Controlled Substances

Cycling Controls

We cycle fill all routine controls with the exceptions listed below.

Do not cycle fill controls for the following facilities:

• 410

• 444

• 485

Zero Labels

Zero labels are provided on controlled substance orders so that a count sheet will be attached to the medication when it is sent out. We send zero labels on all controlled substances that we dispense with the exceptions listed below.

Do not send zero labels for the following facilities:

• 232

• 233

• 234

• 451

• 590

Controlled substances that require a script

CII Medications

(S/L must obtain and mail hard copy of script to us for every fill; ICF okay to fax original to us for each fill)

CIII-V Medications

Medications in yellow, if written by a nurse practitioner, can only be filled for 1 month with no refills by our pharmacy.

Medications in blue are not controlled at the federal level, but are controlled in Kentucky.

Changes that can be made on a CII prescription

From Drug Enforcement and Professional Practices (DEPP) Branch of the OIG, printed in September 2010 Newsletter:

After consulting with the prescribing practitioner, a pharmacist may add or modify the following items:

• 1. Date of issue – may be added, but not changed

  2. Drug strength

  3. Quantity – may be modified only in conjunction with a change of strength, and the total quantity dispensed must not exceed the total dosage authorized

  4. Quantity check-off box marked

  5. Directions for use

  6. Refill instructions (Schedules III-V)

  7. Practitioner’s name – printed (not a signature)

All consultations must be documented.

The following items may be added or modified without consulting the practitioner if the information can be obtained from other reliable sources:

• 1. Patient’s address

  2. Dosage form

  3. Practitioner’s address – printed

  4. Practitioner’s telephone number

  5. Practitioner’s DEA number

A pharmacist may never change or add the patient’s name, the name of the controlled substance (except generic substitution permitted by state law), or the signature of the practitioner.

Both state and federal law still require professional judgment by the pharmacist on every prescription filled. Caution is advised whenever a change or addition is made to any prescription.

Kentucky APRN prescribing laws

Scheduled Drug Laws for APRNs at a Glance*

* Your CAPA-CS may place additional restrictions on your prescribing authority.

** APRNs nationally certified in psychiatric mental health nursing may prescribe a 30-day supply of psychostimulants.