Pharmacy Law Review (Controlled Substances)

Front 1

CSA

Back 1

Controlled Substances Act

Front 2

Schedule I drugs

Back 2

High potential for abuse with no current accepted medical use in the U.S. or lack of accepted safety for use under medical supervision.

Front 3

Dilaudid is a schedule ___ drug.

Back 3

C-II

Front 4

Dolophine is a schedule ___ drug.

Back 4

C-II

Front 5

Demerol is a schedule ___ drug.

Back 5

C-II

Front 6

OxyContin is a schedule ___ drug.

Back 6

C-II

Front 7

Fentanyl is a schedule ___ drug.

Back 7

C-II

Front 8

Sublimaze is a schedule ___ drug.

Back 8

C-II

Front 9

Duragesic is a schedule ___ drug.

Back 9

C-II

Front 10

Marijuana is a schedule ___ drug.

Back 10

C-I

Front 11

Methaqualone is a schedule ___ drug.

Back 11

C-I

Front 12

Methylene-dimethoxy-methamphetamine is a schedule ___ drug.

Back 12

C-I

Front 13

Hydromorphone is a schedule ___ drug.

Back 13

C-II

Front 14

Meperidine is a schedule ___ drug.

Back 14

C-II

Front 15

Vicodin

Back 15

C-III

Front 16

Tylenol with codeine is a schedule ___ drug.

Back 16

C-III

Front 17

Darvon is a schedule ___ drug.

Back 17

C-IV

Front 18

Darvocet-N 100 is a schedule ___ drug.

Back 18

C-IV

Front 19

Robitussin AC is a schedule ___ drug.

Back 19

C-V

Front 20

Phenergan with Codeine is a schedule ___ drug.

Back 20

C-V

Front 21

Ritalin is a schedule ___ drug.

Back 21

C-II

Front 22

Dexedrine is a schedule ___ drug.

Back 22

C-II

Front 23

Adderall is a schedule ___ drug.

Back 23

C-II

Front 24

Desoxyn is a schedule ___ drug.

Back 24

C-II

Front 25

Amobarbital is a schedule ___ drug.

Back 25

C-II

Front 26

pentobarbital is a schedule ___ drug.

Back 26

C-II

Front 27

Xanax is a schedule ___ drug.

Back 27

C-IV

Front 28

Alprazolam is a schedule ___ drug.

Back 28

C-IV

Front 29

Klonopin is a schedule ___ drug.

Back 29

C-IV

Front 30

Clorazepate is a schedule ___ drug.

Back 30

C-IV

Front 31

Valium is a schedule ___ drug.

Back 31

C-IV

Front 32

Diazepam a schedule ___ drug.

Back 32

C-IV

Front 33

Ativan is a schedule ___ drug.

Back 33

C-IV

Front 34

Lorazepam is a schedule ___ drug.

Back 34

C-IV

Front 35

Versed is a schedule ___ drug.

Back 35

C-IV

Front 36

Midazolam is a schedule ___ drug.

Back 36

C-IV

Front 37

Restoril is a schedule ___ drug.

Back 37

C-IV

Front 38

Halcion is a schedule ___ drug.

Back 38

C-IV

Front 39

Triazolam is a schedule ___ drug.

Back 39

C-IV

Front 40

What form is used for obtain a DEA registration?

Back 40

DEA Form 224

Front 41

What are the two requirements for the Certificate of Registration?

Back 41

It must be maintained at the registered location and "readily retrievable" for inspections

Front 42

How often are DEA registrations renewed?

Back 42

Every three years

Front 43

What is the form used to renew a DEA registration?

Back 43

DEA 224a

Front 44

If a practitioner moves to a new business location, what must be done with the DEA registration?

Back 44

The practitioner must request a modification of the registration.

Front 45

What has to be done in order to discontinue a business that was involved with controlled substances?

Back 45

Practitioner must notify the DEA field offce, send Notice of Termination, Certificate of Registration and any Unused Order forms to nearest DEA office.

Front 46

DEA Form 222

Back 46

Official Order Form used to order controlled substances

Front 47

Will each practitioner (intern, reisdent, mid-level practitioner) working at a hospital have a DEA Registration number?

Back 47

No, they will used the Hospital's DEA Registration, but the last few digits of the Number will be the practitioner's Hospital Code Number.

