Cane Creek Script, Volume 1, Issue 2 Page 1

Text Box: Recent DEA enforcement actions have brought to light the need to provide guidance regarding DEA rules and regulations to long-term care facilities and pharmacies. Below is an quick reference on these rules and how your facility can help us follow these guidelines. CII PRESCIPTIONS A CII drug may only be dispensed with a valid written prescription signed by the prescriber. A valid prescription must contain: The full name and address of the patient Drug name, strength, dosage form, quantity prescribed and directions for use Name, address and registration number of the practitioner Practitioner’s signature Dated and signed on the day when issued Chart orders are not valid prescription orders unless ALL of the required elements of a valid, written prescription are included. If any of the required elements are missing, the drug order is invalid and the pharmacist cannot legally fill the prescription. CII prescriptions can only be faxed if a resident is in a long term care facility or in a Medicare Hospice program. The fax order must meet all the requirement as a valid, written prescription order. For hospice patients, prescription must state “hospice patient.” No refills can be authorized on a CII prescription. Upon delivery, the original CII prescription must be given to the delivery driver before the medication can be left at the facility. Examples of CII prescriptions are Percocet, Oxycontin, Oxycodone, Methylin, Concerta, Adderrall. These prescriptions will start with a “2” in the prescription number when dispensed from Cane Creek Pharmacy. SCHEDULE III-Vs These medications can be only be dispensed with a valid written prescription, fax copy of a written, signed prescription, and oral prescription made by the individual practitioner to the pharmacy containing all the information required for a valid prescription , except the signature. Medication may not be filler or refilled more than six (6) months after the date of issue and may not be refilled more than five times. Each prescription must include the quantity to be dispensed and the total number of refills authorized. DEA interprets an agent of the practitioner as the practitioner nurse or secretary. The nurse within the long-term care facility is NOT the agent of the practitioner, even if the practitioner is the Medical Doctor of the facility. The DEA states that “nursing homes are not DEA registrants” which means they can not act as an agent. Examples of CIII-V medications include Ativan, Valium, Diazapan, Vicoden, Lortab, Klonopin. WHAT THIS MEANS TO YOU Telephone or verbal orders, FL2s and/or discharge summaries can not be used to fill Control Substances. The pharmacy will require a valid written prescription or a telephone order from the prescriber to the pharmacy to fill a Control Substances. Please help us educate prescribers that your facility uses. We will be providing a Reference Guide to each of our facilities that can be used to help with this. If you have any questions about this, please contact one of our pharmacists.

Snow Policy	2
Meet the Staff	2
Prior Authorizations	2
Medication Errors	3
Early Refills	3
Christmas is for Caring	4

Text Box: Cane Creek Script