Law question

[PharmacistRx11]

Hello, I am not sure why the answer is C, cause d make sense too.
which of the following can be dispensed without a prescription?
A. Lomotil
B. Pregabalin
C. 120 ml of guaifenesin 100 mg with codeine 10 mg per 5 ml
D. 120 ml of acetaminophen 120 mg with codeine 12 mg per 5 ml

please if you know why, let me know. TIA

---

Members don't see this ad.

 

[Old Timer]

Hello, I am not sure why the answer is C, cause d make sense too.
which of the following can be dispensed without a prescription?
A. Lomotil
B. Pregabalin
C. 120 ml of guaifenesin 100 mg with codeine 10 mg per 5 ml
D. 120 ml of acetaminophen 120 mg with codeine 12 mg per 5 ml

please if you know why, let me know. TIA

Look it up yourself. Here is a hint. What is the DEA schedule of each drug?

 

[PharmacistRx11]

Look it up yourself. Here is a hint. What is the DEA schedule of each drug?

They’re all C5

 

[PharmDBro2017]

You can give a small amount of C without needing a script, but it's on the DL and most pharmacists won't do it unless they know the patient.

 

[RxPreceptor]

Not done in practice for obvious reasons

 

[PharmacistRx11]

Yes but for exam purpose, why c is correct and d is not although on the DEA website it says that we can dispense 4 ounces of any controlled substance

 

[Rouelle]

Google says the federal limit for OTC codeine is “not more than 200 mg per 100 ml.” 10 mg per 5 ml hits that concentration limit; 12 mg per 5 ml surpasses it.

 

[PharmacistRx11]

Google says the federal limit for OTC codeine is “not more than 200 mg per 100 ml.” 10 mg per 5 ml hits that concentration limit; 12 mg per 5 ml surpasses it.

Thank you.

 

[owlegrad]

Yes but for exam purpose, why c is correct and d is not although on the DEA website it says that we can dispense 4 ounces of any controlled substance

It does? I never saw that part of the website.

 

[PharmacistRx11]

PART 1306 - Section 1306.26 Dispensing without prescription

 

[owlegrad]

PART 1306 - Section 1306.26 Dispensing without prescription

Doesn’t section f specify that this doesn’t apply to medications that require a prescription? So certainly not “any controlled substance”?

 

[Sine Cura]

(Most?) codeine with guaifenesin presentations bear the OTC monograph as they are classified as OTC but are still Schedule V

 

[PharmacistRx11]

So for section b, what do they mean by “any other such controlled substance” (120 ml), I’m kinda confused.

 

[Sine Cura]

"any other such controlled substance" => that "which is not a prescription drug as determined under the Federal Food, Drug, and Cosmetic Act [and that] may be dispensed by a pharmacist without a prescription to a purchaser at retail" + "not opium"

 

[BenJammin]

Hello, I am not sure why the answer is C, cause d make sense too.
which of the following can be dispensed without a prescription?
A. Lomotil
B. Pregabalin
C. 120 ml of guaifenesin 100 mg with codeine 10 mg per 5 ml
D. 120 ml of acetaminophen 120 mg with codeine 12 mg per 5 ml

please if you know why, let me know. TIA

E. Depends on the state

 

[PharmacistRx11]

"any other such controlled substance" => that "which is not a prescription drug as determined under the Federal Food, Drug, and Cosmetic Act [and that] may be dispensed by a pharmacist without a prescription to a purchaser at retail" + "not opium"

So in case of cheratussin AC we would do maximum the 240 ml, right?

 

[Sine Cura]

No, it's max 120 mL

Cheratussin is not opium, so it is any other such controlled substance that is not opium

Tylenol with codeine liquid is CIII CV [thanks for pointing out the error] and Rx only. Promethazine with codeine is CV and Rx only. Promethazine VC with codeine is CIII and Rx only

 

[PharmacistRx11]

No, it's max 120 mL

Cheratussin is not opium, so it is any other such controlled substance that is not opium

Tylenol with codeine liquid is CIII and Rx only. Promethazine with codeine is CV and Rx only. Promethazine VC with codeine is CIII and Rx only

But cheratussin AC has codeine in it which is and opium.

 

[owlegrad]

E. Depends on the state

If only that were an option on MPJE lol

 

[Sine Cura]

But cheratussin AC has codeine in it which is and opium.

Is oxygen an air?

 

[BenJammin]

If only that were an option on MPJE lol

I know lol but the question has no valid answer in Texas.

 

[zelman]

But cheratussin AC has codeine in it which is and opium.

Opium and opiate are different words.

 

[zelman]

No, it's max 120 mL

Cheratussin is not opium, so it is any other such controlled substance that is not opium

Tylenol with codeine liquid is CIII and Rx only. Promethazine with codeine is CV and Rx only. Promethazine VC with codeine is CIII and Rx only

I believe Tylenol w/ codeine tabs and liquid are different schedules. You may want to double check your facts there.

 

[ValeRx]

Cheratussin is an exempt narcotic.

 

[Dred Pirate]

But cheratussin AC has codeine in it which is and opium.

not codeine is not opium, it is codeine, opium is opium

 

[ValeRx]

not codeine is not opium, it is codeine, opium is opium

That pesky difference between opium and opiate.

 

[Sine Cura]

A B and D are all classified as Rx only (all CV) so by basic exam-taking skills (process of elimination) that leaves C.

 

[PharmacistRx11]

Thank you all for the clarification. Appreciate it.