Controlled Substances and DEA Regulations Flashcards

Schedule II controlled substances are characterized by:

Answer: High potential for abuse with accepted medical use; no refills allowed

Schedule II drugs (e.g., oxycodone, amphetamine, fentanyl) have high abuse potential, accepted medical uses, and may lead to severe psychological or physical dependence. No refills are permitted.

Which DEA form is used to order Schedule I and II controlled substances?

Answer: DEA Form 222 (or CSOS electronically)

DEA Form 222 (paper) or CSOS (Controlled Substance Ordering System, electronic) is required to order Schedule I and II controlled substances from a distributor.

A DEA number always begins with two letters. The second letter is always:

Answer: The first letter of the prescriber's last name

DEA numbers follow the format: letter (A/B/F/M/etc.) + first letter of registrant's last name + 7 digits. The second character is the first letter of the registrant's last name.

Emergency oral dispensing of a Schedule II controlled substance without a written prescription is permitted ONLY if:

Answer: An oral authorization is given and a written prescription is delivered to the pharmacy within 7 days

Under 21 CFR 1306.11(d), a pharmacist may dispense a Schedule II in a genuine emergency on an oral order, but the prescriber must provide a written/electronic prescription within 7 days.

DEA Form 41 is used when a pharmacy needs to:

Answer: Destroy outdated or unneeded controlled substances

DEA Form 41 (Registrant Record of Controlled Substances Destroyed) is used to document the destruction of controlled substances at the registrant's registered location.

Which of the following is a Schedule V controlled substance?

Answer: Codeine combination products with ≤200 mg/100 mL (e.g., cough syrup)

Codeine-containing cough preparations with ≤200 mg of codeine per 100 mL (e.g., Robitussin AC) are Schedule V. Hydrocodone single-entity and oxycodone are Schedule II; alprazolam is Schedule IV.