MPJE: Schedules of Controlled Substances

Dihydromorphine

CI

GHB

CI

Heroin

CI

LSD

CI

Marijuana

CI

MDMA

CI

Mescaline

CI

Peyote

CI

alfentanil

CII

Amobarbital

CII

Amphetamine

CII

Amphetamine/dextroamphetamine

Adderall

CII

Cocaine

CII

Codeine

CII

Dextroamphetamine

Dexedrine, ProCentra, Zenzedi

CII

Dexmethylphenidate

Focalin, Focalin XR

CII

Dronabinol schedule as oral solution (Syndros)

CII

Fentanyl

Fentora, Duragesic, Actiq, Abstral, Sublimaze, Subsys, Lazanda

CII

Hydrocodone

Hysingla ER, Zohydro ER

CII

Hydrocodone combo products

Norco, Vicodin, Tussicaps, Lortab, Vicoprofen, Xodol

CII

Hydromorphone

Dilaudid

CII

Levorphanol

CII

Lisdexamphetamine

Vyvanse

CII

Meperidine

Demerol

CII

Methadone

Dolophine

CII

Methamphetamine

Desoxyn

CII

Methylphenidate

Ritalin, Ritalin LA, Concerta, Daytrana, QuilliChew ER, Quillivant ER

CII

Morphine

MS Contin, Kadian, Arymo ER, Duramorph, Infumorph, Mitigo, MorphaBond ER

CII

Nabilone

Cesamet

CII

Oxycodone

Oxycontin, Roxicodone, Oxaydo, Xtampza ER

CII

Oxycodone schedule as combination products

Endocet, Percocet, Percodan, Xartemis XR

CII

Oxymorphone

Opana

CII

Pentobarbital

Nembutal

CII

Secobarbital

Seconal

CII

Sufentanil

CII

Tapentadol

Nucynta, Nucynta ER

CII

Amobarbital schedule as part of combination with non-controlled substance or as suppository

CIII

Anabolic steroids

anything with "andro" in the name

CIII

Benzphetamine

Regimex, Didrex (short term amphetamine to help weight loss)

CIII

Buprenorphine

Butrans

CIII

Buprenorphine/naloxone

Suboxone, Subutex

CIII

Butabarbital

Butisol

CIII

Butalbital-containing products

with codeine

Fioricet with Codeine, Fiorinal, Fiorinal with Codeine

CIII

Codeine schedule if formulated as part of combination tablet/capsule

CIII

Codeine combination products (Empirin, Fiorinal, Tylenol #3, ASA or APAP w/ codeine)

CIII

Dronabinol schedule as oral capsule (Marinol)

CIII

Ketamine

Ketalar

CIII

Opium combination product

Paregoric

CIII

Pentobarbital schedule as part of combination with non-controlled substance or as suppository

CIII

Perampanel

Fycompa

CIII

Secobarbital schedule as part of combination with non-controlled substance or as suppository

CIII

Sodium oxybate

Xyrem

CIII

sodium salt form of GHB

Testosterone

Androderm, Androgel, etc.

CIII

Tiletamine/zolazepam

Telazol (animal tranquilizer)

CIII

Armodafinil

Nuvigil

CIV

Benzodiazepines

CIV

Clonazepam

Klonopin

CIV

Clorazepate

CIV

Diazepam

Valium

CIV

Difenoxin/atropine

Motofen

CIV

Lorazepam

Ativan

CIV

Alprazolam

Xanax

CIV

Barbital

Barbitone

CIV

Butorphanol

Stadol

CIV

Carisoprodol

Soma

CIV

Chloral hydrate

Sedative/hypnotic, no FDA-approved commercial forms available after 2012, may still be compounded

CIV

Chlordiazepoxide

CIV

Eluxadoline

Viberzi

CIV

Eszopiclone

Lunesta

CIV

Flurazepam

CIV

Lorcaserin

Belviq

CIV

Meprobamate

CIV

Midazolam

Versed

CIV

Modafinil

Provigil

CIV

Oxazepam

CIV

Phenobarbital

Luminal

CIV

Phentermine

Adipex-P (weight loss)

CIV

Phentermine/topiramate

Qsymia

CIV

Suvorexant

Belsomra

CIV

Tramadol

Ultram

CIV

Tramadol/acetaminophen

Ultracet

CIV

Triazolam

Halcion

CIV

Zaleplon

Sonata

CIV

Zolpidem

Ambien, Edluar, Intermezzo

CIV

Zopiclone

CIV

atropine/diphenoxylate

Lomotil

CV

Brivaracetam

Briviact

CV

Cannabidiol products (eg Epidiolex)

CV

Codeine schedule if formulated as combination cough syrup

CV

Ezogabine or retigabine

Potiga

CV

Lacosamide

Vimpat

CV

Pregabalin

Lyrica

CV

Robitussin AC

Cough syrup with codeine

Should not have more than 200mg codeine/100mL or 100g

CV

Fioricet

Butalbital/APAP/Caffeine

CVI

Gabapentin

Neurontin

CVI

Emergency situation for CII drugs

- Immediate admin of controlled substance is necessary for proper treatment of patient

- No appropriate alternative treatment is available

- It isn't possible for prescribing MD to provide written rx to RPh before dispensing

Faxes allowed as original rx if

- CII drug will be compounded for direct administration via parenteral, IV, IM, SC, or intraspinal infusion

- Patient is resident at LTCF

- Patient is enrolled in hospice care program certified/paid by Medicare

Partial fill (CII)

- If pharmacy is OOS (need to give full amount in 72 hrs or rx is voided)

- Terminally ill patients (ex. hospice)

- LTCF patients (partial fills allowed for up to 60 days from date of issuance)

- If patient requests partial fill (may still pick up remainder before 30 days of issuance is up)

Partial fill (CIII-V)

Refill =/= partial fill!

- Partial filling is recorded in the same manner as a refill (date refilled, amt dispensed, initials of dispensing RPh, etc.)

- Total quantity dispensed doesn't exceed total quantity prescribed

- No dispensing after 6 MONTHS past date of issue

Multiple scripts of a CII

- Can receive up to 90 day supply of the same CII med

- All scripts must be dated with the date of issuance (date written)

- Subsequent scripts must contain a "Do not dispense before ___ (date)"