Schedules 1-5 Of Controlled Drugs

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A General Description Of The 5 Classes Of Prescription Drugs

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Schedule 1
highly abusive, no medicinal use in the US ex: heroin, hallucinogenic subsaces, marijuana, opiates
Schedule 2
high abuse potention, accepted medical uses, not refillable, refills require a new original prescription
Paratial Filling for Schedule 2 Drugs
Record units dispensed, dispense the remainder within 72 hrs., tellthe physician if the remainder can't be dispensed, prescription is valid for 60 days for LTFC/terminally ill/hospice patients Pharmacist must record the date, amount dispensed and remaining, and sign the back.
Emergency situations for dispensing schedule 2 drugs (prescriptions called in by phone)
only if: immediate administration is required there are not alternatives available the physician can't provide a writtn prescription at the moment a hard prescription must be provided within 72 hrs.
Theft of Schedule 2 drugs
must notify the DEA and State Board of Pharmacy
Schedule 3 drugs
less potential for abuse, prescription can be refilled 5 times within 6 months Ex: tylenol with codeine, Vicodin, Fioricet Codeine hydrocordone with acetaminphen, acetaminophen with codeine
Examples of Schedule 2 drugs
cocaine, morphine, oxycodone, amphetamine salts, Demerol (Meperidine), Methylphenidate (Ritalin), Codeine, Percocet & Opiates, Dilaudid, MS Contin, Fentanyl (Durgesic)
Partial Filling of Schedule 3 Drugs
Pharmacist must record quantities dispensed and remainng, and initial/sign must be within 6 months of the original prescription date
Schedule 4 drugs
less potential for abuse, same dispensing rules as schedule 3 ex: Benzodiazepines, Meprobamate, Propoxyphene
Schedule 5 drugs
low potential for abuse, can be sold OTC to 21 yrs and older, only sold by pharmacist no more than 240 mL or 48 solid dosages of products containing opium no more than 120 mL or 24 solid dosages of non-opium containing products record contains name of patient, date, and pharm. initials
Examples of Schedule 5 drugs
Parapectolin (for diarrhea), pomethazine with codeine, guaifenesin with codeine (for cough)
Storage of Schedule 2 Drugs
physical inventory done yearly within 4 days of anniversary distribution records for in-patient settings Rocords of receipt and disposition must be kept separate
Ordering Schedule 2 Drugs
must use DEA form 222 only pharmcist can sign the form from the wholesaler tranportation and payment records not required