CPhT Controlled Substances 2 — Questions and Answers
Question 1: A patient presents a prescription for Adderall XR 20 mg. Under DEA regulations, how many days before the written date can a Schedule II prescription be filled?
- It can be filled any time before the expiration date (Correct answer)
- Up to 7 days before the written date
- Up to 30 days before the written date
- Only on the exact written date
Correct answer: It can be filled any time before the expiration date
There is no federal restriction on how early a Schedule II prescription can be filled; state law may impose limits, but federally it can be filled at any time before expiration.
Question 2: Which DEA form is used to report the theft or significant loss of controlled substances from a pharmacy?
- DEA Form 41
- DEA Form 222
- DEA Form 106 (Correct answer)
- DEA Form 224
Correct answer: DEA Form 106
DEA Form 106 (Report of Theft or Significant Loss of Controlled Substances) must be submitted to the DEA within one business day of discovery.
Question 3: A Schedule III controlled substance prescription may be transferred between pharmacies how many times under federal law?
- Unlimited times if electronically transferred
- Only once (Correct answer)
- Up to three times
- It cannot be transferred
Correct answer: Only once
Federal law allows CIII–CV prescriptions to be transferred only once; however, pharmacies sharing a real-time database may transfer up to the maximum number of authorized refills.
Question 4: Buprenorphine/naloxone (Suboxone) dispensed in an outpatient pharmacy setting is classified as which DEA schedule?
- Schedule II
- Schedule III (Correct answer)
- Schedule IV
- Schedule V
Correct answer: Schedule III
Buprenorphine combination products such as Suboxone are Schedule III controlled substances.
Question 5: When a pharmacy dispenses a partial fill of a Schedule II controlled substance for a non-LTCF/terminally ill patient, the remaining portion must be dispensed within:
- 24 hours
- 48 hours
- 72 hours (Correct answer)
- 30 days
Correct answer: 72 hours
The remaining portion of a partial CII fill must be dispensed within 72 hours; if not, the pharmacist must notify the prescriber and no further quantity may be dispensed.
Question 6: Which of the following is NOT a required element on a DEA Form 222 used to order Schedule I or II substances?
- Number of packages ordered
- Name and size of package
- DEA registration number of the supplier
- NDC number of the drug (Correct answer)
Correct answer: NDC number of the drug
DEA Form 222 requires the drug name, package size, number of packages, and the supplier's DEA number, but does not require the NDC number.
Question 7: A pharmacy receives a phone call from a physician wishing to authorize an emergency oral Schedule II prescription. Under federal law, what must the pharmacy do?
- Refuse; CII prescriptions cannot be called in under any circumstances
- Dispense the emergency quantity and require a written prescription within 7 days (Correct answer)
- Dispense only a 3-day supply and require a written prescription within 3 days
- Accept and retain only the verbal order with no follow-up required
Correct answer: Dispense the emergency quantity and require a written prescription within 7 days
Federal law permits an emergency oral CII prescription when specific criteria are met; the prescriber must furnish a written follow-up prescription within 7 days.
CPhT Controlled Substances 2
A patient presents a prescription for Adderall XR 20 mg.
Under DEA regulations, how many days before the written date can a Schedule II prescription be filled?