INDIANA MPJE ALL QUESTIONS AND SOLUTIONS RATED
A+
✔✔What is an institutional DEA number? - ✔✔An institutional DEA number is used by
healthcare facilities to order controlled substances on behalf of their practitioners.
-used by practitioners who are agents/ employees of the institution
✔✔What are the key components of prescription storage regulations? -
✔✔Prescriptions must be stored securely to prevent unauthorized access and ensure
the integrity of the medications.
✔✔What must be included in an employee screening for security of controlled
substances? - ✔✔a registrant is not allowed to employ anyone convicted of a felony
relating to controlled substances or who has had an application for registration with the
DEA denied, a registration revoked, or has surrendered their DEA registration for cause
-the EMPLOYER can request a waiver from the DEA
✔✔What is the federal requirement for record keeping of controlled substance
inventories? - ✔✔Must be kept for 2 years from the inventory date
✔✔What must registrants maintain in regards to records of controlled substances? -
✔✔a complete and accurate record of each substance manufactured, imported,
received, sold, delivered, exported, or otherwise disposed of by them
- NOT a perpetual inventory
✔✔How must controlled substance records be stored? - ✔✔CII records, inventory, and
RX storage must be separate from everything else
✔✔What is the process for ordering controlled substances in Schedule II? - ✔✔Ordering
Schedule II substances requires specific order forms DEA 222 and adherence to strict
regulatory guidelines.
✔✔How to request DEA 222 forms - ✔✔submit a DEA 222a (usually part of the DEA
registration process)
✔✔How many lines on a DEA 222 form - ✔✔20 lines
✔✔What should be done if an order form for controlled substances is lost or stolen? -
✔✔The first type is an unfilled order form. These DEA 222s are lost in the mail or by the
supplier before being filled. If this happens, a purchaser must execute a new DEA 222
identical to the first and send it to the supplier. This should be sent with a statement
containing the order number from the original form, the date of the lost form, and a note
, that the substances ordered were not received. The copy of the new order and a copy
of the statement should be attached to the copy of the lost or stolen order form. They
should be kept in the pharmacy and maintained as usual. If the lost order form ever
shows up at the supplier, the supplier should send the forms back to the purchaser, and
the purchaser should add those to the original copy.
The second type of lost or stolen order form is an unused order form. If this occurs, the
purchaser must immediately notify the DEA. If known, they must provide the form
number of the lost or stolen forms to the DEA. If the form numbers are unknown, which
is usually the case, the purchaser must provide the approximate date the forms were
ordered.
✔✔How often do we need to do a controlled substance inventory? - ✔✔once every 2
years after the initial inventory
✔✔Inventory methods - ✔✔You must give an exact count of schedule I or schedule II
controlled substances on hand. You can estimate schedule III, IV, and V controlled
substances if the bottle holds 1000 product units or less. If the bottle holds more than
1000 product units, you must give an exact count of substances on hand
✔✔What info on controlled substances must be recorded during inventory? - ✔✔the
name of the drug, dosage form, strength, number of loose units, and full containers
✔✔how is a prescription defined? - ✔✔an order for medication which is dispensed to or
for an ultimate user but does not include an order for medication which is dispensed for
immediate administration to the ultimate user
✔✔Can we document notes on the hardcopy prescription a patient brings in? -
✔✔Actually we should not because a prescription is patient's property
✔✔According to federal law how can prescribers send CII prescriptions? - ✔✔1. A
written, paper prescription signed by the practitioner.
2. An electronic prescription transmitted to the pharmacy by the practitioner.
3. A fax (facsimile) prescription transmitted by the practitioner or the practitioner's agent
to the pharmacy in certain situations. In general, the faxed prescription can be used to
get the medication ready for the patient. The patient must present the manually signed
prescription to the pharmacist before dispensing the controlled substance. In certain
circumstances, we may use the faxed prescription as the original (e.g., keep the fax in
our files without obtaining another written prescription)
4. An oral telephone prescription promptly reduced to writing by the pharmacist in
specific scenarios
✔✔What if a prescriber writes "for office use" for a controlled substance medication? -
✔✔Cannot except. They must have the name of an individual patient for it to be a valid
RX.
