Prescription Only Medicines (POMs) Flashcards
The Human Medicines Regulations 2012 - Classification of medicinal products
GSL - General Sale List
Obtainable from any lockable premises e.g. supermarket.
P - Pharmacy medicines
Obtainable only from registered pharmacies with Responsible Pharmacist in supervision
Bought over the pharmacy counter.
POM - Prescription Only Medicines
Obtainable by wholesale dealing
i.e. Need a prescription (normally).
How to obtain a POM
Professional person for use in their practice
By wholesale from a pharmacy or wholesaler (signed order / requisition).
Member of the public
Against a valid prescription from a practitioner
As Emergency Supply at request of a doctor or designated prescriber
As Emergency Supply at request of patient
By means of a Patient Group Direction (PGD)
“Health” Prescription
valid for 6 months
Types of FP10 forms in England - Green
FP10SS- basically anyone that can prescribe but dentist
FP10NC-GP
FP10HNC- hospital unit
Types of FP10 forms in England - Blue
FP10MDA-SS- anyone that can prescribe but a dentist
FP10MDA-SP- GP
FP10MDA-SP- independent prescriber and supplementary prescribers
FP10HMDA- hospital unit
Types of FP10 forms in England - Yellow
FP10D-dentist
Types of FP10 forms in England - Lilac
nurses
Types of FP10 forms in England - Pink
private prescribing issuing schedule 2 and 3 controlled drugs dispensed by community pharmacy
Prescription Requirements for POM (HMR 2012 p123)
A valid prescription must be:
Signed by an appropriate practitioner in ink
Written (or typed) in indelible ink (can be carbon paper)
Contain the following particulars
Appropriate practitioner’s address
Appropriate date
An indication of the kind of appropriate practitioner giving it (i.e Practitioners Qualifications)
Name, Address & Age (if under 12) of Patient
must not be dispensed more than 6 months after the appropriate date unless:
repeatable prescription, or
CD Rx (28 days).
Prescription requirements for a POM - repeatable
A ‘Repeatable’ prescription
“Script” which contains the direction that it may be dispensed more than once
‘REPEATS’ NOT ALLOWED on FP10 (NHS) scripts or any script for a CONTROLLED DRUG (Schedules 2 & 3)
To be dispensed for the first time within 6 months of the appropriate date.
A repeatable script not specifying the number of repeats may be dispensed no more than twice unless it is an Oral Contraceptive which may be dispensed six times within 6 months of appropriate date
How is the pharmacy paid for NHS prescriptions?
REIMBURSEMENT + REMUNERATION
REIMBURSEMENT
Payment of costs incurred e.g. drugs
REMUNERATION
Payment for work involved
Prescriptions sent to NHSBSA (NHS Business Services Authority) at end of each month
POM records
All supplies of a POM must be recorded except when:
(i) Supply is on NHS script (HEALTH Rx) or any script for an Oral Contraceptive
(ii) A separate record is made in the Controlled Drugs Register
(iii) Sale or supply is by wholesale dealing and the order or invoice relating to the sale is retained for 2 years
(iv) Supply is made in connection with the NHS Drug Testing Scheme
THE ENTRY MUST BE MADE AT THE TIME OF THE SUPPLY OR on the following day
What’s a “POM book”?
Prescription only book
A hardbound register kept in a pharmacy
Our APPS dispensing classes currently simulate this
or…
An electronic record which records the same details in an accessible format
Most pharmacies now use this
Details of POM records
Record of supply must contain
Date of supply
Name, quantity, form & strength of product supplied
Date on Prescription
Name & Address of Prescriber
Name & address of patient
For second and subsequent supplies on a repeat prescription only require
Date of supply
Reference to the first entry
Who can request an Emergency Supply?
Doctor
Dentist
Supplementary prescriber
Community practitioner nurse prescriber
Independent prescriber
Nurse
Optometrist
Pharmacist
