PTCB Certified Pharmacy Technician (PTCE)Federal RequirementsHard

A pharmacy technician is processing a prescription for a Schedule II controlled substance for a patient in a long-term care facility (LTCF). The prescription was faxed to the pharmacy. According to federal regulations, what is the federal requirement for dispensing a faxed Schedule II prescription to an LTCF patient?

  1. AThe prescriber must verbally confirm the faxed prescription with the pharmacist.
  2. BA hard copy of the prescription must be received by the pharmacy before dispensing.
  3. CThe faxed prescription can serve as the original for dispensing.
  4. DThe faxed prescription is only valid for a 72-hour emergency supply.
Show answer & explanation

Correct answer: C. The faxed prescription can serve as the original for dispensing.

Federal regulations permit a faxed Schedule II prescription to serve as the original written prescription for patients residing in a Long-Term Care Facility (LTCF) or for a patient enrolled in a hospice care program. This exception is made to facilitate timely access to medication for these vulnerable populations.

Why the other options are wrong

  • A. While verbal confirmation might be good practice, it's not a federal requirement for a faxed S-II to an LTCF patient; the fax itself is sufficient.
  • B. Incorrect. For LTCF patients, the faxed prescription itself is considered the original.
  • D. This rule applies to emergency oral Schedule II prescriptions, not faxed prescriptions for LTCF patients.

Faxed C-II Rx Exception (LTCF)

Federal law allows a faxed prescription for a Schedule II controlled substance to serve as the original written prescription for patients residing in a Long-Term Care Facility (LTCF) or for patients enrolled in a hospice care program.

  • Applies to LTCF and hospice patients.
  • Faxed copy is considered the original.
  • Facilitates timely access to medication.

Memory trick: Faxed C-II: For LTCF or Hospice, it's Fine, No Original Required.

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