Paper prescription w/ signature ONLY to retrieve the drug from the pharmacist. But pharmacist can take fax order to fill. However, pharmacist cannot provide pt/NP with the drug until paper is submitted to the pharmacist.
Refill: 00 zero!
Exceptions to paper, may fax if:
- Non-PO schedule II drugs such as IV, IM, SubQ, Parenteral, intra-spinal
- Long-term care facilities (nursing homes)
- Hospice paid by Medicare
Emergencies: think excessive nosebleed! => verbal order ok! However, within 1 week, NP must supply paper prescription to PharmD. Otherwise, DEA!
Mnemonics to remember Schedule II drugs:
Codone, -One, -Done, Opium den, Cocaine, Morphine. Now he's become allergic to the newly abused drug named Fentanyl. When he was younger, he takes ADHD drugs such as Amphetamine, Methyl-phenidate. At the same time, he was visiting -barbi- dolls with cash only.
Codone, -One Dr. House lives in Norco. He uses Vicodin. Now he's become allergic to the newly abused drug named Fentanyl. He works for Methadone clinic. Sometimes he orders Cocaine nasal pack for nosebleed for these patients with addicts. He can empathize with them because he used to visit Opium den in the far past. When he was younger, he takes ADHD drugs such as Amphetamine, Methyl-phenidate. In his spare time, he was visiting -barbi- dolls with cash only.
Ex:
1 - Opium
2 - Cocaine (only topical anesthesia) - cocaine for nosebleed
3 - Morphine
4 - -codone, -one, - done:
Oxycodone (OxyContin)
Hydrocodone (Vicodin, Norco) - moved from III to II (since gateway drug to heroin (1))
Hydromorphone (Dilaudid)
Methadone - methadone is used not only as treatment for opiate addiction but also as a pain reliever (2)
5 - Fetanyl - newly abused drug (3)
6 - Amphetamine (Adderall): ADHD
Methyl-phenidate (Ritalin, Metadate, Concerta): ADHD
7- -barbital: amo-barbital, pento-barbital, seco-barbital
References:
(1): https://www.drugabuse.gov/publications/drugfacts/heroin
(2): http://www.narconon.org/drug-abuse/signs-symptoms-methadone-use.html
(3): http://www.nytimes.com/2016/03/26/us/heroin-fentanyl.html?_r=0
Refill: 00 zero!
Exceptions to paper, may fax if:
- Non-PO schedule II drugs such as IV, IM, SubQ, Parenteral, intra-spinal
- Long-term care facilities (nursing homes)
- Hospice paid by Medicare
Emergencies: think excessive nosebleed! => verbal order ok! However, within 1 week, NP must supply paper prescription to PharmD. Otherwise, DEA!
Mnemonics to remember Schedule II drugs:
Codone, -One, -Done, Opium den, Cocaine, Morphine. Now he's become allergic to the newly abused drug named Fentanyl. When he was younger, he takes ADHD drugs such as Amphetamine, Methyl-phenidate. At the same time, he was visiting -barbi- dolls with cash only.
Codone, -One Dr. House lives in Norco. He uses Vicodin. Now he's become allergic to the newly abused drug named Fentanyl. He works for Methadone clinic. Sometimes he orders Cocaine nasal pack for nosebleed for these patients with addicts. He can empathize with them because he used to visit Opium den in the far past. When he was younger, he takes ADHD drugs such as Amphetamine, Methyl-phenidate. In his spare time, he was visiting -barbi- dolls with cash only.
Ex:
1 - Opium
2 - Cocaine (only topical anesthesia) - cocaine for nosebleed
3 - Morphine
4 - -codone, -one, - done:
Oxycodone (OxyContin)
Hydrocodone (Vicodin, Norco) - moved from III to II (since gateway drug to heroin (1))
Hydromorphone (Dilaudid)
Methadone - methadone is used not only as treatment for opiate addiction but also as a pain reliever (2)
5 - Fetanyl - newly abused drug (3)
6 - Amphetamine (Adderall): ADHD
Methyl-phenidate (Ritalin, Metadate, Concerta): ADHD
7- -barbital: amo-barbital, pento-barbital, seco-barbital
 |
| Opium den |
 |
| Cocaine for nosebleed |
References:
(1): https://www.drugabuse.gov/publications/drugfacts/heroin
(2): http://www.narconon.org/drug-abuse/signs-symptoms-methadone-use.html
(3): http://www.nytimes.com/2016/03/26/us/heroin-fentanyl.html?_r=0
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