West Virginia MPJE (Pharmacy Jurisprudence) Practice Exam

How can a prescriber provide a patient with a 90-day supply of a Schedule II controlled substance instead of a 30-day supply?

1. Write a single prescription detailing a 90-day supply

2. Write 3 identical prescriptions on the same day, each with the date written and the earliest acceptable fill date

3. Write a prescription for a 30-day supply with three refills

4. Write a prescription with extended refill instructions

The correct answer is: Write a single prescription detailing a 90-day supply

The best approach for a prescriber to provide a patient with a 90-day supply of a Schedule II controlled substance is to write a single prescription detailing a 90-day supply. In accordance with federal regulations, a prescriber can issue a prescription for a 90-day supply for certain controlled substances if the prescription is written on a single prescription form and is consistent with the medical necessity for the patient's treatment. This method ensures that the total quantity and the directions for use are clearly stated, allowing for proper management of the medication's use. Given the strict regulations surrounding Schedule II controlled substances, this method complies with legal requirements, as opposed to alternatives that may not adhere to these regulations or create confusion regarding dispensing. The other options could potentially violate regulations or lead to misunderstandings about the medication dispensing process; however, they are less straightforward compared to simply providing a single prescription for the entire 90-day supply.