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. 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. (4) The prescribing practitioner must execute a new and separate prescription for any additional quantities beyond the five-refill, six-month limitation. Code B }Tz`qFmlWV (c) The requirements of paragraph (a) of this section do not apply when a controlled substance listed in Schedule II is prescribed for administration to an ultimate user who is institutionalized: Provided, That: (1) Not more than 7-day supply of the controlled substance listed in Schedule II is dispensed at one time; (2) The controlled substance listed in Schedule II is not in the possession of the ultimate user prior to the administration; (3) The institution maintains appropriate safeguards and records regarding the proper administration, control, dispensing, and storage of the controlled substance listed in Schedule II; and. 893.049(1)(d), (e),f.s. Licensed Physician's Assistants (PAs) who are registered with DEA may prescribe schedule III, IV, and V controlled substances if authorized by a supervising physician. (3) Documentation of the fact that the refill information entered into the computer each time a pharmacist refills an original paper, fax, or oral prescription order for a Schedule III or IV controlled substance is correct must be provided by the individual pharmacist who makes use of such an application. [36 FR 7799, Apr. ( a) A pharmacist may dispense directly a controlled substance listed in Schedule II that is a prescription drug as determined under section 503 of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. Section 80.64 - Who may issue. (5) In the event that a pharmacy which employs such a computerized application experiences system down-time, the pharmacy must have an auxiliary procedure which will be used for documentation of refills of Schedule III and IV controlled substance prescription orders. The information on this page is current as of Jan 17, 2023. 90-day supply. (c) This section is not intended to impose any limitations on a physician or authorized hospital staff to administer or dispense narcotic drugs in a hospital to maintain or detoxify a person as an incidental adjunct to medical or surgical treatment of conditions other than addiction, or to administer or dispense narcotic drugs to persons with intractable pain in which no relief or cure is possible or none has been found after reasonable efforts. Section 80.63 - Prescribing. A mechanism already exists, however, for practitioners in N.Y. State to provide patients with a 90-day supply of a controlled substance. . (5) The total number of refills for that prescription. (2) The practitioner is in compliance with DEA regulations regarding treatment qualifications, security, records, and unsupervised use of the drugs pursuant to the Act. [36 FR 18733, Sept. 21, 1971. CIII-CV may have up to 5 refills. [68 FR 37410, June 24, 2003, as amended at 75 FR 16308, Mar. 24:21-2. A controlled substance prescription issued by a PA must contain the imprinted names of (1) dispense or deliver a controlled substance or cause a controlled substance to be dispensed or delivered under the pharmacist's direction or supervision except under a valid prescription and in the course of professional practice; The facsimile serves as the original written prescription for purposes of this paragraph (g) and it shall be maintained in accordance with 1304.04(h). The remaining portion of the prescription may be filled within 72 hours of the first partial filling; however, if the remaining portion is not or cannot be filled within the 72-hour period, the pharmacist shall notify the prescribing individual practitioner. (3) In an emergency situation, as described in R 338.3165 of the Michigan Administrative Code, a controlled substance included in schedule 2 may be dispensed on the oral prescription of a practitioner if the prescribing practitioner promptly fills out a prescription form and forwards the prescription form to the dispensing pharmacy within 7 days after the oral prescription is issued. (d) Pharmacies electronically accessing the same prescription record must satisfy all information requirements of a manual mode for prescription transferal. The total quantity of Schedule II controlled substances dispensed in all partial fillings must not exceed the total quantity prescribed. 1306.12 Refilling prescriptions; issuance of multiple prescriptions. 90-day supply required : 090 : The prescription is written for less than a 90-day supply. Code C Sec. Search for your medication and dose with the Check Drug Cost tool. Schedule II drugs have recognized medical uses as well as a potential for dependence and abuse. Yes. Rule 111. Any term contained in this part shall have the definition set forth in section 102 of the Act (21 U.S.C. 31, 2010]. Section 812 of the Controlled Substances Act ( 21 U.S.C. CHAPTER 25 CONTROLLED SUBSTANCES, DRUGS, DEVICES, AND COSMETICS GENERAL PROVISIONS 25.1. All rules governing pharmacies and pharmacy practice are consolidated into the new chapter 246-945 WAC. Sec. 