JP2 Flashcards
OCP regulates the member under ______ and practice site under _____
member under RHPA and pharmacy act
practice site under DPRA
what does the DPRA regulate
Licensing and ownership of pharmacies
Standards for accreditation
Dispensing of drugs
Record keeping
Accountability and responsibility
what other legislations does the DPRA work with
Food and Drugs Act
Controlled Drugs and Substances Act
Privacy Legislation: PIPEDA, PHIPA
Drug Interchangeability and Dispensing Fee Act
Ontario Drug Benefit Act
how is a drug defined
Scheule 1:
- scheulde 1-VIII of CDSA
- Scheule G (I,II,III) of FDA
- PDL
- Schedule 1 of NAPRA
Scheule II
- exempted codeine preparations
- schedule II of NAPRA
Schedule III
- Schedule III of NAPRA
NPH are not considered drugs, what are the exceptions
Pseudoephedrine and ephedrine
*defined as drugs in the DPRA
what are schedule I drugs
Require a prescription
Are the same as the drugs listed Schedule I
Includes all the drugs listed in the Prescription Drug List (PDL)
Includes all the drugs in the Schedule of the Controlled Drugs and Substances Act
Schedule II Drugs
Do not require a prescription
Only available through professional intervention by a pharmacist
Kept in restricted area of a pharmacy not accessible to the public
Schedule III Drugs
Available without a prescription
Can only be sold in a pharmacy from the dispensary or from an area of a pharmacy (as required by the College) that allows for patient self-selection (10m rule)
A member must be available if needed
conditions for sale of scheudle 1 drugs
- The pharmacist must be physically present
- For remorse dispensing locations (RDL), the pharmacist must be physically present at the RDL or at the accredited pharmacy that operates the RDL
- Drugs must only be sold from an automated pharmacy system or the dispensary at the RDL
- There must be a prescription
- The pharmacist must approve the sale
- The drugs can only be sold from the dispensary
conditions for selling Schedule II drugs in Pharmacy
- Pharmacist must be physically present in the pharmacy
- Pharmacist must approve and intervene in the sale
- Drugs can only be sold from the dispensary
- For remote dispensing locations (RDL), the pharmacist must be physically present either at the RDL or at the accredited pharmacy that operates the RDL; and
- Drugs must only be sold from the automated pharmacy system or the dispensary at the RDL
Conditions fo Selling Schedule III drugs in pharmacy
- Pharmacist must be physically present in the pharmacy
- For remorse dispensing locations (RDL), the pharmacist must be physically present at the RDL or at the accredited pharmacy that operates the RDL
- Drugs must only be available for sale in the pharmacy from the dispensary or from an area of the pharmacy that allows for patient self-selection
- For RDL, drugs must be only available from the automated pharmacy system or dispensary
- Member must be available for consultation with the patient as needed
who can accept verbal Rxs?
Narcotic drugs
- Not acceptable UNLESS during COVID, but ONLY pharmacist
Non-narcotics
- pharmacist, intern or pharmacy student all under supervision of pharmacist
- pharm tech cannot accept verbal for controlled drugs or targeted sub
*must recrod date, refils and name of who received rx
required info for transfers
Name and address of patient
Name and strength of drug prescribed
Directions for use
Name and address of prescriber
Name of manufacturer of the drug most recently dispensed
Identification number of prescription
Total quantity of drug remaining
The quantity most recently dispensed if different from quantity prescribed (e.g. drug plan rules)
The name of the member transferring the prescription; can be given verbally or under the signature of the member making the transfer
The date the drug was first dispensed and last dispensed date (Exception: for benzodiazepines also need date prescription was issued)
what info is required on a patient record?
- An electronic record of the original prescription
- Prescription information
- Dispensing record of all prescriptions with pharmacist/technician signature
- Any documentation or information about the patient
Examples of records and documents include:
- MedsCheck documentation
- Prescription initiation, adaptation and refill documentation
- Pharmaceutical opinion
- Medication management
- Identified drug therapy problems
- Consent forms
- Documentation of dialogue with patients
- Any other information
how long of a notice do you need to give OCP for relcoation
30 days before relocating
when does the acceditation committee get involved
- if registrar has reason to believe that applicate wont opperate pharmacy in accordance with legislation
- accreditation committee can direct registrar to:
Refuse the certificate
Place terms, conditions and limitations or
Issue the certificate of accreditation
terms of an accreditation certificate
- expire yearly on May 10th -> must be renewed
- registrar has authority to refuse to renew under certain conditions of DPRA like non paymeny of fees
*may then refer to accreditiation committee
- qualifications for renewal are similar to issueance of a new certificate
what are the responsibilites for Owners/DM
- Every owner or DMis responsible and liable for any offense against the DPRA made by a person under their supervision or employment
- Every director of a corporation operating a pharmacy is liable for any offense against the DPRA made by anyone under the corporation (hospital pharmacies exempt DPRA s. 166(3)
** for hospital pharmacies, a contact person must be designated
Who can accreditation committee refer to discipline committee
Person who is issued a certificate of accreditation
Directors of a corporation which has been issued a certificate of accreditation
Designated manager of the pharmacy
Referral to discipline happens if the Accreditation Committee believes that
A pharmacy is not operating according to the DPRA and its regulations
A pharmacy is not complying with any term, condition or limitation that its certificate of accreditation requires and
An act of proprietary misconduct has been committed
outcomes of discipline committee
Revoke the certificate
Suspend the certificate for a period of time
Impose a fine of not more than $100,000
Impose terms, conditions or limitations on the certificate
when can a pharmacy disclose prescription info
Written agreement between pharmacy certificate holder and the person to whom disclosure is made
Does not include anything that could identify a patient and
Designated manager or contact person of the pharmacy (where applicable) is aware of the existence of the written agreement
what must be done if a pharmacy is closing
Owner must remove all signage related to the pharmacy
Must notify Registrar with seven days of closing
Must notify the Office of Controlled Substances about the disposal of its narcotics, controlled drugs and benzodiazepines/targeted substances
Pharmacy to inform patients before they close