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PRACTICE QUESTIONS

Licensees can prescribe a Schedule II prescription to a family member under what circumstance?

A. Emergency situation

B. Chronic pain management

C. If the family member does not have a PCP

D. If the family member does not have insurance

E. For implantable infusion pumps

A. "Emergency situation"

243 CMR Section 2.07:

All licensees are not allowed to self-prescribe any substance in Schedules II-IV and licensees are only allowed to prescribe a Schedule II substance to a family member in an emergency situation. A family member includes the following:

  • Spouse (or equivalent)

  • Parent

  • Child

  • Sibling

  • In-laws

  • Step-relations

If a licensee does prescribe a controlled substance to a family member, they must maintain a medical record for that family member.

Licensees are also not allowed to prescribe anabolic steroids to a patient for athletic performance enhancement, and they cannot prescribe a Schedule II substance for its anorectic or loss of appetite effect.

If a prescriber plans on prescribing an extended-release hydrocodone prescription they must do the following:

  • Review the patient for risk factors, substance abuse history, current medications, and check the patient's history in the Prescription Monitoring Program.

  • Discuss the benefits and risks with the patient.

  • Have a pain management treatment agreement with the patient that will involve drug screening, pill counts, and safe disposal.

  • Provide a Letter of Medical Necessity to the Board.

  • Keep documentation of all the above activities in the patient's medical record.

If a physician wishes to prescribe buprenorphine for opioid addiction the physician must obtain a waiver from where?

A. DEA

B. SAMHSA

C. The Board

D. MDPH

E. CDTM

B. "SAMHSA"

Prescribing Practices Guidelines:

Physicians are not allowed to self-prescribe any substance in Schedules II-IV and are only allowed to prescribe a Schedule II substance to a family member in an emergency situation. When writing a prescription, a physician must make sure they are practicing within their scope of medicine and must perform basic health care practices with a patient such as taking a medical history and doing a physical/mental examination on the patient.

Physicians will only be able to prescribe if they fulfill certain requirements. They must have an active Massachusetts license to practice and register with the DEA to prescribe Schedule II-V prescriptions. To prescribe Schedule II-VI substances they ...

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