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Multiple Choice

Which of the following is a red flag to watch for when dispensing controlled substances?

Irregularities on the face of the prescription raise a red flag because they often indicate tampering, forged signatures, altered dosages, or other attempts to disguise an illegitimate order for a controlled substance. When you notice such signs, the safest course is to pause dispensing and verify the prescription directly with the prescriber using independent contact information, confirm the prescriber’s license and DEA registration, and check the state's prescription monitoring program. Only after thorough verification should dispensing proceed. Demeanor or calmness of the patient, a physician with the appropriate specialty, or a patient traveling a short distance for a routine fill are not in themselves red flags; these can be normal and legitimate aspects of care and access.

Irregularities on the face of the prescription raise a red flag because they often indicate tampering, forged signatures, altered dosages, or other attempts to disguise an illegitimate order for a controlled substance. When you notice such signs, the safest course is to pause dispensing and verify the prescription directly with the prescriber using independent contact information, confirm the prescriber’s license and DEA registration, and check the state's prescription monitoring program. Only after thorough verification should dispensing proceed.

Demeanor or calmness of the patient, a physician with the appropriate specialty, or a patient traveling a short distance for a routine fill are not in themselves red flags; these can be normal and legitimate aspects of care and access.