COMPLETE QUESTIONS AND ANSWERS
◉ What is the maximum amount of codeine in a C-V product?
Answer: - 2 mg/ml
◉ What is the maximum amount of dihydrocodeine, ethylmorphine,
and opium in a C-V product? Answer: - 1 mg/ml
◉ What is the maximum amount of Lomotil components in a C-V
product? Answer: - 2.5 mg diphenoxylate
- 25 micrograms atropine
PER DOSE
◉ What is the maximum amount of difenoxin and atropine in a C-V
product? Answer: -0.5 mg difenoxin
-25 micrograms atropine
PER DOSE
◉ Scheduling authority is vested solely with what government
official? Answer: Attorney General
,◉ What must the Attorney General do before scheduling a drug?
Answer: Request scientific and medical evaluation of the drug from
the Secretary of the Department of Health and Human Services
(HHS)
◉ When can the Attorney General override a consult with the
Secretary of HHS to schedule a drug? Answer: - When he finds the
drug must be placed in C-I to avoid an imminent hazard to public
safety
◉ What 3 criteria must be met in order for an emergency telephone
dispense of a C-II drug to exist? Answer: - Immediate administration
of C-II is necessary
- No alternative treatment available
- Not possible for prescriber to present written Rx before dispensing
◉ How long does a prescriber have to give a hard copy to the
pharmacist, after administration of an emergency CII prescription?
Answer: In NJ, emergency period is specifically limited to a 72 hour
supply
Also, if the practitioner doesn't deliver Rx hard copy within 7 days,
the pharmacy must contact the DEA & DCU
,Failure to contact DEA would make the pharmacy unauthorized to
take emergency CII prescriptions
If pharmacy can't fill balance within 72 hours, RPh must get a new
script for the remaining balance & let prescriber know.
◉ How much drug should be dispensed for an emergency C-II fill?
Answer: Just enough to get the patient through the emergency
period
◉ What are the 2 important steps to take when a pharmacy first
receives a verbal emergency order for a C-II? Answer: - Immediately
reduce to writing
- Make reasonable efforts to make sure it came from registered
individual practitioner
◉ What words must be on the hard copy after administration of an
emergency CII prescription? Answer: "Authorization for Emergency
Dispensing"
◉ What happens if a pharmacy fails to notify the DEA that a hard
copy has not come in to cover an emergency fill? Answer: The
pharmacy loses authority to accept emergency oral orders for C-II
, ◉ What if a prescriber follows up with an electronic prescription
instead of a written hard copy for an emergency C-II fill? Answer: -
Pharmacist must annotate the record of the electronic prescription
with the original authorization date and the date of the emergency
oral order
◉ What must be noted on the face of a partial fill CII prescription?
Answer: Amount dispensed
◉ When must the balance of a partial C-II fill be completed? Answer:
Within 72 hours
◉ What must be done if the balance of a C-II partial fill is not
completed in time? Answer: - Pharmacist must notify prescriber to
get new Rx for the balance owed or to let them know that the Rx was
not completely filled
◉ What are the 2 exceptions to the 72-hour rule for partial C-II fills?
Answer: - Partial quantities of up to 60 days can be filled for LTCF
patients
- Partial quantities of up to 60 days can be filled for terminally ill
patients
- MUST DOCUMENT on Rx if they are terminally ill or LTCF patient