Controlled Substances on Maryland List - But Not on DEA List of Controlled Substances

1-(1-phenylcyclohexyl) piperidine C-II
Butalbital, Acetaminophen, caffeine (Fioricet)  C-III (Non-controlled DEA) 
Chlorotestosterone C-III
Dihydrotestosterone C-III
Methandrostenolone C-III
Stanolone C-III
Mazindol C-III (DEA C-IV)
Pentazocine C-III (DEA C-IV)
Dihydrocodeinone < or = 15mg per dosage unit C-III
Opium < or = 100mg per 100Gm or 100ml
or not more than 5mg per dosage unit C-III

Citation: http://dhmh.maryland.gov/laboratories/drugcont/docs/Supplemental%20CDS%20List%20-%20Maryland.pdf

  Answer  

Controlled Substances on Maryland List - But Not on DEA List of Controlled Substances

1-(1-phenylcyclohexyl) piperidine C-II
Butalbital, Acetaminophen, caffeine (Fioricet)  C-III (Non-controlled DEA) 
Chlorotestosterone C-III
Dihydrotestosterone C-III
Methandrostenolone C-III
Stanolone C-III
Mazindol C-III (DEA C-IV)
Pentazocine C-III (DEA C-IV)
Dihydrocodeinone < or = 15mg per dosage unit C-III
Opium < or = 100mg per 100Gm or 100ml
or not more than 5mg per dosage unit C-III

Citation: http://dhmh.maryland.gov/laboratories/drugcont/docs/Supplemental%20CDS%20List%20-%20Maryland.pdf

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In Georgia, a prescription for Fioricet can be refilled how many times?

a. Cannot be refilled
b. 5 times
c. As Needed within 1-year
d. Maximum 10 times.

  Answer  

In Georgia, a prescription for Fioricet can be refilled how many times?

a. Cannot be refilled
b. 5 times
c. As Needed within 1-year
d. Maximum 10 times.

Answer: 5 times, [http://www.nascsa.org/stateprofiles/georgia.htm].

Normally for most states Fioricet is a non-controlled substance whereas Fiorinal is a controlled substance. However, in Georgia, all Butalbitals, including those in combination with acetaminophen, are classified as Schedule III controlled substance.

Therefore, the prescription for Fioricet in Georgia can be filled maximum 5 times within a 6-month period.

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A pharmacy service unit:

I. is a separate entity from the central hospital pharmacy, within the same physical building.

II. provides limited and/or specialized inpatient pharmacy services with a minimum of 100 square feet.

III. shall be covered by the hospital pharmacy license.

a. I only
b. I and II only
c. II and III only
d. All

Answer:

  Answer  

A pharmacy service unit:

I. is a separate entity from the central hospital pharmacy, within the same physical building.

II. provides limited and/or specialized inpatient pharmacy services with a minimum of 100 square feet.

III. shall be covered by the hospital pharmacy license.

a. I only
b. I and II only
c. II and III only
d. All

Answer: All, [New Mexico Administrative Code (NMAC) 16.19.7.10].

A. A pharmacy service unit:

(1). is a separate entity from the central hospital pharmacy, within the same physical building;

(2). provides limited and/or specialized inpatient pharmacy services with a minimum of 100 square feet;

(3). has the necessary space, references and equipment to perform the pharmacy service to be provided.

B. If controlled substances are stored in and/or dispensed from the Pharmacy Service Unit, a locked storage space must be provided and used to store all controlled substances.

C. The Pharmacy Service Unit shall be covered by the hospital pharmacy license.

D. A pharmacist shall be available to the Pharmacy Service Unit during operational hours.

E. A pharmacist shall control access to the Pharmacy Service Unit. Pharmacy technician(s) or intern(s) may be present in the Pharmacy Service Unit during operational hours when the pharmacist is present in the facility.

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A patient medication package stored in an institutional setting where the storage and handling of the drugs are assured and are consistent with the compendia standards may be returned to the pharmacy stock provided the which of following conditions are met?

I. the drug is to be kept within the patient medication package and it is to remain sealed and labeled until dispensed.

II. the expiration date of drug shall become 50% of the time left of the expiration for the drug.

III. no Schedule II, III or IV drugs may be returned to inventory.

a. I only
b. I and II only
c. II and III only
d. All

Answer:

  Answer  

A patient medication package stored in an institutional setting where the storage and handling of the drugs are assured and are consistent with the compendia standards may be returned to the pharmacy stock provided the which of following conditions are met?

I. the drug is to be kept within the patient medication package and it is to remain sealed and labeled until dispensed.

II. the expiration date of drug shall become 50% of the time left of the expiration for the drug.

III. no Schedule II, III or IV drugs may be returned to inventory.

a. I only
b. I and II only
c. II and III only
d. All

Answer: I and II only, [New Mexico Administrative Code (NMAC) 16.19.4.11(B)(p)].

Patient medication packages with more than one drug within a container may not under any circumstances be returned to a pharmacy stock.

Patient Medication Package's with only one drug within a container:

(1). Non-Institutional: A patient medication package stored in a non-institutional setting where there is no assurance of storage standards may NOT be returned to pharmacy stock.

(2). Institutional: A patient medication package stored in an institutional setting where the storage and handling of the drugs are assured and are consistent with the compendia standards may be returned to the pharmacy stock provided the following guidelines are followed:

(a). the drug is to be kept within the patient medication package and it is to remain sealed and labeled until dispensed;

(b). the expiration date of drug shall become 50% of the time left of the expiration for the drug;

(c). no Schedule II drugs (Schedule III, IV and V are allowed) may be returned to inventory; and

(d). proper record keeping for the addition of other scheduled drugs into inventory must be done.

