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Controlled medications are separated from regular or “legend” prescription medications due to either possibility for addiction or abuse. Controlled medications are then separated into five schedules based off of the level of risk of abuse or addiction. The groups are referred to as Schedule I, II, III, IV, or V. They also might be abbreviated as CI, CII, CIII, CIV, or CV. Following is a brief description of each schedule from the DEA’s webpage:
Schedule I substances are defined as drugs with no currently accepted medical use and a high potential for abuse. Some examples of Schedule I drugs are: heroin, lysergic acid diethylamide (LSD), and marijuana (cannabis).
Schedule II substances are defined as drugs with a high potential for abuse, with use potentially leading to severe psychological or physical dependence. Some examples of Schedule II drugs are: hydrocodone (Norco), amphetamine (Adderall), methadone, hydromorphone (Dilaudid), meperidine (Demerol), and oxycodone (OxyContin).
Schedule III substances are defined as drugs with a moderate to low potential for physical and psychological dependence. Schedule III drugs abuse potential is less than Schedule I and Schedule II drugs but more than Schedule IV. Some examples of Schedule III drugs are: Tylenol with codeine, ketamine, anabolic steroids, and testosterone.
Schedule IV substances are defined as drugs with a low potential for abuse and low risk of dependence. Some examples of Schedule IV drugs are: alprazolam (Xanax), carisoprodol (Soma), diazepam (Valium), zolpidem (Ambien), and tramadol.
Schedule V substances are defined as drugs with lower potential for abuse than Schedule IV and consist of preparations containing limited quantities of certain narcotics. Some examples of Schedule V drugs are: cough preparations with codeine (Robitussin AC), Lomotil, Motofen, and Lyrica.
An adult requires a valid passport, military identification card, official state identification or driver license. If the recipient of the controlled prescription is less than 18 years old and lacks a form of identification, the parent of guardian may use their identification. If the controlled substance is for an animal, the owner must use their identification. [O.S. Title 63 Sec 2-309B.7]
For certain controlled prescriptions it is required by law for the pharmacy to have the patient’s ID on file, as well as the ID of the person picking up the prescription. This is done to be able to keep a record of who the medication was released to and that the medication went to the correct person. [O.S. Title 63 Sec 2-309C]
Certain products have been approved by the Food and Drug Administration (FDA) to be safe enough for patients understand the instructions and treat their own symptoms. These are called over-the-counter (OTC) products. The FDA has determined that other medications need to be prescribed and the patient needs to be monitored by physicians.
A doctor may write a prescription that is non-controlled to have unlimited refills that would be good for up to one year. After one year from the written date, the prescription would then need to be renewed by the prescriber. [OAC 535:15-3-11(b)]
Yes. Every prescription that leaves a pharmacy needs to have had a final check done by only a pharmacist to ensure correctness. [OAC 535:10-9-1.2]
The Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD) has provided drug drop-off boxes at most sheriff’s office and police stations. Here are a few links to find the closest drop-off box to you.
OBNDD link to website lookup tool: https://portal.obn.ok.gov/takeback/default.aspx
The DEA recently began allowing some pharmacies to get licensed to have drop-off boxes in their business. Here is a link to be able to search for any possible pharmacies in your area that provide this service: https://www.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e2s1
Dispose My Meds is an online tool that helps find medication disposal programs at independent pharmacies by zip code: http://disposemymeds.org
A pharmacy may not accept returned medications from patients after the medications have left the pharmacy. There are exceptions for the pharmacy to take the medication back if there is a recall or a dispensing error. Once it has left the pharmacy, medication may never be dispensed to another patient. [O.S. Title 59 Sec 353.24(A)(2)]
For patient safety, pharmacies are not allowed to reuse dispensed medications. You can take them to a drop-box to be disposed of properly. You can find a drop-box on the OBNDD website: https://portal.obn.ok.gov/takeback/default.aspx. [O.S. Title 59 Sec 353.24]
A pharmacist may refuse to fill a prescription if the pharmacist feels that the prescription would harm the patient if they were to fill it or if the pharmacist does not feel comfortable with the prescription based on their professional judgement. [OAC 535:15‐3‐13 (b)]
Always accept the offer to speak to a pharmacist on each new prescription. Pharmacists are required to provide counseling upon request by the patient and are required to make an offer to counsel on each new prescription.
Talking with a pharmacist you can avoid potential duplication or unnecessary drug therapy and even errors in your medication. The pharmacist can even provide information regarding what medication and foods that could interfere with your medications.
A pharmacist may only discuss your personal medical information with other medical professionals that are involved in your healthcare, such as with your physician if there were a question about your prescription or with your insurance company to process a claim. A pharmacist may also discuss your information with someone if you have given them permission to do so. [OAC 535:15‐3‐14 (e) , 535:10‐3‐1.1(6), and 535:10‐3‐1.2(16)]
The patient or the doctor must give permission for the pharmacist to substitute a generic. Most doctors will mark this on the prescription if they are okay with the generic being filled. Many insurance companies will only pay for the generic so if the patient wants brand name, the patient will have to pay for it. [OAC 535:10‐3‐1.1(2)]
No, the quantity that the physician writes on the prescription is how much they want the patient to fill at one time. If you want to try to get a 90-day supply for insurance reasons or convenience, you may ask your doctor at your visit if they would be willing to write for a 90-day supply or you may ask the pharmacist to call your doctor if you forget. [OAC 475:30‐1‐11(a)]
Yes, a valid prescription from a doctor in another state can be filled here as long as there is a current doctor-patient relationship. Be aware though that most prescriptions written by nurse practitioners (APRN’s) and physician’s assistants (PA’s) would not be able to be filled here, unless they and the doctor overseeing them are also licensed in Oklahoma. [O.S. Title 59 Sec 367.2(3)]
Yes, however, a copy is not legal for filling the medication elsewhere. In order to fill your medication at another pharmacy you will need to ask for it to be transferred to the pharmacy of your choice. A copy can be good for your own personal records or for you to take to a new doctor so that they can see exactly what medication you were on and how you were told to take it. [O.S. Title 59 Sec 354]
Yes, non-controlled prescriptions may be transferred as long as there are refills left on the prescription. Scheduled III-V prescriptions usually may only be transferred only one time during the life of the prescription. Schedule II prescriptions may not be transferred. [OAC 535:15‐3‐12]
If you have a complaint or question regarding any of the registrants of the State Board of Pharmacy, please feel free to email or call the Board office and speak with a compliance officer about your concerns. [https://www.ok.gov/pharmacy/Board/Board_Staff/index.html]
Before a complaint can be investigated you will be requested to submit your complaint in writing. A complaint may be in any written format but you are welcome to use the following form: https://www.ok.gov/pharmacy/documents/complaint.pdf
You may fax, email, or mail your complaint to the Board. The Board does not accept anonymous complaints. However your name and all personal information will be kept confidential, meaning we will not give out your name or other identifying information.