CFR 1306.12 Emergency CII Prescriptions: In an emergency situation, a pharmacist may dispense a CII . (1) A CRNP may write a prescription for a Schedule II controlled substance for up to a 30-day supply as identified in the collaborative agreement. This auxiliary procedure must ensure that refills are authorized by the original prescription order, that the maximum number of refills has not been exceeded, and that all of the appropriate data are retained for online data entry as soon as the computer system is available for use again. (a) A practitioner may administer or dispense directly (but not prescribe) a narcotic drug listed in any schedule to a narcotic dependant person for the purpose of maintenance or detoxification treatment if the practitioner meets both of the following conditions: (1) The practitioner is separately registered with DEA as a narcotic treatment program. The information on this page is current as of Jan 17, 2023. (d) A practitioner may administer or dispense (including prescribe) any Schedule III, IV, or V narcotic drug approved by the Food and Drug Administration specifically for use in maintenance or detoxification treatment to a narcotic dependent person if the practitioner complies with the requirements of 1301.28 of this chapter. (a) No prescription for a controlled substance listed in Schedule III or IV shall be filled or refilled more than six months after the date on which such prescription was issued. The facsimile serves as the original written prescription for purposes of this paragraph (e) and it shall be maintained in accordance with 1304.04(h) of this chapter. (e) The prescribing practitioner may authorize additional refills of Schedule III or IV controlled substances on the original prescription through an oral refill authorization transmitted to the pharmacist provided the following conditions are met: (1) The total quantity authorized, including the amount of the original prescription, does not exceed five refills nor extend beyond six months from the date of issue of the original prescription. (CSA) lists substances which were controlled in 1970 when the CSA was enacted. Prescriptions for controlled substances are limited to a 30-day supply. Must be used as adjunctive treatment with a Division of Alcohol and Substance Abuse (DASA) state-certified intensive outpatient chemical dependency treatment program. Electronic entry. Yes (30-day supply). However, a practitioner may prescribe up to a three-month supply of a controlled substance, including human chorionic gonadotropin (hcg), or up to a six-month supply of an anabolic steroid for treatment of the following conditions: When prescribing more than a 30-day supply of a controlled substance to treat one of the above conditions, a practitioner must write on the face of the prescription either the condition or the Code designating the condition. The pharmacy must receive the written prescription within 7 days, and it must state on the face "Authorization for Emergency Dispensing" with the date of the oral order. A mechanism already exists, however, for practitioners in N.Y. State to provide patients with a 90-day supply of a controlled substance. Redesignated at 38 FR 26609, Sept. 24, 1973, and further redesignated and amended at 62 FR 13966, Mar. Instructions for Downloading Viewers and Players. Code C A computer-generated prescription that is printed out or faxed by the practitioner must be manually signed. (b) A prescription may not be issued in order for an individual practitioner to obtain controlled substances for supplying the individual practitioner for the purpose of general dispensing to patients. codes for 90 day supply of controlled substances. (iv) The name of the pharmacist transferring the prescription. 13:45H-7.5) . Title 21 CFR, . Sec. 31, 2010]. (2) Any such proposed computerized application must also provide online retrieval (via computer monitor or hard-copy printout) of the current refill history for Schedule III or IV controlled substance prescription orders (those authorized for refill during the past six months). 31, 2010]. 821, 823, 829, 829a, 831, 871(b) unless otherwise noted. 3. [68 FR 37410, June 24, 2003, as amended at 70 FR 36343, June 23, 2005]. As used in Chapter 4731-11 of the Administrative Code: (A) "Controlled substance" means a drug, compound, mixture, preparation, or substance included in schedule I, II, III, IV, or V pursuant to the provisions of Chapter 3719. of the Revised Code and Chapter 4729:9-1 of the Administrative Code. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. (d) In the case of an emergency situation, as defined by the Secretary in 290.10 of this title, a pharmacist may dispense a controlled substance listed in Schedule II upon receiving oral authorization of a prescribing individual practitioner, provided that: (1) The quantity prescribed and dispensed is limited to the amount adequate to treat the patient during the emergency period (dispensing beyond the emergency period must be pursuant to a paper or electronic prescription signed by the prescribing individual practitioner); (2) The prescription shall be immediately reduced to writing by the pharmacist and shall contain all information required in 1306.05, except for the signature of the prescribing individual practitioner; (3) If the prescribing individual practitioner is not known to the pharmacist, he must make a reasonable effort to determine that the oral authorization came from a registered individual practitioner, which may include a callback to the prescribing individual practitioner using his phone number as listed in the telephone directory and/or other good faith efforts to