The remaining portion of the prescription may be filled within 72 hours of the first partial filling; however, if the remaining portion is not or cannot be filled within the 72-hour period, the pharmacist shall notify the prescribing individual practitioner. Redesignated at 38 FR 26609, Sept. 24, 1973, and further redesignated and amended at 62 FR 13966, Mar. Code F (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. (c) The following information must be retrievable by the prescription number: (1) The name and dosage form of the controlled substance. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. (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. Schedule III drugs are valid for 180 days or up to five refills. A controlled substance prescription issued by a PA must contain the imprinted names of (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. [36 FR 13368, July 21, 1971, as amended at 37 FR 15921, Aug. 8, 1972. (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. . 353 (b)) only pursuant to a written prescription signed by the practitioner, except as provided in paragraph (d) of this section. 30-day supply. (2) Nothing in this paragraph (b) shall be construed as mandating or encouraging individual practitioners to issue multiple prescriptions or to see their patients only once every 90 days when prescribing Schedule II controlled substances. Texas Medical Board Guidelines for Pain Management (Texas Administrative Code 170.3) "Controlled dangerous substance" or "controlled substance" means a controlled dangerous substance as defined in N.J.S.A. (f) A prescription may be prepared by the secretary or agent for the signature of a practitioner, but the prescribing practitioner is responsible in case the prescription does not conform in all essential respects to the law and regulations. 821, 823, 829, 829a, 831, 871(b) unless otherwise noted. (a) When used for the treatment of acute pain, prescriptions for opiates or narcotic pain relievers listed in Schedules II through IV in section 152.02 shall not exceed a seven-day supply for an adult and shall not exceed a five-day supply for a minor under 18 years of age. 1306.24 Labeling of substances and filling of prescriptions. (g) A prescription prepared in accordance with 1306.05 written for a Schedule II narcotic substance for a patient enrolled in a hospice care program certified and/or paid for by Medicare under Title XVIII or a hospice program which is licensed by the state may be transmitted by the practitioner or the practitioner's agent to the dispensing pharmacy by facsimile. (5) In the event that a pharmacy which employs such a computerized application experiences system down-time, the pharmacy must have an auxiliary procedure which will be used for documentation of refills of Schedule III and IV controlled substance prescription orders. This is of course a significant change from the prior law regarding the . 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: (h) When filing refill information for electronic prescriptions, a pharmacy must use an application that meets the requirements of part 1311 of this chapter. (b) Each refilling of a prescription shall be entered on the back of the prescription or on another appropriate document or electronic prescription record. Hormone deficiency states in males; gynecologic conditions that are responsive with anabolic steroids or chorionic gonadotropin; metastatic breast cancer in women; anemia and angioedema A maximum of 30-day supply. Prescriptions for controlled substances are limited to a 30-day supply. Electronic Code of Federal Regulations (eCFR). 1306.14 Labeling of substances and filling of prescriptions. (4) The initials of the dispensing pharmacist for each refill. "Control" means to regulate or change the placement of a controlled substance or immediate precursor; under the provisions of this act. 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). 24:21-2. The individual pharmacist must verify that the data indicated are correct and then sign this document in the same manner as he would sign a check or legal document (e.g., J.H. If entered on another document, such as a medication record, or electronic prescription record, the document or record must be uniformly maintained and readily retrievable. Prescriptions for controlled substances are limited to a 30-day supply. [36 FR 7799, Apr. Sec. (b) Nothing in this section shall prohibit a physician who is not specifically registered to conduct a narcotic treatment program from administering (but not prescribing) narcotic drugs to a person for the purpose of relieving acute withdrawal symptoms when necessary while arrangements are being made for referral for treatment. (a) The transfer of original prescription information for a controlled substance listed in Schedule III, IV, or V for the purpose of refill dispensing is permissible between pharmacies on a one-time basis only. 1306.04 Purpose of issue of prescription. 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. Any term contained in this part shall have the definition set forth in section 102 of the Act (21 U.S.C. 1306.03 Persons entitled to issue prescriptions. 