Module 3: DEA's registration and CS schedules

What is the purpose of DEA?

to regulate, ensure safe use of substances with potential for abuse and dependence; minimize diversion

Who is required to register with DEA?

• prescribers

• institutions (hospitals)

• manufacturers

• distributors (and reverse distributors)

• researchers

Who is NOT required to register with DEA?

• agents/employees of registrants

  • This includes Pharmacists!! they are covered under a pharmacy

• ultimate users

• drug disposal program staffers, law enforcement

Form ___ is used by pharmacies to register with DEA

• must be renewed every __ years with a form _

FORM 224 must be renewed every 3 years with form 224a

T/F walgreen pharmacies don’t need their own DEA license as they all share one

FALSE
- each place of business must be registered as a separate pharmacy

What is the anatomy of a DEA registration #?

two letters, 7 #s

• First letter = type of provider

• second letter = 1st letter of last name/name of institution

• six digits provided by DEA

• seventh is “check digit”

First letter (A, B, F, G ) means what type of practitioner for DEA?

physician/institution

First letter (M) means what type of practitioner for DEA?

midlevel provider

• PA

• APNP

• optometrist

what is the seventh “check digit?”

sum of (digits 1, 3, 5) + [sum of (digits 2, 4, 6) *2]

What is CS 1?

high potential for abuse; no accepted medical use

what is CS II-V?

medical use

• gradually declining potential for abuse/dependency

• known definition of these

when is codeine considered a schedule III vs II?

90 mg/dosage units

OR

1.8 g/100 mL or g (1.8%)

*in combo with non-narc

when is codeine considered a schedule V vs II?

200 mg per 100 mL or g (0.2%)

*in combo with non-narc

When is opium considered a Schedule III vs II?

25 mg/dose

OR

500 mg/100 mL or g (0.5%)

*in combo with non-narc

When is opium considered a Schedule V vs II?

100 mg/100 mL or g (0.1%)

*in combo with non-narc

When is morphine considered a Schedule III vs II?

50 mg/ 100 mL or g

*in combo with non-narc

what CS is codeine 60 mg plus acetaminophen 325 mg?

CS III

codeine is 90 mg or less and in combo with APAP

what schedule is pseudoephedrine in federal and WI law?

federal = not CS

WI = CS V

what schedule is ephedrine in federal and WI law?

federal = not CS

WI = CS IV

Record keeping for CS prescriptions federal vs WI?

federal= 2 yrs

WI = 5 years

what schedule is FioriNAL?

contains ASA, Butalbital, caffeine

CS III

what schedule is FioriCET?

contains APAP, Butalbital, caffeine

not considered controlled