In what circumstance may a CII be partially dispensed apart from running out of stock?

A partially dispensed Schedule II (CII) controlled substance can indeed occur when the patient is terminally ill or resides in a long-term care facility. This provision is based on federal regulations that acknowledge the special circumstances surrounding patients in these situations.

For patients who are terminally ill, the ability to partially fill a CII prescription means that they can receive only the amount they need for immediate relief, which can be more manageable and appropriate given the unpredictability of their condition. Similar reasoning applies to individuals in long-term care facilities, where managing medication can be more complex, and they may not require the full CII supply at once.

In both cases, the pharmacist must document the partial filling by indicating the quantity dispensed and the remaining amount authorized to be dispensed on the prescription. This ensures compliance with regulations while addressing the needs of vulnerable patient populations, thereby allowing flexibility in obtaining necessary medications without the burden of unnecessary quantities.

The other options do not pertain to scenarios that justify partial dispensing of a CII. Refill limitations, unavailability of the prescriber, or patient requests do not create a necessity for partial filling under federal law, unlike the specific allowances made for terminally ill patients and those in long-term care.