CII with empty address line

[simsum]

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Hi everyone,

Is it legal in Texas for a pharm tech to write the address of a customer on a CII Rx?

Does anyone know of any law/regulation regarding this matter? Please include the link if you do. I've searched online but haven't found anything concrete about it for Texas.

Thanx

 

[PCPharmD]

In NC, the pharmacist can add the address to the script if they speak directly to the prescriber. Otherwise we can't fill it.

http://www.ncbop.org/faqs/Pharmacist/faq_ChangestoSchIICS.htm

 

[PriorAuth]

In all states, only the registered pharmacist can add or modify certain information (patient's address being one of them) on a controlled substance prescription.

 

[MountainPharmD]

Clearly a case where the State Board needs to be consulted. After of course consulting the law experts on SDN.

What ever you do, do not go to the State Board website and attempt to look it up yourself. Much too dangerous.

 

[farmadiazepine]

just write in the dam address.

seriously? an address missing is going to prevent someone from getting the medicine they need?

 

[PharmdA07]

Hi everyone,

Is it legal in Texas for a pharm tech to write the address of a customer on a CII Rx?

Does anyone know of any law/regulation regarding this matter? Please include the link if you do. I've searched online but haven't found anything concrete about it for Texas.

Thanx

I am practicing in Texas. Per TSBP law and regulation on C2 prescriptions, the PHARMACIST can change anything (after properly documented consultation with the prescriber) BUT the patient name, name of medication, the date Rx was written, and signature of the prescriber.

The law does not mention anything about technician involvement with C2 rx hard copy, which is why for me when things like address or DOB missing, I ask my tech to let me know and I'll do all the modification myself as necessary.

BTW, if you have any question on anything about the law, you can call the board directly at their law hotline number and they will give you a direct answer over the phone. I do feel lucky that Texas has this great service, free of charge, which I use from times to times on gray area of the law.

 

[owlegrad]

Wow the number of scripts per day where the tech writes the address in...I can't imagine consulting the prescriber every time or even having to do it myself. My mind boggles at the thought.

 

[owlegrad]

Clearly a case where the State Board needs to be consulted. After of course consulting the law experts on SDN.

What ever you do, do not go to the State Board website and attempt to look it up yourself. Much too dangerous.

Wow is it really you? I was just thinking how long it's been since we heard from you.

 

[boriqua]

you really want an underpaid "I don't give a f*ck" employee to help add information on a script you could potentially lose your license for if it's incorrect? don't be lazy. add it yourself

 

[PharmdA07]

you really want an underpaid "I don't give a f*ck" employee to help add information on a script you could potentially lose your license for if it's incorrect? don't be lazy. add it yourself

LOL... this is the essence of what I am thinking, too. If it's my regular efficient tech whom I know for so long working along side, I may feel comfortable letting these things handled by the tech (of course I'll be there and then right behind them)--although I've never let C2 things be handled by nobody but me (and my trusted tech knows this, too--whenever it happens, she just quickly hands it to me to handle).

I understand about the volume of scripts and all other chaos that we have to deal with everyday, but it actually takes less time to resolve these tedious issues than you think. After all, it's your license on the line. And if you are in Texas, you know how strict the board and regulations are on controlled (among all other things). So far, we've had multiple PRN and rotating techs coming through; sometimes, we even have technician students. So, NO I don't trust these people to handle C2. The point is: CYA

 

[owlegrad]

Well I don't know anything about TX but I somehow doubt that if the wrong address is written on the script you would lose your license. How would that even happen?

But hey if you want to do it, more power to you.

Can't you lose your license for anything a tech does wrong? Why let them do anything if it is your license on the line?

 

[boriqua]

Can't you lose your license for anything a tech does wrong? Why let them do anything if it is your license on the line?

there are plenty of things techs can do wrong that you wont lose your license for. if they counted out 29 simvastatins instead of 30, if they ordered the wrong medication from the manufacturer, if they put the meds back in the wrong spot on the shelf, etc. etc.

I don't know about TX but in most of the pharmacies I have covered in NY, it is procedure to get a photocopy of an ID for all c-2 scripts as well as writing the address . even if the patient has been coming in for years.

 

[MountainPharmD]

Wow is it really you? I was just thinking how long it's been since we heard from you.

