Filing schedule III to V paper prescriptions (red 'C' stamp)

Question

A pharmacy keeps its paper prescriptions in two files: one for schedule II only and one for all other prescriptions, including schedules III to V. Its computer system cannot retrieve original prescriptions by prescriber, patient, drug and date filled. Under federal rules, what must a pharmacy technician do before filing a paper prescription for zolpidem in the general file?

1. AStamp the face of the prescription with a red 'C' at least 1 inch high✓ Correct

   Correct. Without a qualifying computer system, schedule III to V prescriptions filed with non-controlled ones must carry a red 'C' at least 1 inch tall.

2. BFile it with no marking, because only schedule II prescriptions need special handling✗ Incorrect

   Incorrect. Schedule III to V prescriptions must be readily retrievable, which for paper in a mixed file means the red stamp.

3. CMail the original to DEA and keep a photocopy in the general file✗ Incorrect

   Incorrect. Prescriptions stay at the registered location; they are not sent to DEA.

4. DShred the paper copy once the prescription is entered in the computer✗ Incorrect

   Incorrect. Controlled substance prescription records are retained a minimum of 2 years.

Answer

A. Stamp the face of the prescription with a red 'C' at least 1 inch high

Rationale

Zolpidem is schedule IV, and schedule II paper prescriptions are kept in a separate file. Schedule III to V prescriptions filed with noncontrolled prescriptions must be readily retrievable, generally by a red C at least one inch high on the paper. The marking is waived if the computer identifies prescriptions by number and retrieves originals using prescriber, patient, drug and fill date. Required controlled substance records must be kept for at least two years.