(a) No controlled substance that is a prescription drug may be delivered, distributed, or dispensed by means of the Internet without a valid prescription. 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. 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 . (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. A controlled substance prescription issued by a PA must contain the imprinted names of Section 80.68 - Emergency oral prescriptions for schedule II substances and certain other . (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 . "Control" means to regulate or change the placement of a controlled substance or immediate precursor; under the provisions of this act. Sec. (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. The supply 829) and the person knowingly filling such a purported prescription, as well as the person issuing it, shall be subject to the penalties provided for violations of the provisions of law relating to controlled substances. Sec. (b) A prescription for a Schedule II controlled substance written for a patient in a Long Term Care Facility (LTCF) or for a patient with a medical diagnosis documenting a terminal illness may be filled in partial quantities to include individual dosage units. 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). Electronic Code of Federal Regulations (eCFR). Issuance of Multiple Prescriptions for Schedule II Substances Under DEA regulations which became e ective in 2007, 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: 1. Sec. (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. Code C (c) The original and transferred prescription(s) must be maintained for a period of two years from the date of last refill. (f) As an alternative to the procedures provided by paragraphs (a) through (e) of this section, a computer application may be used for the storage and retrieval of refill information for original paper prescription orders for controlled substances in Schedule III and IV, subject to the following conditions: (1) Any such proposed computerized application must provide online retrieval (via computer monitor or hard-copy printout) of original prescription order information for those prescription orders that are currently authorized for refilling. (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. It prohibits dispensing or selling more than a 90-day supply of the drug, as determined according to the prescription's instructions for use . The service identification number for a Public Health Service employee is his Social Security identification number. (a) The partial filling of a prescription for a controlled substance listed in Schedule II is permissible if the pharmacist is unable to supply the full quantity called for in a written or emergency oral prescription and he makes a notation of the quantity supplied on the face of the written prescription, written record of the emergency oral prescription, or in the electronic prescription record. from the practitioner's computer to the pharmacy's computer. (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. 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. (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; (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. 1306.23 Partial filling of prescriptions. A controlled substance prescription issued by a PA must contain the imprinted names of These are also valid for 180 days or up to five refills. (8 ounces) of any such controlled substance containing opium, nor more than 120 cc. (d) The strength of the controlled drug prescribed. cannot prescribe or dispense more than a three-day supply of the controlled substance. (b) (1) An individual practitioner may issue multiple prescriptions authorizing the patient. 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. Multiple Official Prescription Forms Issued. Authority Must be used as adjunctive treatment with a Division of Alcohol and Substance Abuse (DASA) state-certified intensive outpatient chemical dependency treatment program. Sec. Code C (ii) Original number of refills authorized on original prescription. (g) An individual practitioner exempted from registration under 1301.22(c) of this chapter shall include on all prescriptions issued by him the registration number of the hospital or other institution and the special internal code number assigned to him by the hospital or other institution as provided in 1301.22(c) of this chapter, in lieu of the registration number of the practitioner required by this section. 1306.09 Prescription requirements for online pharmacies. (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. If there is any question whether a patient may be classified as having a terminal illness, the pharmacist must contact the practitioner prior to partially filling the prescription. Controlled Substances Listed in Schedule II. (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 . Schedule III drugs are valid for 180 days or up to five refills. (2) The practitioner is in compliance with DEA regulations regarding treatment qualifications, security, records, and unsupervised use of the drugs pursuant to the Act. Rule 338.2411 Delegation of prescribing controlled substances to nurse practitioner or nurse midwife; limitation. with a presumption that a three-day supply or . This printout of the day's controlled substance prescription order refill data must be provided to each pharmacy using such a computerized application within 72 hours of the date on which the refill was dispensed. "Controlled dangerous substance" or "controlled substance" means a controlled dangerous substance as defined in N.J.S.A. (5) The total number of refills for that prescription. (v) The name, address, DEA registration number, and prescription number from the pharmacy that originally filled the prescription, if different. Prescription information may be provided to an authorized central fill pharmacy by a retail pharmacy for dispensing purposes. (d) If the pharmacist merely initials and dates the back of the prescription or annotates the electronic prescription record, it shall be deemed that the full face amount of the prescription has been dispensed. (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; 1306.14 Labeling of substances and filling of prescriptions. sodium: 041 Diagnosis of alcohol dependency. 