Current through Register Vol. 49, No. 2, February 2024
56. Schedule II Prescription Drugs
I. Emergency Prescriptions - In the case of
an emergency situation as defined by this regulation, a pharmacist may dispens
a controlled substance listed in Schedule II upon receiving oral authorzation
of a prescribing individual practitioner -- provided that the quantify
prescribed and dispensed is limited to the amount adequate to treat the patient
during the emergency period (never more than 72 hours). Dispensing, beyond the
emergency period, must be pursuant to a written prescription signed by the
prescribing individual practitioner. For the purposes of authorizing an oral
prescription for a controlled substance listed in Schedule II of the Arkansas
Controlled Substance List, the term "emergency situation" means those
situations in which the prescribing practitioner determines that:
(A) Immediate administration of the
controlled substance is necessary for proper treatment of the intended ultimate
user;
(B) No appropriate
alternative treatment is available (which includes the administration of a drug
which is not a Schedule II), and
(C) It is not reasonably possible for the
prescribing practitioner to provide a written prescription to be presented to
the pharmacist dispensing the drug prior to the dispensing.
The prescription shall be immediately reduced to writing by the
pharmacist. Within seven (7) days after authorizing an emergency oral
prescription, the prescribing practitioner shall cause a written prescription
for the emergency quantity prescribed to be delivered to the dispensing
pharmacist. The statement "Authorization for Emergency Dispensing," and the
date of the oral order, must be on the face of the prescription. Upon receipt,
the dispensing pharmacist shall attach this prescription to the oral emergency
prescription which had earlier been reduced to writing The pharmacist shall
notify the nearest office of the D.E.A. if the prescribing practitioner fails
to deliver a written perscription-failure of the pharmacist to do so shall void
the authority conterred by this regulation to dispense without a written
prescription of a prescribing practitioner.
II. Partial Filling of a Schedule II
Prescription -- The partial filling of a prescription for a controlled
substance listed in Schedule II is permissible, if the pharmacist is unable to
supply the full quantity called for in a written or emergency oral prescription
and he makes a notation of the quantity supplied on the face of the written
prescription (or written record of the emergency oral prescription). 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 so notify the
prescribing practitioner. No further quantity may be supplied beyond 72 hours
without a new prescription.
A prescription, for a Schedule II controlled substance written for a
patient in a long-term care facility (LTCF) or for a patient with a medical
diagnosis documenting a terminal illness, may be filled in partial quantities
to include individual dosage units. If there is any question whether a patient
may be classified as having a terminal illness, the pharmacist may contact the
practitioner prior to partially filling the prescription. Both the pharmacist
and the prescribing practitioner have a corresponding responsibility to assure
that the controlled substance is for a terminally ill patient. The pharmacist
must record, on the prescription, whether the patient is "terminally ill" or an
"LTCF patient". For each partial filling, the dispensing pharmacist shall
record, on the back of the prescription (or on another appropriate record,
uniformly maintained, and readily retrievable), the date of the partial
filling, quantity dispensed, remaining quantity authorized to be dispensed, and
the identification of the dispensing pharmacist. Prior to any subsequent
partial filling, the pharmacist is to determine that the additional partial
filling is necessary. The total quantity of Schedule II controlled substances
dispensed, in all partial filling, must not exceed the total quantity
prescribed. A Schedule II prescription for a patient in a LTCF or a patient
with a medical diagnosis documenting a terminal illness, if partially filled,
shall be totally dispensed within 60 days and dispensing cannot occur after 60
days or after the medication has been discontinued by the prescriber.
III. Computer Records For Partial
Filling -- 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 the system
has the capability to permit:
(1) Output
(display or print) 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) and listing of the partial fillings that have been
dispensed under each prescription.
(2) Immediate (real time) updating of the
prescription record each time a partial filling of the prescription is
conducted.
(3) Retrieval of
partially filled Schedule II prescription information is the same as required
for Schedule III and IV prescription refill information.
The authority to dispense Schedule II prescriptions for partial
quantities does not apply to other classes of patients -- such as a patient
with severe intractable pain who is not diagnosed as terminal.
IV. Time Limit On a New
Schedule II Prescription - Prescriptions written for Schedule II controlled
substances may be dispensed up to six (6) months from the date written if the
pharmacist is certain of the validity of the prescription.
