Question 25

Pharmacies must use controlled substance ordering for hydromorphone and oxycodone.

Pharmacies are mandated by federal law to utilize controlled substance ordering when receiving stock bottles of certain medications, specifically hydromorphone and oxycodone, due to their classification as Schedule II controlled substances.

A) hydromorphone and oxycodone.

This option is correct because both hydromorphone and oxycodone are classified as Schedule II controlled substances under the Controlled Substances Act. As such, federal law requires pharmacies to adhere to strict ordering protocols to prevent misuse and ensure proper tracking of these potent medications.

B) acetaminophen/codeine and testosterone.

This option is incorrect. Acetaminophen with codeine is classified as a Schedule III controlled substance, while testosterone is classified as a Schedule III or IV substance depending on its formulation. Thus, they do not require the same level of controlled substance ordering as Schedule II drugs.

C) zolpidem and carisoprodol.

This option is incorrect because zolpidem is a Schedule IV controlled substance and carisoprodol is classified as a Schedule IV substance as well. Neither requires the stringent controlled substance ordering process mandated for Schedule II medications.

D) lorazepam and midazolam.

This option is also incorrect. Both lorazepam and midazolam are classified as Schedule IV controlled substances. Therefore, they do not fall under the same federal requirements for controlled substance ordering as Schedule II substances do.

Conclusion

In summary, hydromorphone and oxycodone are the correct choices because they are classified as Schedule II controlled substances, necessitating strict ordering requirements to prevent abuse and ensure accountability. All other options involve medications that do not have the same level of regulatory oversight under federal law, thus failing to meet the criteria set for controlled substance ordering.