The following words and terms when used in this chapter, have the following meanings, unless the context clearly indicates otherwise: ActThe Controlled Substance, Drug, Device and Cosmetic Act (35 P. S. 780-101 780-144). from the practitioner's computer to the pharmacy's computer. Not more than one day's medication may be administered to the person or for the person's use at one time. The regulation change is permissive, not mandatory. (b) (1) An individual practitioner may issue multiple prescriptions authorizing the patient. The responsibility for the proper prescribing and dispensing of controlled substances is upon the prescribing practitioner, but a corresponding responsibility rests with the pharmacist who fills the prescription. Rule 111. Section 80.67 - Schedule II and certain other substances. 1306.04 Purpose of issue of prescription. PDF State Law Chart: Nurse Practitioner Prescriptive Authority (e) The procedure allowing the transfer of prescription information for refill purposes is permissible only if allowable under existing State or other applicable law. (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. New Pharmacy Rules Effective July 1, 2020 - Washington State Hospital from the practitioner's computer to the pharmacy's computer. Sec. E-prescribing Controlled Substances (TMA) Information on Controlled Substance Prescriptions from Advanced Practice Registered Nurses and Physician Assistants. Laws & Policies - Tennessee (c) The original and transferred prescription(s) must be maintained for a period of two years from the date of last refill. 1306.03 Persons entitled to issue prescriptions. PDF Chapter 45H Controlled Dangerous Substances - New Jersey Division of 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. (c) Where a prescription is for gamma-hydroxybutyric acid, the practitioner shall note on the face of the prescription the medical need of the patient for the prescription. (b) An individual practitioner may administer or dispense directly a controlled substance listed in Schedule II in the course of his professional practice without a prescription, subject to 1306.07. A mechanism already exists, however, for practitioners in N.Y. State to provide patients with a 90-day supply of a controlled substance. Michigan Legislature - Section 333.7333 893.049(1)(d), (e),f.s. The following requirements shall also apply: (a) Prescriptions for controlled substances listed in Schedule II may be transmitted electronically from a retail pharmacy to a central fill pharmacy including via facsimile. (CSA) lists substances which were controlled in 1970 when the CSA was enacted. Upon receipt, the dispensing pharmacist must attach this paper prescription to the oral emergency prescription that had earlier been reduced to writing. The original prescription shall be maintained in accordance with 1304.04(h) of this chapter. If it has a code on it, you may dispense up to a 90 day supply with 1 refill: Code A: Panic Disorders, Code B: ADHD, Code C: Seizure/convulsive disorders, Code D: Pain, Code E: Narcolepsy. Yes (30-day supply). You may dispense up to a 90-day supply for drugs that fall under this category. (3) The practitioner must comply with the requirements for practitioners in part 1311 of this chapter. 24, 1997]. Quantities Allowable on Controlled Substance Prescriptions (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. Schedule III drugs are valid for 180 days or up to five refills. Controlled Substance Prescribing by Nurse Practitioners and Physician's Assistants Subd. NCBOP - Pharmacist FAQs Any term contained in this part shall have the definition set forth in section 102 of the Act (21 U.S.C. This document shall be maintained in a separate file at that pharmacy for a period of two years from the dispensing date. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. n$Kajf@@r09)A^D?QtpEao# iW' Chapter 69.50 RCW: UNIFORM CONTROLLED SUBSTANCES ACT - Washington The new Public Health Law that went into full effect on April 19, 2006 made no changes to the requirements for electronic prescribing. (c) The following information must be retrievable by the prescription number: (1) The name and dosage form of the controlled substance. For electronic prescriptions the name, address, and DEA registration number of the central fill pharmacy to which the prescription has been transmitted, the name of the retail pharmacy pharmacist transmitting the prescription, and the date of transmittal must be added to the electronic prescription record. PDF State of New York Department of Health (a) A prescription for a controlled substance to be effective must be issued for a legitimate medical purpose by an individual practitioner acting in the usual course of his professional practice. No prescription for a controlled substance listed in Schedule III or IV authorized to be refilled may be refilled more than five times. 31, 2010]. (2) Keep a record of the date of receipt of the transmitted prescription, the name of the licensed pharmacist filling the prescription, and dates of filling or refilling of the prescription; Authority: 21 U.S.C. Controlled substance prescriptions. (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. 100, 7.) 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: 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. It must be verified and signed by each pharmacist who is involved with such dispensing. (v) The individual practitioner complies fully with all other applicable requirements under the Act and these regulations as well as any additional requirements under state law. Title 21 CFR, . Sec. 24, 1971, as amended at 36 FR 18732, Sept. 21, 1971. (b) In accordance with the Act, it is unlawful for any person to knowingly or intentionally fill a prescription for a controlled substance that was issued in a manner that constitutes dispensing by means of the Internet unless such person is a pharmacist who is acting in the usual course of his professional practice and is acting on behalf of a pharmacy whose registration has been modified under sections 1301.13 and 1301.19 of this chapter to authorize it to operate as an online pharmacy. 24, 1971; 36 FR 13386, July 21, 1971, unless otherwise noted. Electronic Code of Federal Regulations (eCFR). (f) A prescription prepared in accordance with 1306.05 written for Schedule II substance for a resident of a Long Term Care Facility may be transmitted by the practitioner or the practitioner's agent to the dispensing pharmacy by facsimile. Rules governing the issuance, filling and filing of prescriptions pursuant to section 309 of the Act (21 U.S.C. PDF NEW CONTROLLED SUBSTANCE LAWS - Missouri This would indicate loss or diversion of a controlled substance medication. (4) Within 7 days after authorizing an emergency oral prescription, the prescribing individual practitioner shall cause a written prescription for the emergency quantity prescribed to be delivered to the dispensing pharmacist. . The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. The rules are modernized to reflect current pharmacy practices without changing significant . PDF Pennsylvania Code (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; Redesignated at 38 FR 26609, Sept. 24, 1973, as amended at 62 FR 13965, Mar. s. 812. (2) A CRNP may prescribe a Schedule III or IV controlled substance for up to a 90 day supply as identified in the collaborative agreement. (d) each prescription writtenby a practitioner in this statefor a controlledsubstance listed in schedule ii, schedule iii, or schedule iv must include a writtenand a numerical notation of the quantity of the controlled substance prescribed and a notation of the datein numerical, month/day/year format, or with the abbreviated month writtenout, or the month writtenout in . 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. Sec. 151.21 MN Statutes - Minnesota (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. Narcolepsy However, pursuant to 21 CFR 1306.12(b) "an individual practitioner may issue multiple prescriptions authorizing the patient to receive a total of up to a 90-day supply of a schedule . The facsimile serves as the original written prescription for purposes of this paragraph (f) and it shall be maintained in accordance with 1304.04(h). Sec. 823(g)(2)(G)(iii), in accordance with 1306.05 for a Schedule III, IV, or V controlled substance for the purpose of maintenance or detoxification treatment for the purposes of administration in accordance with section 309A of the Act (21 U.S.C.