14: Supply of Controlled Drugs on Prescription Flashcards
Which piece of legislation are CD Schedule 5 drugs covered by?
HMR2012
Human medicines regulations 2012
What piece(s) of legislation does it say CD Schedule 2,3 and 4 need prescriptions?
-Misuse of Drugs Act 1971
and
-Human Medicines Regulations 2012
What are the prescription requirements for CD Schedules 2 and 3?
(for human use)
i..e. extra requirements
-be written in indelible ink, but can be computer generated
-be signed by a prescriber (advanced electronic signature is allowed)
-be dated by the prescriber
-Specify address of prescirber (must be in UK and the prescriber must be registered in the UK)
-dose must be clearly defined
-formulation
-strength of preparation (if more than one strength is available for the medicine)
-total quantity written in BOTH words and figures (liquids must be expressed in millilitres)
-Quantity prescribed
-state “For dental use” if it is issued by a dentist
-where Rx is in instalments, valid instalment directions
-
can CDs be prescribed on electronic prescriptions?
Yes
Are abbreviations for tablets e.g. “tabs” acceptable for CDs?
Yes
what doses are not legally acceptable for Schedule 2 and 3 controlled drugs?
- as directed
- when required
- PRN
- as per chart
- titration dose
- weekly (this is a frequency and not a dose)
- decrease dose by 3.5ml every 4 days
is the dose “apply every 72 hours” legally acceptable?
No
Dose is unclear. Look for a number as a minimum. e.g. apply one patch every 72 hours
Clinically, what is the maximum quantity the home office strongly recommend for a CD schedules 2-4
Maximum rx-ed quantity of schedule 2, 3, 4 CDs should not exceed 30 days
What technical errors for schedule 2 and 3 CDs can be corrected by the pharmacy?
-contains minor typographical error or spelling mistake
or
-whether either the words or figures (but not both) of total quantity has been missed off
What is needed by the pharmacist in records to correcting technical errors on Rxs for schedule 2 and 3 CDs
Pharmacist must
a) Have exercised due diligence and be satisfied the Rx is genuine
b) Be satisfied that s/he is acting in accordance with intentions of Rx-er
c) Ammend Rx in ink or inedlibly
- to correct the minor typographical error
- or so that Rx complies with the requirement to contain total quantity and number of dosage units in both words and figures
d) Mark Rx so that the amendment is attributable to a pharmacist, e.g. name, date, signature, GPhC registration number
What are the private Rx requirements for CD Schedule 2&3 drugs (for human use) dispensed in community?
Rx dispensed in community must
- be on a standardised form (FP10PCD)
- contain private rx-ers ID number
- must only be used for schedules 2 and 3
What are the private Rx requirements for CD Schedule 2&3 drugs (for human use) issued outside but dispensed in hospital
must
- be a standardised form (FP10PCD)
- must only be used for CD Schedule 2&3
Where do private rx forms (FP10PCD) go once dispensed?
the prescription must be submitted to the relevant NHS agency (NHS BSA) together with the pharmacy identification code - using FP34PCD
-therefore, should contain no other item than CDs, as pharmacists would otherwise by unable to comply with requirement to keep private Rx’s for 2 years
What are the requirements for Veterinary Rxs for CDs
- do not need to be written on standardised forms or submitted to the relevant NHS agency
- do need to be retained for 5 years
When should CDs schedule 2&3 not be supplied on Rx?
- if ti doesn’t comply with Rx requirements
- if Rx-er’s address is not in the UK
- if supplier does not know the signature and does not think it is genuine
- if the supplier hasn’t taken reasonably sufficient steps to satisfy themselves that the signature is genuine
- before appropriate date on Rx
- 28 days after Rx (includes Schedule 4 CDs)
- in the case of an instalment Rx (FP10MDA), if the first instalment is NOT dispensed within 28 days of the appropriate date
When can owings of dispensed Rxs for Schedule 2,3 or 4 CDs be supplied?
Within 28 days after appropriate date
Are repeatable Rxs allowed for Schedule 2&3 CDs?
No!
Note: Instalment prescriptions are NOT repeats
What is the name of the private Rx forms for CDs schedule 2&3
FP10PCD
When you send off a FP10PCD what other form do you need
the prescription must be submitted to the NHS BSA with the pharmacy identity code, which you put on a FP34PCD form
what colour is an FP10PCD prescription?
pink
Must also have private prescriber’s ID number - it is separate to their GMC number
How long are schedule 5 CD prescriptions valid for?
6 months
Are repeatable Rxs allowed for Schedule 4 CDs?
Yes
- first dispensing within 28 days
- no specified timeframe for repeats
Are repeatable Rxs allowed for Schedule 5 CDs?
Yes
- first dispensing within 6 months
- no specified time for repeats
What do you have to do after dispensing CD Schedule 2&3 on prescription?
- all prescriptions must have date of supply marked on them
- original prescription of all CD schedule 2&3 must be sent to the NHS BSA at the end of the month
- records are made in the CDR for Schedule 2 CDs
- POM book for private Rx for Schedule 3
Where can hospital prescriptions be written?
On a bed chart (kardex) or a case sheet
If bed charts (kardex) or case sheets are used, to supply a CD what needs to be complied with?
-as an authorisation to supply a CD, it needs to fully comply with Rx requirements of a CD
If bed charts (kardexes) or case sheets are used, what needs to be complied with to administer it?
-An an authorisation to administer a CD, it will NOT need to comply with full Rx requirements
How long is a Rx for a schedule 4 CD valid for?
28 days
Which CD Schedules are allowed to have repeatable prescriptions?
Schedules 4 and 5
