Human Medicines Regulations Flashcards
HMR 214
(1) A person may not sell or supply a prescription only medicine except in accordance with a prescription given by an appropriate practitioner.
(2) A person may not parenterally administer (otherwise than to himself or herself) a prescription only medicine unless the person is—
(a)an appropriate practitioner other than an EEA health professional; or
(b)acting in accordance with the directions of such an appropriate practitioner.
(3) The following are appropriate practitioners in relation to any prescription only medicine—
(a)a doctor;
(b)a dentist;
(c)a supplementary prescriber;
(d)a nurse independent prescriber; and
(e)a pharmacist independent prescriber.
(4) A community practitioner nurse prescriber is an appropriate practitioner in relation to a prescription only medicine specified in Schedule 13.
(5) An optometrist independent prescriber is an appropriate practitioner in relation to any prescription only medicine other than—
(a)a medicinal product that is a controlled drug; or
(b)a medicinal product that is for parenteral administration.
(6) An EEA health professional is an appropriate practitioner in relation to any prescription only medicine other than a controlled drug.
(7) This regulation is subject to Chapter 3 (exemptions).
HMR 215
subscribing and administration by a supplementary prescriber
HMR 217
requirements for prescriptions : general
For the purposes of this Chapter, a prescription only medicine is not sold or supplied in accordance with a prescription given by an appropriate practitioner unless the following conditions are met.
(2) Condition A is that the prescription is signed in ink by the appropriate practitioner giving it.
(3) Condition B is that the prescription—
(a)is written in ink or otherwise so as to be indelible; or
(b)in the case of a health prescription which is not for a controlled drug, is written as described in sub-paragraph (a) or by means of carbon paper or similar material.
(4) Condition C is that the prescription contains the following particulars—
(a)the address of the appropriate practitioner giving it;
(b)the appropriate date;
(c)an indication of the kind of appropriate practitioner giving it;
(d)the name and address of the person for whose treatment it is given; and
(e)if that person is under 12, that person’s age.
(5) Condition D is that the prescription—
(a)is not dispensed after the end of the period of six months beginning with the appropriate date; or
(b)in the case of a repeatable prescription—
(i)it is not dispensed for the first time after the end of that period, and
(ii)it is dispensed in accordance with the directions contained in the prescription.
(6) Condition E is that, in the case of a repeatable prescription that does not specify the number of times it may be dispensed—
(a)it is not dispensed on more than two occasions, or
(b)in the case of a prescription for an oral contraceptive, it is not dispensed on more than six occasions or after the end of the period of six months beginning with the appropriate date.
(7) In this regulation “appropriate date” means, subject to paragraph (8)—
(a)in the case of a health prescription, whichever is the later of—
(i)the date on which it was signed by the appropriate practitioner giving it, or
(ii)a date indicated by the appropriate practitioner as the date before which it should not be dispensed; and
(b)otherwise, the date on which the prescription was signed by the appropriate practitioner giving it.
(8) This regulation—
(a)does not apply to a prescription given by an EEA health professional (as to which see regulation 218); and
(b)is subject to regulation 219 (electronic prescriptions).
HMR 218
requirements for prescriptions by an EEA health professional
HMR 219
electronic prescriptions
HMR220
sale or supply of products that are not general sale
(1) Unless paragraph (2) applies, a person (“P”) may not sell or supply, or offer for sale or supply, a medicinal product that is not subject to general sale.
(2) This paragraph applies if—
(a)P is a person lawfully conducting a retail pharmacy business;
(b)the product is sold, supplied, or offered for sale or supply, on premises that are a registered pharmacy; and
(c)P or, if the transaction is carried out on P’s behalf by another person, that other person is, or acts under the supervision of, a pharmacist.
(3) This regulation is subject to Chapter 3.
HMR 221
sale and supply of medicines that are subject to GSL
(1) A person (“P”) may not sell or supply, or offer for sale or supply, a medicinal product that is subject to general sale elsewhere than at a registered pharmacy unless the following conditions are met.
(2) Condition A is that the place at which the medicinal product is sold, supplied, or offered for sale or supply, consists of premises of which P is the occupier and which P is able to close so as to exclude the public.
(3) Condition B is that—
(a)the medicinal product was made up for sale in its immediate and outer packaging elsewhere than at the place at which it is sold, supplied, or offered for sale or supply; and
(b)the immediate and outer packaging has not been opened since the product was made up for sale in it.
(4) Condition C is that, if the medicinal product is of a kind specified in Schedule 15, it is presented for sale in accordance with the requirements specified in that Schedule for a product of that kind.
(5) This regulation is subject to Chapter 3.
HMR 222
sale from automatic machines
HMR 223
exemptions for doctors and dentists
(1) Regulation 214(1) does not apply to the sale or supply of a prescription only medicine by a doctor or dentist to a patient of that doctor or dentist.
(2) Regulations 220 and 221 do not apply to the sale, offer for sale, or supply of a medicinal product by a doctor or dentist—
(a)to a patient of the doctor or dentist, or
(b)to a person under whose care such a patient is.
(3) Regulations 220 and 221 do not apply to the sale, offer for sale or supply of a medicinal product in the course of the business of a hospital or health centre, where—
(a)the product is sold, offered for sale or supplied for the purposes of being administered to a person (whether in the hospital or health centre or elsewhere) in accordance with directions relating to that person; and
(b)those directions have been given by—
(i)a doctor,
(ii)a dentist,
(iii)a supplementary prescriber,
(iv)a pharmacist independent prescriber,
(v)an optometrist independent prescriber,
(vi)a nurse independent prescriber, or
(vii)a community practitioner nurse prescriber.
(4) Regulations 220 and 221 do not apply to the sale or supply of a medicinal product to which paragraph (5) applies where—
(a)the product is sold or supplied by a registered midwife in the course of the registered midwife’s professional practice; or
(b)the product is delivered or administered by a registered midwife on being supplied the product under arrangements made by the Secretary of State or the Minister for Health, Social Services and Public Safety.
(5) The products to which this paragraph applies are—
(a)medicinal products that are not prescription only medicines;
(b)prescription only medicines which by virtue of an exemption conferred under regulation 235(1) and 235(3) and Part 1 of Schedule 17 may be sold or supplied by a registered midwife otherwise than in accordance with a prescription given by a doctor or a dentist; and
(c)prescription only medicines which by virtue of an exemption conferred under regulation 235(3) and Part 3 of Schedule 17 may be administered by a registered midwife or a student midwife otherwise than in accordance with a prescription given by a doctor or a dentist.
HMR 229
exemptions by NHS bodies
HMR 230
exemptions for sale and supply under a pgd
HMR 231
exemptions for sale and supply under a PGD by a private hospital
HMR 232
exemptions for sale and supply under a PGD by dental practices and clinics
HMR 233
exemptions for supply under a PGD by pharmacy business owners
HMR 234
exemptions for sale and supply under a PGD to help the police