CPJE Latest Update

Poison Prevention Packaging Act- place ORAL (only) Rx meds in child-resistant safety containers. What are the exceptions? - ANSWER - Nitroglycerin SL tab - Erythromycin ethylsuccinate granules for oral suspension - colestipol powder (Colestid- BAS) - oral contraceptives in manufacturer's memory-aid dispenser packages - Doctor or patient may request a non-complying container (keep documentation if that occurs) erythromycin oral counseling - ANSWER Base, PCE or stearate dosage forms should be taken on an empty stomach Ethylsuccinate (E.E.S. Granules) or delayed-release (Ery-Tab) admin without regard to meals--> May consider administering after food to decrease GI discomfort. DEA Form 222 - ANSWER Ordering of Schedule I & II C.S requires DEA Form 222 - keep record for 3 YEARs - Pharmacies can sell to other pharmacies or to prescribers with DEA 222 form (C I & II) --> can sell MAX 5% of their C.S dispensing (ie. can sell 1,000 to another pharmacy if dispense 20,000 C.Subs) - Valid for up to 60 days - The reverse distributor issues DEA Form 222 for C.S. II. Transfer of Schedule II C.S - ANSWER Schedule II C.S canNOT be transferred (DEA Form 222 is NOT used to transfer prescriptions) Filing of prescriptions - ANSWER Schedule III, IV, or V C.S prescriptions REQUIRE a 1-inch red 'C' on lower right corner if filed along with NON-scheduled prescriptions - does not apply for electronic filing systems - EXCEPTION: Schedule II C.S prescriptions MUST be filed separately Paper or electronic C.S prescription records must be kept for: - ANSWER - Federal: 2 years - CA: 3 years - When there's a conflict between a federal and a state statute, the federal statute outweighs the state statute or regulation, unless the state law is more stringent and, thus, mandates over the less stringent federal rule. Refill PRN (non-scheduled drugs) - ANSWER valid for 1 year from the date prescription was written CA Continuing Education Requirements - ANSWER - 30 hours CE/2 years - 2 of the 30 CE hours MUST be law & ethics from a course provided by the Board - retain CE certificates for 4 years