South Carolina Multistate Pharmacy Jurisprudence Examination (MPJE) Practice Exam

What is the rule for emergency fills of C2 prescriptions?

1. Can be verbal with follow-up written RX within 72 hours

2. Must be written and cannot be verbal

3. Can be filled without any documentation

4. Must be filled immediately with no exceptions

The correct answer is: Can be verbal with follow-up written RX within 72 hours

The correct answer highlights an important aspect of emergency procedures for filling prescriptions for controlled substances, particularly Schedule II drugs. In emergency situations, a pharmacist is allowed to accept a verbal order for a Schedule II prescription, which is a notable exception to the standard requirement that such prescriptions must be written. According to federal and state regulations, in the case of a legitimate medical emergency, a pharmacist may dispense a limited supply of a Schedule II drug based on the prescriber's oral authorization. However, this verbal prescription must be followed by a written prescription from the practitioner within a specified time frame, which is typically 72 hours. This process ensures that there is a formal record of the prescription and allows for essential checks to be conducted to maintain medication safety and legality. In summary, the ability to accept a verbal order in emergencies, with the condition of a follow-up written prescription, reflects both the urgency of patient care needs and the regulatory framework designed to prevent misuse of controlled substances while providing access to necessary medications in critical situations.