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Oklahoma News: From the Inspectors
Published in the January 2007 Oklahoma State Board of Pharmacy Newsletter
- Controlled Dangerous Substances (CDS) Identification (ID) Requirements: As of February 1, 2007, the Oklahoma Bureau of Narcotics & Dangerous Drugs (OBNDD) will be checking for customer IDs on control submissions for CDS 3-5. Please begin submitting customer ID information as soon as possible. The definition of customer ID will be clarified this year in the legislative session. Any government-issued ID will be acceptable for the purchase of CDS 2-5. However, the driver’s license or state-issued photo ID is still required for the purchase of pseudoephedrine (PSE). When submitting the customer ID, please do not add any prefixes or suffixes (ie, OK, 36, 99). Only submit the numbers on the ID card.
- PSE Questions: Please direct questions regarding control of PSE to the OBNDD at 405/521-2885.
- Watch for doctor-patient relationship: Be aware that the supervising physician of a nurse practitioner or physician’s assistant (PA) may not have a doctor-patient relationship. So if an advanced registered nurse practitioner or PA writes for a large quantity of CDS, you can not automatically put it under the physician’s name to justify the larger quantity.
- Hospice Prescriptions: Our last Newsletter stated that hospice nurses can not act as the agent of the physician. The intent was to make pharmacists aware that only an employee of the physician can be an agent of the physician. The Board recommends that if a prescription is called in by a hospice employee rather than the physician’s office, it is advisable for the pharmacy to verify the prescriptions with the doctor’s office. Another option might be to have the physician designate in writing that the hospice nurse may act as his or her agent. We have been told that some hospices require a signed agreement with the physician to make these calls.
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Suboxone® dispensing: Any physician prescribing Suboxone for “detox” must have specific training and obtain a Drug Enforcement Administration number beginning with an “X.”