insure his identity; and. . [68 FR 37410, June 24, 2003, as amended at 75 FR 16308, Mar. 24:21-2. The new Public Health Law that went into full effect on April 19, 2006 made no changes to the requirements for electronic prescribing. (ix) national drug code number of the drug; (x) number of days supply; (xi) prescriber's Drug Enforcement Administration number; (xii) date prescription issued; (xiii) serial number of official prescription form, or an identifier designated by the department; (xiv) payment method; (xv) number of refills authorized; (xvi) refill number; 24, 1971, as amended at 36 FR 18732, Sept. 21, 1971. This VHA directive will continue to serve as . Rule 111. No. (d) Pharmacies electronically accessing the same prescription record must satisfy all information requirements of a manual mode for prescription transferal. (b) The central fill pharmacy receiving the transmitted prescription must: (1) Keep a copy of the prescription (if sent via facsimile) or an electronic record of all the information transmitted by the retail pharmacy, including the name, address, and DEA registration number of the retail pharmacy transmitting the prescription; (2) Keep a record of the date of receipt of the transmitted prescription, the name of the pharmacist filling the prescription, and the date of filling of the prescription; (3) Keep a record of the date the filled prescription was delivered to the retail pharmacy and the method of delivery (i.e. These are also valid for 180 days or up to five refills. Redesignated at 38 FR 26609, Sept. 24, 1973, as amended at 62 FR 13965, Mar. (5) Central fill pharmacies shall not be authorized under this paragraph to prepare prescriptions for a controlled substance listed in Schedule II upon receiving an oral authorization from a retail pharmacist or an individual practitioner. (c) A prescription may not be issued for "detoxification treatment" or "maintenance treatment," unless the prescription is for a Schedule III, IV, or V narcotic drug approved by the Food and Drug Administration specifically for use in maintenance or detoxification treatment and the practitioner is in compliance with requirements in 1301.28 of this chapter. (c) Except as provided for in subdivision (d) of this section, no such prescription shall be made for a quantity of substances which would exceed a 30-day supply if the substance were used in accordance with the directions for use, specified on the prescription. Texas Medical Board Guidelines for Pain Management (Texas Administrative Code 170.3) Definitions. 21 USC 829(a), 21 CFR 1306.12(a). 353 (b)) only pursuant to a written prescription signed by the practitioner, except as provided in paragraph (d) of this section. H]o0+e|ILc4UhfPk],W'{CO ggBX@\~# For example, this would include a refill-by-refill audit trail for any specified strength and dosage form of any controlled substance (by either brand or generic name or both). Emergency refill of schedule III-V control substances extended to a 30-day supply; a pharmacist may dispense a one-time emergency refill of a 90-day supply for a non-controlled medication (e) A prescription prepared in accordance with 1306.05 written for a Schedule II narcotic substance to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion may be transmitted by the practitioner or the practitioner's agent to the pharmacy by facsimile. Under parameters established by the New York State Board of Pharmacy, prescriptions for non-controlled substances may continue to be electronically transmitted to the pharmacy, either: Licensed Nurse Practitioners (NPs) who are registered with the Drug Enforcement Administration (DEA) are authorized to prescribe schedule II, III, IV, and V controlled substances. [36 FR 7799, Apr. day, nor does it allow pharmacists to fill prescriptions written more than 30 days prior to presentation. 829a) and 1306.07(f). 24, 1997, as amended at 68 FR 37411, June 24, 2003]. 1306.03 Persons entitled to issue prescriptions. A prescription that is partially filled and does not contain the notation "terminally ill" or "LTCF patient" shall be deemed to have been filled in violation of the Act. . (a) The refilling of a prescription for a controlled substance listed in Schedule II is prohibited. 30-day supply. This would indicate loss or diversion of a controlled substance medication. . (f) A prescription may be prepared by the secretary or agent for the signature of a practitioner, but the prescribing practitioner is responsible in case the prescription does not conform in all essential respects to the law and regulations. In lieu of such a printout, the pharmacy shall maintain a bound log book, or separate file, in which each individual pharmacist involved in such dispensing shall sign a statement (in the manner previously described) each day, attesting to the fact that the refill information entered into the computer that day has been reviewed by him and is correct as shown. 21 United States Code (USC) Controlled Substances Act, Section 802. Add any text here or remove it. (4) The initials of the dispensing pharmacist for each refill. (b) If the prescription is filled at a central fill pharmacy, the central fill pharmacy shall affix to the package a label showing the retail pharmacy name and address and a unique identifier, (i.e. Such prescription issued by a qualifying practitioner shall not be used to supply any practitioner with a stock of controlled substances for the purpose of general dispensing to patients. (2) The practitioner is in compliance with DEA regulations regarding treatment qualifications, security, records, and unsupervised use of the drugs pursuant to the Act. 31, 2010]. (b) Each refilling of a prescription shall be entered on the back of the prescription or on another appropriate document or electronic prescription record. Rather, individual practitioners must determine on their own, based on sound medical judgment, and in accordance with established medical standards, whether it is appropriate to issue multiple prescriptions and how often to see their patients when doing so. Such a book or file must be maintained at the pharmacy employing such an application for a period of two years after the date of dispensing the appropriately authorized refill. 