Law

Question 1

True or false:

GSL meds can be sold without the responsible pharmacist being signed in

Answer 1

FALSE

though they do not have to be physically present for sales to be made once they are signed in

Question 2

True or false:

Self selection of P medicines by patients/customers is not allowed

Answer 2

TRUE

They must not be accessible to the public for self selection I.e. kept behind the counter etc

Question 3

True or false:

CD prescriptions written by EEA and Swiss doctors are accepted in the U.K.

Answer 3

FALSE

Non-CD prescriptions are accepted by EEA and Swiss doctors/dentists/pharmacists/nurses

Question 4

True or false:

Podiatrists are “appropriate practitioners” and can write prescriptions

Answer 4

TRUE

As are doctors, supplementary/IP nurses, dentists, IP pharmacists, physios and IP radiographers

Question 5

It is unlawful to sell products containing more than _______ pseudoephedrine or _______ ephedrine at any one time without a prescription

Answer 5

720 mg

180 mg

Question 6

Pseudoephedrine and ephedrine can be used in the illicit production of which Class A drug?

Answer 6

Methylamphetamine
(Crystal meth)

Hence controls around their sale

Question 7

True or false:

You can sell an ephedrine product at the same time as a pseudoephedrine product

Answer 7

FALSE

They cannot be supplied together without a prescription

Question 8

Children under what age are legally unable to consent to sexual activity ?

Answer 8

Under 13 years old

All cases should be reported to social services

Question 9

Which formulation(s) of paracetamol and aspirin do not have a restriction on quantity that can be sold OTC?

Answer 9

Effervescent formulations and Liquids

Use professional judgement

Question 10

Any pack of greater than ______ dose units of codeine products are prescription only

Answer 10

32 tablets/caps

This includes effervescent formulations too

Question 11

What is the appropriate date for private prescription signed on 5/6/2021 with the words “please dispense on 10/6/2021”

Answer 11

5/6/2021

The appropriate date for private prescriptions is always the date on which it was signed.

Question 12

How long are private prescriptions valid

Answer 12

6 months or 28 days for CDs (same as for NHS Rx)

Question 13

True or false:

The age of the patient must be stated on the prescription

Answer 13

FALSE

This is only true if the patient is under 12. Otherwise this is not a legal requirement

Question 14

Are CD2 and CD3 drugs prescriptions from the Crown dependencies valid ? (Guernsey, jersey and Isle of Man)

Answer 14

No. These islands are not considered to be part of the U.K.

Prescriptions for CD2 and 3s - the prescriber’s address must be in the U.K.

Note: doctors from these islands must still register with the GMC

Question 15

True or false:

FP10 and WP10 prescriptions can be repeatable, e.g. with the directions repeat x 5 etc

Answer 15

FALSE

Only private prescriptions can be used in this way. NHS prescriptions are not repeatable

Question 16

If a number is not stated on a repeatable private prescription (it only states “repeat”) how many times can it be dispensed

Answer 16

Dispensed twice (1st time then one repeat)

Question 17

True or false:

Private prescriptions for CD 4 and 5 drugs are repeatable

Answer 17

TRUE

CD 2 and 3 prescriptions however, are not repeatable

Question 18

True or false:

All repeats of a repeatable prescription must be made within six months of the appropriate date

Answer 18

FALSE

Only the first dispensing needs to be within 6 months. There is no legal time limit for the remaining repeats

Note: if it’s for a CD4 drug, the first dispensing must be within 28 days
CD2 and 3 prescriptions are not repeatable

Question 19

True or false:

The patient can choose to have repeats dispensed from different pharmacies

Answer 19

True

They may also retain the Rx

The pharmacy should mark the name and address of the supplying pharmacy and the date of the supply

Question 20

True or false:

There is no legal time limit for the supply of owings

Answer 20

FALSE

owings must also be supplied within the 28 day (CD) or 6 month window from the appropriate date

Question 21

How long must private prescriptions be retained ?