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: 90-day supply. Unfortunately, the final language that was passed in HB 2250 ( attached ) is being interpreted to restrict the prescribing of schedule II and III controlled . 1306.13 Partial filling of prescriptions. (a) No controlled substance that is a prescription drug may be delivered, distributed, or dispensed by means of the Internet without a valid prescription. (4) The prescribing practitioner must execute a new and separate prescription for any additional quantities beyond the five-refill, six-month limitation. (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. 10. }Tz`qFmlWV (3) For paper prescriptions and prescriptions received orally and reduced to writing by the pharmacist pursuant to 1306.21(a), the pharmacist receiving the transferred prescription information must write the word "transfer" on the face of the transferred prescription and reduce to writing all information required to be on a prescription pursuant to 1306.05 and include: (i) Date of issuance of original prescription. Prescriptions. 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. (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. (2) Ensure that all information required to be on a prescription pursuant to Section 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) Maintain the original prescription for a period of two years from the date the prescription was filled; (4) 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. (b) Transfers are subject to the following requirements: (1) The transfer must be communicated directly between two licensed pharmacists. Chronic debilitating neurological conditions characterized as a movement disorder or exhibiting seizure, convulsive or spasm activity Sec. Add any text here or remove it. Section 80.66 - Schedule I substances. 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: When prescribing more than a 30-day supply of a controlled substance to treat one of the above conditions, a practitioner must write on the face of the prescription either the condition or the Code designating the condition. The Controlled Substances Act and DEA's implementing regulations prohibit the refilling of schedule II controlled substances. Quantities Allowable on Controlled Substance Prescriptions codes for 90 day supply of controlled substances. [36 FR 7799, Apr. 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. Ohio. Section 80.67 - Schedule II and certain other substances. (8 ounces) of any such controlled substance containing opium, nor more than 120 cc. 1306.06 Persons entitled to fill prescriptions. 353(b)) only pursuant to either a paper prescription signed by a practitioner, a facsimile of a signed paper prescription transmitted by the practitioner or the practitioner's agent to the pharmacy, 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 practitioner. The practitioner or the practitioner's agent will note on the prescription that the patient is a hospice patient. Code D (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. Sec. (c) The requirements of paragraph (a) of this section do not apply when a controlled substance listed in Schedule III, IV, or V is prescribed for administration to an ultimate user who is institutionalized: Provided, That: (1) Not more than a 34-day supply or 100 dosage units, whichever is less, of the controlled substance listed in Schedule III, IV, or V is dispensed at one time; (2) The controlled substance listed in Schedule III, IV, or V is not in the possession of the ultimate user prior to administration; (3) The institution maintains appropriate safeguards and records the proper administration, control, dispensing, and storage of the controlled substance listed in Schedule III, IV, or V; and. Controlled Substances Listed in Schedule II. Redesignated at 38 FR 26609, Sept. 24, 1973, and amended at 45 FR 54330, July 15, 1980; 56 FR 25027, June 3, 1991; 62 FR 13965, Mar. (a) The pharmacist filling a written or emergency oral prescription for a controlled substance listed in Schedule II shall affix to the package a label showing date of filling, the pharmacy name and address, the serial number of the prescription, the name of the patient, the name of the prescribing practitioner, and directions for use and cautionary statements, if any, contained in such prescription or required by law. 24, 1971, as amended at 36 FR 18733, Sept. 21, 1971. Controlled Substance Update - Practitioners Newsletter December 2006, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, Opioid Treatment Guidelines and Other Information for Healthcare Professionals and Patients Center for Disease Control and Prevention (CDC), James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), Addressing the Opioid Epidemic in New York State, Health Care and Mental Hygiene Worker Bonus Program, Maternal Mortality & Disparate Racial Outcomes, Help Increasing the Text Size in Your Web Browser, from the practitioner's computer to the pharmacy's fax machine; or. Manufacture or cultivation. 