1306.13 Partial filling of prescriptions. 90-day supply. Both the pharmacist and the prescribing practitioner have a corresponding responsibility to assure that the controlled substance is for a terminally ill patient. The new Public Health Law that went into full effect on April 19, 2006 made no changes to the requirements for electronic prescribing. (h) An official exempted from registration under 1301.23(a) of this chapter must include on all prescriptions issued by him his branch of service or agency (e.g., "U.S. Army" or "Public Health Service") and his service identification number, in lieu of the registration number of the practitioner required by this section. (4) Any such computerized application shall have the capability of producing a printout of any refill data that the user pharmacy is responsible for maintaining under the Act and its implementing regulations. Schedule III drugs are valid for 180 days or up to five refills. 24, 1971, as amended at 36 FR 18733, Sept. 21, 1971. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. 21 USC 829(a), 21 CFR 1306.12(a). (e) The specific directions for use of the controlled drug by the patient. Schedule IV and V drugs can be faxed and given orally. More information can be found in Title 21 United States Code (USC) Controlled Substances Act. (a) Prescriptions for controlled substances listed in Schedule III, IV or V may be transmitted electronically from a retail pharmacy to a central fill pharmacy including via facsimile. . 1306.12 Refilling prescriptions; issuance of multiple prescriptions. - Nursing homes that are skilled facilities with a ten (10) bed limit. The rules are modernized to reflect current pharmacy practices without changing significant . (b) Each refilling of a prescription shall be entered on the back of the prescription or on another appropriate document or electronic prescription record. Upon receipt, the dispensing pharmacist must attach this paper prescription to the oral emergency prescription that had earlier been reduced to writing. Section 80.65 - Purpose of issue. Multiple Official Prescription Forms Issued. The pharmacist must record on the prescription whether the patient is "terminally ill" or an "LTCF patient." Controlled Substance Update - Practitioners Newsletter December 2006, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, Opioid Treatment Guidelines and Other Information for Healthcare Professionals and Patients Center for Disease Control and Prevention (CDC), James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), Addressing the Opioid Epidemic in New York State, Health Care and Mental Hygiene Worker Bonus Program, Maternal Mortality & Disparate Racial Outcomes, Help Increasing the Text Size in Your Web Browser, from the practitioner's computer to the pharmacy's fax machine; or. (2) The pharmacist obtaining the oral authorization records on the reverse of the original paper prescription or annotates the electronic prescription record with the date, quantity of refill, number of additional refills authorized, and initials the paper prescription or annotates the electronic prescription record showing who received the authorization from the prescribing practitioner who issued the original prescription. Prescriptions become void unless dispensed within 180 days of original date written. Practitioners with questions about official prescriptions or controlled substances may contact the Bureau of Narcotic Enforcement at (866) 811-7957 or online at: narcotic@health.ny.gov. Prescriptions for controlled substances are limited to a 30-day supply. (4) For electronic prescriptions being transferred electronically, the transferring pharmacist must provide the receiving pharmacist with the following information in addition to the original electronic prescription data: (ii) The number of refills remaining and the date(s) and locations of previous refills. Code B (8 ounces) of any such controlled substance containing opium, nor more than 120 cc. 24, 1997, as amended at 68 FR 37411, June 24, 2003]. Schedule II drugs have recognized medical uses as well as a potential for dependence and abuse. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. (1) Authorized to prescribe controlled substances by the jurisdiction in which he is licensed to practice his profession and (2) Either registered or exempted from registration pursuant to . day supply. Practitioners with questions about official prescriptions or controlled substances may contact the Bureau of Narcotic Enforcement at (866) 811-7957 or online at: narcotic@health.ny.gov. (4) The system employed by the pharmacist in filling a prescription is adequate to identify the supplier, the product, and the patient, and to set forth the directions for use and cautionary statements, if any, contained in the prescription or required by law. (2) Either registered or exempted from registration pursuant to 1301.22(c) and 1301.23 of this chapter. from the practitioner's computer to the pharmacy's fax machine; or As used in Chapter 4731-11 of the Administrative Code: (A) "Controlled substance" means a drug, compound, mixture, preparation, or substance included in schedule I, II, III, IV, or V pursuant to the provisions of Chapter 3719. of the Revised Code and Chapter 4729:9-1 of the Administrative Code. In addition to conforming to the requirements of 1306.05, the