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 the question identify if it is OTC, prescription only or a controlled substance. 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.
Drugs with a high potential for abuse
Potential to lead to severe psychological or physical dependence
Dangerous
| hydromorphone (Dilaudid) | fentanyl (Sublimaze, Duragesic) | hydrocodone | amobarbital |
| methadone (Dolophine) | morphine | amphetamine (Dexedrine, Adderall) | glutethimide |
| meperidine (Demerol) | opium | methamphetamine (Desoxyn) | pentobarbital |
| oxycodone (OxyContin, Percocet | codeine | methylphenidate (Ritalin) | secobarbital |
Barbiturates
Amobarbital (Amytal), pentobarbital (Nembutal) and secobarbital (Seconal) are CIIs.
Phenobarbital (Luminal) is a CIV.
Hydrocodone
Hydrocodone was reclassified to CII in 2014.
CII Prescription Requirements: Valid Types of Prescriptions
Written signed prescription
Erx
Oral (ONLY in emergency)
Fax (ONLY if home infusion, long term care facility, hospice)
CII Prescriptions: What Can be Changed?
Patient address (can also obtain from patient)
Drug strength
Dosage form
Drug quantity
Directions
CII Prescriptions: What Cannot be Changed?
Patient’s Name
Controlled substance prescribed
Prescriber’s Signature
⬆️ Any of the above items would require a new prescription.
CII Prescriptions: Partial Filling
No refills are allowed on CII prescriptions
Partial may be dispensed:
*If it is not prohibited by State laws*
The partial fill is requested by the patient or the practitioner who wrote the prescription.
The total quantity dispensed in all partial fillings does not exceed the total quantity prescribed.
Within 30 days of the date on which the prescription was written
Exception: Terminal patients may get a partial dispense and prescription is void 60 days after written
Partial dispense prescription documentation:
Date of partial fill
Quantity dispensed
Remaining quantity
Dispensing pharmacist