d. Schedule IV Substances. Drugs in this category have an abuse potential
less than the drugs listed in Schedule III. Some examples of drugs in this schedule are
chlordiazepoxide, propoxyphene napsalate, flurazepam, diazepam, meprobamate,
clonazepam, and phenobarbital.
e. Schedule V Substances. Drugs in this schedule have an abuse potential
less than the drugs listed in Schedule IV. Some examples of drugs in this schedule are
diphenoxylate tablets and elixir of terpin hydrate with codeine.
In Army pharmacies, these controlled substances are placed into one of two
categories, Note Q or Note R controlled substances, to identify specific
storage and handling requirements as outlined in the Federal Supply
Note Q substances are those items classified as Schedules III, IV, or V
in the Act.
(2) Note R substances are alcohol, alcoholic beverages, precious metals,
and drugs classified as Schedule II substances in the Act.
Section V. THE POISON PREVENTION PACKAGING ACT OF 1970
Some patients complain about the "child-resistant" prescription containers they
receive in the pharmacy. These people say that the containers are too difficult to open.
How did this "child-resistant" packaging come about? What was the impact of this Act
on the outpatient pharmacy? This section will explore these questions.
1-12. THE POISON PREVENTION PACKAGING ACT OF 1970
The purpose of the Poison Prevention Packaging Act of 1970 was to reduce
poisonings among small children. The Act provides that certain household products
(such as aspirin and certain other drugs, including oral prescription drugs, furniture
polish, oil of wintergreen, antifreeze, some cleaners for drains and ovens, turpentine,
and cigarette lighter fluid) which are found to be hazardous or potentially hazardous,
must be sold or dispensed in safety packages.
1-13. THE REQUIREMENTS OF THE POISON PREVENTION PACKAGING ACT
a. The Act requires the previously mentioned products to be packaged in
containers which are sufficiently difficult to open so that they cannot be opened by 80
percent of children under five years of age. However, the containers must allow at least
90 percent of adults to open and properly close the packaging conveniently.