CPJE and Community Pharmacy Self-
Assessment (Rev 10/14) Questions and
Answers
Refills for Schedule III and IV Controlled Substance Prescriptions Correct Ans-Limited to a
maximum of *5 times within 6 months*, and all refills taken together *do not exceed a 120 day
supply*
Medication Errors Correct Ans-initiated *within two business days* from the date the
medication error is discovered
Record of the Quality Assurance Review Correct Ans-Maintained for *at least one year* from
the date it was crerated
Schedule III, IV, and V Controlled Substance Prescription Transfer Correct Ans-Transferred
only once *unless* the pharmacies electronically share a real-time, on-line database, in which
case the prescription is transferred up to the maximum refills permitted by law and the
prescriber's authorization
,All drug acquisition and disposition records (complete accountability) are maintained Correct
Ans-At least *3 years*
- Prescription records
- Purchase invoices for all prescription drugs
- Biennial controlled substances inventory
- U.S. Official Order Forms
- Power of Attorney for completion of DEA 222 forms
- Theft and Loss Reports (DEA Form 106)
- Record documenting return of drugs to wholesaler or manufacturer
- Record documenting transfers or sales to other pharmacies, licensees and prescribers
Hypodermic Needle and Syringe Sales without a prescription are limited to Correct Ans-
Furnishing needles and syringes for human use to a person *18 years of age or older* for
personal use --> *No limit on the syringes/needles*
Records stored off-site Correct Ans-- Retrievable *within two business days*
- Non-controlled substances are maintained on the licensed premises for *at least one year* from
the date of dispensing
, - Controlled substances are maintained on the licensed premises for *at least two years* from the
date of dispensing
*DEA* Controlled Substances *Inventory* Correct Ans-- Completed *biennially (every two
years)*
- Is available for inspection for three years
Ordering all schedule II controlled substances Correct Ans-DEA Form 222 or Electronic
Equivalent (CSOS)
Sales of controlled substances to other pharmacies or prescribers Correct Ans-Do not exceed
*five percent* of the total number of controlled substances dosage units dispensed per calendar
year
Dispensing upon an "oral" order for a true emergency Correct Ans-- Schedule II prescritpion
is provided by the prescriber by the *7th day* following the transmission of the oral order
- If not received, the pharmacy reports failure to provide prescription document to the California
Bureau of Narcotic Enforcement within *144 hours* of the failure to provide prescription
Assessment (Rev 10/14) Questions and
Answers
Refills for Schedule III and IV Controlled Substance Prescriptions Correct Ans-Limited to a
maximum of *5 times within 6 months*, and all refills taken together *do not exceed a 120 day
supply*
Medication Errors Correct Ans-initiated *within two business days* from the date the
medication error is discovered
Record of the Quality Assurance Review Correct Ans-Maintained for *at least one year* from
the date it was crerated
Schedule III, IV, and V Controlled Substance Prescription Transfer Correct Ans-Transferred
only once *unless* the pharmacies electronically share a real-time, on-line database, in which
case the prescription is transferred up to the maximum refills permitted by law and the
prescriber's authorization
,All drug acquisition and disposition records (complete accountability) are maintained Correct
Ans-At least *3 years*
- Prescription records
- Purchase invoices for all prescription drugs
- Biennial controlled substances inventory
- U.S. Official Order Forms
- Power of Attorney for completion of DEA 222 forms
- Theft and Loss Reports (DEA Form 106)
- Record documenting return of drugs to wholesaler or manufacturer
- Record documenting transfers or sales to other pharmacies, licensees and prescribers
Hypodermic Needle and Syringe Sales without a prescription are limited to Correct Ans-
Furnishing needles and syringes for human use to a person *18 years of age or older* for
personal use --> *No limit on the syringes/needles*
Records stored off-site Correct Ans-- Retrievable *within two business days*
- Non-controlled substances are maintained on the licensed premises for *at least one year* from
the date of dispensing
, - Controlled substances are maintained on the licensed premises for *at least two years* from the
date of dispensing
*DEA* Controlled Substances *Inventory* Correct Ans-- Completed *biennially (every two
years)*
- Is available for inspection for three years
Ordering all schedule II controlled substances Correct Ans-DEA Form 222 or Electronic
Equivalent (CSOS)
Sales of controlled substances to other pharmacies or prescribers Correct Ans-Do not exceed
*five percent* of the total number of controlled substances dosage units dispensed per calendar
year
Dispensing upon an "oral" order for a true emergency Correct Ans-- Schedule II prescritpion
is provided by the prescriber by the *7th day* following the transmission of the oral order
- If not received, the pharmacy reports failure to provide prescription document to the California
Bureau of Narcotic Enforcement within *144 hours* of the failure to provide prescription