prescription shall have written on its face "Authorization for Emergency Dispensing," and the date of the oral order. Section 80.66 - Schedule I substances. The quantity of Schedule III, IV or V controlled substances prescribed or dispensed at any one time shall be limited to a ninety-day supply . (b) If the prescription is filled at a central fill pharmacy, the central fill pharmacy shall affix to the package a label showing the retail pharmacy name and address and a unique identifier, (i.e. The facsimile serves as the original written prescription for purposes of this paragraph (e) and it shall be maintained in accordance with 1304.04(h) of this chapter. longterm care facilities which are not registered with the DEA shall meet all of the following requirements regarding emergency kits containing controlled substances: (1)The source of supply must be a DEA registered hospital, pharmacy or practitioner. the central fill pharmacy's DEA registration number) indicating that the prescription was filled at the central fill pharmacy, in addition to the information required under paragraph (a) of this section. (f) A prescription prepared in accordance with 1306.05 written for Schedule II substance for a resident of a Long Term Care Facility may be transmitted by the practitioner or the practitioner's agent to the dispensing pharmacy by facsimile. Instructions for Downloading Viewers and Players. The controlled substance law and regulations may be viewed online at: www.nyhealth.gov/professionals/narcotic/. (c) No dispensing occurs after 6 months after the date on which the prescription was issued. No later than the close of business on the next business day after dispensing a controlled substance . 90-day supply required : 090 : The prescription is written for less than a 90-day supply. _|Wx;jA A(B*?0p-vDhD(|voT=FS%9FIGx8ZPBM~oA/t K 6 (c) An institutional practitioner may administer or dispense directly (but not prescribe) a controlled substance listed in Schedule II only pursuant to a written prescription signed by the prescribing individual practitioner or to an order for medication made by an individual practitioner that is dispensed for immediate administration to the ultimate user. inventory count for a drug is 120 units and the actual count is 90. (2) Immediate (real time) updating of the prescription record each time a partial filling of the prescription is conducted. No more than 360 dosage units may be dispensed at one time. Smith, or John H. Smith). Hormone deficiency states in males; gynecologic conditions that are responsive with anabolic steroids or chorionic gonadotropin; metastatic breast cancer in women; anemia and angioedema (vii) Pharmacy's name, address, DEA registration number, and prescription number from which the prescription was originally filled. Redesignated at 38 FR 26609, Sept. 24, 1973, as amended at 62 FR 13965, Mar. Corresponding Responsibility - A Shared Obligation. CHAPTER 315. Sec. n$Kajf@@r09)A^D?QtpEao# iW' Since then many substances have been added, removed, or transferred from one schedule to another. (N.J.A.C. 1306.26 Dispensing without prescription. (iv) Number of valid refills remaining and date(s) and locations of previous refill(s). 1306.21 Requirement of prescription. (d) A practitioner may sign a paper prescription in the same manner as he would sign a check or legal document (e.g., J.H. If entered on another document, such as a medication record, or electronic prescription record, the document or record must be uniformly maintained and readily retrievable. (c) Information pertaining to current Schedule II prescriptions for patients in a LTCF or for patients with a medical diagnosis documenting a terminal illness may be maintained in a computerized system if this system has the capability to permit: (1) Output (display or printout) of the original prescription number, date of issue, identification of prescribing individual practitioner, identification of patient, address of the LTCF or address of the hospital or residence of the patient, identification of medication authorized (to include dosage, form, strength and quantity), listing of the partial fillings that have been dispensed under each prescription and the information required in 1306.13(b). (a) A pharmacist may dispense directly a controlled substance listed in Schedule II that is a prescription drug as determined under section 503 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. Code B Code A Such emergency treatment may be carried out for not more than three days and may not be renewed or extended. Sec. No prescription for a controlled substance listed in Schedule III or IV authorized to be refilled may be refilled more than five times. 353(b)) only pursuant to either a paper prescription signed by a practitioner, a facsimile of a signed paper prescription transmitted by the practitioner or the practitioner's agent to the pharmacy, an electronic prescription that meets the requirements of this part and part 1311 of this chapter, or an oral prescription made by an individual practitioner and promptly reduced to writing by the pharmacist containing all information required in 1306.05, except for the signature of the practitioner. 1306.15 Provision of prescription information between retail pharmacies and central fill pharmacies for prescriptions of Schedule II controlled substances.