Emergency supply of a POM

Question 1

Define emergency supply

Answer 1

Emergency supply of POM w/o valid Rx present at time of dispensing

Question 2

What are the types of emergency supply?

Answer 2

• At request of patient

- At request of prescriber

Question 3

What are the conditions that apply to supply at the request of a patient?

Answer 3

Pharmacist has interviewed patient + satisfied w/:

• Immediate need for POM + impractical to obtain prescription w/o delay
• POM has been previously prescribed
• Appropriate dose

Question 4

What are the exceptions for the emergency supply at the request of a patient?

Answer 4

No provision for sched 2 + 3

Question 5

What are the maximum number of days for a sched 4 + 5 of an emergency CD at the request of a patient?

Answer 5

5 days

Question 6

What are the maximum number of days for an emergency supply of POM at the request of a patient?

Answer 6

30 days

Question 7

What are the exceptions to the ‘maximum of 30 days supply/ for a POM at the request of a patient?

Answer 7

• Insulin
• Ointment
• Inhaler
• Contraceptive

Question 8

What must be included when making an entry in the POM register when supplying at the request of a patient?

Answer 8

• Date supplied
• Name, quantity, form + strength
• Name + address of person requiring POM
• Nature of emergency (why they need it + why prescription cannot be obtained)

Question 9

What must be labelled on the package when supplying at the request of a patient?

Answer 9

• Date supplied
• Name, quantity, form + strength
• Name of person requesting
• Name + address of pharmacy
• ‘Keep out of reach of children’

Question 10

Can you supply a CD at the request of a patient?

Answer 10

• No sched 1 + 2

- No 3 except phenobarbital or phenobarbital sodium for EPILEPSY

Question 11

What is the difference when supplying an emergency POM during a pandemic?

Answer 11

• Pandemic announced by DoHSC

- Don’t need to interview patient

Question 12

What are the conditions that apply to supply at the request of a prescriber?

Answer 12

• Pharmacist satisfied that supply requested by doctor who are unable to furnish prescription immediately
• Prescription sent to pharmacy w/in 72 hrs
• POM sold/supplied in accordance w/ directions of appropriate practitioner

Question 13

Can you emergency supply a CD at request of a prescriber?

Answer 13

• No provision for sched 1 or 2

- No provision for sched 3 except phenobarbital or phenobarbital sodium for EPILEPSY

Question 14

What records must be made when supply at the request of a prescriber?

Answer 14

• Date supplied
• Name, quantity, form + strength
• Name + address of practitioner requesting
• Name + address of patient
• Date on prescription
• Date prescription was received (3 dates)

Question 15

What are the differences btw at the request of a practitioner + at the request of a patient?

Answer 15

• Quantity doesn’t matter/30 days max
• Prescription w/in 72 hrs/no prescription
• ‘Emergency supply’ do not appear on label/does appear
• Must record practitioner details in POM register/ don’t legally have to
• Interview w/ patient not required/ required
• Can supply new medication/ Previously supplied