When taking the exam it’s important to read each question carefully and concentrate on which law, general concept or principle the question is testing.
When a drug name is given in a question, identify if it is OTC, prescription only or a controlled substance. Then, use that information to determine which laws apply and how they apply to the question at hand.
Always remember, state law may be stricter and if so STATE LAW APPLIES.
CIII Medications
Drugs with Moderate to Low Potential for Physical and Psychological Dependence
Combination products containing less than 90mg of codeine per dosage unit (Tylenol with codeine)
Fiorinal is CIII however Fioricet is non-controlled
Fiorinal: ASA 325mg/butalbital 50mg/caffeine 40mg
Fioricet: APAP 325mg/butalbital 50mg/caffeine 40mg
| buprenorphine (Suboxone) | benzphetamine (Didrex) |
| ketamine | phendimetrazine |
| anabolic steroids | Thiopental |
| testosterone | Fiorinal |
CIV Medications
Drugs with Low Potential for Abuse or Dependence
| alprazolam (Xanax) | diazepam (Valium) |
| carisoprodol (Soma) | lorazepam (Ativan) |
| clonazepam (Klonopin) | midazolam (Versed) |
| clorazepate (Tranxene) | temazepam (Restoril) |
| triazolam (Halcion) | phenobarbital |
| butorphanol |
CV Medications
Drugs with Lower Potential for Abuse
Preparations containing limited quantities of certain narcotics
Generally used for antidiarrheals, antitussives, and analgesic purposes
Examples: Cough preparations with ≤ 200mg of codeine per 100mL or 100g (Robitussin AC, Phenergan with Codeine), Lomotil, Lyrica
CIII-CV Valid Types of Prescriptions
Written signed prescription
Fax of written prescription
Erx
Verbal
Containing all information except prescriber signature
Transfer
ONE TIME for the purpose of REFILL dispensing
Pharmacies electronically sharing a real-time system may transfer up to max refills permitted by law and prescription
CIII-CIV Refills (and CV in Most States)
No more than 5 refills within a 6 month period
Must keep information on the back of the original prescription or in a computerized record-keeping system
Must be accessible within 48 hours
Must record: Prescriber name, Name and address of the patient, Quantity dispensed on each refill, Date of dispensing for each refill, Name or ID code of the dispensing pharmacist and Number of the original prescription order
CIII-CV Partial Filling
Partial filling is allowed
Each partial should be recorded in the same manner as a refill
The total quantity dispensed in all partial fillings cannot exceed the total quantity prescribed
No dispensing may occur beyond 6 months after the date Rx was written
Filling a CV Without a Prescription/Limitations
Only a pharmacist may dispense an over the counter CV
A non-pharmacist may complete the money transfer at the register
Purchaser must be ≥ 18 years old (Rph can require proof of age)
Furnish identification
Bound record book must be maintained by the pharmacist: Name and address of the purchaser, Name and quantity of the CV purchased, Date of purchase, Name or initials of pharmacist that dispensed, Records must be kept for 2 years
Not more than _______ in a 48 hourperiod to the same purchaser
240mL (8 ounces) of any controlled substance containing opium
48 dosage units of any such controlled substance containing opium
120mL (4 ounces) of any other controlled substance
24 dosage units of any other controlled substance
Therefore, MAX is 4 fluid ounces of codeine containing cough syrup over the counter to a given purchaser in a 48 hour period.
