pharmacy law Flashcards

1
Q

what does it mean if a prescription is endorsed SLS

A

These drugs and devices are only for patients with the stated medical conditions, and not for any other purpose

note: NHS Prescription Services cannot advise in regards to which conditions an SLS product can be prescribed for

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2
Q

can a dispenser add an SLS endorsement to a prescription

A

no - only the prescriber can

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3
Q

which CD classes are prescriptions only valid for 28 days

A

Sch: 1, 2, 3 and 4

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4
Q

what CD schedule is morphine sulphate

A

CD schedule 5

note: no need to put in cd register, rx valid for 6 months

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5
Q

TRUE OR FALSE

legally you need to write the strength of dexamfetamine tablets on a prescription

A

FALSE

you do not need to write the strenght of dexamfetamine tablets on prescriptions because they only come in one strength (5mg)

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6
Q

TRUE OR FALSE

Patients may be charged a fee to access data about themselves held on a pharmacy patient record PMR system

A

true

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7
Q

what is the fridge temperature range that medicines should be stored at in the pharmacy

A

2-8 degrees

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8
Q

how long are prescriptions valid for under the pregnancy prevention programme

A

prescriptions are valid only
for seven days and ideally should be
dispensed on the date the prescription is written.

note: Prescriptions which are presented
after seven days should be considered expired and the patient should be referred back to the prescriber for a new prescription. Pregnancy status may need to be reconfirmed by a further negative pregnancy test

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9
Q

what is the maximum quantity supply for prescriptions under the pregnancy prevention programme

A

maximum 30 days supply

note: A quantity for more than 30 days can only be dispensed if the patient is confirmed by the prescriber as not being under the PPP.

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10
Q

is “as directed” an acceptable administrative instruction for veterinary prescriptions

A

no

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11
Q

when does a veterinary prescription need to say ‘prescribed for the treatment of an animal or herd under my care”

A

if Schedule 2 and 3 CDs have been prescribed

note: Standardised forms are not required for veterinary prescriptions whereas standardised forms are required for human private prescriptions for Schedule 2 and 3 CDs

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12
Q

if a patient is travelling with CDs, when do they need an export/import license

A

if they are travelling for more than 3 months or have more than 3 months supply of CD schedule 2 to 4 (part I) drugs

*note: it is advised (not mandatory) that a covering letter signed by the prescriber is obtained that confirms the name of the patient, travel plans, name of the prescribed CDs, total quantities and dose.

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13
Q

what CD sch is temazepam

A

CD sch 3 (CD no register)

note: temazepam is a CD3 that requires safe custody along with buprenorphine. some CD 3s do not require safe custody. CD sch 3 do not need to be written in CD register

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14
Q

what CD sch are pregabalin, gabapentin, tramadol, phenobarbital, midazolam

A

they are all CD sch 3 (CD no register)

note: they are all CD sch 3 but exempt from safe custody requirements. some CD3 still have to be locked in CD cupboard. CD sch 3 do not need to be written in CD register

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15
Q

is an authorised witness required when denaturing patient returned CDs

A

no- authorised witness not required. But good practice to be witnessed by another member of staff familiar with CDs

note: denaturing is required for Schedule 2, 3 or 4 (Part 1)

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16
Q

is an authorised witness required when denaturing expired / obsolete/ unwanted stock

A

authorised witness required if CD sch 2. for CD3, good practice to be witnessed by another member of staff familiar with CDs

note: denaturing is required for Schedule 2, 3 or 4 (Part 1)

17
Q

what CD schedule is Codeine (tablets + oral solution)

A

CD sch 5

note: codeine injection ampoules are CD sch 2

18
Q

which side effect of a new medicine do you report using the yellow card scheme

A

report all side effects- even the ones that are mild and even known side effects (which may be seen on SPC)

19
Q

can you remove blister strips from their original packaging when disposing medicines

A

Blister strips can be removed from their inert outer packaging but tablets and capsules should not be de-blistered

note: An exemption applies to CD tablets and capsules, which require denaturing

20
Q

what CD schedule is Dipipanone hydrochloride with cyclizine

A

CD schedule 2

21
Q

what CD schedule is suboxane (Buprenorphine with naloxone)

A

CD Schedule 3 (CD No Register)

*note: buprenorphine is a schedule 3

22
Q

what CD schedule is methadone

A

CD schedule 2

23
Q

how many days treatment can be prescribed on both FP10MDA and WP10MDA forms for instalments

A

a maximum period of treatment of 14 days

24
Q

when should specials be supplied on a prescription

A

specials should only be used when no other licensed preparation available is suitable for the patient

25
Q

which CDs schedules need to be denatured

A

denaturing is required for Schedule 2, 3 or 4 (Part 1)*

26
Q

what are the requirements on a signed order for schools

A
  • must be signed by principal/ head
  • name of the school
  • purpose of the product required
  • total quantity required

note: ideally this is written on headed paper but it is not a legal requirement

27
Q

what do you do with a signed order once you’ve supplied the requested items

A

either:
- make a POM register
or
- keep the signed order for 2 years from the date of supply

28
Q

which CD schedules is the address of prescriber is required to be within the UK

A

need a UK prescriber for CD: 1,2 +3

  • do NOT need a UK address for CD 4 (part 1+2) and CD 5
29
Q

how long does a record of the responsible pharmacists need to be kept for

A

5 years

30
Q

how long do CD registers (paper/electronic) need to be kept for

A

2 years

31
Q

what information is legally required on dispensed medication labels?

A

It is a legal requirement for the following to appear on dispensed medicinal products:

  • 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.
32
Q

how long must a cd register be kept for

A
2 yrs from date of last entry
but if it contains records of
destruction of CDs (including
patient returns and out of date
stock) then keep for 7 yrs