Which controlled substances can be called in

Note: Agents who can be delegated prescription-related tasks are individuals who consent to act on behalf of the prescriber, who have the prescriber assent to act on their behalf, and who have a fiduciary relationship with the prescriber. Patients can only transmit written prescriptions Prescribers or their delegated agents can transmit oral or faxed prescriptions in addition to written prescriptions.

Oral and faxed prescriptions must contain all the required elements except the signatory approval. Prescriptions are required for Schedule II controlled substances to be dispensed with a written prescription, with the following exceptions DEA, b : Emergency oral prescriptions can be transmitted only by a prescriber and must be followed up by a written prescription within seven days.

Schedule II prescriptions for individuals in a hospice or a long-term care facility can be transmitted by fax by a delegated agent. For controlled drugs, electronic communications are permitted as a substitute for written prescriptions. However, any electronic transmittal system between prescribers and pharmacies must meet four primary DEA requirements to the greatest extent possible DEA, a : Only licensed prescribers can sign electronic prescriptions, and prescriber offices must take steps to protect against theft of prescriber electronic IDs.

The system must be designed to prevent prescribers from denying that they authorized prescriptions. The records of prescriptions must meet judicial system standards for use in legal actions without requiring large numbers of witnesses to verify records. The system must be designed to prevent prescriptions from being altered after their creation and to prevent pharmacists from creating prescriptions.

If you are in search of your state laws, then look no further than the National Association of Boards of Pharmacy, which maintains links to the state boards of pharmacy websites.

Pharmacists should consult their state rules to determine whether other prescription requirements exist. Schedule III and IV controlled substances cannot be filled or refilled more than 5 times or more than 6 months after the date the prescription was issued, whichever occurs first. Under federal law, there is no expiration for a Schedule II prescription.

However, many states have established time restrictions. Prescriptions must be issued for a legitimate medical purpose, and pharmacists have a corresponding responsibility to determine this when dispensing controlled substances.

Pharmacists should consult their state prescription drug monitoring program PDMP when verifying controlled substance prescriptions.

Missouri has just become the last state to enact legislature to establish a PDMP, as the governor recently signed an executive order. Schedule II controlled substances can be dispensed through an oral prescription for emergencies.

The following requirements must be followed when dispensing Schedule II controlled substances for emergency situations: 7. Patient review and restriction programs: Lessons learned from state Medicaid programs. Federation of State Medical Boards. Pain management policies: Board-by-board overview. General Assembly of the State of Delaware.

Leonhart, M. Retrieved from www.