pharmacy law Flashcards
what does it mean if a prescription is endorsed SLS
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
can a dispenser add an SLS endorsement to a prescription
no - only the prescriber can
which CD classes are prescriptions only valid for 28 days
Sch: 1, 2, 3 and 4
what CD schedule is morphine sulphate
CD schedule 5
note: no need to put in cd register, rx valid for 6 months
TRUE OR FALSE
legally you need to write the strength of dexamfetamine tablets on a prescription
FALSE
you do not need to write the strenght of dexamfetamine tablets on prescriptions because they only come in one strength (5mg)
TRUE OR FALSE
Patients may be charged a fee to access data about themselves held on a pharmacy patient record PMR system
true
what is the fridge temperature range that medicines should be stored at in the pharmacy
2-8 degrees
how long are prescriptions valid for under the pregnancy prevention programme
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
what is the maximum quantity supply for prescriptions under the pregnancy prevention programme
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.
is “as directed” an acceptable administrative instruction for veterinary prescriptions
no
when does a veterinary prescription need to say ‘prescribed for the treatment of an animal or herd under my care”
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
if a patient is travelling with CDs, when do they need an export/import license
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.
what CD sch is temazepam
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
what CD sch are pregabalin, gabapentin, tramadol, phenobarbital, midazolam
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
is an authorised witness required when denaturing patient returned CDs
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)
is an authorised witness required when denaturing expired / obsolete/ unwanted stock
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)
what CD schedule is Codeine (tablets + oral solution)
CD sch 5
note: codeine injection ampoules are CD sch 2
which side effect of a new medicine do you report using the yellow card scheme
report all side effects- even the ones that are mild and even known side effects (which may be seen on SPC)
can you remove blister strips from their original packaging when disposing medicines
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
what CD schedule is Dipipanone hydrochloride with cyclizine
CD schedule 2
what CD schedule is suboxane (Buprenorphine with naloxone)
CD Schedule 3 (CD No Register)
*note: buprenorphine is a schedule 3
what CD schedule is methadone
CD schedule 2
how many days treatment can be prescribed on both FP10MDA and WP10MDA forms for instalments
a maximum period of treatment of 14 days
when should specials be supplied on a prescription
specials should only be used when no other licensed preparation available is suitable for the patient
which CDs schedules need to be denatured
denaturing is required for Schedule 2, 3 or 4 (Part 1)*
what are the requirements on a signed order for schools
- 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
what do you do with a signed order once you’ve supplied the requested items
either:
- make a POM register
or
- keep the signed order for 2 years from the date of supply
which CD schedules is the address of prescriber is required to be within the UK
need a UK prescriber for CD: 1,2 +3
- do NOT need a UK address for CD 4 (part 1+2) and CD 5
how long does a record of the responsible pharmacists need to be kept for
5 years
how long do CD registers (paper/electronic) need to be kept for
2 years
what information is legally required on dispensed medication labels?
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.
how long must a cd register be kept for
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