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A pharmacy permit holder shall maintain current computerized records in a manner which permits reconstruction within 72 hours of the request by the Board.

True or False

  Answer  

A pharmacy permit holder shall maintain current computerized records in a manner which permits reconstruction within 72 hours of the request by the Board.

False, [Department of Health and Mental Hygiene 10.34.05.04(A)(3)].

A. A pharmacy permit holder shall:

(1). Prevent unauthorized disclosure or loss by securing all patient records;

(2). Designate personnel with authorized access to computerized patient records; and

(3). Maintain current computerized records in a manner which permits reconstruction within 48 hours, except:

(a). In an emergency as defined in Regulation .01 of this chapter, or

(b). With the prior approval of the Board.

B. A pharmacy permit holder may store patient records away from the prescription area in a manner that prevents unauthorized disclosure or loss.

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Unless the licensed pharmacist has reason to reduce the time period, the expiration date of the PRE-PACKAGED medication is the lesser of:

I. 6 months from the date of packaging

II. The manufacturer’s or distributor’s listed expiration date

III. The maximum time period allowed for the specific packaging used for the medication

a. I only
b. I and II only
c. II and III only
d. All

Answer:

  Answer  

Unless the licensed pharmacist has reason to reduce the time period, the expiration date of the PRE-PACKAGED medication is the lesser of:

I. 6 months from the date of packaging

II. The manufacturer’s or distributor’s listed expiration date

III. The maximum time period allowed for the specific packaging used for the medication

a. I only
b. I and II only
c. II and III only
d. All

Answer:II and III only, [Department of Health and Mental Hygiene 10.34.03.09]. Unless the licensed pharmacist has reason to reduce the time period, the expiration date of the medication is the lesser of:

(1). Twelve (Not Six) months from the date of packaging;
(2). The manufacturer’s or distributor’s listed expiration date; or
(3). The maximum time period allowed for the specific packaging used for the medication.

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Buprenorphine is classified as a Schedule V controlled drug under the West Virginia State Pharmacy Law. It can be sold Over The Counter to a patient.

True or False

  Answer  

Buprenorphine is classified as a Schedule V controlled drug under the West Virginia State Pharmacy Law. It can be sold Over The Counter to a patient.

Answer: False, [Uniform Controlled Substances Act 60A-3-308(d)(1)].

A controlled substance included in Schedule V shall not be distributed or dispensed other than for a medicinal purpose: Provided, That buprenorphine shall be dispensed only by a prescription.

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A pharmacist may compound or dispense any prescription order when he or she has knowledge that the prescription was issued by a practitioner on the basis of an online or telephonic consultation.

True or False

  Answer  

A pharmacist may compound or dispense any prescription order when he or she has knowledge that the prescription was issued by a practitioner on the basis of an online or telephonic consultation.

Answer: False, [[West Virginia Code Chapter 30 Section 30-5-14].

A pharmacist may not compound or dispense any prescription order when he or she has knowledge that the prescription was issued by a practitioner without establishing a valid practitioner-patient relationship.

An online or telephonic evaluation by questionnaire, or an online or telephonic consultation, is inadequate to establish a valid practitioner-patient relationship:

Provided, That this prohibition does not apply:

(1). In a documented emergency;

(2). In an on-call or cross-coverage situation; or

(3). Where patient care is rendered in consultation with another practitioner who has an ongoing relationship with the patient and who has agreed to supervise the patient's treatment, including the use of any prescribed medications.

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According to Michigan State Pharmacy Law, the automated dispensing system can be used as an after-hours cabinet for medication dispensing in the absence of a pharmacist in institutions.

True or False

  Answer  

According to Michigan State Pharmacy Law, the automated dispensing system can be used as an after-hours cabinet for medication dispensing in the absence of a pharmacist in institutions.

True, [Michigan Pharmacy- Controlled Substances Act 338.3154 Rule 54 (11)].

Normally, the automated device shall include a requirement for pharmacist review of the prescription or medication order before system profiling or removal of any medication from the system for immediate patient administration. However this subsection do not apply to the following situations:

(a). The system is being used as an after-hours cabinet for medication dispensing in the absence of a pharmacist.

(b). The system is being used in place of an emergency kit as provided in R 338.486(4)(c).

(c). The system is being accessed to remove medication required to treat the emergent needs of a patient as provided in R 338.486(4)(c). A sufficient quantity to meet the emergent needs of the patient may be removed until a pharmacist is available to review the medication order.

(d). In each of the situations specified in subdivisions (a) to (c) of this subrule, a pharmacist shall review the orders and authorize any further dispensing within 48 hours.

A copy of all pharmacy policies and procedures related to the use of an automated device shall be maintained at the pharmacy responsible for the device's specific location and be available for review by an agent of the board.

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A licensee shall keep and make available for inspection all records for controlled substances, including:

I. Invoices
II. Acquisition records.
III. Sales receipts

a. I only
b. I and II only
c. II and III only
d. All

Answer:

  Answer  

A licensee shall keep and make available for inspection all records for controlled substances, including:

I. Invoices
II. Acquisition records.
III. Sales receipts

a. I only
b. I and II only
c. II and III only
d. All

Answer: (b), [Michigan PHARMACY, GENERAL RULES 338.3153 (Rule 53)(1)].

A licensee shall keep and make available for inspection all records for controlled substances, including invoices and other acquisition records, but excluding sales receipts, however a copy of each receipt shall be retained for 90 days.

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