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 This would indicate loss or diversion of a controlled substance medication. day, nor does it allow pharmacists to fill prescriptions written more than 30 days prior to presentation. (v) Pharmacy's name, address, DEA registration number, and prescription number from which the prescription information was transferred. Electronic Code of Federal Regulations (eCFR). (b) A prescription for a Schedule III, IV, or V narcotic drug approved by FDA specifically for "detoxification treatment" or "maintenance treatment" must include the identification number issued by the Administrator under 1301.28(d) of this chapter or a written notice stating that the practitioner is acting under the good faith exception of 1301.28(e) of this chapter. No further quantity may be supplied beyond 72 hours without a new prescription. 802) or part 1300 of this chapter. 24, 1971. (225 ILCS 65/65-40 (a)). Schedule III drugs are valid for 180 days or up to five refills. A computer-generated prescription that is printed out or faxed by the practitioner must be manually signed. Code A 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. (iii) Record the date of the transfer and the name of the pharmacist transferring the information. Chronic debilitating neurological conditions characterized as a movement disorder or exhibiting seizure, convulsive or spasm activity Redesignated at 38 FR 26609, Sept. 24, 1973, and amended at 51 FR 5320, Feb. 13, 1986; 62 FR 13965, Mar. Code F Code D 823(g)); and. (iii) The transferring pharmacy's name, address, DEA registration number, and prescription number for each dispensing. (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. Schedule IV and V drugs can be faxed and given orally. New rules proposed by the USDrug Enforcement Administration (DEA) will allow physicians to writeprescriptions for 90-day supplies ofpotent painkillers and otherSchedule II controlled substances,including OxyContin (oxycodone)and Ritalin (methylphenidate). A controlled substance prescription issued by a NP must contain the imprinted name of the NP but is not required to contain the imprinted name of the collaborating physician. (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. Sec. Attention deficit disorder 453.410 Dispensing of controlled substances by practitioner. Sec. amended Oct. 26, 1972, P.L.1048, No.263) "Controlled substance" means a drug, substance, or immediate precursor included in schedules I through V of this act. It prohibits dispensing or selling more than a 90-day supply of the drug, as determined according to the prescription's instructions for use . with a presumption that a three-day supply or . Prescriptions for controlled substances are limited to a 30-day supply. Code E (Added 1989, No. 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. (vii) Pharmacy's name, address, DEA registration number, and prescription number from which the prescription was originally filled. (4) The system employed by the pharmacist in filling a prescription is adequate to identify the supplier, the product and the patient, and to set forth the directions for use and cautionary statements, if any, contained in the prescription or required by law. A maximum of 30-day supply. Each paper prescription shall have the name of the practitioner stamped, typed, or handprinted on it, as well as the signature of the practitioner. Sec. 13:35-7.2(h)) Redesignated at 38 FR 26609, Sept. 24, 1973, and amended at 39 FR 37986, Oct. 25, 1974; 70 FR 36343, June 23, 2005; 85 FR 69167, Nov. 2, 2020]. Sec. Each paper prescription shall have the name of the officer stamped, typed, or handprinted on it, as well as the signature of the officer. 90-day supply required : 090 : The prescription is written for less than a 90-day supply. 1306.15 Provision of prescription information between retail pharmacies and central fill pharmacies for prescriptions of Schedule II controlled substances. Prescriptions for controlled substances are limited to a 30-day supply. Where an oral order is not permitted, paper prescriptions shall be written with ink or indelible pencil, typewriter, or printed on a computer printer and shall be manually signed by the practitioner. (1) Except as provided by subsection (e) of this section, a practitioner, as defined in 481.002 (39) (A) of the TCSA, must issue a written prescription for a Schedule II controlled substance only on an official Texas prescription form or through an . . 453.430 Restrictions on issuance of prescriptions; continuation of dependency on narcotic drug; transmission of prescription by facsimile machine. (4) For electronic prescriptions being transferred electronically, the transferring pharmacist must provide the receiving pharmacist with the following information in addition to the original electronic prescription data: (ii) The number of refills remaining and the date(s) and locations of previous refills. (3) For paper prescriptions and prescriptions received orally and reduced to writing by the pharmacist pursuant to 1306.21(a), the pharmacist receiving the transferred prescription information must write the word "transfer" on the face of the transferred prescription and reduce to writing all information required to be on a prescription pursuant to 1306.05 and include: (i) Date of issuance of original prescription. NY state: All schedules of controlled substances can only have a 30 day supply at a time. Prescriptions. Electronic entry. However, pharmacies electronically sharing a real-time, online database may transfer up to the maximum refills permitted by law and the prescriber's authorization. longterm care facilities which are not registered with the DEA shall meet all of the following requirements regarding emergency kits containing controlled substances: (1)The source of supply must be a DEA registered hospital, pharmacy or practitioner. The individual pharmacist must verify that the data indicated are correct and then sign this document in the same manner as he would sign a check or legal document (e.g., J.H. Redesignated at 38 FR 26609, Sept. 24, 1973, as amended at 62 FR 13965, Mar. 