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Multiple Choice

Dispensing a 90-day supply in place of a shorter initial prescription for a non-controlled, non-psychiatric drug is allowed only if which statement is true?

In this situation, the option hinges on allowing a 90-day supply only when there is an established, safe pattern of use for that non-controlled, non-psychiatric medication. The best rule is that you may dispense a 90-day supply if the patient has completed an initial 30-day supply with no adverse effects, or they have previously received the same medication in a 90-day supply. In addition, you must ensure the total quantity dispensed does not exceed what the prescription authorizes, and you must notify the prescriber about the change. This protects patient safety by confirming tolerability and history with the drug, while keeping quantity within the prescriber’s intent and maintaining communication with the prescriber. It’s not limited to Schedule II drugs, and the option that suggests “all three requirements” or that it’s never allowed doesn’t align with these conditional allowances.

In this situation, the option hinges on allowing a 90-day supply only when there is an established, safe pattern of use for that non-controlled, non-psychiatric medication. The best rule is that you may dispense a 90-day supply if the patient has completed an initial 30-day supply with no adverse effects, or they have previously received the same medication in a 90-day supply. In addition, you must ensure the total quantity dispensed does not exceed what the prescription authorizes, and you must notify the prescriber about the change.

This protects patient safety by confirming tolerability and history with the drug, while keeping quantity within the prescriber’s intent and maintaining communication with the prescriber. It’s not limited to Schedule II drugs, and the option that suggests “all three requirements” or that it’s never allowed doesn’t align with these conditional allowances.