Pharmacy Controlled Substances Management

Categories of Controlled Substances

• C2 to C5: Categories require specific handling and filing.
• C2 Medications:
  • High potential for abuse.
  • Paper prescriptions must be kept in a dedicated file separate from other medications.
  • Stored securely at location listed on DEA registration.
• C3 to C5 Medications:
  • Prescriptions can be kept in a separate file or with non-controlled substances if marked with a red "C" in the lower right corner.
  • Organization aids in retrieval during audits or inspections.

Regulation of Behind-the-Counter Products

• Edrine or Pseudoephedrine:
  • Heavily regulated under the Combat Methamphetamine Epidemic Act of 2005.
  • Pharmacy technicians must verify purchaser ID and log details such as name, address, date, time, and quantity.
  • Adhere to limits: 3.6g per day and 9g per month of active ingredients.
  • Non-liquid forms must be sold in two-unit blister packs.
  • Sales logs maintained electronically or written for at least 2 years.

Ordering and Disposing of Controlled Substances

• DEA Form 222: Used for ordering C2 drugs.
  • Filled out in triplicate: Supplier, DEA, Pharmacy.
  • Pharmacist verifies received quantity and notes discrepancies.
  • 10 lines available for requesting different controlled substances.
• DEA Form 41: Used for disposal of outdated or excess controlled substances.
• DEA Form 106: Used to track theft or loss incidents and initiate investigations.

Inventory and Storage

• Complete inventory required every 2 years.
• C2 Substances: Require exact counts.
• C3 to C5 Medications: Estimates are permissible.
• All records must be maintained for a minimum of 2 years and are subject to inspection.
• C2 Drugs: Stored in double-locked, tamper-proof narcotics cabinet.
• C3 to C5: Can be stored more openly but securely.

Importance of Compliance

• Ensures legal compliance and community safety.
• Protects pharmacy and patients from potential harm.
• Mastery of responsibilities contributes to the integrity and safety of the pharmaceutical field.