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Part 3: Pharmacy Ethics & Regulations
Narcotic Regulations
33
Medical
Professional
09/13/2011

Additional Medical Flashcards

 


 

Cards

Term
What symbol is present on the upper left corner of the label for narcotics?
Definition
N in a circle
Term
What schedule do narcotics appear under in the FDA ?
Definition
Schedule N
Term
3 classifications of narcotics
Definition
3 classifications of narcotics:

1) Straight/Reportable narcotics

2) Verbal/Narcotic preparations

3) OTC or exempted narcotics
Term
Define straight/reportable narcotics

List the Schedule I narcotics

Which narcotic does not require an entry in the sales record?
Definition
Straight/Reportable Narcotics

- A drug that contains ONE CDSA schedule I drug and up to (not necessary) one other medicinal ingredient NOT in CDSA schedule I.

- Parenteral narcotic

Schedule I narcotics: Hydrocodone, heroin, methadone, oxycodone, cocaine, codeine, hydromorphine, pentazocine, diamorphine, detropropoxyphene, ketamine, nabilone

Propoxyphene does not require entry into the sales record
Term
Define Narcotic preparations/Verbal narcotics
Definition

Narcotic 1+2

1 of the follwowing Codeine, cocain, morphine, hydromorphine

 

+ 2 other medicinal ingredients

Term
Requirements for Straight Narcotics:

Written prescription?

Verbal prescription?
Definition
Requirements for Straight Narcotics

Requirements for Straight Narcotics:

Written prescription - Permitted

Verbal prescription - NOT permitted
Term
Requirements for Straight Narcotics:

Refills/Repeats?
Definition
Requirements for Straight Narcotics:

Refills/Repeats - NOT permitted
Term
Requirements for Straight Narcotics:

Written Part fills?

What is required for part fills?
Definition
Requirements for Straight Narcotics:

Written Part fills - PERMITTED

On the original Rx, must include the full quantity, as well as part fill quantity
Term
Requirements for Straight Narcotics:

Verbal Part fills?
Definition
Requirements for Straight Narcotics:

Verbal Part fills - NOT PERMITTED

(straight, not verbal narcotics. Verbal narcotics permitted to have verbal Rx, or even verbal part fill)
Term
Requirements for Straight Narcotics:

Transfers?
Definition
Requirements for Straight Narcotics:

Transfers - NOT PERMITTED
Term
Requirements for Straight Narcotics:

Record keeping?
Definition
Requirements for Straight Narcotics:

Record keeping - 2 years
Term
Requirements for Straight Narcotics:

Sales report?

(which specifically do not require it?)
Definition
Requirements for Straight Narcotics:

Sales report - REQUIRED, except for propoxyphene or dextropropoxyphene
Term
Requirements for Straight Narcotics:

Loss/theft report?

Within how many days? to who ?
Definition
Requirements for Straight Narcotics:

Loss/theft report - REQUIRED within 10 days to OCS
Term
Requirements for Narcotics preparations:

Written Rx ?

Verbal Rx?
Definition
Requirements for Narcotics preparations:

Written Rx - PERMITTED

Verbal Rx - PERMITTED
Term
Requirements for Narcotics preparations:

Refills/Repeats ?
Definition
Requirements for Narcotics preparations:

Refills/Repeats - NOT PERMITTED
Term
Requirements for Narcotics preparations:

Part fills? written or verbal ?
Definition
Requirements for Narcotics preparations:

Part fills - PERMITTED, both verbal or written
Term
Requirements for Narcotics preparations:

Transfers ?
Definition
Requirements for Narcotics preparations:

Transfers - NOT PERMITTED
Term
Requirements for Narcotics preparations:

Record keeping?
Definition
Requirements for Narcotics preparations:

Record keeping - 2 years
Term
Requirements for Narcotics preparations:

Sales report ?
Definition
Requirements for Narcotics preparations:

Sales report - NOT REQUIRED
Term
Requirements for Narcotics preparations:

Loss/theft report? within how long? to who?
Definition
Requirements for Narcotics preparations:

Loss/theft report - within 10 days to OCS
Term

How can straight narcotics be ordered?

 

Who must sign a written purchase of straight narcotics?

 

How does a distributor identify the pharmacist with signing authority?

 

How long does the pharmacist with signing authority have to send the order to the distributor?

Definition

Electronic or written

 

Written - signed by pharmacist with signing authority

 

Electronic - Identified by ID # of pharmacist with signing authority

 

Receipt must be with returned to distributor within 5 days of receiving order

Term
Outdated unopened bottle of narcotic or controlled drugs?

What to do with them
Definition
Outdated unopened bottle of narcotic or controlled drugs

Can send back to manufacturer, depending on their policy
Term
Outdated opened bottle of narcotic or controlled drugs

Request to destroy from who?

What should the request include?

When can you destroy them?

What is required while destroying them
Definition
Outdated opened bottle of narcotic or controlled drugs

Request permission to destroy from OCS

Request should include a list of expired drugs and quantity

Destroy after authorization is given

A witness is required, either another pharmacist, a pharmacy intern, or a representative from the college of pharmacy
Term
Define a narcotic preparation/verbal narcotic
Definition

A drug that includes 1 narcotic, and two or more non-narcotic ingredients

 

is NOT intended for parenteral use (straight narcotic) and does NOT contain: heroin, methadone, hydrocodone, oxycodone, dextropropoxyphene, propxyphene, ketamine, nabilone or pentazocine STRAIGHT NARCOTICS if contain these

Term
Is a purchase record required for verbal narcotics?
Definition
YES
Term
Is a sales record required for verbal narcotics?
Definition
NO!
Term
Can verbal Rx's be given over the phone for verbal narcotics?
Definition
YES
Term
Can verbal part fills be given for verbal narcotics?
Definition
YES
Term
OTC narcotics/Exempted narcotics.

What is the only narcotic used in exempted narcotic preparations?

What is the quantity limit of this drug?

What is the other requirement for OTC/exempted narcotics?

What caution label is required on these products?
Definition
OTC narcotics/Exempted narcotics.

What is the only narcotic used in exempted narcotic preparations?
CODEINE PHOSPHATE

Limit of 8mg codeine per oral dose OR 20mg per 30ml oral liquid.

Other requirement: two or more ingredients OTHER than codeine

REQUIRED LABEL: "This preparation contains codeine and should not be administered to children except on the advice of a physician."
Term
Exempted narcotics:

Where must they be sold?

Do they require a rx?
Definition
Exempted Narcotics:

Must be sold at a pharmacy, do not require Rx
Term
How can OTC/exempted narcotics or be ordered?

Who must sign a written purchase of straight narcotics?

How does a distributor identify the pharmacist with signing authority?

How long does the pharmacist with signing authority have to send the order to the distributor?
Definition
EXACT SAME PROCESS AS VERBAL.

All types of narcotics have 5 working days to submit the receipt signed by authorized RPh
Term
Verbal narcotics - can they be ordered verbally?
Definition
YES
Term
Is a purchase record required for OTC exempted narcotics?

Is a sales record required for OTC/exempted narcotics?
Definition
Is a purchase record required for OTC exempted narcotics?
YES - ALL narcotics require purchase record

Is a sales record required for OTC/exempted narcotics?
NO - ONLY straight narcotics require a sales record (except propoxyphene & Dextropropoxyphene)
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