Pharmacy Controlled Substances and DEA Regulations 3

Question 1

Which analgesic was rescheduled from Schedule III to Schedule II in 2014 by the DEA?

Accepted Answer

Hydrocodone combination products (e.g., Vicodin)

Answer

Codeine combination products

Answer

Tramadol

Answer

Buprenorphine

Question 2

Under DATA 2000 (Drug Addiction Treatment Act), specially waivered physicians may prescribe which medication in an office-based setting for opioid use disorder?

Accepted Answer

Buprenorphine (Suboxone/Subutex)

Answer

Methadone (for OUD maintenance)

Answer

Naltrexone (Vivitrol)

Answer

Naloxone (Narcan)

Question 3

Electronic prescriptions for controlled substances (EPCS) are permitted under which federal regulation?

Accepted Answer

DEA Interim Final Rule of 2010 (21 CFR Parts 1300, 1304–1306, 1311)

Answer

HIPAA Security Rule

Answer

The Controlled Substances Act (1970) original text

Answer

Ryan Haight Act only

Question 4

Naloxone (Narcan) dispensing under standing orders and pharmacist-initiated protocols is important because:

Accepted Answer

It allows rapid community access to opioid overdose reversal without a patient-specific prescription

Answer

Naloxone is a Schedule II controlled substance requiring strict prescriber oversight

Answer

Naloxone must only be dispensed in hospital settings

Answer

It treats opioid addiction by blocking opioid receptors permanently

Question 5

What distinguishes a Schedule II prescription with a 'do not fill until' date (post-dating) from a standard CII prescription?

Accepted Answer

They are permissible; the prescription is valid but cannot be filled before the indicated date — it still expires 90 days after the written date

Answer

Post-dated CII prescriptions are illegal under federal law

Answer

They allow refills up to the number specified by the prescriber

Answer

Post-dated CII prescriptions require DEA Form 222

Question 6

A DEA Form 222 has an error in the 'number of packages' column. The pharmacy should:

Accepted Answer

Destroy the form and use a new DEA Form 222

Answer

Correct it in ink and initial the correction

Answer

Submit it to the DEA for correction

Answer

Use correction fluid to fix the error