Rule 338.2411 Delegation of prescribing controlled substances to nurse practitioner or nurse midwife; limitation. Chronic debilitating neurological conditions characterized as a movement disorder or exhibiting seizure, convulsive or spasm activity 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 . 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. (a) Prescriptions for controlled substances listed in Schedule III, IV or V may be transmitted electronically from a retail pharmacy to a central fill pharmacy including via facsimile. Code C (c) Information pertaining to current Schedule II prescriptions for patients in a LTCF or for patients with a medical diagnosis documenting a terminal illness may be maintained in a computerized system if this system has the capability to permit: (1) Output (display or printout) of the original prescription number, date of issue, identification of prescribing individual practitioner, identification of patient, address of the LTCF or address of the hospital or residence of the patient, identification of medication authorized (to include dosage, form, strength and quantity), listing of the partial fillings that have been dispensed under each prescription and the information required in 1306.13(b). 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. Code 1300.430 (a-b)). Such a printout must include name of the prescribing practitioner, name and address of the patient, quantity dispensed on each refill, date of dispensing for each refill, name or identification code of the dispensing pharmacist, and the number of the original prescription order. (2) Any such proposed computerized application must also provide online retrieval (via computer monitor or hard-copy printout) of the current refill history for Schedule III or IV controlled substance prescription orders (those authorized for refill during the past six months). It must be verified and signed by each pharmacist who is involved with such dispensing. The service identification number for a Public Health Service employee is his Social Security identification number. 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. n$Kajf@@r09)A^D?QtpEao# iW' Smith or John H. Smith). 24, 1997, as amended at 68 FR 37411, June 24, 2003]. 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. (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. (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. (a) A prescription for a controlled substance may be issued only by an individual practitioner who is: (1) Authorized to prescribe controlled substances by the jurisdiction in which he is licensed to practice his profession and. NY state: All schedules of controlled substances can only have a 30 day supply at a time. (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. Prescriptions for controlled substances are limited to a 30-day supply. A paper prescription for a Schedule II controlled substance may be transmitted by the practitioner or the practitioner's agent to a pharmacy via facsimile equipment, provided that the original manually signed prescription is presented to the pharmacist for review prior to the actual dispensing of the controlled substance, except as noted in paragraph (e), (f), or (g) of this section. Sec. (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. Schedule IV and V drugs can be faxed and given orally. (e) A prescription prepared in accordance with 1306.05 written for a Schedule II narcotic substance to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion may be transmitted by the practitioner or the practitioner's agent to the pharmacy by facsimile. Language Assistance Available: Espaol | | Ting Vit | | Tagalog | | | Kreyl Ayisyen | Franais | Polski | Portugus | Italiano | Deutsch | | | English, The information on this page is current as of. (b) A pharmacy may fill an electronically transmitted prescription for a controlled substance provided the pharmacy complies with all other requirements for filling controlled substance prescriptions in this part and with the requirements of part 1311 of this chapter. The total quantity of Schedule II controlled substances dispensed in all partial fillings must not exceed the total quantity prescribed. 1306.11 Requirement of prescription. CFR 1306.12 Emergency CII Prescriptions: In an emergency situation, a pharmacist may dispense a CII . Prime Example Hospital 1 Main Street NY, NY 10000 (888) 888-8888 Drug:oxycodone/acetaminophen Strength/Dosage form:2.5mg/325mg tab Sig:Take 1 tab po q6hrs prn pain Qty:360 "three hundred sixty" MDD:4 tabs Days Supply: 90 days Code:D Indication:Pain Codes Required for >30 Day Supply of Controlled Substances Code A - Panic Disorders Code B - (h) An official exempted from registration under 1301.23(a) of this chapter must include on all prescriptions issued by him his branch of service or agency (e.g., "U.S. Army" or "Public Health Service") and his service identification number, in lieu of the registration number of the practitioner required by this section. 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). 