Pharmacy Law Year 2 Flashcards
When does a pharmacist need to obtain a Wholesale Dealer’s Licence?
When the wholesale dealing forms more than an inconsiderate part of the business (more than 5% turnover)
Sales of which categoreies of poisons must be entered into the Poisons Book?
Scedule 1 only
What is contained in S4 Group 1 of the Poison Rules?
Classes of articles totally exempt from all poison controls
Give TWO conditions that must be satisfied to allow listed sellers to sell poisons
- Products must be in pre-packed containers
2. The sale must be made on listed premises
When can a signed order be accepted for a poison?
When the purchase is for trade use and the purchaser cannot attend to sign the Poison Book
Where may a Part 2 Poison be purchased?
From a pharmacy or a Listed Seller
List FOUR conditions which must be fulfiled in order to register as a pharmacist.
- Qualifications
- age of over 21
- payment of fees
- satisfactory pre-reg training.
If a manufacturer holds a Manufacturing Licence, is he required to obtain Product Licences for his product?
Yes if they are to be marketed in the UK.
Give THREE details that need to be recorded in the poisons register
- Date of sale
- Name & quantity of poisons
- Name & address of purchaser, business, trade or occupation of purchaser
What details are required in the Poison Book entry other than the name and quantity of the poison?
- Name, address and signature of purchaser
- Date of supply
- Details of householder (if any)
- use of poison and occupation of the purchaser
Dose a pharmacist have to make an entry in the register of receipts of poisons?
No, just supplies
List TWO requirements that must be fulfiles for the lawful sale of 51 poisons
- Knowledge of the purchaser
2. Record in the poison register
The sale of a Part 2 poison from a pharmacy must be surpervised by the pharmacist. TRUE or FALSE?
FALSE
A pharmacist makes a cough mixture for sale from another branch pharmacy. Is a PL required?
Yes
Who may the statutory Committee discipline?
- Persons wishing to register or be restored to the register bodies corporate
- representatives of pharmacists
For how long after the date of last entry must the poisons register be kept?
2 years
A pharmacist repackes some paracetamol tablets for sale from another branch pharmacy. Is a PL required?
No
Is it necessary for a locum to display a Responsible Pharmacist notice even if they are working at that pharmacy for only one day?
Yes
A Responsible Pharmacist must complete a record at a pharmacy. For how long must that record be kept?
5 years
What register is the GPhC required to keep unter the Pharmacy Act?
Register of pharmacist, technicians and pharmacy premises.
Who is responsible for issuing Product Licences?
The MHRA acting on behalf of the appropriate ministers.
S1, S2 & S3 CDs are needed for dispensing classes at LJMU. What information needs to be on the requisition?
- Signature of Head of school
- Recipients name & adress
- Total quantity & purpose required
Is it ever legal for a POM to be advertised to the public?
Yes, if the drug is a vaccine advertised as part of a Health Campaign
If it a legal requirement to include an expiry date on a product dispensed extemporaneously?
No, but it is good professional practice to do so
What details regarding the medicine are required on a POM prescription?
There are no legal requirement for details of the medicine to be supplied.
A private prescription for Logynon tablets states “Repeat”. How often may it be dispensed?
Up to six times within six monts of the date on the prescription. ( logynon is a contraceptive)
By LAW must all containers of dispensed medicines be labelled with the quantity of medicine contained therein?
No, it is not required by law but it is good professional practice.
All retail packs of GSL medicines must be labelled with the letters GSL. True or False?
FALSE
List the dates that must be recorded in the POM register entry of an emergency supply at the request of a doctor.
- Date of supply
- Date of script received
- Date on script
If an emergency supply to be made at the request of a doctor, must the medication have been previously prescribed for the patient?
No
List the details which must be recorded for an emergency supply at the request of a patient.
- Date of supply
- Details of medicine
- Name & address of patient
- Nature of emergency
All dispensing labels must BY LAW, be mechanically printed, TRUE or FALSE?
False
Is it necessary for a patient to be present in the pharmacy when an emergency supply at the request of a doctor is made?
No
Is it legal to advertise a drug to the public to treat raised blood pressure?
No
What are the conditions under which an ophthalmic optician may sell certain permitted medicine?
In the course of his business AND in emergency
When is it required BY LAW, to enter a prescription in the POM register?
When the presctiption is a private one for a POM
What classes of medicines are ophthalmic opticians permitted to sell under certain conditions?
All GSL and P medicines and those POMs which are included in a specific list
What is the time limit on the supply of a prescription to cover an emergency supply at the request of a patient?
