Law/ethics Test2 Set1

Front 1

Controlled Substance Agencies (2)

Back 1

1)Oklahoma agency is OBNDD
2)Federal agency is DEA

Front 2

Federal and State Law Interaction (3)

Back 2

1)states may regulate CDS as long as the state law does not conflict w/ the federal law
2)state law can be more strict, but not less strict that the federal law
3)pharmacist must comply w/ the MORE strict law

Front 3

All CDS Rxs must contain.... (6)

Back 3

1)full name and address of the pt
2)drug name, strength, dosage form, quantity, sig
3)name, address, DEA # of the prescriber
4)written scripts must be signed by prescriber (but doesn't have to be written or typed out by anyone else)
5)written Rxs must have MD name stamped, typed or hand printed as well
6)PHARMACIST CAN ENTER THE ADDRESS OF PT, PRESCRIBER AND THE DEA # ON WRITTEN RX********

Front 4

DEA # equation (6)

Back 4

1)9 characters, 2 alpha, 7 numeric
2)first character is A, B, C or M
3)2nd character is first letter of MD's last name
4)add the first, third, fifth digit
5)add sum of 2nd, 4th, 6th digits, multiply that by 2, then add to step 4
6)determine if right most digit of this sum corresponds w/ the check digit (last digit in DEA #)

Front 5

Ex of valid DEA # AN1257218

Back 5

FIRST CHECK THE FIRST 2 LETTERS

1 + 5 + 2 = 8
(2+7+1) x 2 = 20
20+8=28

Front 6

May NOT dispense a CDS Rx if: (3)

Back 6

1)if MD is restocking his office/medical bag for purpose of general dispensing to pts
2)to a drug dependent pt for the purpose of continuing his/her dependence
3)if written for a relative of the prescriber (spouse, parents, children, bro/sis, grandkids/parents ONLY)-- unless an emergency

Front 7

Record requirement for CDS (5)

Back 7

1)records kept for 2yrs (5yrs in OK)
2)must be kept separate from other records
3)includes inventories, invoices, Rx's
4)C2 kept separate from all other records
5)C3-5 kept separated from all other records

Front 8

Schedule 2 Regs (4)

Back 8

1)separate inventory tracking (DEA form 222 and Invoices)
2)Rx valid for 30d in OK (day 1 = day after date written on Rx)
3)no refills/transfers
4)partial fill in some circumstances

Front 9

Partial fills on C2 (3)

Back 9

Only allowed if:
a)pharmacy does not have enough in stock AND
b)must be able to complete Rx in 72h
c)Rx becomes void 72h after partial fill and prescriber must issue a new Rx

Front 10

Refills on C2 (3)

Back 10

1)allowed for pts in LTCF or terminally ill so that unit doses can be dispensed
2)must not exceed the total quantity authorized
3)must not exceed 60d

Front 11

C2 Rx must be..... (2 and 3exceptions)

Back 11

1)WRITTEN EACH TIME
2)can be faxed to pharmacy but pt must present hard copy when meds are picked up

1)LTC
2)home infusion
3)hospice pt

Front 12

She had this marked under CORRESPONDING RESPONSIBILITY (again)

Back 12

DPh still bears responsibility for ensuring that Rxs for CDS are issued for a legit med purpose by a practitioner in the usual course of professional practice

Front 13

C2 Emergency Dispensing (7)

Back 13

1)can be called in over the phone
2)limited quantity
3)reduced to writing?
4)make effort to verify prescriber
5)verify person picking up the drug
6)prescriber gets Rx to pharmacy IN 72 HOURS (must be postmarked 72h if mailed)
7)keep both copies

Front 14

C3-5 prescriptions (6)

Back 14

1)Rx can either be written or called in
2)pt can only get 1 at a time (w/ max of 5 refills on Rx)
3)Rx is valid for 6 months
4)must track refills manually or by computer
5)new Rx for same drug voids old Rx
6)partial fills okay if tracked appropriately

Front 15

Closing/Changing owners and CDS (3)

Back 15

1)inventory required
2)transfer of CDS requires 222 for C2's
3)invoice for C3-5

Front 16

Registration Requirements for CDS (5)

Back 16

1)pharmacies must do it every 3 years
2)each place of business even w/ common ownerships (like every CVS must have their own)
3)pharmacy must make sure that DEA registration does NOT lapse
4)keep records for 2 yrs (via CSA)
5)do NOT send inventory to DEA

Front 17

Transferring Business (w/ CDS) (5)

Back 17

1)notify DEA prior to terminating the registration
2)send back certificate of registration and order forms (w/ "void" on them)
3)send them the new owner's info and the manner of transfer of CDS
4)schedule 2 requires 222 from acquiring business
5)take an inventory (both entities must keep w/ their records)

Front 18

Disposal and Destruction of CDS (2 methods and then 1 thing)

Back 18

1)transfer to another registrant
2)destruction

1)transfer of 2's requires 222 (from the receiver)

Front 19

Disposal of CDS (4)

Back 19

1)contact DEA
2)do not send them the drugs
3)pharmacy can ask permission to destroy CDS once a year
4)must complete a form listing all drugs to be destroyed

Front 20

Destroying CDS (6)

Back 20

1)send a letter to DEA w/:
a)date of proposed destruction
b)request permission to destroy
c)give method of destruction
d)name 2 witnesses
e)must be received 2wks b4 proposed date
f)DEA will notify w/ permission to destroy

Front 21

Destroying CDS w/ NO prior authorization reqd (2)

Back 21

1)if 1 witness if authorized member of state or local law enforcement authority OR regulatory agency
2)DEA-41 must still be forwarded after destruction

Front 22

CDS inventory for:
a)CDS2
b)CDS3-5
c)you must....

Back 22

a)actual physical count

b)estimate unless the container holds more than 1000 units and has been opened (then must count)

c)"make a reasonably accurate count or measure of the contents"

Front 23

When is a CDS inventory reqd (6)

Back 23

1)opening a pharmacy
2)closing/selling a pharmacy
3)change of pharmacist in charge
4)fed requires every 2 years
5)OK requires annually for licensure
6)take an inventory of new scheduled items on first date that it is officially scheduled

Front 24

5% rule?

Back 24

No more than 5% of your CDS sales can be going to 1 person

Front 25

Pharmacist's Corresponding Responsibility? (3)

Back 25

1)responsibility of proper prescribing and dispensing of CDS is upon prescribing MD
2)pharmacist is reqd to show good professional judgment when determing legitimacy of an Rx
3)must be done BEFORE Rx is dispensed

Front 26

Dispensing Limits of Pseudofed in OK (3)

Back 26

1)daily limit is 3.6grams
2)30day limit is 9grams
3)no limit if dispensed pursuant to a valid Rx

Front 27

OK vs. Fed Pseudofed law (3)

Back 27

1)OK pseudofed law is stricter
2)OK logbook rule is also stricter
3)federal register has no exempt products

Front 28

Pharmacists should NOT get physically involved in preventing diversion of CDS but should..... (4)

Back 28

1)keep film in surveillance camera current
2)pay close attention to desc of suspects
3)preserving bogus Rx for possible fingerprints
4)obtain license # of getaway vehicle