24, 1971. The Controlled Substances Act (CSA) places all substances which were in some manner regulated under existing federal law into one of five schedules. (1) Authorized to prescribe controlled substances by the jurisdiction in which he is licensed to practice his profession and (2) Either registered or exempted from registration pursuant to . In any computerized application employed by a user pharmacy the central recordkeeping location must be capable of sending the printout to the pharmacy within 48 hours, and if a DEA Special Agent or Diversion Investigator requests a copy of such printout from the user pharmacy, it must, if requested to do so by the Agent or Investigator, verify the printout transmittal capability of its application by documentation (e.g., postmark). 827), the prescribing practitioner, and the practitioner administering the controlled substance, as applicable, shall maintain complete and accurate records of all controlled substances delivered, received, administered, or otherwise disposed of, under this paragraph (f), including the persons to whom the controlled substances were delivered and such other information as may be required under this chapter. The practitioner or the practitioner's agent will note on the prescription that the patient is a hospice patient. The quantity of Schedule III, IV or V controlled substances prescribed or dispensed at any one time shall be limited to a ninety-day supply . (c) The original and transferred prescription(s) must be maintained for a period of two years from the date of last refill. (c) Information pertaining to current Schedule II prescriptions for patients in a LTCF or for patients with a medical diagnosis documenting a terminal illness may be maintained in a computerized system if this system has the capability to permit: (1) Output (display or printout) of the original prescription number, date of issue, identification of prescribing individual practitioner, identification of patient, address of the LTCF or address of the hospital or residence of the patient, identification of medication authorized (to include dosage, form, strength and quantity), listing of the partial fillings that have been dispensed under each prescription and the information required in 1306.13(b). Practitioners with questions about official prescriptions or controlled substances may contact the Bureau of Narcotic Enforcement at (866) 811-7957 or online at: narcotic@health.ny.gov. (c) An institutional practitioner may administer or dispense directly (but not prescribe) a controlled substance listed in Schedule II only pursuant to a written prescription signed by the prescribing individual practitioner or to an order for medication made by an individual practitioner that is dispensed for immediate administration to the ultimate user. (a) A prescription for a controlled substance may be issued only by an individual practitioner who is: (1) Authorized to prescribe controlled substances by the jurisdiction in which he is licensed to practice his profession and. However, a practitioner may prescribe up to a three-month supply of a controlled substance, including human chorionic gonadotropin (hcg), or up to a six-month supply of an anabolic steroid for treatment of the following conditions: Code A Panic disorder from the practitioner's computer to the pharmacy's computer. Attention deficit disorder 823(g)(2)(G)(iii)); and, (i) The practitioner who issued the prescription is a qualifying practitioner as defined in section 303(g) of the Act (21 U.S.C. Starting January 1, 2020, OptumRx is changing how it accepts controlled substance prescriptions. It prohibits dispensing or selling more than a 90-day supply of the drug, as determined according to the prescription's instructions for use . Prescription information may be provided to an authorized central fill pharmacy by a retail pharmacy for dispensing purposes. (a) The pharmacist filling a prescription for a controlled substance listed in Schedule III, IV, or V shall affix to the package a label showing the pharmacy name and address, the serial number and date of initial filling, the name of the patient, the name of the practitioner issuing the prescription, and directions for use and cautionary statements, if any, contained in such prescription as required by law. 24, 1971, as amended at 36 FR 18733, Sept. 21, 1971. Code E Sec. Code A This refill history shall include, but is not limited to, the name of the controlled substance, the date of refill, the quantity dispensed, the identification code, or name or initials of the dispensing pharmacist for each refill and the total number of refills dispensed to date for that prescription order. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. This shall include, but is not limited to, data such as the original prescription number; date of issuance of the original prescription order by the practitioner; full name and address of the patient; name, address, and DEA registration number of the practitioner; and the name, strength, dosage form, quantity of the controlled substance prescribed (and quantity dispensed if different from the quantity prescribed), and the total number of refills authorized by the prescribing practitioner. 