The Federal Comprehensive Drug Abuse Prevention and Control Act of 1970, more commonly known as the Controlled Substances Act, became effective on May 1, 1971.1,2 This federal law contains 3 different titles. Title I deals with the establishment of rehabilitation programs for drug abusers, Title II addresses the registration and distribution of controlled substances, and Title III discusses issues related to the importation and exportation of controlled substances.2 The main segment of interest to pharmacists is Title II. This RxLegal column is the first of a 4-part series that provides an overview of key components of this important federal law.
Published online 2013 May 29. doi: 10.1310/hpj4806-473
PMID: 24421507
The goal of the Controlled Substances Act is to improve the manufacturing, importation and exportation, distribution, and dispensing of controlled substances.1 To achieve this goal, manufacturers, distributors, and dispensers of controlled substances must be registered with the Drug Enforcement Administration (DEA), the agency charged with enforcement of the Act on the federal level. Registration of these entities with the DEA results in the formation of a “closed system” for controlled substances distribution. This closed system allows for controlled substances to be traced from initial manufacture to final dispensing to the patient.
Controlled substances are generally defined as medications that are considered easily abusable. Under the Controlled Substances Act, these medications are categorized into 5 schedules.1 Definitions of each schedule with corresponding examples of medications are presented in Table 1. Schedule I medications have the highest abuse potential, while medications in Schedule V have a low abuse potential. In addition to the schedules, the Controlled Substances Act contains information on scheduled listed chemical products or SLCPs. These listed chemicals are products that contain ephedrine, pseudoephedrine, or phenylpropanolamine that may be marketed or distributed legally in the United States as nonprescription drugs.
Table 1.List Of Common Controlled Medications
Of note, some states have passed laws allowing for the medical or recreational use of marijuana.2 These state laws do not alter the fact that marijuana remains a Schedule I medication under federal law. In addition, medications may be removed or added to a schedule or be switched from one schedule to another. The US Attorney General has the authority to add, remove, or switch. The Attorney General generally works with the Secretary of the Department of Health and Human Services to determine a medication’s schedule.
Every pharmacy that dispenses controlled substances is required to register with the DEA.1 Prior to obtaining a DEA registration, a pharmacy must have a state license for operation. A DEA pharmacy registration is obtained by completing the Application for New Registration (ie, DEA Form-224). Instructions for completing the form are found on the US Department of Justice DEA Office of Diversion Control Web site (http://www.deadiversion.usdoj.gov/drugreg/reg_apps/224/224_instruct.htm).3 Pharmacies can also apply electronically for a new or renewed registration (http://www.deadiversion.usdoj.gov/drugreg/reg_apps/pdf_apps.htm).4 Once approved, a pharmacy must renew registration every 3 years.
Some drug products such as pseudoephedrine, phenylpropanolamine, and ephedrine-containing medications are classified as SLCPs as described previously.1 These chemicals may be used inappropriately to compound illegal substances such as methamphetamine (ie, crystal). If a pharmacy were to engage in the wholesale distribution of these chemicals, a DEA chemical registration would be required in addition to the registration for handling controlled substances. This is rarely the case, because most pharmacies are retail distributors of these chemicals (ie, regulated sellers) and not wholesale distributors. A regulated seller legally sells the aforementioned chemicals only for personal use either directly to walk-in customers or via other face-to-face transactions.
Once granted, a DEA registration may be suspended or revoked by the US Attorney General.1 Reasons for suspending or revoking a registration include the following:
The Attorney General may also deny registration or renewal.1 In so doing, he or she determines whether issuing the registration or renewal would be inconsistent with the public interest. This decision is made by weighing factors such as state licensing board or professional disciplinary authority recommendations, compliance with laws regarding controlled substances, and a prior conviction record related to any aspect of controlled substances (ie, manufacture, distribution, or dispensing). The second article in this series will focus on requirements for controlled substances prescriptions.
References
1. Pharamacist’s manual. An informational outline of the Controlled Substances Act. Revised 2010. http://www.deadiversion.usdoj.gov/pubs/manuals/pharm2/pharm_manual.pdf. Accessed April 8, 2013.