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. Controlled Substance Update - Practitioners Newsletter December 2006, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, Opioid Treatment Guidelines and Other Information for Healthcare Professionals and Patients Center for Disease Control and Prevention (CDC), James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), Addressing the Opioid Epidemic in New York State, Health Care and Mental Hygiene Worker Bonus Program, Maternal Mortality & Disparate Racial Outcomes, Help Increasing the Text Size in Your Web Browser, from the practitioner's computer to the pharmacy's fax machine; or. (3) The practitioner must comply with the requirements for practitioners in part 1311 of this chapter. CHAPTER 25 CONTROLLED SUBSTANCES, DRUGS, DEVICES, AND COSMETICS GENERAL PROVISIONS 25.1. (4 ounces) of any other such controlled substance nor more than 48 dosage units of any such controlled substance containing opium, nor more than 24 dosage units of any other such controlled substance may be dispensed at retail to the same purchaser in any given 48-hour period; (c) The purchaser is at least 18 years of age; (d) The pharmacist requires every purchaser of a controlled substance under this section not known to him to furnish suitable identification (including proof of age where appropriate); (e) A bound record book for dispensing of controlled substances under this section is maintained by the pharmacist, which book shall contain the name and address of the purchaser, the name and quantity of controlled substance purchased, the date of each purchase, and the name or initials of the pharmacist who dispensed the substance to the purchaser (the book shall be maintained in accordance with the recordkeeping requirement of 1304.04 of this chapter); and. Such a printout must include name of the prescribing practitioner, name and address of the patient, quantity dispensed on each refill, date of dispensing for each refill, name or identification code of the dispensing pharmacist, and the number of the original prescription order. (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. (d) The strength of the controlled drug prescribed. on healthcare practitioners who prescribe controlled substances, particularly opioids. Narcolepsy (b)(1) An individual practitioner may issue multiple prescriptions authorizing the patient to receive a total of up to a 90-day supply of a Schedule II controlled substance provided the following conditions are met: (i) Each separate prescription is issued for a legitimate medical purpose by an individual practitioner acting in the usual course of professional practice; (ii) The individual practitioner provides written instructions on each prescription (other than the first prescription, if the prescribing practitioner intends for that prescription to be filled immediately) indicating the earliest date on which a pharmacy may fill each prescription; (iii) The individual practitioner concludes that providing the patient with multiple prescriptions in this manner does not create an undue risk of diversion or abuse; (iv) The issuance of multiple prescriptions as described in this section is permissible under the applicable state laws; and. (h) An official exempted from registration under 1301.23(a) of this chapter must include on all prescriptions issued by him his branch of service or agency (e.g., "U.S. Army" or "Public Health Service") and his service identification number, in lieu of the registration number of the practitioner required by this section. [36 FR 7799, Apr. For each partial filling, the dispensing pharmacist shall record on the back of the prescription (or on another appropriate record, uniformly maintained, and readily retrievable) the date of the partial filling, quantity dispensed, remaining quantity authorized to be dispensed, and the identification of the dispensing pharmacist. number of state controlled substance registrations that are issued to NPs. (4) The initials of the dispensing pharmacist for each refill. Texas Medical Board Guidelines for Pain Management (Texas Administrative Code 170.3) (b) (1) An individual practitioner may issue multiple prescriptions authorizing the patient. For electronic prescriptions, the pharmacist must annotate the record of the electronic prescription with the original authorization and date of the oral order. (N.J.A.C. Must be used as adjunctive treatment with a Division of Alcohol and Substance Abuse (DASA) state-certified intensive outpatient chemical dependency treatment program. Narcolepsy (vi) Name of pharmacist who transferred the prescription. (3) The quantity of each additional refill authorized is equal to or less than the quantity authorized for the initial filling of the original prescription. 1306.27 Provision of prescription information between retail pharmacies and central fill pharmacies for initial and refill prescriptions of Schedule III, IV, or V controlled substances. A controlled substance prescription issued by a PA must contain the imprinted names of