controlled substances

Role of the DEA

Decides which drugs should be classified as controlled substances and places them into schedules

All scheduled drugs except ______ has an accepted medical use.

Schedule I

How are schedules determined?

Based on accepted medical use, abuse and dependency potential

The higher the abuse, the (higher/lower) the schedule number.

Lower

What happens if the DEA reclassifies the schedule of a drug?

The pharmacy must complete an inventory of the drug the same day the change becomes effective.

States can choose to classify drugs into stricter scheduling categories than what the DEA has. What should you do if the state and federal law schedules are different?

Follow the stricter law.

What is the schedule for single-entity oral formulations of amobarbital?

Schedule II

What is the schedule for single-entity oral formulations of pentobarbital?

Schedule II

What is the schedule for single-entity oral formulations of secobarbital?

Schedule II

What is the schedule for suppository formulations of amobarbital?

Schedule III

What is the schedule for suppository formulations of pentobarbital?

Schedule III

What is the schedule for suppository formulations of secobarbital?

Schedule III

What is the schedule for non-controlled substances combined with amobarbital?

Schedule III

What is the schedule for non-controlled substances combined with pentobarbital?

Schedule III

What is the schedule for non-controlled substances combined with secobarbital

Schedule III

What is the schedule for butabarbital?

Schedule III

What is the schedule for single-entity oral codeine products?

Schedule II

What is the schedule for combination tablets or capsules that contain codeine?

Schedule III

Schedule for combination cough syrups that contain codeine

Schedule V

Syndros drug, formulation and schedule

Dronabinol oral solution, schedule II

Syndros drug, formulation and schedule

Dronabinol capsules, schedule III

What percentage of Syndros is alcohol?

50%

Natural compounds found in the Cannabis sativa (marijuana) plant.

CBD and THC

Effect of Cannabidiol (CBD)

Anxiolytic (relaxing) effect that does not produce a high

Effect of Tetrahydrocannabinol (THC)

Psychoactive effect that causes a high

THC levels found in hemp

Less than 0.3%

Does hemp produce a psychoactive effect?

No

Epidolex

Cannabidiol

Epidolex schedule

Originally Schedule V, but has now been descheduled

Epidolex indication

Seizures associated with several disorders, such as Lennox-Gastaut Syndrome, Dravet Syndrome, Tuberous Sclerosis Complex

Dronabinol indications

AIDS-associated anorexia, CINV

Cesamet indication

CINV

Testosterone and all anabolic steroids are what schedule?

Schedule III

Who can prescribe a controlled substance for a legitimate medical purpose?

Physicians, Dentists, Podiatrists, Veterinarians, Optometrists, and MLPs

Mid-level practioners must prescribe under what?

A physician-directed protocol

Naturopathic doctors have limited independent prescribing authority to what kind of medications?

Natural/synthetic hormones, epinephrine,

Can podiatrists prescribe controlled medications?

Yes

Can veterinarians prescribe controlled medications

Yes

MLPs must prescribe under what?

A physician-directed protocol

Can veterinarians prescribe controlled medications?

Yes

Naturopathic doctors may prescribe schedule III-V drugs under an agreement with a physician if they have what?

NDF after their name

Initial registration form for retail pharmacies, hospitals/clinics, teaching institutions, practitioners, or mid-level practitioners

Form 224

Pharmacy registration renewal form

Form 224a

Registration form for drug manufacturers, distributors, and researchers

Form 225

Registration form for narcotic (opioid) treatment clinics (ex: methadone clinic)

Form 363

Registration form for bulk chemical manufacturers and distributors

Form 510

Ordering form for Schedule I and II drugs

Form 222

Reporting form for theft or significant loss of controlled substances

Form 106

Record of controlled substances destroyed

Form 41

Who is required to register with the DEA?

Anyone who prescribes controlled substances and facilities that manufacture, distribute, research, prescribe or dispense controlled substances

Who is exempt from registering with the DEA?

practitioners at a hospital or federal government practitioners

How often must Form 224a be renewed?

Every 3 years

Do practitioners working in a healthcare facility, such as a hospital or institution, have to register with the DEA?

Yes, using the institution’s DEA number

Do federal government practitioners have to register with the DEA?

No

Do federal government practitioners who work at the Federal Bureau of Prisons have to register with the DEA?

No

Do federal government practitioners who work at the Indian Health Service have to register with the DEA?

No

Do federal government practitioners who work at the U.S. Armed Forces have to register with the DEA?

No

Do federal government practitioners who work at the U.S. Public Health Service have to register with the DEA?

No

Are those who purchase or acquire controlled substances at hospitals, institutions, or the federal government practitioners exempt from registering with the DEA?

No