Answer 21

For 2 years

Question 22

True or false:

Private prescriptions for CD 2 and 3 drugs must be retained for 2 years

Answer 22

FALSE

They must be submitted to the relevant nhs agency

Question 23

Private prescriptions for _________ and __________ are exempt from record keeping (POM register entries)

Answer 23

a) oral contraceptives

b) CD2 (as long as they have been entered into the CD register)

Question 24

True or false:

Details of the medicinal product are not a legal prescription requirement

Answer 24

TRUE

However, they are still required to identify which medicine to supply

Question 25

True or false: Emergency supplies of medicines can be made for both animals and humans

Answer 25

FALSE You can only make an emergency supply of a medicine for human use

Question 26

Within how many days/hours must a prescription be received after an emergency supply is made at the request of a prescriber

Answer 26

72 hours (3 days)

Question 27

Which CD CAN be given as an emergency supply ?

Answer 27

Phenobarbital Only when it is used for epilepsy

Question 28

What is the length of treatment that can be supplied as an emergency supply at the request of a patient for: a) POMs b) schedule 4 and 5 CDs and Phenobarbital

Answer 28

A) 30 days (or smallest pack size eg for creams, inhalers etc. One full cycle of contraceptives) B) 5 days maximum

Question 29

Which CDs are physiotherapist IPs allowed to prescribe? | Hint: need to know drug name and route of administration 7 points

Answer 29

Physiotherapist IP can only prescribe the following CDs: 1. diazepam (po) 2. dihydrocodeine (po) 3. lorazepam (po) 4. oxycodone (po) 5. temazepam (po) 6. morphine (po or injection) 7. fentanyl (transdermal)

Question 30

Which prescribers can authorise an emergency supply for phenobarbital (CD3) for epilepsy

Answer 30

U.K. doctors U.K. dentists Pharmacist IPs Nurse IPs Supplementary prescribers (all professions)

Question 31

True or false: Optometrist Independent Prescribers can prescribe CDs

Answer 31

False

Question 32

True or false: Supplementary prescribers can prescribe any medicine within their clinical competence

Answer 32

FALSE They can only prescribe medicines included in a clinical management plan agreed with a prescriber and the patient

Question 33

What are the legal requirements for dispensing labels ? | 6 points

Answer 33

Name of the patient Name and address of the supplying pharmacy Date of dispensing Name of the medicine Directions for use Precautions relating to the use of the medicine

Question 34

True or false: The drug quantity is a legal requirement on dispensing labels

Answer 34

FALSE It is only good practice to include the drug quantity on the dispensing label

Question 35

True or false: It is a legal requirement to have "Keep out of sight and reach of children" on a dispensing label

Answer 35

FALSE It is only a legal requirement to state "Keep out or REACH of children" Including to keep out of sight is only good practice

Question 36

Military prescriptions should be treated as private prescriptions except under which circumstances

Answer 36

The pharmacy has a dispensing contract with the ministry of defense

Question 37

How often should SOPs be reviewed

Answer 37

Every 2 years

Question 38

What are the four principles of medicines optimisation?

Answer 38

1. Aim to UNDERSTAND patient's experience 2. EVIDENCE based medicine 3. Ensure medicines use is as SAFE as possible 4. Make medicines optimization part of ROUTINE PRACTICE

Question 39

Describe medicines reconcilliation

Answer 39

Identifying an accurate list of a person's current medicine (including OTC products) and comparing these with the current list in use. Should check against two sources e.g. GP record and asking the patient

Question 40

What needs to be submitted to GPhC yearly for revalidation?

Answer 40

Four CPDs (at least two planned) One peer discussion One reflective account

Question 41

Which 2 pieces of legislation govern the sale and supply of medicines ? (hint: 2 for humans. 1 for animals)

Answer 41

The Medicines Act 1968 The Human Medicines Regulations 2012 The Veterinary Medicines Regulations 2013

Question 42

True or false: | Customised prescription forms used in prisons are NOT classed as NHS prescriptions

Answer 42

FALSE | FP/WP10s are not used in prisons but the customised forms are still classed as NHS prescriptions MEP 43 page 46

Question 43

What are the legal requirements for a POM register entry? | 5 points

Answer 43

1. Date of supply 2. Date on prescription 3. Patient details 4. Prescriber details 5. Medicine details: Name, strength, form and quantity

Question 44

Can EEA/Swiss prescribers issue repeatable prescriptions?

Answer 44

YES Note: this also includes schedule 4 and 5 CDs which are repeatable (EEA and Swiss prescribers can only prescribe CD 4 and 5s anyway)

Question 45

True or false: | A CD written on a military prescription (FMed 296) form cannot be dispensed in community pharmacies

Answer 45

TRUE | This is the case even if the community pharmacy has a dispensing contract with the Ministry of Defence.