An exception to this would be prescriptions written for a patient
classified as terminally ill or a long term care facility patient and these
prescriptions are valid for 60 days from date of issue and be my partially
filled. (2/15/95)
56. Schedule II Prescription Drugs
I. Emergency Prescriptions - In the case of
an emergency situation, as defined by this regulation, a pharmacist may
dispense a controlled substance listed in Schedule II upon receiving oral
authorization of a prescribing individual practitioner -- provided that the
quantity prescribed and dispensed is limited to the amount adequate to treat
the patient during the emergency period (never more than 72 hours). Dispensing,
beyond the emergency period, must be pursuant to a written prescription signed
by the prescribing individual practitioner. For the purposes of authorizing an
oral prescription for a controlled substance listed in Schedule II of the
Arkansas Controlled Substance List, the term "emergency situation" means those
situations in which the prescribing practitioner determines that:
(A) Immediate administration of the
controlled substance is necessary for proper treatment of the intended ultimate
user;
(B) No appropriate
alternative treatment is available (which includes the administration of a drug
which is not a Schedule II), and
(C) It is not reasonably possible for the
prescribing practitioner to provide a written prescription to be presented to
the pharmacist dispensing the drug prior to the dispensing.
The prescription shall be immediately reduced to writing by the
pharmacist. Within seven (7) days after authorizing an emergency oral
prescription, the prescribing practitioner shall cause a written prescription
for the emergency quantity prescribed to be delivered to the dispensing
pharmacist. The statement "Authorization for Emergency Dispensing," and the
date of the oral order, must be on the face of the prescription. Upon receipt,
the dispensing pharmacist shall attach this prescription to the oral emergency
prescription which had earlier been reduced to writing. The pharmacist shall
notify the nearest office of the D.E.A. if the prescribing practitioner fails
to deliver a written prescription-failure of the pharmacist to do so shall void
the authority conferred by this regulation to dispense without a written
prescription of a prescribing practitioner.
II. Partial Filling of a Schedule II
Prescription -- The partial filling of a prescription for a controlled
substance listed in Schedule II is permissible, if the pharmacist is unable to
supply the full quantity called for in a written or emergency oral prescription
and he makes a notation of the quantity supplied on the face of the written
prescription (or written record of the emergency oral prescription). 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 so notify the
prescribing practitioner. No further quantity may be supplied beyond 72 hours
without a new prescription.
A prescription, for a Schedule II controlled substance written for a
patient in a long-term care facility (LTCF) or for a patient with a medical
diagnosis documenting a terminal illness, may be filled in partial quantities
to include individual dosage units. If there is any question whether a patient
may be classified as having a terminal illness, the pharmacist may contact the
practitioner prior to partially filling the prescription. Both the pharmacist
and the prescribing practitioner have a corresponding responsibility to assure
that the controlled substance is for a terminally ill patient. The pharmacist
must record, on the prescription, whether the patient is "terminally ill" or an
"LTCF patient". For each partial filling, the dispensing pharmacist shall
record, on the back of the prescription (or on another appropriate record,
uniformly maintained, and readily retrievable), the date of the partial
filling, quantity dispensed, remaining quantity authorized to be dispensed, and
the identification of the dispensing pharmacist. Prior to any subsequent
partial filling, the pharmacist is to determine that the additional partial
filling is necessary. The total quantity of Schedule II controlled substances
dispensed, in all partial filling, must not exceed the total quantity
prescribed. A Schedule II prescription for a patient in a LTCF or a patient
with a medical diagnosis documenting a terminal illness, if partially filled,
shall be totally dispensed within 60 days and dispensing cannot occur after 60
days or after the medication has been discontinued by the prescriber.
III. Computer Records For Partial
Filling -- 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 the system
has the capability to permit:
(1) Output
(display or print) 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) and listing of the partial fillings that have been
dispensed under each prescription.
(2) Immediate (real time) updating of the
prescription record each time a partial filling of the prescription is
conducted.
(3) Retrieval of
partially filled Schedule II prescription information is the same as required
for Schedule III and IV prescription refill information.
The authority to dispense Schedule II prescriptions for partial
quantities does not apply to other classes of patients -- such as a patient
with severe intractable pain who is not diagnosed as terminal.
IV. Time Limit On a New
Schedule II Prescription - Prescriptions written for Schedule II controlled
substances may be dispensed up to six (6) months from the date written if the
pharmacist is certain of the validity of the prescription.
An exception to this would be prescriptions written for a patient
classified as terminally ill or a long term care facility patient and these
prescriptions are valid for 60 days from date of issue and be my partially
filled. (2/15/95)
