1. A
pharmacist may dispense a Schedule II controlled substance only pursuant to a
valid written prescription/order signed by the prescribing practitioner except
as described as follows:
A. When a Schedule
II controlled substance is needed in a situation in which a written
prescription cannot reasonably be obtained it may be considered an emergency
situation and a pharmacist may dispense a Schedule II controlled substance
pursuant to an oral prescription of a practitioner. A Schedule II controlled
substance prescription given in this manner shall be reduced to writing by the
pharmacist and shall be for a quantity of medication sufficient for the
emergency period, not to exceed 48 hours. Within seven (7) days of the receipt
of an oral prescription for a Schedule II controlled substance, the pharmacist
shall obtain a prescription signed by the prescribing practitioner for the
medication dispensed. This prescription shall be attached to the copy of the
prescription prepared by the pharmacist pursuant to the prescriber's oral
order.
B. A prescription for a
controlled substance in Schedule II may be transmitted from the prescribing
practitioner to a pharmacy via facsimile provided the original signed
prescription is presented to the pharmacist for review prior to dispensing of
the controlled substance. The original prescription shall be maintained in
accordance with ARTICLE XIII of these regulations.
C. A prescription/order written for a
Schedule II controlled substance to be compounded for direct administration to
the patient by parenteral, intravenous, subcutaneous or intraspinal infusion
may be transmitted directly from the prescribing practitioner to a pharmacy by
facsimile. The facsimile serves as the original prescription for purposes of
this ARTICLE and it shall be maintained in accordance with ARTICLE XIII of
these regulations.
D. A
prescription/order written for a Schedule II controlled substance for a
resident of a long term care facility or for a patient in a hospice certified
by Medicare under Title XVIII or licensed by the state may be transmitted
directly from the prescribing practitioner to a pharmacy by facsimile. The
facsimile serves as the original prescription for purposes of this ARTICLE and
should be filed in accordance with ARTICLE XIII of these regulations.
2. A prescription for a controlled
substance in Schedule II may not be refilled. In accordance with current DEA
requirements, a pharmacist may dispense up to a ninety (90) day supply of a
Schedule II controlled substance pursuant to multiple prescriptions signed on
the date of issuance which indicate a "DO NOT FILL BEFORE" date listed
elsewhere on the prescription document. Schedule II controlled substances shall
not be dispensed for a patient with greater frequency than the approximate
interval of time that the dosage regimen ordered by the prescriber would
indicate unless circumstances are documented which would justify a shorter
interval of time. Schedule II prescriptions shall not be filled after six (6)
months from the date of issuance.
