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Introduction

The purpose of this activity is to review potential red-flag warning signs for abuse and drug diversion. This includes warning signs present on the presentation of a prescription as well as suspicious patient behaviors.

Learning Objectives
  1. Describe at least three types of fraud related to prescription medications.

  2. Evaluate if the patient exhibits red flags for abuse or diversion given a mock patient dropping off a prescription.

  3. Describe at least four techniques to manage prescription fraud.

  4. Determine if a given prescription for controlled medications is authentic or fraudulent.

  5.  Propose how to professionally inform the patient that you are unable to fill a prescription because it is fraudulent.

Foundational Knowledge Required

Required components for an opioid prescription, use of drug information resources

Suggested Resources
  1. Drug Enforcement Administration. A Pharmacist's Guide to Prescription Fraud. US Department of Justice Drug Enforcement Administration Diversion Control Division. https://www.deadiversion.usdoj.gov/pubs/brochures/pharmguide.htm

  2. National Association of Boards of Pharmacy. Stakeholders' Challenges and Red Flag Warning Signs Related to Prescribing and Dispensing Controlled Substances. 2015. https://www.nacds.org/ceo/2015/0312/stakeholders.pdf

  3. Fudin J. Don’t ignore these opioid abuse red flags. Pharmacy Times. https://www.pharmacytimes.com/contributor/jeffrey-fudin/2017/10/opioid-red-flags-for-consideration-

  4. National Association of Boards of Pharmacy. Stakeholders’ Challenges and Red Flag Warning Signs Related to Prescribing and Dispensing Controlled Substances. National Association of Boards of Pharmacy. https://nabp.pharmacy/wp-content/uploads/2016/07/Red-Flags-Controlled-Substances-03-2015.pdf

Assignment Instructions

Students will first need to read the suggested resources listed above to obtain foundational knowledge on fraudulent prescriptions and red-flag warning signs. Students will then work in pairs to review Mock Prescriptions and find possible red flags. Then, the students will complete a Mock Patient Encounter, in which one student will play the role of the patient and the other student will play the role of the pharmacist.

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