CVS Pharmacy - 800680, Part 1 - Controlled
Substance Training for Pharmacists
Alice NotWell presents a hand-written prescription for a controlled substance. She hands you
the prescription and you enter her name into Rx Connect, but you have a few questions about
it.
Where can you find out about if the prescription was written on a tamper-proof Rx pad?
A. Ask Alice if it was written on a tamper-proof Rx pad?
B. Hold it under the ID scanner to check for an imprint.
C. Review tamper-proof features on RxNet.
D/All Written prescriptions are tamper-proof so there's no need to verify. - ANSWER C.
Review tamper-proof features on RxNet.
You observe Alice's demeanor and other than looking tired, she seems very coherent. You
review the prescription below. Are there any potential red flags associated with this
prescription? (Select all that apply).
A. No, the prescription is valid and should be filled right away.
B. Yes, Alice is too old for this prescription and should be prescribed something else.
C. Yes, the writing on the prescription seems inconsistent making it suspicious.
D. Yes, the doctor does does not live in the same geographical location as Alice. - ANSWER C.
Yes, the writing on the prescription seems inconsistent making it suspicious.
D. Yes, the doctor does does not live in the same geographical location as Alice.
You receive a prescriber exception during Data Entry and contact the prescriber. Dr. Ray states
his licensure is active, what action would you take to confirm that Dr. Ray has a valid state
and/or federal license? Select the correct statement below:
,A. Go to RxNet for the proper validation websites to verify if the prescriber's federal and/or
state license is active and valid. If any update needs to be made in the RxConnect system,
contact the CVS Help Desk and reset expectations for the patient.
B. Tell the patient and prescriber the prescription cannot be filled.
C. Call another pharmacy to see what the prescriber status is in their system.
D. Look up Dr. Ray on the internet and validate his licensure from the search results. - ANSWER
A. Go to RxNet for the proper validation websites to verify if the prescriber's federal and/or
state license is active and valid. If any update needs to be made in the RxConnect system,
contact the CVS Help Desk and reset expectations for the patient.
Paul lowcee drops off a prescription 15 minutes before closing and asks to wait for it to be
filled. The prescription is processed, however, as you begin verification, a Patient Level Message
appears with the following: (click image for review)
What steps should you take?
A. Continue verifying and give the prescription to the patient. As the pharmacy is closing and
the prescriber will not be open.
B. Inform the patient you need verify the prescription with the prescriber prior to filling.
C. Confirm with the patient that they saw the prescriber and fill the prescription.
D. Give the patient a few tablets tonight and contact the prescriber in the morning to verify the
prescription.
E. Give the patient a few tablets for tonight and contact the prescriber in the morning to verify
the prescription. - ANSWER B. Inform the patient you need verify the prescription with the
prescriber prior to filling.
You are in the process of dispensing Fentanyl, a CII controlled substance. You know rules exist
regarding the required prescription elements.
To confirm the rules, where on RxNet could you locate the information?
A. Policy & Procedures
B. Site Map > Legal & Regulatory
C. Accepting Prescription Policy
,D. All of the above - ANSWER D. All of the above
A patient presents you with three individual prescriptions for Methylphenidate. The first states
it should not be filled until thirty days from today's date, the second states that it should not be
filled until sixty days from today's date, and the third has no such instruction.
In an event like this, what should you do?
A. Refuse to fill the prescription and explain that presenting multiple prescription blanks for the
same drug could result in criminal charges.
B. Fill the prescription without date restrictions immediately and contact the prescriber
regarding the remainder.
C. If your state allows the issuance of multiple prescriptions, you may dispense all three thirty-
day supplies at once.
D. If your state allows the issuance of multiple prescriptions, you may dispense the prescription
without date restrictions, and fill the remainder on the appropriate dates. - ANSWER D. If
your state allows the issuance of multiple prescriptions, you may dispense the prescription
without date restrictions, and fill the remainder on the appropriate dates.
You decide to contact Dr. Ray for further advice of Alice's prescription. Select the image to
review.
What should you do? (Select all answers that apply)
A. Refer to the prescription for Dr. Ray's phone number.
B. Check RxConnect to verify the prescriber's information and phone number.
C. Note to whom you spoke and an account of the conversation to Alice's RxConnect record.
D. Ask about the inconsistencies on the prescription including the out of state prescriber's office
and the ink. - ANSWER B. Check RxConnect to verify the prescriber's information and phone
number.
