For CIIs, when is an exact count of the bottle required?

• A. Always, regardless of package size
• B. Only if the bottle is over a certain size
• C. At the first purchase only
• D. Never

Answer: (A)

Exact counts for dosage units in Schedule II bottles are required every time a CII is dispensed. This strong accountability is built into regulations because CIIs carry the highest risk of misuse and diversion, so pharmacies must know and document the exact number of units in every bottle and the exact quantity dispensed to each patient. Counting the contents precisely helps ensure the patient gets the intended amount and keeps accurate inventory records for regulatory compliance. Even if a bottle’s label lists a number, the standard practice is to verify and record the exact count, not rely on estimation. Therefore, the requirement applies in all cases, regardless of bottle size or dispensing scenario.