31, 2010]. [68 FR 37410, June 24, 2003, as amended at 70 FR 36343, June 23, 2005]. Section 4729.46 of the Ohio Revised Code places the following limitations on the dispensing of . Controlled Substance Prescribing by Nurse Practitioners and Physician's Assistants (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. The partial filling of a prescription for a controlled substance listed in Schedule III, IV, or V is permissible, provided that: (a) Each partial filling is recorded in the same manner as a refilling, (b) The total quantity dispensed in all partial fillings does not exceed the total quantity prescribed, and. 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. 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. 24, 1971. 1306.13 Partial filling of prescriptions. Section 80.65 - Purpose of issue. This document shall be maintained in a separate file at that pharmacy for a period of two years from the dispensing date. 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: Z,n0:ZyR}Zs-ULpW(APG$YM_Hb =0CH3%- 'J \%Rg r$U" In lieu of such a printout, the pharmacy shall maintain a bound log book, or separate file, in which each individual pharmacist involved in such dispensing shall sign a statement (in the manner previously described) each day, attesting to the fact that the refill information entered into the computer that day has been reviewed by him and is correct as shown. 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. Section 80.64 - Who may issue. Licensed Physician's Assistants (PAs) who are registered with DEA may prescribe schedule III, IV, and V controlled substances if authorized by a supervising physician. May a prescriber issue more than one controlled substance on a single prescription blank? Both the pharmacist and the prescribing practitioner have a corresponding responsibility to assure that the controlled substance is for a terminally ill patient. Not more than one day's medication may be administered to the person or for the person's use at one time. (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. Section 80.63 - Prescribing. Allows pharmacists to fill emergency prescription refills for up to a 30-day supply for non-schedule II substances. 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). Redesignated at 38 FR 26609, Sept. 24, 1973, and further redesignated and amended at 62 FR 13966, Mar. . No. pressure is not controlled by any: a . (N.J.A.C. Licensed Physician's Assistants (PAs) who are registered with DEA may prescribe schedule III, IV, and V controlled substances if authorized by a supervising physician. 827), the prescribing practitioner, and the practitioner administering the controlled substance, as applicable, shall maintain complete and accurate records of all controlled substances delivered, received, administered, or otherwise disposed of, under this paragraph (f), including the persons to whom the controlled substances were delivered and such other information as may be required under this chapter. (a) No controlled substance that is a prescription drug may be delivered, distributed, or dispensed by means of the Internet without a valid prescription. [36 FR 7799, Apr. Source: 36 FR 7799, Apr. Narcolepsy (f) No refills shall be authorized for controlled drugs in schedule II of the current chapter 21, Code of Federal Regulations. Section 80.68 - Emergency oral prescriptions for schedule II substances and certain other . [62 FR 13965, Mar. 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 . Redesignated at 38 FR 26609, Sept. 24, 1973, and amended at 51 FR 5320, Feb. 13, 1986; 62 FR 13965, Mar. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. Q@|FS752B. (N.J.A.C. Note: If you need help accessing information in different file formats, see No further quantity may be supplied beyond 72 hours without a new prescription. . [39 FR 37986, Oct. 25, 1974, as amended at 70 FR 36344, June 23, 2005; 85 FR 69167, Nov. 2, 2020]. 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. (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 . 24, 1997]. 24, 1997; 68 FR 37410, June 24, 2003; 72 FR 64930, Nov. 19, 2007]. (a) The pharmacist filling a prescription for a controlled substance listed in Schedule III, IV, or V shall affix to the package a label showing the pharmacy name and address, the serial number and date of initial filling, the name of the patient, the name of the practitioner issuing the prescription, and directions for use and cautionary statements, if any, contained in such prescription as required by law. Code E 1306.21 Requirement of prescription. 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. Redesignated at 38 FR 26609, Sept. 24, 1973 and amended at 53 FR 4964, Feb. 19, 1988; 59 FR 26111, May 19, 1994; 59 FR 30832, June 15, 1994; 62 FR 13964, Mar. (vii) Pharmacy's name, address, DEA registration number, and prescription number from which the prescription was originally filled. The drug's intended duration, as defined by the prescriber, or the estimated number of days a prescription will last, based on the number of days a given prescription should last if taken according to the instructions. Practitioners are required to review a patient's controlled substance prescription history and opioid antidote administration history, pursuant to Section 44-130-60 or 44-130-80, before issuing a prescription for a Schedule II controlled substance in accordance with Section 44-53-1645 (A). (e) Electronic prescriptions shall be created and signed using an application that meets the requirements of part 1311 of this chapter. Multiple Official Prescription Forms Issued. 