Difficulty: Easy

Average Score: 100%

A pharmacy must utilize a DEA Form 222 or CSOS to order which of the following controlled substances?

Rationale

Adderall and Ritalin

DEA Form 222 or CSOS, controlled substances ordering systems, are mandatory for purchasing Schedule II controlled substances, such as Adderall and Ritalin. These medications, commonly used to treat ADHD, have a high potential for abuse and require strict monitoring and regulation to prevent diversion and misuse.

A (Lomotil and Lyrica.) YOUR ANSWER

Lomotil and Lyrica are not classified as Schedule II controlled substances. They are typically used to treat conditions such as diarrhea and neuropathic pain, respectively, and do not require the same level of regulatory oversight as medications in higher schedule categories.

B (testosterone cypionate and acetaminophen/codeine) YOUR ANSWER

Testosterone cypionate and acetaminophen/codeine are also not Schedule II controlled substances. Testosterone cypionate is a hormone replacement therapy, while acetaminophen/codeine is a combination medication used for pain relief. These drugs fall under different regulatory requirements than Schedule II substances.

C (diazepam and zolpidem tartrate.) YOUR ANSWER

Diazepam and zolpidem tartrate are examples of Schedule IV controlled substances, which have a lower potential for abuse compared to Schedule II medications like Adderall and Ritalin. While they still require monitoring and regulation, they do not necessitate the use of DEA Form 222 or CSOS for ordering.

D (Adderall and Ritalin.) CORRECT

Adderall and Ritalin are both stimulant medications commonly prescribed for ADHD and narcolepsy. Due to their high abuse potential, they are classified as Schedule II controlled substances, requiring pharmacies to follow stringent ordering procedures using DEA Form 222 or CSOS to track their distribution and prevent misuse.

Conclusion

The necessity for a pharmacy to use DEA Form 222 or CSOS when ordering stock bottles is directly tied to the controlled substance scheduling of the medications. Adderall and Ritalin, as Schedule II controlled substances, demand this specific ordering process to ensure proper oversight and compliance with regulatory guidelines. The other medication pairs listed belong to different schedule categories with varying levels of regulatory control and do not mandate the use of DEA Form 222 or CSOS for ordering.

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