CPJE: Controlled Substances part 1 fully solved 2023

CPJE: Controlled Substances part 1 fully solved 2023A pharmacist receives a call from a prescriber's office in Nevada. The doctor's office is calling in a prescription for diazepam for a patient who is visiting her family in California. The physician is licensed in Nevada and has a valid DEA number that authorizes him to write for controlled drugs. What is the most appropriate action for the pharmacist to take? Answer A. Fill the prescription, but it must be delivered back to Nevada for dispensing B. Do not fill the prescription because it is not on a California security form C. Do not fill the prescription because pharmacists cannot fill out-of-state prescriptions D. Fill the prescription and dispense it directly to the patient D. Fill the prescription and dispense it directly to the patient California pharmacies may dispense prescriptions for Schedule III, IV and V drugs written from out-of-state prescribers directly to the patient if the prescription meets the requirements for controlled substance prescriptions of the state it was written in. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 123. The pharmacist receives a prescription for Xanax but the patient insists that her doctor wrote her a prescription for Valium. Which action should the pharmacist take? Answer A. Call the prescriber for a new, oral prescription B. Correct the prescription after calling and verifying with the prescriber C. Fix the error after consulting with the patient D. Return the prescription to the patient to have it amended by the prescriber A. Call the prescriber for a new, oral prescription There are three items that should not be changed: the patient's name, the drug itself (except for generic substitution) and the prescriber's signature. The pharmacist should call the prescriber and take a new, oral prescription if the drug must be changed. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 122. 00:13 01:20 What is true about using the triplicate DEA Form 222 to order controlled substances? Answer A. The NDC entry blank must be filled in or it will be returned to the purchaser B. The form is limited to ordering 15 items C. It is more efficient than using CSOS D. The green copy of the triplicate form always goes to the DEA D. The green copy of the triplicate form always goes to the DEA In all situations, the green copy (copy 2) of the triplicate DEA Form 222 always goes to the DEA. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 109. The DEA Form 222 can be used to order: Answer A. Provigil B. Actiq C. Sonata D. Qsymia B. Actiq The DEA Form 222 can be used to order schedule II drugs. Actiq is a schedule II drug. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 108. ** The prescriber issues the following prescriptions for Adderall. What is wrong with the prescriptions? First prescription: Adderall 10 mg, 1 PO Daily #90, issue date 8/16/2020 Second prescription: Adderall 10 mg, 1 PO Daily #90, issue date 8/16/2020, do not fill until 11/16/2020 Third prescription: Adderall 10 mg, 1 PO Daily #90, issue date 8/16/2020, do not fill until 2/16/2021 Answer A. Multiple prescriptions for schedule II drugs are not allowed B. The total quantity exceeds the legal limit C. The do not fill date is incorrect D. The days' supply exceeds the legal limit D. The days' supply exceeds the legal limit The prescriber can write for multiple (usually two or three) prescriptions for a schedule II drug which are filled sequentially, but they cannot exceed a 90-day supply in total. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 121. The DEA Form 222 is used to distribute, purchase or transfer which controlled drug categories? Answer A. Schedule II only B. Schedules I, II, III, IV and V C. Schedules II, III and IV D. Schedules I and II D. Schedules I and II The DEA Form 222 is used to track the movement of all schedule I and II drugs. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 108. What schedule is Butrans? Answer A. C-II B. C-V C. C-IV D. C-III D. C-III All buprenorphine products are schedule III. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 105. A pharmacist can amend a controlled substance prescription if the physician forgets to: Select all that applies: 1. Sign the security form 2. Write an issue date on the security form 3. Check the quantity box to match the written quantity in the description 4. Indicate the number of refills authorized 3 & 4 only Minor changes can be made to a prescription as long as the pharmacist verifies the change with the prescriber first. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 122. ** Which registrants must use DEA Form 224 to register with the DEA? Select all that applies Physician Drug Supplier Hospital Methadone Clinic Physician and hospital only DEA Form 224 is the registration form for retail pharmacies, hospitals/clinics, practitioners, teaching institutions and mid-level practitioners. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 102. A community pharmacy wants to return three unopen containers of Nucynta to the wholesaler for credit. Who keeps Copy 1 of the triplicate DEA Form 222? Answer A. The state board of pharmacy B. The pharmacy C. The wholesaler D. The DEA B. The pharmacy Since the pharmacy is supplying the schedule II drugs, the pharmacy will keep Copy 1. Refer to the 2020 RxPrep CPJE Course Manual, Regulation of Controlled Substances chapter, p. 109. Which of the following barbiturates is classified as schedule IV? Answer A. Butabarbital B. Phenobarbital C. Pentobarbital D. Fiorinal B. Phenobarbital Phenobarbital is schedule IV. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 105. Which drug must be ordered with a DEA Form 222? Answer A. Ultram B. Fycompa C. Syndros D. Xyrem C. SYNDROS® (dronabinol) C2 Ultram = tramadol Fycompa = Perampanel (antiepileptic) C3 Xyrem = Sodium oxybate (antiepileptic) C1?? Syndros is a schedule II drug. If not using CSOS, schedule II drugs must be ordered with a DEA Form 222. Refer to the 2020 RxPrep CPJE Manual, Regulation of Controlled Substances chapter, p. 104.