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When can a controlled substance be returned to a pharmacy? (3) - (answers)1. Dispensing
error
2. Drug recall
3. Authorized collector
Who can be authorized collectors of controlled substances? (6) - (answers)1. Manufacturers
2. Distributors
3. Reverse distributors
4. Narcotic treatment programs
5. Hospitals/clinics with on-site pharmacy
6. Retail pharmacies
What are the 2 ways for an authorized collector to take back controlled substances? -
(answers)1. Maintaining collection receptacles
2. Mail-back programs
What are the functions of the DEA associated with the Controlled Substance Act? (4) -
(answers)- interpretation
- implementation
- enforcement
- development of regulations
T/F: Law enforcement agencies are permitted to take back controlled substances without
DEA registration - (answers)True
,What is the method of destruction for controlled substances? - (answers)No specific
instructions, but must be "non-retrievable" (permanently altering the controlled substance's
physical or chemical condition by irreversible means)
T/F: Patients are required to bring controlled substances to an authorized collector and
aren't permitted to destroy substances themselves - (answers)False - aren't required and are
permitted to destroy substances themselves
What are 5 categories must register with the DEA when it comes to controlled substance? -
(answers)1. Manufacturer
2. Distributor
3. Dispenser
4. Narcotic treatment programs
5. Detox compounder
What type of registration do physicians and mid-level practitioners obtain in order to
prescribe controlled sustances? - (answers)Dispenser
What is a narcotic? (6) - (answers)Any of the following whether produced directly or
indirectly:
1. Opium, opiates and its derivatives
2. Poppy straw
3. Coca leaves
4. Cocaine
5. Ecgonine
6. Any compound/mixture/preparation which contains any of 1-5
When an entity applies for DEA registration, the registration form is signed by the "owner",
who is: (3) - (answers)1. "Sole proprietor" if the entity is a sole proprietorship
,2. Partnership: any partner is the owner, and can complete the form
3. Corporation: any officer or director of the corporation can complete the form
What is a power of attorney? - (answers)Method of delegating responsibility to another
person to issue orders for and obtain schedule I and II controlled substances
Who must the POA for the DEA Form 222 be executed and signed by? - (answers)- the
registrant
- person who POA is granted to
- 2 witnesses
If revoking the POA for DEA Form 222, who must revoke the notice of revocation? -
(answers)- person who signed the most recent DEA registration
- 2 witnesses
Who can be a POA? Who is preferred to be a POA? - (answers)Can be anyone: non-
pharmacist owners, techs, interns, and unlicensed persons. BUT it is always preferable (even
if not legally required) that only pharmacists order controlled substances
What type of DEA registration do pharmacies apply for? - (answers)Dispenser
Which DEA Form do pharmacies and other dispensers use for initial registration? What form
is used for renewal? How often is renewal? - (answers)DEA 224; DEA 224a; 3 years
Neither federal or IL law require the DEA registration applicant or the person with POA to be
a pharmacist; however, under state law, the ordering, securing, and dispensing of controlled
substance is responsibility of ____, regardless of whether they are the registrant and
regardless of whether they have a POA. - (answers)PIC
Hospitals register as "___ ____" - registration is issued to the entire hospital, allowing
controlled substances to be stored anywhere in the registered location, and to give
, employee practitioners, nurses, pharmacists the authority to possess, prescribe, dispense,
and administer controlled substances - (answers)Institutional practitioners
T/F: Pharmacies in hospitals require a separate DEA registration - (answers)False - can use
the institutional dispenser registration issued to hospital
T/F: Institutional practitioner registration is also available to clinics that are licensed under
state law - (answers)True
When are multiple DEA registrations required? (2) - (answers)1. Location: required for each
site w/ different street addresses
2. Activity: for each activity, even if in the same address (i.e. distributor, detox compounder,
etc.)
What are 3 activities would trigger multiple DEA registrations for pharmacies? - (answers)1.
Pharmacy as a distributor
2. Pharmacy as a manufacturer
3. Pharmacy as "detox compounder"
What makes a pharmacy a distributor? - (answers)1. Participates in joint buying activities,
and is the location from which drugs are stored and shipped to other pharmacies OR
2. Its annual distribution of controlled substances to other pharmacies or practitioners
exceeds 5% of total number of dosage units dispensed
What makes a pharmacy a manufacturer? - (answers)1. It purchases controlled substances
for the purpose of repackaging for sale within the pharmacy w/o a prescription or to other
registrants
2. It compounds for office use (note that this is no longer legal)
What makes a pharmacy a detox compounder? - (answers)It compounds controlled
substance product for sale or distribution to a narcotic treatment program for purposes of
addiction treatment