There is no requirement for a prescription
List the details required in the POM register of a POM supplied on a private prescription
- Date of supply
- patients name & address
- prescribers name & adress
- name, quantity, dose, form & strength of POM
- Date on script
Name THREE health professionals who can supply medicines under a Patients Group Direction
Any 3 from health visitors, Midwives, Nurses, Opticians,, Chiropodists, Orthopists, Physiotherapist, Radiographers, Paramedics
A customer asks for a mixture made to her own recipe. What information needs to be on the label BY LAW?
- Name of customer
- Name of pharmacy
- Date of dispensing
- Keep out of reach of childeren
What are the three conditions which must apply to a legal sale of a P medicine?
- Business run by a person who may legally conduct a pharmacy business
- Registered premises
- Pharmacist supervision
What is the time limit on the supply of a prescription to cover an emergency supply at te request of a doctor?
72 hours
Can a pack of eye lotion for sale in the UK ever be classed as GSL medicine?
Yes, EYE LOTIONS are not precluded from being GSL
When is it legal to make an emergency supply at the request of a patient of phenobarbital tablets?
WHen they are for the treatment of epilepsy
How many days can phenobarbital tablets for epilepsy be dispense to patients during emergency supply?
5 days
A private prescription states “Repeat four times”. What is the time limit for all the dispensing?
The first dispensing must take place within six months of the date on the prescription, the rest no time limit
What is the time limit which a POM prescription must be dispensed?
Six monts
An NHS prescription for Marvelon tablets states “Repeat”. How many times may it be dispensed?
Once. Repeat dispensing is not allowed on standard NHS prescription. There are repeat scheme exist which allows repeat.
Where is the annual list of P medicines publishe?
Nowhere. There is no statutory list of P medicines
Can a mouth wash which contains only GSL ingredients be classed as a GSL medicine?
Yes. Mouthwashes are not precluded from being GSL.
Do enemas always have to be classed as P or POM medicines?
Yes, enemas cannot be classed as GSL
When is chiropodist permitted to administer a local anaesthetic?
When he/she has the relevant annotation in the Health Professions Council register and is qualified to use from a specific list
Conditions of emergency supply at request of patient…
- Patient must be interviewed.
- Must be satisfied there is sufficient need for the POM and that Rx cannot be immediately supplied.
- NOT schedule 1,2 or 3 CD’s!!
Conditions of emergency supply at request of HCP..
- Must be appropriate prescriber.
- Must be an emergency (Rx cant be immediately supplied)
- Prescriber agrees to provide Rx within 3 days.
- Not for schedule 1,2 or 3 CD’s (except Phenobarbital)
- Record must be made in POM book.
Is it possible to supply Nitrazepam tablets in an emergency at the request of a patient?
Yes, emergency supplies of CD(Benz)S4 are permitted
A local newsagent decides to repack large bottles of paracetamol tablets into packs of 16 tablets. Is this legal?
No, GSLs may only be sold in original pack/manufacturer pack. Pharmacies are allowed to repack medicines
When is it legal to make an emergency supply at the request of a doctor for Ritalin (methylphenidate) tablets?
Never, for CD(S2)
How many times may a private prescription for Microgynon tablets be dispensed?
Once unless there is a direction to repeat
Can a GSL medicine be sold from a vending machine located in a petrol station?
Yes, provided that the premises can be closed to exclude the public
Can Diazepam tablets be supplied in an emergency at the request of a doctor?
Yes, CD(Benz) S4
An emergency supply is made to a patient who intends to provide a prescription the next day. Is it necessary to make an entry in the POM register?
Yes, all emergency supplies for POM must be entered
When is it necessary BY LAW for a patients’ age to be included on a prescription?
- When the patient is human
- Under 12
- Medicine is POM
Name and injection that is not POM
Impossble. All injections are POM
A patient requests a supply of Digoxin tablets. How many dats supply can be given?
Up to 30days supply (for POM emergency supply)
Is it ever legal to advertise medicines for insomnia to the public?
Yes if the insomnia is occasional and not chronic
Can a pysiotherapist supply medicines under a Patient Group Direction?
Yes
Can a GSL medicine be sold from a pharmacy when the pharmacist is temporarily absent?
Responsible Pharmacist regulations permit this
On a prescription for a POM what information must be written in the prescriber’s handwriting?
His/Her signature
If a doctor is no present may a midwife administer whatever injections are required by her patient?
No, there is a limited list of injections which a midwife may administer
May a chiropodist sell all P medicines for use on the feet?
No, Chiropodists may only sell certain P medicines
What happens to a pharmacist if a doctor does not send a prescription to cover an emergency supply made at his request?
