NHS and Private Prescriptions Flashcards
What are the legal requirements required to be on a prescription?
- Name of the patient
- Address of the patient
- Name of the prescriber
- Address of the prescriber
- Signature of the prescriber
- Particulars of the prescriber (type of prescriber)
- Date
- Age of the patient (if under 12 years old)
Are the legal requirements for a private prescription the same for a NHS prescription?
Yes, it is the same.
Which schedules cannot be prescribed on repeat prescriptions?
Schedule 1, 2 and 3 controlled drugs cannot be on repeat prescriptions.
If you receive a repeat prescription which said ‘repeat 5 times’, how many times can the repeat prescription be dispensed?
It can be dispensed 6 times. First dispensing and then can be repeated 5 times, giving an overall of 6 times.
If you receive a POM repeatable prescription, how long is the prescription valid for first dispensing?
6 months.
If you receive a controlled drug repeatable prescription, how long is the prescription valid for its first dispensing?
Schedule 4 CD - 28 days
Schedule 5 CD - 6 months
Which controlled drugs can be given on repeat prescriptions?
Schedule 4 and schedule 5 controlled drugs
What are the legal requirements for EEA prescriptions to be dispensed in the UK?
- Patient’s full name
- Patient’s date of birth
- Prescriber’s full name
- Prescriber’s professional qualification
- Prescriber’s work address
- Prescriber’s email and contact number
- Prescriber’s signature
- Detail of prescribed medicine (name, strength, quantity and formulation
- Date of issue
Which drugs cannot be prescribed on an EEA prescription?
- Schedule 1, 2 and 3 controlled drugs.
- Any drugs prescribed that have no marketing authorisation in the UK (refer patient to appropriate UK prescriber).
What should you check if you receive an EEA prescription?
The registration status of the prescriber.
Which controlled drug schedules require a standardised form when prescribed on a private prescription?
Schedule 2 and Schedule 3.
Which standardised form is required for private prescription for schedule 2 and 3 controlled drugs?
FP10PCD
Which standardised form is used for the requisition (wholesale) of schedule 1, 2 and 3 controlled drugs?
FP10CDF
Which establishments are exempt from using a standardised form for the requisition of schedule 1, 2 and 3 controlled drugs?
Hospices and prisons.
What details are legally required to be on a private prescription for a controlled drug?
- Patient’s name
- Patient’s address
- Prescriber’s address
- Prescriber’s signature
- Dose
- Formulation (abbreviations like tabs and caps are accepted)
- Strength (if prescription available in more than one strength)
- Total quantity (words and figures)
- ‘For dental treatment only’ - if prescribed by a dentist
- Valid instalment direction
Which part of the legally required information on a controlled drug prescription can a pharmacist amend and under what circumstances?
- If the total quantity of the controlled drug is not written in both words and numbers but is only written as one of them, the pharmacist can amend the prescription by writing the missing requirement (e.g. if word is missing but number is present, pharmacist can write the word to amend the private prescription.
- However, if both quantity in words and numbers are missing, the pharmacist cannot amend the prescription and should contact the prescriber for them to correct it.
What should you write on the private prescription of a controlled drug after its supply?
The date of supply.
If the prescriber wants the sugar free version of a controlled drug, what should the prescriber write on the prescription?
Prescriber should specify it on the private prescription (e.g. writing ‘sugar free’).
In a controlled drug instalment, how many missed days should it be before you contact the prescriber?
Three or more consecutive days.
Why should you contact the prescriber after they miss three consecutive days of their prescribed controlled drug treatment?
To consult the prescriber as the patient may have lost tolerance on the drug, therefore, supplying them their drug strength may cause an overdose.
Is the pharmacist legally required to check who is the person collecting for schedule 2 controlled drug prescriptions?
Yes, the pharmacist should check whether the person collecting the schedule 2 prescription is the patient or the patient’s representative.
What should the pharmacist do if the person collecting schedule 2 controlled drug is the patient or the patient’s representative?
The pharmacist may request evidence of that person’s identity, unless already known to the pharmacist.
What should the pharmacist do if the person collecting schedule 2 controlled drug is a healthcare professional collecting on behalf of the patient?
Unless already known to the pharmacist, obtain:
- Name of healthcare professional
- Address of healthcare professional
- Request evidence of identity
Which standardised form form is used for the instalment of controlled drugs?
FP10MDA
Which drugs can be supplied in instalment through the FP10MDA form?
- Schedule 2 drugs
- Buprenorphine
- Naloxone
- Diazepam
If a hospital requested a requisition supply from a pharmacy of either a schedule 2 or 3 controlled drug, will the hospital need the standardised/approved form for requisition?
Yes, if the hospital and pharmacy are in legally separate entities.
If a registered pharmacy requested the supply of a schedule 2 or 3 controlled drug from another registered pharmacy, will an approved form of requisition be needed?
Yes, an approved form will be needed and the supply can only be made once this has been received by the supplier.
Can a doctor or dentist receive a requisition supply in an emergency from a pharmacy without a requisition?
Yes, but they will have to provide the approved requisition form within 24 hours. Failure to do so would be an offence committed by either the doctor or the dentist.
Is a standardised form required for either a schedule 2 or 3 private prescription that is issued and dispensed in the same legal entity? (e.g. doctor in the hospital wrote the prescription and sent it to the hospital pharmacy that is the same legal entity)
No, in this scenario, if the private prescription for a schedule 2 or 3 controlled drug is issued and dispensed in the same legal entity, a standardised form is not required.
What are prescribed on the standardised form FP10PCD
Private prescriptions for schedule 2 or 3 controlled drugs.