24, 1997; 68 FR 37411, June 24, 2003]. (f) No refills shall be authorized for controlled drugs in schedule II of the current chapter 21, Code of Federal Regulations. (f) Notwithstanding the definition of dispense under section 102(10) of the Act (21 U.S.C 802(10)), a pharmacy may deliver a controlled substance to a practitioner, pursuant to a prescription that meets the requirements under 1306.04 for the purpose of administering the controlled substance by the practitioner if: (1) The controlled substance is delivered by the pharmacy to the prescribing practitioner or the practitioner administering the controlled substance, as applicable, at the location, listed on the practitioner's certificate of registration; (2) The controlled substance is to be administered for the purpose of maintenance or detoxification treatment under section 303(g)(2)(G)(iii) of the Act (21 U.S.C. pressure is not controlled by any: a . Controlled Substances Listed in Schedule II. The prescription must clearly state on its face that it is for initial or ongoing therapy. . Allows pharmacists to fill emergency prescription refills for up to a 30-day supply for non-schedule II substances. (6) Notwithstanding any exceptions under section 307 of the Act (21 U.S.C. (ii) Original number of refills authorized on original prescription. When prescribing more than a 30-day supply of a controlled substance to treat one of the above conditions, a practitioner must write on the face of the prescription either the condition or the Code designating the condition. . (d) If the content of any of the information required under 1306.05 for a controlled substance prescription is altered during the transmission, the prescription is deemed to be invalid and the pharmacy may not dispense the controlled substance. 353(b)) only pursuant to either a paper prescription signed by a practitioner, a facsimile of a signed paper prescription transmitted by the practitioner or the practitioner's agent to the pharmacy, an electronic prescription that meets the requirements of this part and part 1311 of this chapter, or an oral prescription made by an individual practitioner and promptly reduced to writing by the pharmacist containing all information required in 1306.05, except for the signature of the practitioner. 453.410 Dispensing of controlled substances by practitioner. [36 FR 18733, Sept. 21, 1971. Rule 338.2411 Delegation of prescribing controlled substances to nurse practitioner or nurse midwife; limitation. (2) The pharmacist obtaining the oral authorization records on the reverse of the original paper prescription or annotates the electronic prescription record with the date, quantity of refill, number of additional refills authorized, and initials the paper prescription or annotates the electronic prescription record showing who received the authorization from the prescribing practitioner who issued the original prescription. This document shall be maintained in a separate file at that pharmacy for a period of two years from the dispensing date. [36 FR 13368, July 21, 1971, as amended at 37 FR 15921, Aug. 8, 1972. 802) or part 1300 of this chapter. No further quantity may be supplied beyond 72 hours without a new prescription. Practitioners with questions about official prescriptions or controlled substances may contact the Bureau of Narcotic Enforcement at (866) 811-7957 or online at: narcotic@health.ny.gov. What We Do Panic disorder . (v) Pharmacy's name, address, DEA registration number, and prescription number from which the prescription information was transferred. Controlled Substance Prescribing by Nurse Practitioners and Physician's Assistants 1306.07 Administering or dispensing of narcotic drugs. (Added 1989, No. Any term contained in this part shall have the definition set forth in section 102 of the Act (21 U.S.C. . Sec. Practitioners with questions about official prescriptions or controlled substances may contact the Bureau of Narcotic Enforcement at (866) 811-7957 or online at: narcotic@health.ny.gov. Both the pharmacist and the prescribing practitioner have a corresponding responsibility to assure that the controlled substance is for a terminally ill patient. sodium: 041 Diagnosis of alcohol dependency. Contact the NC Department of Health & Human Services, Drug Control Unit at (919) 733-1765 for disposal or destruction of controlled substance medications in: - Hospitals. (1) A physician may delegate the prescription of controlled substances listed in schedules 2 to 5 to a registered nurse who holds a specialty certification under section 17210 of the code, MCL 333.17210, with the exception of a nurse anesthetist, if the delegating physician establishes a written authorization that contains all of the following Section 80.64 - Who may issue. Chapter 69.50 RCW: UNIFORM CONTROLLED SUBSTANCES ACT RCWs > Title 69 > Chapter 69.50 Complete Chapter HTML PDF | RCW Dispositions Chapter 69.50 RCW UNIFORM CONTROLLED SUBSTANCES ACT Sections NOTES: Drug nuisances Injunctions: Chapter 7.43 RCW. (vi) Name of pharmacist who transferred the prescription. (a) An individual practitioner may sign and transmit electronic prescriptions for controlled substances provided the practitioner meets all of the following requirements: (1) The practitioner must comply with all other requirements for issuing controlled substance prescriptions in this part; (2) The practitioner must use an application that meets the requirements of part 1311 of this chapter; and.
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