100, 7.) 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: Both transmissions are considered electronic prescribing, therefore it is The new Public Health Law that went into full effect on April 19, 2006 made no changes to the requirements for electronic prescribing. 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. Sec. Sec. Texas Medical Board Guidelines for Pain Management (Texas Administrative Code 170.3) (d) A prescription may be issued by a qualifying practitioner, as defined in section 303(g)(2)G)(iii) of the Act (21 U.S.C. (d) Pharmacies electronically accessing the same prescription record must satisfy all information requirements of a manual mode for prescription transferal. Redesignated at 38 FR 26609, Sept. 24, 1973, and further redesignated and amended at 62 FR 13966, Mar. 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 and shall be prescribed and dispensed in compliance with the general provisions of sections 195.005 to 195.425. 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. (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. (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. 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. Rx Delivery by Mail in 90-day supplies. Electronic entry. . 1306.26 Dispensing without prescription. 24, 1997; 75 FR 16308, Mar. The total quantity of Schedule II controlled substances dispensed in all partial fillings must not exceed the total quantity prescribed. "Director" means the Director of the Division of Consumer Affairs in the Department of Law and Public Safety. Since then many substances have been added, removed, or transferred from one schedule to another. A physician assistant may write a prescription for a Schedule II controlled substance for up to a 30-day supply if it was approved by the supervising physician for ongoing therapy. Section 80.63 - Prescribing. (2) The transferring pharmacist must do the following: (i) Write the word "VOID" on the face of the invalidated prescription; for electronic prescriptions, information that the prescription has been transferred must be added to the prescription record. 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. (d) All written prescriptions and written records of emergency oral prescriptions shall be kept in accordance with requirements of 1304.04(h) of this chapter. codes for 90 day supply of controlled substances. For the most up-to-date version of CFR Title 21, go to the Electronic Code of Federal Regulations (eCFR). Sec. A controlled substance listed in Schedules II, III, IV, or V which is not a prescription drug as determined under the Federal Food, Drug, and Cosmetic Act, may be dispensed by a pharmacist without a prescription to a purchaser at retail, provided that: (a) Such dispensing is made only by a pharmacist (as defined in part 1300 of this chapter), and not by a nonpharmacist employee even if under the supervision of a pharmacist (although after the pharmacist has fulfilled his professional and legal responsibilities set forth in this section, the actual cash, credit transaction, or delivery, may be completed by a nonpharmacist); (b) Not more than 240 cc. 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. (a) The refilling of a prescription for a controlled substance listed in Schedule II is prohibited. Add any text here or remove it. Controlled Substances in Schedules III-V may always be prescribed by oral prescription under 21 U.S.C. Additional examples are in Code E An order purporting to be a prescription issued not in the usual course of professional treatment or in legitimate and authorized research is not a prescription within the meaning and intent of section 309 of the Act (21 U.S.C. Z,n0:ZyR}Zs-ULpW(APG$YM_Hb =0CH3%- 'J \%Rg r$U" 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. 1306.12 Refilling prescriptions; issuance of multiple prescriptions. (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. . Sec. The information on this page is current as of Jan 17, 2023. Upon receipt, the dispensing pharmacist must attach this paper prescription to the oral emergency prescription that had earlier been reduced to writing. 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. Sec. Controlled Substance Prescribing by Nurse Practitioners and Physician's Assistants (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. 823(g)); and. (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. 24, 1971; 36 FR 13386, July 21, 1971, unless otherwise noted. 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. s. 812. Language Assistance Available: Espaol | | Ting Vit | | Tagalog | | | Kreyl Ayisyen | Franais | Polski | Portugus | Italiano | Deutsch | | | English, The information on this page is current as of. Instructions for Downloading Viewers and Players. 24, 1971. (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 . (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 retail pharmacy transmitting the prescription information must: (1) Write the word "CENTRAL FILL" on the face of the original prescription and record the name, address, and DEA registration number of the central fill pharmacy to which the prescription has been transmitted and the name of the retail pharmacy pharmacist transmitting the prescription, and the date of transmittal; (2) Ensure that all information required to be on a prescription pursuant to 1306.05 of this part is transmitted to the central fill pharmacy (either on the face of the prescription or in the electronic transmission of information); (3) Indicate in the information transmitted the number of refills already dispensed and the number of refills remaining; (4) Maintain the original prescription for a period of two years from the date the prescription was last refilled; (5) Keep a record of receipt of the filled prescription, including the date of receipt, the method of delivery (private, common or contract carrier) and the name of the retail pharmacy employee accepting delivery. (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. (c) Any online pharmacy that participates in the transfer between pharmacies of prescription information must do so in accordance with the requirements of 1306.15 and 1306.25 of this part. (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.