Controlled Substances: Dispensing

From double counting to DEA Form 222, this episode covers day‑to‑day dispensing, partial fills, labeling, ordering, and storing controlled substances in retail and hospital settings. Part four of our six-part series on controlled substances.

Hosts:
Matt Uhrich & Don Weinberger

🎯 Learning Objectives:

• Explain the following requirements for handling and dispensing controlled substance prescriptions 
  • Preparing and counting 
  • Partial fills 
  • Labeling 
  • Ordering and storing

💊 Topics Covered:

• Accuracy safeguards: double counting and back counting
• Partial‑fill rules by schedule (72‑hour rule for C‑IIs)
• Required caution statement on labels for C‑II–IV
• Ordering C‑IIs (DEA Form 222/CSOS) and record retention
• Storage options for C‑IIs (locked cabinet vs dispersed) and hospital ADM practices

🧠 Reflection Prompt:
Where are controlled substances stored in your pharmacy or facility, and how do those choices support security and workflow?

📌 Key Takeaways:

• Use double/back counts to prevent discrepancies before they start.
• C‑II partial fills must be completed within 72 hours, others within prescription validity.
• Order C‑IIs via DEA 222/CSOS and keep records at least two years.
• C‑IIs may be locked or dispersed; hospitals rely on vaults/ADMs and strict chain of custody.

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