Questions with 5-Star Rated Correct
Answers. Graded A+
____ is required when controlled substances are destroyed, and is normally filled out by
a reverse distributor. - ANS-DEA Form 41
*DDC-51 is the corresponding DCU form
____ is the electronic equivalent to Form 222. - ANS-Controlled Substances Ordering
System (CSOS)
_____ *cannot be refilled*. - ANS-Schedule IIs
*this is federal law
_____ and _____ are cannot be disposed of in *DEA designated receptacles.* - ANS-
illicit drugs
-sharps
_____ and DEA-approved software is required for e-prescribing of controlled
substances. - ANS-two-factor authentication
*e-prescribing of schedule II-V is allowed
_____ are not considered violations of HIPAA. - ANS-incidental disclosures
*e.g. calling out a patient's name in a waiting room, discussing a patient's care during
medical rounds, or using patient sign-in sheets in waiting rooms
_____ are surprisingly *not required* on bulk drug containers. - ANS-NDC numbers
*they are recommended for both OTC and Rx products
_____ are the only HCPs with unlimited, independent prescribing authority. - ANS-
physicians
*all others can only prescribe within their scope of practice and/or under a physician-
directed protocol
_____ cannot be donated as part of a charitable program. - ANS-controlled substances
,_____ intern hours are required in NJ before sitting for the NAPLEX. - ANS-1440
_____ is another term used to describe prescription drugs. - ANS-legend drugs
_____ may be carried over into a succeeding biennial period only if such credits were
earned during the *last six months of the preceding biennial period* and were not
previously reported. - ANS-10 CE credits
_____ of drugs shall be permitted by qualified residents of LTCFs. - ANS-self-
administration
_____ opioids have a very simple REMS program. - ANS-extended release or long-
acting
*mainly an educational program for prescribers, but pharmacists must still dispense a
Med Guide
"GHB" is a date rape drug and is _____, while *sodium oxybate* (Xyrem), the same
drug, is considered _____ because of its use in narcolepsy. - ANS-schedule I
-schedule III
"not more than" quantities for *schedule III* narcotics - ANS-*codeine*: not more than
*1800 mg per 100 mL (18 mg/mL)* or not more than *90 mg per dosage unit*
-*morphine*: not more than *50 mg per 100 mL or 100 g (0.5 mg/mL)*
-*ethylmorphine*: not more than *300 mg per 100 mL (3 mg/mL)* or not more than *15
mg per dosage unit*
-*opium*: not more than *500 mg per 100 mL (5 mg/mL)* or *25 mg per dosage unit*
*Rule of Three - all divisible by 3
"not more than" quantities for *schedule IV* narcotics - ANS*difenoxin*: not more than
*1 mg difenoxin and not less than 25 mcg of atropine* per dosage unit
"not more than" quantities for *schedule V* narcotics - ANS-*codeine*: not more than
*200 mg per 100 mL (2 mg/mL)*
-*diphenoxylate*: not more than *2.5 mg of diphenoxylate* and not *less* than *25 mcg
of atropine per dosage unit*
-*difenoxin*: not more than *0.5 mg of difenoxin* and not *less* than *25 mcg of atropine
per dosage unit*
,-*ethylmorphine*: not more than *100 mg per 100 mL (1 mg/mL)*
-*opium*: not more than *100 mg per 100 mL (1 mg/mL)*
*Rule of Five - all divisible by 5
"radioactive" drugs that are not considered radiopharmaceuticals - ANS-carbon-
containing compounds or potassium-containing compounds or potassium-containing
salts which contain *trace quantities of naturally occurring radionuclides*
"request" requirements for schedule V substances without a prescription in NJ - ANS-
upon *second request* within 2-4 days of first request: pharmacist must *determine if
the drug is being used correctly (e.g. how many people taking, if the condition is
improving)*
-upon *third request* within 2-4 days of second request: pharmacist must *advise the
purchaser of abuse potential and caution for the purchaser to consult a physician if the
condition is not improving*
-upon *fourth request* within 2-4 days of third request: pharmacist must determine *if
the consultation occurred, if the purchaser is exhibiting signs of abuse, whether the
purchaser is making similar requests to local pharmacies, and whether continued use
will be therapeutic*
-*any sale after the fourth request*: pharmacist must *document the justification for the
sale and advise the purchaser to consult a physician*
-*more than 5 dispenses within 12 months*: pharmacist must *obtain written or oral
confirmation of need from the purchaser's prescriber and document the confirmation*
*503B* requirements - ANS-permits specially licensed compounding facilities to operate
as *"outsourcing facilities"* in order to prepare medications *in bulk and without a
prescription written for an individual patient* as long as certain requirements are met
-the facilities need to be compounding *sterile drugs for humans*
*Air surface sampling* of PECs must be conducted every _____. - ANS-6 months
*Disease outbreak* reports can be sent to the _____. - ANS-National Electronic
Disease Surveillance System (NEDSS)
*Faxed orders for inpatient drugs*, including for schedule II substances, are _____ in
the hospital setting. - ANS-permitted
*but if the order is for an employee or outpatient, the rules of retail pharmacy apply
, *In-transit losses* of controlled substances must be reported by _____ via a DEA Form
106. - ANS-the *wholesaler or distributor* shipping the drugs to the pharmacy
*however, if the pharmacy has signed for delivery and subsequently notices that some
or all of the controlled substances are missing, the pharmacy will be responsible for
reporting the loss
*Packing and labeling of medication for drug-dispensing devices*, when done in the
facility, shall be performed under _____. - ANS-the immediate personal supervision of a
pharmacist
*prescription vial* beyond use dating - ANS-the expiration date must be no later than
the *expiration date on the manufacturer's container*
OR
-*1 year* from the date the drug is dispensed, whichever is earlier
*Records related to immunizations and collaborative practices agreements* must be
maintained for at least _____. - ANS-7 years
*recurring error* definition in the context of an *AMS* - ANS-any specific type of
inaccuracy within the automated medication system that occurs *more than twice within
a 14 day period*
*REMS programs* were established by the _____. - ANS-FDA Amendments Act of
2007
*Short-term detoxification* treatment is for a period not in excess of _____, while *long-
term detoxification* treatment is for a period more than _____ but not in excess of
_____. - ANS-30 days
-30 days
-180 days
*Single-dose vials* used in the compounding of sterile preparations exposed to *ISO
Class 5 or cleaner air quality* may be used up to _____ after initial puncture. - ANS-6
hours
*single-dose vials opened in room air are only good for 1 hour
*unit dose packaging* beyond use dating - ANS-the expiration date must not to exceed
*6 months, AND that the six-month period not exceed 25%* of the remaining time
between the date of repackaging and the expiration date on the unopened original
manufacturer's container