Prescription Dispensing Requirements Flashcards
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A pharmacist receives a faxed prescription for a Schedule III controlled substance. Under federal law, which statement is correct?
Answer: Faxed Schedule III prescriptions are permitted and may serve as the original
Federal law (21 CFR 1306.21) permits Schedule III–V prescriptions to be transmitted by fax, and the fax may serve as the original prescription.
Which of the following information is NOT required on a prescription label for a non-controlled legend drug under federal law?
Answer: Prescriber's DEA registration number
A prescriber's DEA number is not required on a non-controlled drug prescription label; it is only relevant for controlled substance prescriptions.
A patient requests an early refill of a Schedule III controlled substance because they will be traveling. The pharmacist may:
Answer: Dispense an early refill if the prescriber authorizes it and state law permits
Early refills of Schedule III–V may be dispensed if the prescriber authorizes it and state law does not prohibit the practice.
Under the Combat Methamphetamine Epidemic Act (CMEA), the daily sales limit for ephedrine-containing OTC products is:
Answer: 3.6 grams per purchaser per day
CMEA limits daily sales to 3.6 grams of ephedrine base per purchaser per day, with a 30-day limit of 9 grams.
Which of the following is an acceptable method for a prescriber to communicate a new Schedule II prescription to a pharmacy?
Answer: Written prescription signed by the prescriber
Schedule II prescriptions must be written and signed by the prescriber; oral orders are only permitted in true emergencies with a written follow-up.
A pharmacist is dispensing a 90-day supply of a maintenance medication. The patient's insurance only covers 30 days. Which statement is correct regarding the prescription label?
Answer: The label must reflect the total quantity dispensed regardless of billing arrangement
The prescription label must accurately reflect the total quantity actually dispensed to the patient, regardless of how billing is split.
Under federal law, how long must a pharmacy retain dispensing records for Schedule II controlled substances?
Answer: 2 years from the date of dispensing
Federal DEA regulations (21 CFR 1304.04) require that Schedule II controlled substance records be maintained for a minimum of 2 years.