3 Refills, Prescription Transfers, and Communication Free Online FlashCards

Can a Schedule II prescription be refilled?

Schedule II prescriptions cannot be refilled. Separate prescriptions may be issued for up to a 90-day supply when federal and state requirements are met, but they are not refills.

What federal numerical refill limit applies to Schedule V?

Federal regulations set no equivalent numerical refill limit for Schedule V. Refills still require authorization and a legitimate medical purpose, and state law may impose limits.

What federal refill limits apply to Schedule III and IV prescriptions?

A Schedule III or IV prescription may be refilled no more than five times and only within six months of its issue date.

What is required after the authorized Schedule III or IV refills are exhausted?

Any quantity beyond the authorized Schedule III or IV refills requires a new prescription.

What conditions apply to oral authorization of Schedule III or IV refills?

A practitioner may authorize additional Schedule III or IV refills orally, but the total must remain within both federal limits. The pharmacist must document the authorization and required details.

Which details must Schedule III and IV refill records make retrievable?

For Schedule III and IV refills, records must allow retrieval of the fill date, quantity dispensed, dispensing pharmacist’s initials or identification, and total refills dispensed.

What are the general federal conditions for a Schedule III–V refill transfer?

Schedule III–V prescription information may generally be transferred once for refill dispensing. The transfer must be communicated directly between two licensed pharmacists, and state law must permit it.

What transfer option may apply to pharmacies sharing a real-time, online database?

Pharmacies sharing a real-time, online database may transfer refills up to the amount allowed by law and authorized by the prescriber.

What must the transferring pharmacist record for a paper refill transfer?

The transferring pharmacist marks the original “VOID” and records the receiving pharmacy’s name, address, and DEA registration number; receiving pharmacist’s name; transfer date; and transferring pharmacist’s name.

What key history must the receiving pharmacist document for a paper refill transfer?

The receiving pharmacist marks it “transfer” and records the original issue and dispensing dates, authorized and remaining refills, previous refill dates and locations, and transferring pharmacy information and prescription number.

How long must electronic refill-transfer records be retained, and from what date?

The original and transferred electronic records must be retained for two years from the last refill.

When is an initial-fill transfer allowed for a controlled-substance prescription?

A Schedule II–V electronic controlled-substance prescription that has not yet been initially dispensed may be transferred once between retail pharmacies at the patient’s request, where applicable law allows.