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For a practitioner who dispenses controlled substances for use by his patients outside of his presence, what record-keeping is required? - Answer-(1) name of the patient. (2) address, unless readily available (then indicated). (3) date of dispensing. (4) name of the prescribing practitioner and classification of license. (5) DEA #. (6) initials of the dispensing practitioner if the dispensing is different from the prescribing. (7) directions for use. (8) signature of the prescribing practitioner. What are the requirements for dispending a CII in an emergency situation? - Answer-Reduce the oral authorization to writing immediately. RX must contain all information required of controlled medications, except the signature of the prescriber. Write on the face of the RX "authorization for emergency dispensing" and date or oral order. Make reasonable effort to confirm validity of registered practitioner if they are personally unknown to the pharmacist. A written prescription must be received, either by person or by mail, within 72 hours (if by mail, then post-marked by 72 hours). Attach this written rx to the oral authorization. If the written RX is not received, the pharmacist must notify the board of the prescribers' failure to deliver. True or false: an individual practitioner may issue a prescription order in order to obtain controlled substances for the purpose of general dispensing to patients. - Answer-FALSE - they should be filling out an order form - prescribers cannot write an RX to a pharmacy with "for office use," for example. Can a prescription for a narcotic be *given* to a patient who is *dependent* with the sole purpose of extending their dependence on the medication? - Answer-ONLY if they are in an authorized investigation in the development of a program for rehabilitating narcotic addicts. True or false: the *prescribing* of narcotic's to a person *dependent* on a narcotic for the purpose of continuing his dependence is permissible as long as that patient is in a authorized clinical investigation in the development of a program for rehabilitating narcotic addicts. - Answer-FALSE - narcotics may be administered or dispensed *directly* - but they cannot be prescribed! (this is unsafe for the patient, who should be supervised while taking medication *they are dependent* upon) What items must be included in an written prescription? (nor oral or electronic) - Answer-for the prescriber: (1) name, (2) address - unless readily available, (3) signature, (4) type of license, (5) DEA#. For the patient: (1) name of the patient, (2) address, unless readily available, (3) name, strength, quantity of drug, (4) directions for use, (5) date issued Can a prescription blank contain more than one CII medication? - Answer-YES. If it's being filled immediately, the prescription can contain multiple CIIs, other controlled medications, or non-controlled medications. They just have to be filed appropriately. (make copies, reference the original rx/C2 on the copies
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- March 17, 2024
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