Post dating schedule ii prescriptions

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There is nothing in CARA’s language that indicates an intent to change this long-standing rule.

If a pharmacist receives a verbal Schedule II controlled substance prescription pursuant to an emergency, the pharmacist may provide a partial fill, but must provide the remainder of the prescription amount within 72 hours.

---------------------------------------------------------------------------------- Q. Doesn’t the Drug Enforcement Administration (DEA) prohibit the kind of clarifications described above? This rule places all hydrocodone combination products into Schedule II.

The full text of the rule, including the DEA’s response to various concerns raised about the rescheduling is found here: Combination Product Reschedule082214

Some questions likely to arise: Q: What is the proper way to document receipt of schedule II controlled substance orders when using DEA's Controlled Substance Ordering System (CSOS)?

A: During recent pharmacy inspections, Board investigators have noted that multiple pharmacies have not properly documented receipt of schedule II controlled substance orders when using the CSOS.The pharmacist must document on the prescription the changes made after consultation with the prescriber.(b) A prescriber writes for “Vicodin 5/325,” but the prescriber intended to write for Norco (hydrocodone 5 mg /acetaminophen 325 mg).Q: Can I fill Schedule II prescriptions bearing a "do not fill until" date?A: Yes, within limits established by DEA: Effective December 19, 2007 prescribers will be authorized to write multiple prescriptions on the same day to be filled sequentially for schedule II controlled substances.Examples: (a) A prescriber writes for “Vicodin 5/325.” As pharmacists know, Vicodin is now formulated as hydrocodone 5mg /acetaminophen 300 mg.The pharmacist may call the prescriber to clarify which product was intended – e.g., Vicodin 5/300 or another hydrocodone 5 mg/acetaminophen product containing 325 mg of acetaminophen per dosage unit (see (b) below).Board investigators have found the CSOS orders were properly placed in accordance with 21 Code of Federal Regulations (CFR) 1305..22(a).However, upon receipt of the controlled substances, a copy of the E-222 form was printed and receipt of the order manually noted on paper.If he wrote "do not fill until (say) 11/3/12" it shouldnt be a problem.Some Drs offices are open on Saturdays as well so the pharmacist will likely say nothing.

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