A+
✔✔What is an institutional DEA number? - ✔✔An institutional DEA number is used by
healthcare facilities to order controlled substances on behalf of their practitioners.
-used by practitioners who are agents/ employees of the institution
✔✔What are the key components of prescription storage regulations? -
✔✔Prescriptions must be stored securely to prevent unauthorized access and ensure
the integrity of the medications.
✔✔What must be included in an employee screening for security of controlled
substances? - ✔✔a registrant is not allowed to employ anyone convicted of a felony
relating to controlled substances or who has had an application for registration with the
DEA denied, a registration revoked, or has surrendered their DEA registration for cause
-the EMPLOYER can request a waiver from the DEA
✔✔What is the federal requirement for record keeping of controlled substance
inventories? - ✔✔Must be kept for 2 years from the inventory date
✔✔What must registrants maintain in regards to records of controlled substances? -
✔✔a complete and accurate record of each substance manufactured, imported,
received, sold, delivered, exported, or otherwise disposed of by them
- NOT a perpetual inventory
✔✔How must controlled substance records be stored? - ✔✔CII records, inventory, and
RX storage must be separate from everything else
✔✔What is the process for ordering controlled substances in Schedule II? - ✔✔Ordering
Schedule II substances requires specific order forms DEA 222 and adherence to strict
regulatory guidelines.
✔✔How to request DEA 222 forms - ✔✔submit a DEA 222a (usually part of the DEA
registration process)
✔✔How many lines on a DEA 222 form - ✔✔20 lines
✔✔What should be done if an order form for controlled substances is lost or stolen? -
✔✔The first type is an unfilled order form. These DEA 222s are lost in the mail or by the
supplier before being filled. If this happens, a purchaser must execute a new DEA 222
identical to the first and send it to the supplier. This should be sent with a statement
containing the order number from the original form, the date of the lost form, and a note
, that the substances ordered were not received. The copy of the new order and a copy
of the statement should be attached to the copy of the lost or stolen order form. They
should be kept in the pharmacy and maintained as usual. If the lost order form ever
shows up at the supplier, the supplier should send the forms back to the purchaser, and
the purchaser should add those to the original copy.
The second type of lost or stolen order form is an unused order form. If this occurs, the
purchaser must immediately notify the DEA. If known, they must provide the form
number of the lost or stolen forms to the DEA. If the form numbers are unknown, which
is usually the case, the purchaser must provide the approximate date the forms were
ordered.
✔✔How often do we need to do a controlled substance inventory? - ✔✔once every 2
years after the initial inventory
✔✔Inventory methods - ✔✔You must give an exact count of schedule I or schedule II
controlled substances on hand. You can estimate schedule III, IV, and V controlled
substances if the bottle holds 1000 product units or less. If the bottle holds more than
1000 product units, you must give an exact count of substances on hand
✔✔What info on controlled substances must be recorded during inventory? - ✔✔the
name of the drug, dosage form, strength, number of loose units, and full containers
✔✔how is a prescription defined? - ✔✔an order for medication which is dispensed to or
for an ultimate user but does not include an order for medication which is dispensed for
immediate administration to the ultimate user
✔✔Can we document notes on the hardcopy prescription a patient brings in? -
✔✔Actually we should not because a prescription is patient's property
✔✔According to federal law how can prescribers send CII prescriptions? - ✔✔1. A
written, paper prescription signed by the practitioner.
2. An electronic prescription transmitted to the pharmacy by the practitioner.
3. A fax (facsimile) prescription transmitted by the practitioner or the practitioner's agent
to the pharmacy in certain situations. In general, the faxed prescription can be used to
get the medication ready for the patient. The patient must present the manually signed
prescription to the pharmacist before dispensing the controlled substance. In certain
circumstances, we may use the faxed prescription as the original (e.g., keep the fax in
our files without obtaining another written prescription)
4. An oral telephone prescription promptly reduced to writing by the pharmacist in
specific scenarios
✔✔What if a prescriber writes "for office use" for a controlled substance medication? -
✔✔Cannot except. They must have the name of an individual patient for it to be a valid
RX.
