MEP

Question 1

Define a GSL Product

When can they be sold?

Answer 1

A medicine that can be sold in both registered Pharmacies and other retail outlets, given that they can ‘close as to exclude the public’

They can be sold without the supervision of a Pharmacist, however the RP must be signed in (when sold within a Pharmacy)

Question 2

Define a P Product

Answer 2

A medicine that can be sold from a registered Pharmacy premises by a Pharmacist or a person acting under their supervision

These products must not be accessible to the public for self selection

Question 3

How much Pseudoephedrine and Ephedrine can be sold in one transaction OTC?

Answer 3

Pseudo = 720mg

Ephedrine = 180mg

Cannot supply both types at the same time

Question 4

When could Levonorgestrel be used as EHC?

Answer 4

Women aged over 16

Up to 72 hours after unprotected sex

Question 5

When could Ulipristal acetate be used as EHC?

Answer 5

Women aged over 16 (although licence does allow for women that are younger)

Up to 120 hours (5 days) after unprotected sex

Question 6

Under what age is it legally deemed that you cannot give consent to sex? And therefore the case is likely referred to social services?

Answer 6

13 years

Whilst sex under 16 is an offence, it can be consensual, and the law does not aim to prosecute 2 consulting parties

Question 7

OTC, how much Aspirin/Paracetamol can be sold?

Answer 7

Not more than 100 non effervescent tablets, or capsules

In practice this means no more than 96 (due to standard box sizes)

There is no restriction on effervescent tablets, however professional judgement should be used

Question 8

How many tabs of Codeine/Dihydrocodeine can be sold as a P product, and at what point would the product become a POM?

Answer 8

P = <32

POM = >32

This includes effervescent formulations

Question 9

What are the 7 legal prescription requirements for a standard FP10?

Answer 9

Signature of Rx’er

Address of the Rx’er

Date

Particulars of the Rx’er (Doesn’t need their name! Mr Locum is fine!)

Name of the Pt

Address of the Pt

Age of the Pt (if under 12 yrs)

Question 10

True or False: An Rx for Temazepam written by an Rx’er in Guernsey is valid in England

Answer 10

False

Sch 2 and 3 CDs must be Rx’d in the UK (of which the crown dependencies do not count)

Question 11

For repeatable prescriptions, if no number of repeats is indicated…how many can be dispensed?

Answer 11

1 repeat of the prescription

Unless it is for an oral contraceptive, in which case 5 repeats are valid

Question 12

Can CDs be Rx’d as repeatable?

Answer 12

Yes - But only Sch 4/5

Sch 2/3 are not valid

Question 13

What is the date expiry for repeatable prescriptions?

Answer 13

6 months for the first dispensing for POMs and Sch 5 - Then no legal time limit for the rest

28 days for Sch 4 CDs - Then no legal time limit for the rest

Question 14

How long should Private Prescription records be kept for?

Answer 14

2 years after the day of supply (or last day of supply of a repeatable Rx)

Question 15

What type of items are exempt from record keeping?

Answer 15

Oral contraceptives

Sch 2 CDs where a separate CD register record has been made

Question 16

What are the key differences between legality in prescriptions from the UK and EEA?

Answer 16

EEA - Need direct contact details of the Rx’er (eg, email address and phone number)

Cannot supply CD Sch 1/2/3

Question 17

What is the main difference between an EEA and UK emergency supply at the request of an Rx’er?

Answer 17

EEA - CANNOT ask for Phenobarbital even if for the treatment of epilepsy

Question 18

What are the legal requirements of a label?

Answer 18

Name of the Pt

Name and address of the supplying Pharmac

Date of dispensing

Name of the medicine

Directions for use

Precautions relating to the use of the medicine (when appropriate)

‘Use this medicine only on your skin’ as necessary

NOTE THAT ‘KEEP OUT OF REACH AND SIGHT OF CHILDREN’ IS NOT A LEGAL REQUIREMENT

Question 19

How many dates need to be recorded for a Emergency Supply at the request of the patient, and how many at the request of the Rx’er?

Answer 19

Patient - 1 date (supply date)

Rx’er - 3 dates (supply date, date on Rx, date the Rx is received)

Question 20

What is the maximum quantity of different drugs that can be given by emergency supply?

Answer 20

CD (Phenobarbital) or Sch 4/5 - 5 days

POM - 30 days

Insulin/Cream/Ointment/Inhaler - Smallest OP

Oral Contraceptive - Full treatment cycle

Question 21

What records should be kept for supply of salbutamol inhalers/epipens to schools?

Answer 21

Date of supply

Name, quantity, formulation and strength of the POM

Name and address, trade, business or profession of the person to whom the medicine was supplied

The purpose for which is was sold or supplied

Question 22

When under the PPP, what quantity of oral retinoids can be given?

Answer 22

30 days

More can be given if the pt isn’t under the PPP

Question 23

For veterinary prescribed medications, what should be included when prescribing CD Sch 2/3?

Answer 23

The Rx’ers Royal College of Veterinary Surgeons registration number

Question 24

What is the difference between POM-V, POM-VPS, NFA-VPS and AVM-GSL?

Answer 24

POM-V = POM meds that can only be Rx’d by a veterinary surgeon and supplied with a written Rx

POM-VPS = POM meds that can be Rx’d and supplied by a veterinary surgeon, Pharmacist or suitably qualified person. A written Rx is only needed is the supplier is not the Rx’er

NFA-VPS = Meds for non-food animals. A written Rx is not needed

AVM-GSL = An authorised vet med that is available on general sale

Question 25

What are the prescription requirements for a vet Rx?

Answer 25

Name, address, phone number, qualification and signature of Rx’er (Registration number needed if CD 2/3)

Name and address of the owner

Identification and species of the animal and its address

Date

Name, quantity, dose and administration instructions of the required medicine (ASD not acceptable)

Any warnings

‘Prescribed under the Cascade’

If CD - Note that states the animal/herd is under the care of a veterinarian

Repeat numbers

Question 26

How long should vet Rx’s be kept in the Pharmacy?

Answer 26

5 years

Question 27

What are the additional label requirements for veterinary prescriptions?

Answer 27

Expiry date of the product

Special storage instructions (if applicable)

Any applicable withdrawal period (eg, time between drug given and when the animal can be used for food)

Question 28

What are the legal requirements for a CD requisition?

Answer 28

Signature of the recipient

Name of the recipient

Address of the recipient

Profession or occupation

Total quantity of drug

Purpose of the requisition

Question 29

What is the approved requisition form for CD’s?

And what can midwifes order?

Answer 29

FP10CDF

Diamorphine, Morphine, Pethidine

Question 30

What legally needs to be added to a CD Sch 2/3 Rx when prescribed by dentists?

Answer 30

‘For dental treatment only’

Question 31

What amendments can Pharmacists make to CD scripts if illegal?

Answer 31

If it is in words but no figures (or visa versa) then it can be added by a Pharmacist

Question 32

What type of CDs that are to be destroyed need a authorised witness?

Answer 32

Those that are OOD

Patient returns do not need to be authorised

Question 33

What are the 3 things that must be present on an RP notice?

Answer 33

Name of the RP

The GPhC number

The fact that the RP is in charge of the Pharmacy at the time