C. Note to whom you spoke and an account of the conversation to Alice's RxConnect record.
D. Ask about the inconsistencies on the prescription including the out of state prescriber's office
and the ink.
, Emma, a patient, provides you with a hard copy prescription. You identify some possible red
flags and call the prescriber, Dr. Hue, to validate the prescription. Dr. Hue's office indicates they
have no record of Emma. What should you do? (Select all that apply).
A. After making a copy, give the prescription back to Emma and tell her the pharmacy does not
have the medication and she should try filling it at another pharmacy. Then, following the CVS
Pharmacy prescription forgery protocol.
B. Since there are no refills on the prescription anyway, make a copy of the prescription, fill it,
and then delete her record from Rx. follow the CVS Pharmacy prescription forgery protocol.
C. Let Emma know that Dr. Hue's office instructed you to not fill the prescription. Make a copy of
the prescription, inactive the prescription from RxConnect, and follow the CVS Pharmacy
prescription forgery protocol on RxConnect.
D. Ask Emma to t - ANSWER C. Let Emma know that Dr. Hue's office instructed you to not fill
the prescription. Make a copy of the prescription, inactive the prescription from RxConnect, and
follow the CVS Pharmacy prescription forgery protocol on RxConnect.
While looking at Alice's records, Corrine from Dr. Ray's office questioned why Alice's on-hold
prescription for Ambien couldn't be transferred to her new CVS Pharmacy location as allowed
by Federal DEA regulation 21 CFR §1306.25. She asks if you can put it through manually. How
should you respond?
A. The CVS Pharmacy RxConnect system is not currently able to electronically forward or receive
forwarded prescriptions. There aren't any workarounds electronically. But since I have you on
the phone, I can take an oral prescription, although please be aware that - for C2s - the oral
prescription must be limited to an emergency supply.
B. Sorry, there are no workarounds. The CVS Pharmacy RxConnect system is not currently able
to electronically forward or receive forwarded prescriptions.
C. Sure, I can help. Just try sending it through again electronically and I'll watch for it and fill it
myself.
D. Sorry, we can only fill - ANSWER A. The CVS Pharmacy RxConnect system is not currently
able to electronically forward or receive forwarded prescriptions. There aren't any workarounds
electronically. But since I have you on the phone, I can take an oral prescription, although please
be aware that - for C2s - the oral prescription must be limited to an emergency supply.
Substance Training for Pharmacists
Alice NotWell presents a hand-written prescription for a controlled substance. She hands you
the prescription and you enter her name into Rx Connect, but you have a few questions about
it.
Where can you find out about if the prescription was written on a tamper-proof Rx pad?
A. Ask Alice if it was written on a tamper-proof Rx pad?
B. Hold it under the ID scanner to check for an imprint.
C. Review tamper-proof features on RxNet.
D/All Written prescriptions are tamper-proof so there's no need to verify. - ANSWER C.
Review tamper-proof features on RxNet.
You observe Alice's demeanor and other than looking tired, she seems very coherent. You
review the prescription below. Are there any potential red flags associated with this
prescription? (Select all that apply).
A. No, the prescription is valid and should be filled right away.
B. Yes, Alice is too old for this prescription and should be prescribed something else.
C. Yes, the writing on the prescription seems inconsistent making it suspicious.
D. Yes, the doctor does does not live in the same geographical location as Alice. - ANSWER C.
Yes, the writing on the prescription seems inconsistent making it suspicious.
D. Yes, the doctor does does not live in the same geographical location as Alice.
You receive a prescriber exception during Data Entry and contact the prescriber. Dr. Ray states
his licensure is active, what action would you take to confirm that Dr. Ray has a valid state
and/or federal license? Select the correct statement below:
,A. Go to RxNet for the proper validation websites to verify if the prescriber's federal and/or
state license is active and valid. If any update needs to be made in the RxConnect system,
contact the CVS Help Desk and reset expectations for the patient.
B. Tell the patient and prescriber the prescription cannot be filled.
C. Call another pharmacy to see what the prescriber status is in their system.
D. Look up Dr. Ray on the internet and validate his licensure from the search results. - ANSWER
A. Go to RxNet for the proper validation websites to verify if the prescriber's federal and/or
state license is active and valid. If any update needs to be made in the RxConnect system,
contact the CVS Help Desk and reset expectations for the patient.
Paul lowcee drops off a prescription 15 minutes before closing and asks to wait for it to be
filled. The prescription is processed, however, as you begin verification, a Patient Level Message
appears with the following: (click image for review)
What steps should you take?
