Tennessee MPJE Questions and Answers Rated A+

Tennessee MPJE Questions and Answers Rated A+ A prescription for Buprenorphine prescribed for addiction requires which of the following on the prescription? a. DEA number b. NPI number c. X DEA number d. Buprenorphine certification number Answer: (c) X DEA number is required, [Tennessee Board of Pharmacy News Letter September 2012]. Recently, it was reported to the Tennessee Board of Pharmacy that many pharmacists have mistakenly associated and recorded an incorrect Drug Enforcement Administration (DEA) number in their prescription dispensing systems for some buprenorphine prescriptions. Be advised that controlled substance prescriptions, written for maintenance or detoxification treatment, should have the practitioner's DEA identification number recorded and dispensed with the first letter delineated as "X." This DEA violation may result in a severe penalty. 21 Code of Federal Regulations 1306.05 (a) and (b): A prescription for a Schedule III, IV, or V narcotic drug approved by FDA [Food and Drug Administration] specifically for 'detoxification treatment' or 'maintenance treatment' must include the identification number issued by the Administrator . . . " To clarify, the Administrator is the DEA, and they have chosen the letter "X" to represent the identification number. Remember that Buprenorphine (and/or any other Schedule III, IV, or V narcotic) may be dispensed without the X delineation when treating pain or other off-label use. Although Buprenorphine is not approved for use in pain, pharmacists are seeing an increasing number of prescriptions for this use. Rather than prescribed as a daily dose for addiction, it is usually given three to four times daily for pain. Buprenorphine prescribed for addiction requires the practitioner to have an "X" Drug Enforcement Administration (DEA) number, indicating special training in its use. It is legal for a pharmacist to fill a buprenorphine prescription for pain with the prescriber's regular DEA number just like all other Schedule III drugs. The pharmacist duty is to ensure that the prescription According to Tennessee State Pharmacy Law, which of the following mid-level practitioners may prescribe and/or dispense a Schedule II controlled substance in the course of their professional practices? I. Physicians assistant II. Nurse practitioner III. Optometrists a. I only b. I and II only c. II and III only d. All Answer: (d) All, [ Pursuant to Title 21, Code of Federal Regulations, Section 1300.01(b28), the term mid-level practitioner means an individual practitioner, other than a physician, dentist, veterinarian, or podiatrist, who is licensed, registered, or otherwise permitted by the United States or the jurisdiction in which he/she practices, to dispense a controlled substance in the course of professional practice. Examples of mid-level practitioners include, but are not limited to, health care providers such as nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialists and physician assistants who are authorized to dispense