MEP - legal issues with Rx Flashcards
From what age is levonorgestrel licensed as a P med?
16 years
Can levonorgestrel be given to a child aged 14 for UPSI which occurred 24h ago?
Yes - must be given under PDG.
CANNOT be sold as a P meds - 16 and over only.
Max number of non-effervescent paracetamol/aspirin than can be sold at one time?
100 max
What are the 7 general Rx requirements?
- Pt name.
- Pt address.
- Date.
- Prescriber signature.
- Prescriber particulars.
- Prescriber address.
- Age - if <12.
What is the “appropriate date” - difference between nhs and private rx?
NHS - date indicated for rx to start by prescriber or date it was signed.
Private - Date rx was signed.
How many times can private Rx be repeated if not indicated?
repeated once - ie dispensed twice.
How many times can private Rx for oral contraceptive be repeated if not indicated?
repeated 5 times - ie dispensed 6 times.
Are Rx for sch 2/3 drugs repeatable?
NO
When must first dispensing for Sch 4 Rx be made to allow for future repeats?
First dispensed must be within 28 days of date - then no time limit on other repeats.
Can the patient take away a repeatable Rx?
YES - they can get repeats in different pharmacies if they wish - mark name+address of pharmacy and date.
How long must private x for POM be kept?
2 years - from date of issue (or last repeat issue).
How long must POM register for private Rx be kept?
2 years from date of last entry.
What must the POM record for private Rx include?
- Date.
- Rx date.
- Medicine details - name, qty, form, strength.
- Px details
- Pt details.
Is a POM register entry required for contraceptives or Sch 2 CDs?
No, Sch 2 entry in CD register is enough.
When does an owing expire for POM and Sch 2/3/4 CDs?
POM - 6 months
Sch 2/3/4 - 28 days.
Can you legally supply against a faxed Rx?
No - not written in indelible ink AND not signed by practitioner.
Can dentists prescribe anything?
YES - they can write Rx for ANY POM.
Can dentists prescribe anything on GP14?
No - can only prescribe from dental formulary.
Can you complete an emergency supply for patient of a EEA or Swiss prescriber?
Yes - legally allowed.
What 5 things are required on EEA or Swiss Rx?
- Pt details (inc DOB).
- Px details
- Medicine details
- Px signature
- Date
How long does Px have to get Rx to you if they request emergency supply?
72h.
What are the 6 legal requirements for a label for a dispensed product?
- Pt name
- Name + address of pharmacy
- Date of dispensing.
- Name of medicine
- Directions for use.
- Precautions for medicine use.
For an emergency supply - how many days Tx can be supplied for phenobarb or Sch 4/5 CD?
Max 5 days Tx.
Can salbutamol inhalers be supplied to schools?
Yes - by written order signed by Principal/head teacher.
How long must signed order for salbutamol inhalers for schools must be kept?
2 years from date of supply.
Can schools obtain adrenaline auto-injectors?
Yes - again with written order and for purchase.
What other drugs (besides valproate) is included in a pregnancy prevention programme?
Oral retinoids - isotretinoin.
What are the 2 dispensing controls for females at risk of pregnancy?
- Rx validity - only valid for 7 days under PPP.
2. Quantity - max 30days supply.
What is an example of a biosimilar for Lantus (insulin glargine)?
Abasaglar.
What are the 4 types of vet medicines?
POM-V
POM-VPS
NFA-VPS
AVM-GSL
What is a POM-V?
POM which can only be Px by Vet surgeon
and
supplied by vet surgeon OR pharmacist on written Rx.
What is a POM-VPS?
POM that can be Px and dispensed by
Vet surgeon
Pharmacist
Suitably qualified person.
Is a written Rx required for all POM-VPS supplies?
No - only if supplier is not prescriber.
What is a NFA-VPS?
Medicine for Non-Food Animals (eg hamster) that can be supplied by
Vet surgeon
Pharmacist
Suitably qualified person.
What is an AVM-GSL?
Authorised Vet Medicine
General Sale List
What are Rx requirements for vet Rx?
- Name, address, telephone number, qualification and signature of Px.
- Name + address of owner.
- Name, species + address of animal.
- Date.
- Name, qty, dose and admin directions.
- Warnings, withdrawal period.
- If required, Px under cascade.
- Sch 2/3 CD - “Item Px for animal in my care”
- Number of repeats if necessary.
Is “as directed” acceptable on vet Rx?
NO - not acceptable.
How long should Vet Rx be retained in pharmacy?
5 years
Are standardised forms required for vet Rx for Sch 2/3 CDs?
No
What statement is required on vet Rx for Sch 2/3 CDs?
“For animal in my care”
What is the max quantity of Sch 2/3 CD’s that can be Px for humans vs vet (good practice)?
Human - 30 days
Vet - 28 days.
What must vet rx include to be able to ID Px?
RCVS number
How long are vet Rx for Sch 2/3 CDs valid for?
28 days.
What are the 4 steps of the vet cascade?
Supply licensed vet med.
Supply vet med licensed for another species/condition.
Supply licensed human med or EU-licensed vet med.
Exptemp or special can be considered.
What must appear on the dispensing label for a vet med given under the cascade?
- Name of vet surgeon.
- Name + address of animal owner.
- Name + address of pharmacy
- ID and species or animal.
- Date
- Expiry date of product.
- Name of product.
- Dosage and admin directions.
- Storage and warnings.
- Withdrawal period.
- For animal Tx only.
- Keep out of sight/reach children.
What info must be kept in the POM register for vet Rx?
- Name medicine
- Date of receipt/supply.
- Batch number
- Qty
- Name and address of supplier
- Name + address of Px