Nothing, but the doctor has breached the Medicines Act
When a P liquid medicines for external use is dispensed, there is no requirement to include the words “For External Use”, True or False?
False, this requirement exists for liquid external use medicines
When is it legal to make an emergency supply of Temgesic tablets?
Never. Temgesic (buprenorphine) is CD(NoReg)S3
Name three drugs which cannot be prescribed for addiction unless the doctor holds a special licence?
- Diamorphine
- Dipipanone
- Cocaine
The quantity of S2, 3 or 4 drugs prescribed at any one time should not exceed 30 days supply. True or False?
False, good practice suggests a maximum of 30 days supply
To which CD schedule does Lysergide belong?
S1
Which CD scedules require a dentist to declare, on the prescription that the drug is for dental treatment only?
CD S2 and CD S3(no register)
List THREE people who require additional signature on their CD requisition
- Midwives
- Matrons (head nurse)
- Masters of foreign ships in UK ports
For which Controlled Drug scedules is it necessary to retain invoices by law?
S3 (CD no reg) and S5 (CD Inv)
Invoices for S2 CDs must be kept for a period of TWO years. Yes or No
No, Only S3 and S5
What information is required on a dental requisition for pethidine injections?
- Name
- Address
- Profession and signature of dentist
- Total quantity
- Purpose
An instalment prescription for a S2 CD for the treatment of addiction can have a maximum of how many days’ supply?
14 days
What letters represent controlled drug scedule 4?
CD(Benz) & CD (Anab)
What information must be entered in the CD register for S2 drugs received in a pharmacy?
- Date of supply received
- Name & address of supplier
- Quantity received
For which CD scedules it is necessary for the prescribers address to be in the UK?
CD S2 and CD S3 (NoReg)
How should a correction be made in a CD register?
By way of a signed footnote
Give 5 pieces of information that must be entered in the CD register for supply of S2 drugs
- Date
- Name & addres of recipient
- Authority to receive
- Person collecting CD
- Proof of identity
- Quantity
Must prescriptions for TEMAZEPAM comply with full prescription requirements for S3 CDs?
No, exception
To which CD scedule does buprenorphine belong?
S3 (CD NoReg)
Can an emergency supply of Butalbital be made at the request of a patient?
No, only phenobarbitone for epilepsy
Can a pharmacist destroy unwanted S3 drugs in the absence of an authorised witness?
Yes
Which scedules of controlled drugs need to be entered in the CD register?
CD S2 only
When may a pharmacist destroy S2 drugs without an official witness?
When the CD S2 drugs have been returned by a patient
Is it a legal requirement to include the quantity on the dispensing label of CD S2?
No, not a legal requirement but good practice
When must CD register entries be made?
On the day of the transaction or the following day
Are licences required for the export of S4Part II (CD Anab POM)?
Yes, unless the substance is in the form of a medicine or is for administration by a person to his/herself?
Can a receptionist collect requisitioned CD S2 drugs on behalf of a doctor?
Only if he/she has written authority to do so
For which CD schedules are repeat precription allowed?
Private prescription for:
- S4 Part I
- S4 Part II
- S5
Name a S2 drug that does not have to be stored in the CD cupboard?
Quinalbarbital
How is the controlled drug schedule 2 represented in letters?
CD S2
Is it necessary to record sales of S5 (CD Inv) products?
No
When may a doctor, who does not hold a special licence, prescribe diamorphine for an addict?
When it is for the treatment of injury or organic disease
For which of the following must entries be made in the CD register?
- Morphine
- Pethidine
- Temazepam
- Nitrazepam
- Phenobarbital
Morphine and pethidine
When is it necessary to keep records of supply of S5 drugs?
Only when they are POMs
If a doctor needs an emergency supply of pethidine injections, what could a pharmacist do to help?
Make a suuply in advance of a requisition which must be presented within 24 hours
To which CD schedule does dipipanone belong?
CD S2
When may phenobarbital be supplied to a patient without a prescription?
In a emergency for the treatment of epilepsy
Whihc CD S2 injections may a midwife possess and administer?
- Diamorphine
- Morphine
- Pethidine
A prescription for a S4 Part II CD is valid for how long? 6 months or 28 days?
28 days
Name TWO S3 drugs that must be stored in the CD cabinet
- Temazepam
* Beprenorpine
Which of the following must be stored under safe custody in a pharmacy?
- Pethidine
- Buprenorphine
- Pentazocine
- Buprenorphine and pethidine
List the S3 drugs which must be stored in the CD cabinet?
- Diethylproprion
- Buprenorphine
- Temazepam
- Flunitrazepam (Rohyphnol)
