![]() If the pharmacist was unable to supply the remaining quantity within 72 hours, the pharmacist had to notify the prescriber and no further quantity was to be supplied beyond 72 hours without a new prescription. Under the long-standing DEA Rule that requires updating, when a pharmacist was unable to supply the full quantity and provided a partial fill, the pharmacist was required to note the quantity supplied on the face of the prescription and provide the balance of the prescription amount within 72 hours after the partial filling. In December 2017, Congress sent a letter to the DEA urging the agency to update the regulations and guidance related to partial filling of CII medications. ![]() § 1306.13(a)). Since the DEA has not updated its regulations to reflect the partial filling of CII medications under CARA, pharmacists and prescribers may be reluctant to comply with the amended federal controlled substances ace (CSA). This is because there has been a long-standing DEA rule that allowed for a partial fill of a schedule II controlled substance within 72 hours when the pharmacy was “unable to supply” the full quantity of the medication (21 C.F.R. The partial filling of CII medications under CARA has caused confusion in pharmacy practice. Since diversion often occurs from medications stored at home, partial fills could reduce the amount of schedule II-controlled substances dispensed as well as the amount remaining unused in homes. It is important to keep in mind that CARA was passed in response to the opioid epidemic. After 72 hours, no further dispensing of the emergency prescription is allowed. The remainder of the prescription must be provided to the patient within 72 hours. Partial fills of schedule II-controlled substances may also be provided when a pharmacist receives a verbal prescription in an emergency situation. If state law prohibits or places stricter limits on partial fills, then the pharmacist must follow state law. For pharmacists to partially fill a CII prescription, it must be requested by the patient or the prescriber, and the total quantity dispensed in all partial fills cannot exceed the total quantity prescribed. 829(f)) to allow pharmacies to provide partial fills of a CII medication up to 30 days from the date of the prescription. ![]() One strategy, Section 702 of CARA, amended the federal Controlled Substances Act (CSA) (21 U.S.C. In 2016, the Comprehensive Addiction and Recovery Act (CARA)(Public Law 114-198) was passed, which included comprehensive strategies to address the opioid epidemic. Question: How has the federal law changed regarding partial filling of CII prescriptions? Our state is silent on partial fills, and our pharmacy still follows the 72-hour DEA rule, but other pharmacies are partial filling for longer time periods.Īnswer: This is a great question and a confusing topic for pharmacists! One of the important restrictions on prescribing and dispensing schedule II - controlled substances is that no refills are permitted however, there are situations where partial fills of CII medications are permitted. Please see my response below and feel free to comment. Below is a question I frequently receive from both students and professionals inquiring about the changes to federal law when it comes to Schedule II prescriptions.
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