Objectives | Avoiding Errors | Types of Drugs | Quiz
Components of Prescription | Controlled Substance
C-II | C-III-IV | C-V and Unscheduled
Sample Prescription

Components of Written Prescriptions

• 
  All written prescriptions should contain:

• Patient's full name and address
  Prescriber's full name, address, telephone number, and DEA number
  Date of issuance
  Signiture of prescriber
  Drug name, dose, dosage form, amount
  Directions for use
  Refill instructions

Sample Prescription

Controlled Substance Prescriptions

C-I Examples -- Heroin, Marihuana, LSD

C-II Examples -- Morphine, Methadone, Meperidine (Demerolâ), Codeine, Oxycodone, Mehthylphenidate (Ritalinâ)

C-III Examples -- Chlorphentermine, Paregoric, Nalorphine

C-IV Examples -- Choral hydrate, Phenteramine (Fastinâ), Diazepam (Valiumâ), Lorazepam (Ativanâ), Phenobarbital, Clonazepam (Klonopinâ)

C-V Examples -- Cough syrus with codeine, buprenorphine

C-II Prescriptions

Prescriber's DEA Number
Not refillable
Valid six months from issuance date
Must be signed by prescriber
May be faxed if original prescription is presented prio to dispensing
Pre-printed prescriptions are not valid
No phone in orders except for emergency dispensing
Dispensing for emergency situation:

a) Permits a verbal order from physician to pharmacist
b) Written prescription must be delivered to pharmacist within 72 hours

C-III-IV Prescriptions

Refillable up to five times in a six month period
Valid twelve months from issuance date
May be faxed
May be given as verbal prescriptions
Pre-printed prescriptions are not valid

C-V and Unscheduled Prescriptions

Unlimited refills
Valid twelve months from issuance date
May be faxed
May be given as verbal prescriptions
Pre-printed prescriptions are valid (not true of C-V)

Objectives | Avoiding Errors | Types of Drugs | Quiz