question
DEA Form 222
answer
Order form for CI and CII substances.
question
DEA Form 106
answer
Report Theft or Loss - Notify DEA and police of significant loss within 1 business day.
question
DEA Form 224
answer
Registration required for all pharmacies that dispense controlled substances.
question
How often does a pharmacy renew their 224?
answer
Every 3 years
question
DEA form 224a
answer
Renewal application - every 3 years
question
DEA Form 224b
answer
renewal for chain pharmacy registration- every 3 years
question
5 Classes of Drugs frequently abused
answer
1. Opioids
2. Depressants
3. Hallucinogens
4. Stimulants
5. Anabolic Steroids
2. Depressants
3. Hallucinogens
4. Stimulants
5. Anabolic Steroids
question
Motives to divert Drugs
answer
-public health
-social welfare
-economic burden
-social welfare
-economic burden
question
Methamphetamine act of 2005
answer
-max of 3.6gm/day
-max of 9gm/30 day period
-max of 9gm/30 day period
question
Societal Impact of Controlled substance diversion
answer
-Violent and property crime
-higher health insurance premiums
-higher health insurance premiums
question
Transfer of business (DEA policy)
answer
Must notify the DEA 14 days prior to transfer from one pharmacy registrant to another, either in person or by certified mail.
question
What must be submitted to the DEA for the transfer of business?
answer
-Name, address, registration number and authorized business activity of the registrant discontinuing the business (registrant->transferer)
-same info but registrant->transferee
-whether the business will be at the same location or moved
-the date on which the transfer of controlled substances will occur
-same info but registrant->transferee
-whether the business will be at the same location or moved
-the date on which the transfer of controlled substances will occur
question
Transfer of business- Class II
answer
The receiving registrant must complete a DEA 222 transferring of drugs
question
Transfer of business- Class III-V
answer
The receiving registrant must be done in writing, showing drug name, dose, strength, quantity and the date transferred.
question
Initial Inventory
answer
It does NOT have to be turned in to the DEA, but MUST be kept on file.
question
Initial Inventory upon being granted DEA registration
answer
Registrant must take an actual physical count of all controlled substances
question
Diversion Patterns
answer
-work additional shifts
-missing DEA 222 forms
-discrepancies
-change in personality/work performance
-inconsistent prescribing habits
-higher than average controlled substance waste/removals
-missing DEA 222 forms
-discrepancies
-change in personality/work performance
-inconsistent prescribing habits
-higher than average controlled substance waste/removals
question
Outdated Controlled Substances
answer
Compare perpetual inventory VS reverse distributor
question
Medication Waste
answer
-audit waste quantities
-require a witness for all controlled Substance waste
-require documentation of all controlled waste
-use of drug disposal systems
-require a witness for all controlled Substance waste
-require documentation of all controlled waste
-use of drug disposal systems
question
Dispensing
answer
-use of unit of dose packaging
-ADC compounding function
-inspection of prepared products for tampering
-limit number and type of controlled substance stored in patient care areas
-sending CS to a patient care area or ADC
-ADC compounding function
-inspection of prepared products for tampering
-limit number and type of controlled substance stored in patient care areas
-sending CS to a patient care area or ADC
question
Drug Diversion
answer
deliberate redirecting of a drug from a patient or facility to the employee for personal use
question
Physical signs of potential diversion
answer
-frequent runny nose
-slurred speech
-sleepiness
-shakiness/tremors
-watery eyes/constricted or dilated pupils
-progressive Deterioration in personal appearance or hygiene
-slurred speech
-sleepiness
-shakiness/tremors
-watery eyes/constricted or dilated pupils
-progressive Deterioration in personal appearance or hygiene
question
Areas most vulnerable to diversion
answer
Pharmacy-secluded areas with unsecured controlled substances
-compounding and receiving areas
-compounding and receiving areas
question
Procedural Areas vulnerable to diversion
answer
-open access to anesthesia and pain medications
-limited pharmacist review
-ability to pull medications without prior order
-limited pharmacist review
-ability to pull medications without prior order
question
Removal from Safe or ADCs
answer
-limited oversight
-potential for tampering prior to preparation return or waste
-potential for substances while compounding or prepacking
-potential for tampering prior to preparation return or waste
-potential for substances while compounding or prepacking
question
DEA form 41
answer
Destroying outdated expired controls
question
DEA check formula
answer
1st- Calc (+ 1, 3, 5)
2nd- Calc (+2, 4, 6 x 2)
3rd- add part one and part two
4th- the right most digit is check number
2nd- Calc (+2, 4, 6 x 2)
3rd- add part one and part two
4th- the right most digit is check number
question
What letter does the reverse distributor start with?
answer
P or R
question
DEA Form 107
answer
Theft or loss of listed chemical
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