Mpje Wi Phar Chapter 8

Front 1

How long must records required by the federal controlled substances act and WI Ch 961 be kept?

Back 1

5 years

Front 2

Which controlled substance records can be kept at a central location?

Back 2

financial and shipping records (invoices)
-not executed 222s

Front 3

How often does an inventory of controlled substances need to be completed?

Back 3

every 2 years

Front 4

T/F: records of CII medications (excluding prescription orders) can be maintained with records of other controlled substances

Back 4

false

Front 5

T/F: records of CIII-CV controlled substances can be maintained with non-controlled substance records

Back 5

true, as long as information is readily retrievable

Front 6

Where must executed 222s be kept?

Back 6

location from which the drug was distributed or received

Front 7

Within what time frame must a pharmacy report a theft or loss of controlled substances to the PEB?

Back 7

within 2 weeks of notifying DEA

Front 8

Where is the nearest regional DEA office?

Back 8

Dearborn, Chicago, Illinois.

Front 9

How long must prescriptions for controlled substances be maintained?

Back 9

5 years since last dispense

Front 10

How can CII and CIII-CV prescriptions be stored?

Back 10

-CII can be separate or with CIII-CV if CIII-CV marked with red C
-CIII-CV can be separate or with non-controlled substances if stamped with red C (unless marked with Rx # and using computer record keeping system)
-CIIs cannot be with non-controlled substances

Front 11

Who is responsible (prescriber or dispenser) for fraudulently dispensed prescriptions?

Back 11

both equally

Front 12

T/F: prescribers can write a prescription for controlled substances for general office use or administration

Back 12

false

Front 13

What is required on a prescription for a controlled substance?

Back 13

-date issued
-full name and address of patient
-drug name
-strength
-dosage form
-quantity prescribed
-directions for use
-name, address, registration # of the prescriber

Front 14

What documentation is required on a CII-CIV prescription before dispensing?

Back 14

-initialed and dated by the dispensing pharmacist
-if person picking up a CII is unknown to the pharmacist, name, signature, and address of person must be written on back of Rx

Front 15

T/F: individual practitioners can dispense CIIs

Back 15

T: as long as labeled and recorded appropriately; can do CIII-CIV too

Front 16

How long are CII prescriptions valid for?

Back 16

60 days after the date of issue; cannot be dispensed more than 60 days after date of issuance

Front 17

What information on a CII prescription can a pharmacist NOT modify?

Back 17

-patient's name
-controlled substance prescribed
-practitioner's signature
-fill date

Front 18

What can a pharmacist clarify/modify/add on a CII prescription?

Back 18

-strength
-dosage form
-quantity prescribed
-date of issuance
-directions for use
-DEA #
-address of prescriber
-address of patient

Front 19

What information can be obtained from a patient when clarifying a prescription for a controlled substance?

Back 19

Address only

Front 20

What documentation is required on a prescription for a controlled substance that has been modified after consultation with the prescriber?

Back 20

-RPh initial and date
-information modified
-manner by which modification approved

Front 21

Are CIII-CV prescriptions modifiable?

Back 21

Yes, same as CIIs. But they can also be phoned in, so it's easy to bypass any restrictions on modifications.

Front 22

Can CIIs be renewed?

Back 22

No

Front 23

How many refills can a CIII-CV have?

Back 23

CIII-CIV: 5 refills within 6 months
CV: no limits other than normal rx

Front 24

Are there quantity limits on refill authorizations?

Back 24

Yes, quantity cannot be greater than original quantity.

Front 25

What information must be documented when receiving orders for renewals?

Back 25

-date received
-quantity authorized
-number of renewals
-ID of prescriber if different
-ID of pharmacist

Front 26

Is partial dispensing of CIII-CVs allowed?

Back 26

Yes, but no more than 5 refills total (5 more fills, even if partial quantities)

Front 27

Can a CII be partially dispensed?

Back 27

Yes, if RPh is "unable to supply" full quantity, including patient cannot afford. Must fill remainder within 72 hours. If not filled within 72 hours, prescriber must be contacted.

Front 28

When can CIIs be partially dispensed?

Back 28

-"unable to supply"
-"terminally ill"
-"LTCF patient"
-terminally ill or LTCF patient must be documented on the prescription
-partial dispenses, dates, and RPH initial must be written on Rx
-if terminal illness ends, patient dies, or patient is discharged from LTCF, no more medication may be dispensed

Front 29

Can partial dispensing of CIIs for LTCF/terminally ill patients be maintained electronically?

Back 29

Yes, if all required info is recordable and info is updated in real time.

Front 30

When can a CII be emergently dispensed?

Back 30

-immediate tx is necessary
-no acceptable alternative to CII
-not reasonably possible for prescriber to write prescription
-quantity is limited to the amount adequate to treat the patient during the emergency period
-immediately reduced to writing

Front 31

How quickly must a RPh obtain a hardcopy for an emergency prescription? Other requirements?

Back 31

-postmarked within 7 days,
-must say "authorization for emergency dispensing"
-must be reported to board if not obtained within 7 days

Front 32

How can LTCFs not registered with the DEA obtain emergency kits containing controlled substances?

Back 32

-source must be a DEA registered hospital, pharmacy, or practitioner
-create P&Ps about who can access drugs, which drugs can be stocked, conditions for administration

Front 33

Who is responsible for maintaining controlled substances in a LTCF?

Back 33

-providing pharmacy is responsible for making sure all records are adequate and also responsible for medications

Front 34

When can prescriptions for controlled substances be faxed?

Back 34

-CIII-CV: same as non-controlled meds
-must contain all required info
-plus date and time of transmission, and name and phone number for transmitter

CII: permissible if medication is to be compounded for injection or if patient is enrolled in a hospice or LTCF

Front 35

When can CIIs be prescribed by fax?

Back 35

-all requirements for CIII-CV faxes
-all requirements for regular rxs
-any of the following: to be compounded before being given by injection; LTCF patient (or eligible but elects to live at home); hospice patient,

Front 36

If a CII prescription is legally faxed to a pharmacy, when does the hardcopy have to be received by the pharmacy?

Back 36

N/A. Faxed rx is the hardcopy.