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36 Cards in this Set
- Front
- Back
How long must records required by the federal controlled substances act and WI Ch 961 be kept?
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5 years
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Which controlled substance records can be kept at a central location?
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financial and shipping records (invoices)
-not executed 222s |
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How often does an inventory of controlled substances need to be completed?
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every 2 years
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T/F: records of CII medications (excluding prescription orders) can be maintained with records of other controlled substances
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false
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T/F: records of CIII-CV controlled substances can be maintained with non-controlled substance records
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true, as long as information is readily retrievable
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Where must executed 222s be kept?
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location from which the drug was distributed or received
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Within what time frame must a pharmacy report a theft or loss of controlled substances to the PEB?
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within 2 weeks of notifying DEA
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Where is the nearest regional DEA office?
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Dearborn, Chicago, Illinois.
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How long must prescriptions for controlled substances be maintained?
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5 years since last dispense
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How can CII and CIII-CV prescriptions be stored?
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-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 |
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Who is responsible (prescriber or dispenser) for fraudulently dispensed prescriptions?
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both equally
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T/F: prescribers can write a prescription for controlled substances for general office use or administration
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false
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What is required on a prescription for a controlled substance?
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-date issued
-full name and address of patient -drug name -strength -dosage form -quantity prescribed -directions for use -name, address, registration # of the prescriber |
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What documentation is required on a CII-CIV prescription before dispensing?
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-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 |
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T/F: individual practitioners can dispense CIIs
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T: as long as labeled and recorded appropriately; can do CIII-CIV too
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How long are CII prescriptions valid for?
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60 days after the date of issue; cannot be dispensed more than 60 days after date of issuance
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What information on a CII prescription can a pharmacist NOT modify?
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-patient's name
-controlled substance prescribed -practitioner's signature -fill date |
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What can a pharmacist clarify/modify/add on a CII prescription?
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-strength
-dosage form -quantity prescribed -date of issuance -directions for use -DEA # -address of prescriber -address of patient |
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What information can be obtained from a patient when clarifying a prescription for a controlled substance?
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Address only
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What documentation is required on a prescription for a controlled substance that has been modified after consultation with the prescriber?
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-RPh initial and date
-information modified -manner by which modification approved |
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Are CIII-CV prescriptions modifiable?
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Yes, same as CIIs. But they can also be phoned in, so it's easy to bypass any restrictions on modifications.
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Can CIIs be renewed?
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No
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How many refills can a CIII-CV have?
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CIII-CIV: 5 refills within 6 months
CV: no limits other than normal rx |
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Are there quantity limits on refill authorizations?
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Yes, quantity cannot be greater than original quantity.
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What information must be documented when receiving orders for renewals?
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-date received
-quantity authorized -number of renewals -ID of prescriber if different -ID of pharmacist |
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Is partial dispensing of CIII-CVs allowed?
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Yes, but no more than 5 refills total (5 more fills, even if partial quantities)
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Can a CII be partially dispensed?
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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.
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When can CIIs be partially dispensed?
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-"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 |
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Can partial dispensing of CIIs for LTCF/terminally ill patients be maintained electronically?
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Yes, if all required info is recordable and info is updated in real time.
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When can a CII be emergently dispensed?
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-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 |
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How quickly must a RPh obtain a hardcopy for an emergency prescription? Other requirements?
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-postmarked within 7 days,
-must say "authorization for emergency dispensing" -must be reported to board if not obtained within 7 days |
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How can LTCFs not registered with the DEA obtain emergency kits containing controlled substances?
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-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 |
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Who is responsible for maintaining controlled substances in a LTCF?
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-providing pharmacy is responsible for making sure all records are adequate and also responsible for medications
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When can prescriptions for controlled substances be faxed?
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-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 |
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When can CIIs be prescribed by fax?
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-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, |
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If a CII prescription is legally faxed to a pharmacy, when does the hardcopy have to be received by the pharmacy?
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N/A. Faxed rx is the hardcopy.
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