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SECTION 19 PRACTICE QUESTIONS

The pharmacist receives a telephone prescription for Adderall XR® capsules from a nurse in a licensed outpatient clinic. Assuming that dosage, quantity, and directions for use are appropriate and are reduced to writing, the pharmacist should:

A. Fill the prescription after the physician confirms all information with the pharmacist

B. Fill the prescription after obtaining the physician's DEA number

C. Fill the prescription after noting the nurse's name on the prescription

D. Not fill the prescription because a telephone prescription for Adderall XR® is not valid

E. Not fill the prescription because a secure prescription form is required

D. Not fill the prescription because a telephone prescription for Adderall XR® is not valid

Adderall XR® (amphetamine) is a C-II controlled substance and cannot be ordered over the phone, therefore, the prescription for this order is invalid. A prescription for a C-II controlled substance must be written on a controlled substance prescription form. Under both federal and California laws, the requirements for C-II drugs state that prescribers may only telephone in (oral) prescriptions for C-II drugs in very limited emergency situations. An oral (telephone) or electronically transmitted emergency prescription order for C-II controlled substance can be made if it's for patient of:

  • Licensed skilled nursing facility (i.e. nursing home)

  • Licensed intermediate care facility (i.e. long-term care facility)

  • Licensed home health agency (i.e. long-term care facility) or

  • Licensed hospice

Any controlled substance for Schedule III, IV, or V may be dispensed upon an oral or electronically transmitted prescription, which should be produced in a hard copy form, signed and dated by the pharmacist filling the prescription or an authorized person.

The pharmacist receives a faxed prescription from a known AB Health Clinic for stanozolol. The prescription has the doctor's name, address, telephone number, DEA number, and license number. However, the prescription is signed by a physician assistant. What is the MOST APPROPRIATE action the pharmacist should take?

A. Fill the prescription as written

B. Call AB Health Clinic to request the physician assistant's DEA number

C. Call AB Health Clinic to request a new prescription with physician's signature

D. Discard the prescription as it is invalid

E. The prescription is invalid because a physician assistant does not have the authority to write a stanozolol prescription

B. Call AB Health Clinic to request the physician assistant's DEA number

Stanozolol is an anabolic ...

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