Free NHA Pharmacy Law and Drug Regulations Questions and Answers — Questions and Answers
Question 1: Which DEA form is required for a pharmacy to order Schedule II controlled substances?
- DEA Form 41
- DEA Form 106
- DEA Form 222 (Correct answer)
- DEA Form 224
Correct answer: DEA Form 222
DEA Form 222 is the official triplicate order form used for the distribution, purchase, or transfer of Schedule I and II controlled substances. DEA Form 106 is for reporting theft or loss, and DEA Form 41 is for reporting the destruction of controlled substances.
Question 2: The Poison Prevention Packaging Act (PPPA) of 1970 requires most prescription drugs to be dispensed in what type of packaging?
- Tamper-evident packaging
- Child-resistant packaging (Correct answer)
- Opaque packaging
- Unit-dose packaging
Correct answer: Child-resistant packaging
The PPPA was enacted to protect children from accidental poisoning by requiring child-resistant packaging for most prescription and certain over-the-counter drugs. Patients or prescribers can request non-child-resistant packaging for convenience.
Question 3: According to the Health Insurance Portability and Accountability Act (HIPAA), which of the following is considered Protected Health Information (PHI)?
- The pharmacy's hours of operation
- A list of generic drug manufacturers
- A patient's home address and date of birth (Correct answer)
- A publicly available medical journal article
Correct answer: A patient's home address and date of birth
PHI includes any information that can be used to identify a patient and relates to their past, present, or future physical or mental health. This includes the patient's address, name, diagnosis, and prescription information.
Question 4: The Omnibus Budget Reconciliation Act of 1990 (OBRA '90) established a requirement for pharmacists to offer counseling to which patient population?
- All pediatric patients
- All geriatric patients
- All patients receiving controlled substances
- All Medicaid patients (Correct answer)
Correct answer: All Medicaid patients
OBRA '90 mandated that pharmacists offer to counsel Medicaid patients about their prescriptions to ensure appropriate medication use. While counseling is now considered standard practice for all patients, the law specifically targeted the Medicaid population.
Question 5: A prescription for a Schedule III (C-III) medication can be refilled how many times?
- As many times as needed within one year
- Up to 5 times within 6 months (Correct answer)
- Refills are not permitted
- Up to 11 times within 12 months
Correct answer: Up to 5 times within 6 months
Prescriptions for Schedule III and IV controlled substances may be refilled up to 5 times within 6 months after the date of issue. After 5 refills or 6 months, whichever comes first, a new prescription is required.
Question 6: A Class I drug recall is issued by the FDA. What does this signify?
- The product is unlikely to cause any adverse health consequences.
- The product may cause temporary or medically reversible adverse health consequences.
- There is a reasonable probability that using the product will cause serious adverse health consequences or death. (Correct answer)
- The product violates FDA labeling regulations but poses no health risk.
Correct answer: There is a reasonable probability that using the product will cause serious adverse health consequences or death.
A Class I recall is the most serious type, indicating a reasonable probability that the use of or exposure to a violative product will cause serious adverse health consequences or death. A Class II recall involves temporary or reversible health consequences, and a Class III recall means the product is unlikely to cause adverse health effects.
Which DEA form is required for a pharmacy to order Schedule II controlled substances?