everything else can be included in an electronic order, but the supplier must forward a copy to the DEA

Front 87

C-V OTC substance records must be kept in a bound record book? True or False

Back 87

True

Front 88

When there is a biennial inventory, do you have to have an exact count on all controlled substances?

Back 88

No, only have to have an exact count of C-II’s. C-III – C-V’s don’t have to have an exact count unless the bottle contains > 1000 dosage units(then the count would have to be exact).

Front 89

When there is Central record keeping, what 3 things still must be kept at a pharmacy?

Back 89

DEA-222 forms, prescriptions and inventory records

Front 90

Who decides on whether an MD can prescribe a controlled Rx?

Back 90

The state, CSA or exempt through the military

Front 91

When a doctor prescribes a Rx, what should the doctor abide by?

Back 91

Prescribe the Rx for a legitimate medical purpose and act within his scope of practice

Front 92

When a C-III, C-IV and C-V is faxed, should it be verified?

Back 92

Yes

Front 93

When a C-II is faxed, original Rx must be presented when the prescription is dispensed except in what circumstances?

Back 93

Narcotics for direct administration by parenteral, IV, IM, subQ or intraspinal infusion is considered orginal Rx. C-II’s for long-term or hospice patients.

Front 94

Prescription label requirements:

Back 94

Name and address of pharmacy
Rx #
Date of dispersal
Patient’s and doctor’s name
Sig
Transfer warning for all but C-V’s

Front 95

Institutions are exempt from labeling requirements to inpatients if:

Back 95

1. no more than a 7-day supply
2. nor more than a 34 day supply or 100 dosage units for C-III’s and C-IV’s only
3. patient doesn’t have Rx prior to administration
4. appropriate identification and security system in place

Front 96

If a patient leaves the hospital(outpatient), what are the labeling requirements of that Rx? The Joint Commision(JCAHO) requires this

Back 96

Must have patients name, pharmacy phone #, amount dispensed and pharmacist’s initials

Front 97

For computerized pharmacies, the printout of all controlled substances for new and refill Rx’s must be signed, verified and dated by the pharmacist in how much time?

Back 97

72 hours

Front 98

For the requirements of an emergency situation to fill a C-II, what quantity can be dispensed? Who can orally call in the emergency C-II?

Back 98

Whatever quantity is needed for that emergency period only, only the prescriber can call the Rx in

Front 99

For an emergency C-II called in, how long does the prescriber have to write out the Rx as phoned in?

Back 99

7 days or else the pharmacist must notify the DEA

Front 100

Can C-II’s be refilled?

Back 100

no

Front 101

A prescriber can write multiple C-II Rx for the same drug at one time for up to a 90-day supply if he includes earliest date a pharmacy may dispense the next Rx?
True or False

Back 101

True

Front 102

What are the partial filling rules for C-II’s?

Back 102

Partial filling should only be done if pharmacy is unable to supply the full amount, pharmacist suspects the Rx to not be legitimate, or the patient only wants a few to try it out. Pharmacist must note and date the quantity dispensed and the remaining quantity left to be given to the patient. The remainder of the Rx must be filled in 72 hours, if it can’t be filled, should notify doctor because a new Rx will have to be written.

Front 103

What are the partial filling rules of C-II’s for terminally Ill patients in hospitals?

Back 103

State on the Rx if pt is terminally ill, partial filling of C-II's up to 60 days total or total quantity prescribed. Partial fillings must be recorded and include quantity remaining

Front 104

What are the 3 things a pharmacist is never allowed to change on an Rx?

Back 104

Patients name, QTY prescribed and prescriber’s signature

Front 105

There is no time limit for C-II’s and C-V’s by which a new Rx must be filled? True or False

Back 105

True

Front 106

Even though it is illegal for the pharmacist to add strength, Sig or QTY allotted to an Rx that a doctor forgot to fill-in, Helgeland recommends calling the doctor to verify this because the DEA is allowing it for the most part? T or F

Back 106

True

Front 107

For C-III’s and C-IV’s, how often can it be refilled?

Back 107

If authorized, can be refilled up to 5x in 6 months of the date of issuance

Front 108

Destruction of controlled substances should be documented on which form?

Back 108

DEA-41

Front 109

Theft of Loss of controlled substances must be reported to the police and reported on which DEA form?

Back 109

DEA-106

Front 110

DEA numbers include:

Back 110

Two letters A,B,F for dispenser, P or R for distributor, X for opioid dependence and M for mid-level practitioner and 7 numbers…look to page 78

Front 111

Detox period for methadone does not exceed how many days?

Back 111

21

Front 112

What strength of methadone is not approved for pain management?

Back 112

40 mg tablets

Front 113

If a person is going through withdrawal, he/she can be treated with methadone for a max of how many days, and how many days supply does he/she get at one time?

Back 113

3 days max and give only one day supply at a time

Front 114

With the Drug addiction treatment act of 2000, prescribers must have this letter as part of their DEA number?

Back 114

X

Front 115

What does the Ryan Haight Act do?

Back 115

It was an amendment to the CSA to control the unlawful dispersal of controlled substances over the internet; websites can if they are DEA registered/approved