Benzodiazepines & Other Targeted Substances Regulations (BOTSR) Flashcards
How does the BOTSR define a “targeted substance”?
-Ctrl’ed sub set out in Schedule I…
or
(In respect to NP / Podiatrist / Midwife)
-Is a ctrl’ed sub set out in Schedule I that they may prescribe, possess, or conduct activities with.
Who can Licensed Dealers sell Targeted Substances to?
Exact same as seen in Pt. G of the FDA…
-Other LD’s
-Pharmacist
-Practitioner
-Hospital
-Minister
-Person under Exemption 56
What must Licensed Dealers record for sales (exactly same as in FDA)?
-Brand Name or Cpd. Name & Specified Name
-DIN
-Form / Qty / Strength per Unit / # Units per Pack / # of Packs
-Name & Address of person sold to
-Date sold or provided
What sections of the BOTSR do not apply to Pharmacists practicing in a hospital???
Sec. 49-56
Pharmacists who provide or sell a TS must do so in a container that contains what labelling?
-Pharmacy / Pharmacist Name & Address
-Date Issued & Rx #
-Pt. Name
-Issuing Practitioner’s Name
-Drug Name / Qty / Strength
-Directions of Use
Before a Pharmacist fills a verbal prescription for a TS, it must be reduced to writing & the hard copy must be retained [S. 51 (3)]… What must be on that reduced prescription?
-Name & Address of Pt. (& name of person caring for animal if pt. is an animal).
-Date provided & dispensed
-Drug Name / Qty / Strength
-Name of recording Pharmacist & Practitioner
-Directions of Use
-Refills & Intervals btw. fills (if applicable)
What parameters outlined in S. 52 permit a Pharmacist to refill a TS?
-Practitioner provided refills & specified # of refills
-Pharmacist records each refill
- <1yr since day Rx written
-Refills Remaining
-Interval btw. has passed
TS Rx’s (either filled or refilled) must have what information recorded (S. 53)?
-Date filled or refilled
-Qty provided
-Pharmacist’s name or initials
-Rx #
How many times can a BZD prescription be transferred (over its lifetime)?
ONCE!!!
When a BZD is transferred, what info must be recorded?
-Name & Address of Transferring Pharmacist
-# of refills remaining & intervals btw. refills
-Date of last refill
TS transactions with a LD / Minister / Sec. 56 Exempts must be in what?
Written in writing
TS transactions with a Practitioner / Pharmacist / Hospital Employee can be what?
Verbal
If a Pharmacy decides to move to a new location or close altogether, what information regarding TS movement must be provided to the Minister (S. 56)?
-Date of Closure
-Location & Qty of TS moved
ALL WITHIN 10d!!!
Who are the only hospital personnel authorized to order TS’s [S. 63 (2)]?
Pharmacists or Practitioners (can’t be people like Nurses)
TS’s can be sold or provided w/o Rx’s upon order receipts to whom (provided that name / qty & strength per unit is given)?
-LD’s who provided TS
-Practitioner or Pharmacist when shortfalls in supply exist
What sorts of Hospital Closure rules exist?
Exactly the same as Community Pharmacy closures… Date of closure / location in which TS’s are being moved within 10d!
What parameters must be followed for Canadians who decide they want to bring TS’s into Canada?
-Prescribed
-Labelled
-For personal use or use by person / animal they’re travelling with & responsible for
-Meets individual medical needs
-Declared to customs
-In Qty that doesn’t exceed lesser of a singular treatment course or 90d supply (whichever is less).
Who qualifies as a witness of BZD / TS destruction?
Practitioner or other Pharmacist (NOT PHARMACY TECHNICIANS).
Do BZD’s or TS’s require prior approval of HC before destruction?
Nope… Narcotics & Controlled Drugs do though!
What symbol must be contained on Targeted Substance packaging?
T\C (contained within a box)
What is contained on the Targeted Substance list???
Benzo’s, their salts, & their derivatives (all end in “pam”)
-Chlordiazepoxide, Triazolam, Estazolam, Clorazepate, Alprazolam also part.
What Benzo-like substances are exempt from Schedule 1?
-Clozapine
-Olanzapine
-Flunitrazepam
-Zolpidem