453.430 Restrictions on issuance of prescriptions; continuation of dependency on narcotic drug; transmission of prescription by facsimile machine. (b)(1) 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: (i) Each separate prescription is issued for a legitimate medical purpose by an individual practitioner acting in the usual course of professional practice; (ii) The individual practitioner provides written instructions on each prescription (other than the first prescription, if the prescribing practitioner intends for that prescription to be filled immediately) indicating the earliest date on which a pharmacy may fill each prescription; (iii) The individual practitioner concludes that providing the patient with multiple prescriptions in this manner does not create an undue risk of diversion or abuse; (iv) The issuance of multiple prescriptions as described in this section is permissible under the applicable state laws; and. 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 Relief of pain in patients suffering from diseases known to be chronic and incurable the patient to receive up to a 90-day supply of a Schedule II CDS over those multiple prescriptions.6 Can a Schedule III-V prescription be refilled? from the practitioner's computer to the pharmacy's fax machine; or day, nor does it allow pharmacists to fill prescriptions written more than 30 days prior to presentation. Section 80.65 - Purpose of issue. NC Controlled Substances Act 90-106 The preprinting of or use of preprinted prescription blanks with the name of scheduled substances is prohibited. Sec. 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. (2) The practitioner is in compliance with DEA regulations regarding treatment qualifications, security, records, and unsupervised use of the drugs pursuant to the Act. 24, 1997; 68 FR 37410, June 24, 2003; 72 FR 64930, Nov. 19, 2007]. 1306.05 Manner of issuance of prescriptions. (vi) Name of pharmacist who transferred the prescription. The total quantity of Schedule II controlled substances dispensed in all partial fillings must not exceed the total quantity prescribed. (2) Either registered or exempted from registration pursuant to 1301.22(c) and 1301.23 of this chapter. Must be used as adjunctive treatment with a Division of Alcohol and Substance Abuse (DASA) state-certified intensive outpatient chemical dependency treatment program. 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. (c) An institutional practitioner may administer or dispense directly (but not prescribe) a controlled substance listed in Schedule II only pursuant to a written prescription signed by the prescribing individual practitioner or to an order for medication made by an individual practitioner that is dispensed for immediate administration to the ultimate user. (vii) Pharmacy's name, address, DEA registration number, and prescription number from which the prescription was originally filled. (1) A physician may delegate the prescription of controlled substances listed in schedules 2 to 5 to a registered nurse who holds a specialty certification under section 17210 of the code, MCL 333.17210, Section 4064.5 - 90-day supply of dangerous drug other than controlled substance (a) A pharmacist may dispense not more than a 90-day supply of a dangerous drug other than a controlled substance pursuant to a valid prescription that specifies an initial quantity of less than a 90-day supply followed by periodic refills of that amount if all of the following requirements are satisfied: (1) The . The facsimile serves as the original written prescription for purposes of this paragraph (e) and it shall be maintained in accordance with 1304.04(h) of this chapter. 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. 100, 7.) (3) The quantity of each additional refill authorized is equal to or less than the quantity authorized for the initial filling of the original prescription. n$Kajf@@r09)A^D?QtpEao# iW' 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). 21 USC 829(a), 21 CFR 1306.12(a). Section 80.63 - Prescribing. When prescribing more than a 30-day supply of a controlled substance to treat one of the above conditions, a practitioner must write on the face of the prescription either the condition or the Code designating the condition. inventory count for a drug is 120 units and the actual count is 90. (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. Chronic debilitating neurological conditions characterized as a movement disorder or exhibiting seizure, convulsive or spasm activity These are also valid for 180 days or up to five refills. 1306.25 Transfer between pharmacies of prescription information for Schedules III, IV, and V controlled substances for refill purposes. (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. The retail pharmacy transmitting the prescription information must: (1) Write the words "CENTRAL FILL" on the face of the original paper prescription and record 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. Rule 111. 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. (d) All prescriptions for controlled substances listed in Schedules III, IV, and V shall be kept in accordance with 1304.04(h) of this chapter. 24, 1971, as amended at 36 FR 18733, Sept. 21, 1971. Code B 1306.09 Prescription requirements for online pharmacies. (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.