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. statute provides for day supply limits: The quantity of Schedule II controlled substances prescribed or dispensed at any one time shall be limited to a thirty-day supply. May be refilled up to 5 times in 6 months. (h) When filing refill information for electronic prescriptions, a pharmacy must use an application that meets the requirements of part 1311 of this chapter. "Director" means the Director of the Division of Consumer Affairs in the Department of Law and Public Safety. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. Authority A prescription that is partially filled and does not contain the notation "terminally ill" or "LTCF patient" shall be deemed to have been filled in violation of the Act. Smith, or John H. Smith). 90-day supply required : 090 : The prescription is written for less than a 90-day supply. 1306.24 Labeling of substances and filling of prescriptions. As used in Chapter 4731-11 of the Administrative Code: (A) "Controlled substance" means a drug, compound, mixture, preparation, or substance included in schedule I, II, III, IV, or V pursuant to the provisions of Chapter 3719. of the Revised Code and Chapter 4729:9-1 of the Administrative Code. (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. Code A Hormone deficiency states in males; gynecologic conditions that are responsive with anabolic steroids or chorionic gonadotropin; metastatic breast cancer in women; anemia and angioedema Upon receipt, the dispensing pharmacist must attach this paper prescription to the oral emergency prescription that had earlier been reduced to writing. (a) Except when dispensed directly by a practitioner, other than a pharmacist, to an ultimate user, or in emergency situations as prescribed by the Department by regulation, no controlled substance included in Schedule II may be dispensed without the written prescription of a practitioner. [36 FR 7799, Apr. "Controlled dangerous substance" or "controlled substance" means a controlled dangerous substance as defined in N.J.S.A. Controlled Substances in Schedules III-V may always be prescribed by oral prescription under 21 U.S.C. (b) A prescription may not be issued in order for an individual practitioner to obtain controlled substances for supplying the individual practitioner for the purpose of general dispensing to patients. 31, 2010]. 21 USC 829(a), 21 CFR 1306.12(a). "Control" means to regulate or change the placement of a controlled substance or immediate precursor; under the provisions of this act. Schedule IV-V Drugs May be written and dispensed for up to a 90 day supply based on directions. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. That mechanism involves the use of condition codes, as delineated in section 80.67 (d)(1) of the Rules . (5) The pharmacist receiving a transferred electronic prescription must create an electronic record for the prescription that includes the receiving pharmacist's name and all of the information transferred with the prescription under paragraph (b)(4) of this section. Controlled substance prescriptions. 13:45H-7.5) . (c) An institutional practitioner may administer or dispense directly (but not prescribe) a controlled substance listed in Schedule III, IV, or V only pursuant to a paper prescription signed by an individual practitioner, a facsimile of a paper prescription or order for medication transmitted by the practitioner or the practitioner's agent to the institutional practitioner-pharmacist, an electronic prescription that meets the requirements of this part and part 1311 of this chapter, or an oral prescription made by an individual practitioner and promptly reduced to writing by the pharmacist (containing all information required in 1306.05 except for the signature of the individual practitioner), or pursuant to an order for medication made by an individual practitioner that is dispensed for immediate administration to the ultimate user, subject to 1306.07. Ohio. 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. 90-day supply. (vi) Name of pharmacist who transferred the prescription. Sec. 24, 1997]. (3) The practitioner must comply with the requirements for practitioners in part 1311 of this chapter. (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 . The Controlled Substances Act (CSA) places all substances which were in some manner regulated under existing federal law into one of five schedules. Texas Medical Board Guidelines for Pain Management (Texas Administrative Code 170.3) Schedule II prescriptions for patients in a LTCF or patients with a medical diagnosis documenting a terminal illness shall be valid for a period not to exceed 60 days from the issue date unless sooner terminated by the discontinuance of medication.

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