CPJE Law 2023: Controlled Substances

When does DEA number need to be on prescription?

All controlled substances

DATA waiver allows prescribers to provide schedule _____ drugs that are FDA-approved for addiction

Schedule 3-5

Methadone = Schedule 2 --> does not apply for DATA!

The auxilliary label "CAUTION: Federal law prohibits transfer of this drug"... applies to which schedule?

Schedule 2, 3, 4

(NOT schedule 5)

What form is used to register as OTP with DEA?

Form 363

If you provide SCHEDULE 2 partial fills due to patient request or Hospice/LTC, when must the remainder be given?

Patient Request: 30 days of issue

Hospice/LTC: 60 days of issue

If you provide SCHEDULE 2 partial fills due to pharmacy stock, when must the remainder be given?

Pharmacy stock: 72 hours of partial fill date

If provider does not give original script within 7 days of emergency schedule 2 V/O, what do you report to? when do you report?

144 hours
CA Bureau of Narcotic Enforcement

If you fill an emergency schedule 2 via V/O, provider must provide original prescription within _____ days

7 days

Electronic, written/hand delivered, written/mailed

What are the 3 circumstances that allow partial fill of schedule 2?

(1) Pharmacy stock
(2) Patient request
(3) Hospice/LTC

Dp partial fill of schedule 3-5 RX count as a REFILL?

No: Partial fills do not deduct from total # of refills

What is the exception to pre-printed physician information on CA Security Form?

Hospitals that have > 25 physicians

What are the FIVE unique security features of CA Security Form?

(1) "VOID" when photocopied
(2) Chemical void protection
(3) Watermark "CA security prescription"
(4) Thermochromic ink
(5) Opaque writing that disappears when lightened

What are the two instances that CA security form does NOT have to be used for controlled substance RX?

(1) Terminally ill (< 1 year); 1159.2 exception

(2) Declared emergency: 1159.2 exception or emergency

-Schedule 2 = max 7 day supply during emergency

How many letters + numbers in DEA number?

2 Letters + 7 Numbers

A/B/F/G: hospital, clinic, pharmacy, practioner

M: Midlevel

P/R: Narcotic program, lab, research, manufacturer

X: Data waiver

When reporting theft of CS while in transit, it is responsibility of ______ to report to DEA within _____ days

Supplier
3 days

Can a pharmacy sell controlled substances to another pharmacy or practioner?

Yes if...

(1) Both parties are registered with DEA

(2) Total quantity sold cannot exceed 5% of total quantity dispensed each year

How many POA can there be?

Unlimited

WHO can order schedule 1-2 drugs?

Registrant or POA

How to order:
- Schedule 1-2
- Schedule 3-5

- Schedule 1-2: DEA form 222 or CSOS

- Schedule 3-5: CSOS or Order Form

Who can prescribe controlled substance WITHOUT DEA registration?

Providers who work for:

- Prison

- Indian Health

- US Armed Services

- US Public Health Services

Form 222 vs CSOS

Can order be endorsed to another supplier?

Form 222: yes

CSOS: No

Form 222 vs CSOS

Limit of # of drugs

Form 222: 20 drugs on single sheet; 10 drugs on triplicate

CSOS: no limit

What is the special codeine schedule?

Single entity codeine = Schedule 2

Codeine/APAP = Schedule 3

Codeine Cough Syrup = Schedule 5

What schedule?
-Nabilone (CESAMET)
-Dronabinol solution (SYNDROS)
-Dronabinol PO (MARINOL)

-Nabilone (CESAMET): schedule 2

-Dronabinol solution (SYNDROS): schedule 2

-Dronabinol PO (MARINOL): schedule 3