2. Abood R, Brushwood DB.Pharmacy Practice and the Law. 1st ed.Gaithersburg, MD: Aspen Publishers; 2001 [Google Scholar]
3. DEA form 224. New application for registration instructions. US Department of Justice. Drug Enforcement Administration. Office of Diversion Control. http://www.deadiversion.usdoj.gov/drugreg/reg_apps/224/224_instruct.htm. Accessed April 8, 2013.
4. Registration applications. US Department of Justice. Drug Enforcement Administration. Office of Diversion Control. http://www.deadiversion.usdoj.gov/drugreg/reg_apps/pdf_apps.htm. Accessed April 8, 2013.
Articles from Hospital Pharmacy are provided here courtesy of SAGE Publications
On the PTCB exam™, you will likely be asked to identify DEA Schedule drugs. It's vital to know which of the top 200 drugs are controlled and what level of addiction potential they have. The most common mistake pharm tech students make is confusing DEA Schedule III drugs as DEA Schedule II. DEA Schedule IIOxycodone/APAP Dexmethylphenidate Methylphenidate Oxycodone Lisdexamfetamine Fentanyl Methadone Meperidine Hydrocodone/APAP Most Common Controlled Substance MedicationsAmphetamine /Dextroamphetamine Percocet® Focalin® Concerta® OxyContin® Vyvanse® Duragesic® Dolophine® Demerol® Vicodin® Adderall® Pain Relief A.D.H.D. A.D.H.D. Pain Relief A.D.H.D. Narcotic Analgesic Anti-addictive Narcotic Analgesic Pain Relief ADHD /Narcolepsy DEA Schedule IIIBuprenorphine + Naloxone Codeine / APAP Testosterone Opiate Addiction Pain Relief Low T (testosterone) DEA Schedule IV
Zolpidem Alprazolam Clonazepam Carisoprodol Diazepam Lorazepam Eszopiclone Temazepam Phentermine Tramadol Ambien® Xanax® Klonopin® Soma® Valium® Ativan® Lunesta® Restoril® Adipex® P Ultram® Insomnia ![]() Anti-Anxiety Anti-Anxiety Muscle Relaxer Anti-Anxiety Anti-Anxiety Sleep Aid Sleep Aid Weight Loss Pain Relief DEA Schedule Drug Information
The DEA Sch. Drugs listed above are from the Top 200 list, and this is just a partial list of those Schedule Drugs. For the purpose of studying for the PTCB exam™, please consult your particular program's requirements. A full list of controlled substances can be found on the Drug Enforcement Website. List of DEA scheduled Drugs - Top of page Where would you like to go now? Free Practice Tests Top 200 Drugs Site Map HOME PAGE | FREE PRACTICE TESTS | ASK A QUESTION | MATH QUESTIONS |CONTACT| PRIVACY POLICY Copyright © 2010-2018 - pharmacy-tech-test.com - A secure website encrypted by Transport Layer Security (TLS)
AutoDesk AutoCAD 2013 Crack, AutoDesk AutoCAD 2013 Patch, AutoDesk AutoCAD 2013 Keygen, AutoDesk AutoCAD 2013 transportable, AutoDesk AutoCAD 2013 Serial Key, AutoDesk AutoCAD 2013 Licence Key, AutoDesk AutoCAD 2013 Serial variety, AutoDesk AutoCAD 2013 Registered, AutoDesk AutoCAD 2013 Product key, AutoDesk AutoCAD 2013 Activation Key, AutoDesk AutoCAD 2013 Activated, AutoDesk AutoCAD 2013 Latest Version, AutoDesk AutoCAD 2013 Full Version, AutoDesk AutoCAD 2013 redo, AutoDesk AutoCAD 2013 Final version. Autocad 2013 full crack.
Land desktop 2009 windows 10. • Once the conversion process is complete • click Install/Run Setup to start setup • Once you have completed the AutoCAD installation process • Completely close the setup program • Go back to the Converter App and make sure it states “ Success!“ • Now you can run your AutoCAD as normal. • First, uninstall any existing AutoCAD 2009 installations on your computer • Next, obtain the Longbow Converter App (V11.15 or higher), download • Start the Converter tool • Pick the 1st tab named “ AutoCAD 32bit Installer Converter“ • Using your mouse, right-click the tab text “ AutoCAD 32bit Installer Converter” so that it changes to “ AutoCAD 64bit Installer Converter“ • Next, using the “...“ button, select your AutoCAD installation CD and follow the instructions presented by the Converter tool user interface.
Comments are closed.
|
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |