DEA Controlled Substance

1. Types: Class I (Schedule I Narcotic)
   1. High abuse potential
   2. No accepted medical use
   3. Examples
      1. Heroin
      2. Marijuana
2. Types: Class II (Schedule II Narcotic)
   1. High abuse potential
   2. Severe dependence liability
   3. Examples
      1. Morphine
      2. Codeine
      3. Hydromorphone
      4. Cocaine
      5. Amphetamines
      6. Methylphenidate
      7. Secobarbital
3. Types: Class III (Schedule III Narcotic)
   1. Moderate dependence liability
   2. Examples
      1. Tylenol with codeine (Tylenol #3)
      2. Vicodin
4. Types: Class IV (Schedule IV Narcotic)
   1. Limited dependence liability
   2. Examples
      1. Benzodiazepines
      2. Propoxyphene
      3. Phentermine
5. Types: Class V (Schedule V Narcotic)
   1. Limited abuse potential
   2. Examples
      1. Lomotil
6. Protocol: Schedule II Narcotic Prescriptions (DEA regulations, States may have additional rules)
   1. Pharmacy must receive an original signed prescription before dispensing
      1. Prescription may not be changed by pharmacist on contacting provider for clarification
   2. Exceptions in which alternative to original prescription is acceptable
      1. Fax is sufficient in long term care patients, Hospice patients, or parenteral Narcotics
      2. Limited quantity emergency prescriptions may be phoned to pharmacy
         1. Require that pharmacy receive original signed prescription within 7 days
   3. Prescription may cover up to 90 day supply
      1. Total of 90 day supply may be split over multiple prescriptions (e.g. 1 month each)
      2. Each prescription must have the date today (not post-dated) and an earliest fill date
      3. Partial filling of prescription is allowed for terminally ill and long-term care patients
   4. References
      1. (2008) Prescriber's Letter 15(1):1
      2. FDA Rule: Issuance of Multiple Prescriptions for Schedule II Controlled Substances
         1. http://www.deadiversion.usdoj.gov/fed_regs/rules/2007/fr1119.htm