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LA MPJE: Controlled Substances and Prescription Monitoring

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Controlled Substances and Prescription Monitoring

Controlled Substances and Prescription Monitoring

This domain tests the Louisiana Uniform Controlled Dangerous Substances Law, DEA rules, and the Louisiana Prescription Monitoring Program (PMP). Louisiana adds a state controlled-substance registration and requires PMP use as a clinical and legal check.

Core rules

  • Schedules II–V mirror federal scheduling. Schedule II prescriptions require a written or qualifying electronic order and may not be refilled. Emergency oral Schedule II orders require a written follow-up within the federal window.
  • Schedule III–V prescriptions may be refilled only as authorized, up to five times within six months of issue, unless Louisiana law is stricter.
  • Prescribers and dispensers need current DEA registration and, in Louisiana, state controlled-substance authority for the activity. Institutional registrations and power-of-attorney arrangements must be documented.
  • Dispensers report controlled-substance dispensing to the PMP within the Board’s required reporting interval. Pharmacists should query the PMP when red flags appear: early refills, multiple prescribers, cash payment, out-of-state patients, or altered prescriptions.
  • Theft, significant loss, and breakage must be reported and documented; inventories and records must be reconciled.

Worked example

A patient presents a Schedule II oxycodone prescription dated 45 days ago, written for 60 tablets with two refills. The pharmacist identifies two defects: Schedule II cannot be refilled, and the prescription is outside the allowable fill window under Louisiana/Board rule. The pharmacist does not dispense, contacts the prescriber, and documents the intervention. A PMP query also shows three prescribers in 30 days, supporting a referral for review.

Traps

Treating a Schedule II prescription as refillable; missing the follow-up written prescription after an emergency oral Schedule II order; failing to report to the PMP; ignoring a PMP red flag because the prescription “looks valid”; not reporting loss or theft.