Which of the following is an exception to checking the CSMD?

In Tennessee, there are specific circumstances under which healthcare providers are exempt from checking the Controlled Substance Monitoring Database (CSMD). One prominent exception is in the context of hospice care.

Hospice patients are typically in the last stages of life and often require controlled substances for pain and symptom management. Given the sensitive nature of their care, a check of the CSMD may not be necessary every time a controlled substance is prescribed. The focus in hospice care is on providing comfort and alleviating suffering, which can sometimes be better served by allowing for immediate access to necessary medications rather than imposing additional bureaucratic steps that could delay treatment.

Other options do not qualify for this exemption because they involve situations where monitoring for potentially abusive prescribing or dispensing behavior is important. For instance, generic medication dispensing, refilling non-scheduled medications, and veterinary prescriptions often still carry the potential for misuse or abuse. As such, checking the CSMD is generally considered good practice to ensure the safe and responsible distribution of controlled substances.