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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