Prescription Dispensing Requirements Flashcards
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Read the first 7 Prescription Dispensing Requirements flashcards as text
A prescription for amoxicillin 500 mg is written for 'qty: 30 capsules, no refills.' Three weeks later the patient calls requesting a refill. What should the pharmacist do?
Answer: Contact the prescriber for a new prescription or refill authorization before dispensing
When a prescription has no refills authorized, the pharmacist must obtain a new prescription or authorization from the prescriber before dispensing additional medication.
Which scenario represents a valid emergency oral prescription for a Schedule II controlled substance?
Answer: A prescriber calls in morphine for a terminally ill patient with a bona fide emergency and provides a written prescription within 7 days
Federal law permits oral Schedule II prescriptions only in genuine emergencies, provided the prescriber submits a written prescription within 7 days and the quantity is limited to the emergency period.
A pharmacist suspects that a prescription for oxycodone was forged. Which action is most appropriate?
Answer: Refuse to dispense, retain the prescription if safe to do so, and notify law enforcement or the prescriber
When a controlled substance prescription is suspected to be forged, the pharmacist should refuse to fill it, retain the prescription if possible, and report to the prescriber and/or law enforcement.
A prescription reads 'Metformin 500 mg – dispense as written.' The pharmacist's wholesaler only has the generic in stock. What is the pharmacist's obligation?
Answer: Dispense the brand name by ordering it specifically to fulfill the DAW instruction
A 'dispense as written' (DAW) instruction requires the pharmacist to dispense the brand-name product, which may require special ordering.
Under federal law, which of the following is NOT a required element of a valid controlled substance prescription?
Answer: Prescriber's NPI number
Federal DEA requirements for controlled substance prescriptions do not include the prescriber's NPI number; required elements include patient name/address, date, drug, quantity, and prescriber signature/DEA number.
A pharmacist receives a prescription for testosterone gel (Schedule III). The prescription was written 7 months ago. Under federal law, what is the dispensing status?
Answer: It may not be dispensed because Schedule III prescriptions are only valid for 6 months from the date issued
Federal law limits Schedule III–V prescriptions to 6 months from the date issued, so a 7-month-old prescription may not be dispensed.
Which of the following statements about transferring a Schedule III controlled substance prescription between pharmacies is correct?
Answer: Schedule III prescriptions may be transferred only once between pharmacies
Federal law allows Schedule III–V prescriptions to be transferred between pharmacies only once, unless the pharmacies share a real-time electronic database allowing multiple transfers.