The pharmacist must document the oral prescription information and verify the identity of the prescribing practitioner.The quantity prescribed and dispensed must be limited to an adequate amount to treat the patient during the emergency.The following requirements must be followed when dispensing Schedule II controlled substances for emergency situations: 7 Schedule II controlled substances can be dispensed through an oral prescription for emergencies. 5 Currently, 49 states, the District of Columbia, and Guam have operational PDMPs. Missouri has just become the last state to enact legislature to establish a PDMP, as the governor recently signed an executive order. Pharmacists should consult their state prescription drug monitoring program (PDMP) when verifying controlled substance prescriptions. 4 Essentially, this means that pharmacists must use their professional judgement and verify controlled substance prescriptions. Prescriptions must be issued for a legitimate medical purpose, and pharmacists have a corresponding responsibility to determine this when dispensing controlled substances. Pharmacists have a corresponding responsibility. In states with no expiration this becomes a tricky situation and the pharmacist’s professional judgement is extremely important. However, many states have established time restrictions. Under federal law, there is no expiration for a Schedule II prescription. 3 Schedule II prescriptions cannot be refilled. Schedule III and IV controlled substances cannot be filled or refilled more than 5 times or more than 6 months after the date the prescription was issued, whichever occurs first. Schedule III and IV controlled substances expire after 6 months. Pharmacists should consult their state rules to determine whether other prescription requirements exist. Prescriber’s name, address, and registration number.1Ĭontrolled substance prescriptions have specific requirements.Īll prescriptions for controlled substances must include the following: 2 If you are in search of your state laws, then look no further than the National Association of Boards of Pharmacy, which maintains links to the state boards of pharmacy websites. State boards of pharmacy also may require that electronic or print copies of the current laws and regulations be maintained in the practice setting, which is especially important when it comes to inspections. It is important to note that states may establish stricter laws than the CSA, and pharmacists must keep abreast of the information. Additionally, it outlines manufacturing, dispensing, and distributor requirements such as record keeping provisions. ![]() The Controlled Substances Act (CSA) places all regulated substances under existing federal law into 1 of 5 schedules. Pharmacists have a great responsibility to stay current with the laws and regulations governing the profession.
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