Question 40

Pharmacies must use controlled substance ordering to receive stock bottles of hydromorphone and oxycodone.

Federal law mandates that pharmacies utilize controlled substance ordering systems for the procurement of stock bottles of specific medications classified as controlled substances, such as hydromorphone and oxycodone.

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. Therefore, federal regulations require pharmacies to follow strict protocols for ordering these medications.

B) acetaminophen/codeine and testosterone.

While acetaminophen/codeine is a controlled substance (Schedule III), testosterone is not classified as a controlled substance under federal law. Thus, pharmacies do not need to use controlled substance ordering specifically for testosterone, making this option incorrect.

C) zolpidem and carisoprodol.

Zolpidem is a Schedule IV controlled substance, and carisoprodol is classified as a Schedule IV as well. Although both require a prescription, they do not necessitate the same level of ordering controls as Schedule II substances, rendering this option incorrect.

D) lorazepam and midazolam.

Both lorazepam and midazolam are Schedule IV controlled substances. Like the previous option, they require prescriptions but do not require the controlled substance ordering process that is mandated for Schedule II drugs, making this option incorrect.

Conclusion

The requirement for pharmacies to use controlled substance ordering is specifically tied to the classification of medications as Schedule II substances, which includes hydromorphone and oxycodone. All other options presented involve medications that either do not require such stringent ordering protocols or include substances that are not classified under the same regulations, thereby confirming that A is the only correct choice.