A. Continue verifying and give the prescription to the patient. As the pharmacy is closing and
the prescriber will not be open.
B. Inform the patient you need verify the prescription with the prescriber prior to filling.
C. Confirm with the patient that they saw the prescriber and fill the prescription.
D. Give the patient a few tablets tonight and contact the prescriber in the morning to verify the
prescription.
E. Give the patient a few tablets for tonight and contact the prescriber in the morning to verify
the prescription. - ANSWER B. Inform the patient you need verify the prescription with the
prescriber prior to filling.
You are in the process of dispensing Fentanyl, a CII controlled substance. You know rules exist
regarding the required prescription elements.
To confirm the rules, where on RxNet could you locate the information?
A. Policy & Procedures
B. Site Map > Legal & Regulatory
C. Accepting Prescription Policy
,D. All of the above - ANSWER D. All of the above
A patient presents you with three individual prescriptions for Methylphenidate. The first states
it should not be filled until thirty days from today's date, the second states that it should not be
filled until sixty days from today's date, and the third has no such instruction.
In an event like this, what should you do?
A. Refuse to fill the prescription and explain that presenting multiple prescription blanks for the
same drug could result in criminal charges.
B. Fill the prescription without date restrictions immediately and contact the prescriber
regarding the remainder.
C. If your state allows the issuance of multiple prescriptions, you may dispense all three thirty-
day supplies at once.
D. If your state allows the issuance of multiple prescriptions, you may dispense the prescription
without date restrictions, and fill the remainder on the appropriate dates. - ANSWER D. If
your state allows the issuance of multiple prescriptions, you may dispense the prescription
without date restrictions, and fill the remainder on the appropriate dates.
You decide to contact Dr. Ray for further advice of Alice's prescription. Select the image to
review.
What should you do? (Select all answers that apply)
A. Refer to the prescription for Dr. Ray's phone number.
B. Check RxConnect to verify the prescriber's information and phone number.
C. Note to whom you spoke and an account of the conversation to Alice's RxConnect record.
D. Ask about the inconsistencies on the prescription including the out of state prescriber's office
and the ink. - ANSWER B. Check RxConnect to verify the prescriber's information and phone
number.
C. Note to whom you spoke and an account of the conversation to Alice's RxConnect record.
D. Ask about the inconsistencies on the prescription including the out of state prescriber's office
and the ink.
, Emma, a patient, provides you with a hard copy prescription. You identify some possible red
flags and call the prescriber, Dr. Hue, to validate the prescription. Dr. Hue's office indicates they
have no record of Emma. What should you do? (Select all that apply).
A. After making a copy, give the prescription back to Emma and tell her the pharmacy does not
have the medication and she should try filling it at another pharmacy. Then, following the CVS
Pharmacy prescription forgery protocol.
B. Since there are no refills on the prescription anyway, make a copy of the prescription, fill it,
and then delete her record from Rx. follow the CVS Pharmacy prescription forgery protocol.
C. Let Emma know that Dr. Hue's office instructed you to not fill the prescription. Make a copy of
the prescription, inactive the prescription from RxConnect, and follow the CVS Pharmacy
prescription forgery protocol on RxConnect.
D. Ask Emma to t - ANSWER C. Let Emma know that Dr. Hue's office instructed you to not fill
the prescription. Make a copy of the prescription, inactive the prescription from RxConnect, and
follow the CVS Pharmacy prescription forgery protocol on RxConnect.
While looking at Alice's records, Corrine from Dr. Ray's office questioned why Alice's on-hold
prescription for Ambien couldn't be transferred to her new CVS Pharmacy location as allowed
by Federal DEA regulation 21 CFR §1306.25. She asks if you can put it through manually. How
should you respond?
A. The CVS Pharmacy RxConnect system is not currently able to electronically forward or receive
forwarded prescriptions. There aren't any workarounds electronically. But since I have you on
the phone, I can take an oral prescription, although please be aware that - for C2s - the oral
prescription must be limited to an emergency supply.
B. Sorry, there are no workarounds. The CVS Pharmacy RxConnect system is not currently able
to electronically forward or receive forwarded prescriptions.
C. Sure, I can help. Just try sending it through again electronically and I'll watch for it and fill it
myself.
D. Sorry, we can only fill - ANSWER A. The CVS Pharmacy RxConnect system is not currently
able to electronically forward or receive forwarded prescriptions. There aren't any workarounds
electronically. But since I have you on the phone, I can take an oral prescription, although please
be aware that - for C2s - the oral prescription must be limited to an emergency supply.