Front 48

NPI

Back 48

National Provider Identification number unique to each healthcare provider. Beginning 5/23/07 all entities must begin using the NPI in standard transactions.

Front 49

Name the organizations that are exempt form the DEA registration requirement?

Back 49

Army, Navy, Marine Corps., Air Force, Coast Guard, Public Health Service,Bureau of Prisons

Front 50

Practitioners in the Armed Services may not have a DEA registration, but must indicate ___ on all prescriptions?

Back 50

The service identification number along with the Branch of service or agency of the practitioner

Front 51

Are there exceptions to the exemption for federal government practitioners?

Back 51

Yes, if the practitioner prescribes for private patients. If so, must have DEA registration for prescribe controlled substances

Front 52

According to 21 CFR, 1301. 71(a), how must Schedule II - Schedule IV drugs be stored?

Back 52

In a securely locked, substantially constructed cabinet.

Front 53

According to 21 CFR, 1301. 71(a), how must carfentanil, etorphine hydrochloride and diprenorphine drugs be stored?

Back 53

In a safe or steel cabinet.

Front 54

What DEA Form must be completed for lost or stolen controlled substances?

Back 54

DEA Form 106

Front 55

According to Federal Law, how long must controlled substances records be maintained?

Back 55

Controlled substances records must be kept for a minimumof two years.

Front 56

According to Federal Law, how long must an inventory of controlled substances records be maintained?

Back 56

At least two years

Front 57

Who has to be registered with the DEA?

Back 57

Every person or entity that handles controlled substances or be exempt by a federal regulation.

Front 58

Oxandrin is a ___ Schedule drug.

Back 58

C-III

Front 59

Are all Schedule III drugs narcotics?

Back 59

No, examples of non-narcotic C-III drugs are Didrex, Marinol, ketamine, and anabolic steroids.

Front 60

Who are reverse distributors and why are they important?

Back 60

Reverse distributors are used to dispose of out-of-date, damaged or unwanted controlled substance.

Front 61

Do the federal laws set a limit for filling Schedule II prescriptions?

Back 61

No, but look at F.S. Chapter 893 to see if Florida sets a time limit.

Front 62

When must a prescription for a controlled substance be dated?

Back 62

On the date when it was issued.

Front 63

What must be included on a prescription for a controlled substance?

Back 63

Patient's full name and address, practitioner's full name and address and DEA #, drug name, strength, dosage form, quantity prescribed, directions for use and # of refills (if any)

Front 64

Does the practitioner have to manually sign the prescription?

Back 64

Yes

Front 65

How is the validity of a prescription determined?

Back 65

A prescription is valid if issued for a legitimate medical purpose by a practitioner acting in the usual course of professional practice

Front 66

Which of the following methods can be used to prescribe C-II drugs?
Written prescription, fax, Oral or over the counter?

Back 66

Written prescription

Front 67

When is the only time that an C-II prescription can be given orally?

Back 67

In an emergency situation

Front 68

According to 21 USC 829(a), are refills of C-II substances permitted?

Back 68

NO!

Front 69

Can Florida pass a law allowing refills on C-II prescriptions?

Back 69

No! State laws can be stricter than Federal laws, but State laws cannot permit what Federal law prohibits!

Front 70

Effective on December19, 2007, can a prescriber issue multiple C-II prescriptions to a patient?

Back 70

Yes, so long as there State Law does not prohibit multiple prescription AND each prescription is for a legitimate medical purpose AND prescriber provides written instructions on each prescription indicating the ealiest date on which a pharmacy may fill each prescription;providing the patient with multiple prescriptions does not create an undue risk of diversion or abuse; prescriber complies with all other federal and state laws.

Front 71

If and when multiple prescriptions are allowed for C-IIs, what is the limit?

Back 71

A prescriber can issue multiple prescriptions allowing patients to receive a total of up to a 90-day supple of Schedule II substances

Front 72

Can a practitioner fax a C-II prescription to a pharmacy?

Back 72

Yes, but the original prescription must be presented to the pharmacist PRIOR to dispensing the medication.

Front 73

Are call-in prescriptions acceptable for C-IIs?

Back 73

Yes, but only in emergency situations AND the amount prescribed and dispensed are limited to what is needed for the emergency AND prescriber provides a signed, written prescription within 7 days.

Front 74

What is a pharmacist required to do if a written prescription for a call-in C-II foro an emergency

Back 74

Contact the DEA office if the written prescription is not received within 7 days.