I guess escaping retail took some of the angst out of me! I check in and read every now and then. I have to keep up on the doom and gloom threads...

 

[mona2004]

How about When pt is homeless and have rx for c2 or
Other control med with ID of po box or no ID and on the
Addrress line on rx from hospital Er or urgent care Printed as homeless?

 

[samoky]

We do it all the time. The pharmacists even hand us techs the key to check/retrieve C-IIs when it's busy. Then there is this one RPh who would have the patients themselves fill out the address if it's missing.

 

[owlegrad]

We do it all the time. The pharmacists even hand us techs the key to check/retrieve C-IIs when it's busy. Then there is this one RPh who would have the patients themselves fill out the address if it's missing.

I did a rotation where the CIIs were stocked with the rest of the meds and the techs killed them like an other medication. That was wild to me - I have never worked with a CVS pharmacist that lets the techs check in, count, retrieve, or touch the stock bottles.

 

[pezdispenser]

How about When pt is homeless and have rx for c2 or
Other control med with ID of po box or no ID and on the
Addrress line on rx from hospital Er or urgent care Printed as homeless?

What do you think the chances are that this homeless person will sell the narcotics on the street for cash?

 

[boriqua]

I did a rotation where the CIIs were stocked with the rest of the meds and the techs killed them like an other medication. That was wild to me - I have never worked with a CVS pharmacist that lets the techs check in, count, retrieve, or touch the stock bottles.

I've seen that in one of the pharmacies I covered for as well. the c-II's were stocked alphabetically with the rest of the medication and when I asked the SP, she was like "it's to make it easier since the tech's won't know which drug is a c-II or not and won't be able to find it"
makes me wonder how strict the law is about keeping controls in a separate, locked area

 

[owlegrad]

I've seen that in one of the pharmacies I covered for as well. the c-II's were stocked alphabetically with the rest of the medication and when I asked the SP, she was like "it's to make it easier since the tech's won't know which drug is a c-II or not and won't be able to find it"
makes me wonder how strict the law is about keeping controls in a separate, locked area

Which law is that?

 

[boriqua]

Which law is that?

What do you mean? What is the official name of the law? no clue lol.

 

[owlegrad]

What do you mean? What is the official name of the law? no clue lol.

I mean, is there such a law?

 

[boriqua]

I mean, is there such a law?

Yeah man. Not sure if it's a federal or NY state law, but definitely law over here.

 

[genesis09]

The law requiring C-2s to be kept separately in a locked cabinet or safe is a state law. Some states do not have that law.

 

[jballer91]

I've seen that in one of the pharmacies I covered for as well. the c-II's were stocked alphabetically with the rest of the medication and when I asked the SP, she was like "it's to make it easier since the tech's won't know which drug is a c-II or not and won't be able to find it"
makes me wonder how strict the law is about keeping controls in a separate, locked area

So the "CII" symbol wouldn't give it away? 😕

 

[boriqua]

So the "CII" symbol wouldn't give it away? 😕

there's a c-II symbol on the labels for the techs? 😕

 

[ucrx]

The law requiring C-2s to be kept separately in a locked cabinet or safe is a state law. Some states do not have that law.

Some states allow for C2s to be dispersed among non-controls. This is similar to many states allowance of non-C2 controls to be kept mixed with all of the other medications. I doubt the law is geared toward technicians, but it could make it harder for someone (such as the man who jumped the counter while a friend of mine was working) to grab a bunch of bottles if they aren't easily found in the safe all piled together. They would have to know what they are looking for and the organization of the pharmacy. Of course, they could always just say "give me all your oxycodone" instead.

 

[OleMissRx]

there's a c-II symbol on the labels for the techs? 😕

You've never seen the label on a stock bottle that's a C-II?

 

[boriqua]

You've never seen the label on a stock bottle that's a C-II?

I'm not sure I get your point. The label on the actual bottle obviously does have a c-II symbol on it. What the SP from that pharmacy meant was that once the tech gets the label from the machine and has to pull the c-II from the shelves in order to fill it, they won't know it's a c-II and to check the seperate storage

 

[Ackj]

Yeah man. Not sure if it's a federal or NY state law, but definitely law over here.

It's neither. Probably store policy though.