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Topic primers

A quick on-ramp for each area: the handful of facts that anchor it. Read one, then go practice. These are a launchpad, not a lecture.

PRIMER · Federal Requirements

Federal requirements, the essentials

  • Schedule I has no accepted medical use; Schedules II to V step down in abuse potential.
  • Schedule II prescriptions cannot be refilled; III and IV allow up to 5 refills within 6 months.
  • DEA forms: 222 orders C-I/C-II stock, 106 reports theft or loss, 41 records destruction.
  • An emergency oral Schedule II order needs a written follow-up within 7 days.
  • Sublingual nitroglycerin is exempt from child-resistant packaging.
Practice Federal Requirements
PRIMER · Federal Requirements

Controlled substances at the counter

  • Schedule II: no refills, and no phoned-in orders except a genuine emergency.
  • Schedule III-IV: up to 5 refills within 6 months of the issue date.
  • Order Schedule I-II stock with DEA Form 222 or its electronic equivalent, CSOS.
  • A DEA number has a built-in checksum you can verify from the digits.
  • Watch for red flags: early refills, cash for large opioid quantities, prescribers far from the patient.
Practice Federal Requirements

Showing Federal Requirements only. See every primer.