prescription requirements

Question 1

can a rx in a different language be accepted?

Answer 1

yes

Question 2

is a faxed rx legally Valid?

Answer 2

no

Question 3

when do owing prescriptions expire? [how long are they legally valid for?]

Answer 3

6 months from when it was done [28 days for cd]

Question 4

what is the form for military prescriptions?

when must they be considered as private prescriptions?

Answer 4

FMED 296

when there is NO dispensing contract with the ministry of defense

Question 5

what are repeatable prescriptions?

Answer 5

where medicines can be dispensed more than once against the same rx. eg it will say [repeat 3x]

Question 6

how many times must you dispense a repeatable rx if the number of repeats is not stated?

Answer 6

repeat once

[dispense 2 times in total]

Question 7

which prescriptions are NOT repeatable?

Answer 7

nhs prescriptions

CD 1,2,3

Question 8

how many times can oral contraceptives be repeated on a repeatable rx?

Answer 8

5 times

-dispense 6 times in total [within 6 months of expiry]

Question 9

on repeatable rx , when must the first dispensing be done?

after that when must the other repeats be done?

Answer 9

within 6 months. or 28 days for cd schedule 4

no legal time limit for the other remaining repeats

Question 10

how must a pharmacy keep an audit trail of the number of repeats dispensed on a repeatable rx?

Answer 10

stamp the rx with the pharmacy name, address and date supplied each time it is dispensed

Question 11

which is the only cd drug that can be made into an emergency request? who must request it?

Answer 11

phenobarbital when used for epilepsy only

at the request of the prescriber

Question 12

when must an original rx be sent over to the pharmacy by the doctor after an emergency supply has been made?

Answer 12

within 72 hours

Question 13

when can you give an emergency supply of a medicine at the request of a patient?

Answer 13

when it has been previously prescribed by a gp

Question 14

after an emergency supply has been issued, when must the pOM register be filled out by?

Answer 14

the day of the supply or the day after

Question 15

what must be recorded in the pom register when an emergency supply has been requested by a PRESCRIBER?

Answer 15

3 dates - when rx was recieved, POM supplied, date on rx

medicine details

name and address of prescriber and pt

Question 16

what must be recorded in the POM register when an emergency supply has been done at the request of the PATIENT?

Answer 16

date pom was supplied
medicine details
name and address of pt
reason for emergency

Question 17

what is the maximum quantity to supply for the following drugs for an emergency supply at the request of the PATIENT?

cd 4,5 phenobarbital
POM
oral contracptive
inhaler, insulin, creams
liquid antibiotic

Answer 17

• 5 days
• 30 days
• full cycle eg 28 days
• smallest pack size
• smallest quantity to complete course

Question 18

how long should veterinary and responsible pharmacist records be kept?

Answer 18

5 years

Question 19

how long should private prescriptions records be retained for and from when?

except for which 2 medicines?

Answer 19

2 years from last date of supply

• except for oral contraceptives and schedule 2 cd

Question 20

are private CD [schedule 2 and 3] prescriptions be retained in pharmacies?
what should happen to them?

Answer 20

sent off to the NHS agency at end of every month

Question 21

what should be written on a dispensary label of an emergency supply?

Answer 21

‘emergency supply’

Question 22

what should be written on the dispensary labels of split containers?

Answer 22

name of medicine and ingredients
quantity
handling and storage requirements
expiry date and batch no.

Question 23

what are the laws surrounding the administration of parenteral poms?

what is the exception to this rule?

Answer 23

you cannot legally administer parenteral poms to another person unless acting in accordance with the directions of a prescriber

except in an emergency eg injecting epimen.

Question 24

when may there be POM supplies WITHOUT a prescription? [6]

Answer 24

• emergency supplies
• PGD
• pandemic exemptions
• signed orders of salbutamol to school
• supply of naloxone by ppl providing drug treatment services
• optometrist and podiatrist signed orders

Question 25

do you have to record signed orders from optometrists and podiatrists in the pom register?

Answer 25

yes

Question 26

for how long should signed orders of salbutamol to a school be kept for?

what are the legal requirements of a signed order for salbutamol to a school?

Answer 26

2 years

principal signature, school name, purpose, total quantity

Question 27

when can naloxone be suppled without a rx?

Answer 27

to anyone for the purpose of saving a life in an emergency opioid over dose eg family/friend to administer in heroin overdose

Question 28

if a medicine says ‘expiry date: use by 05/2022’ , up to what date can it still be taken and is not classed as expired?

Answer 28

end of the month

so end of may 2022. then after that it is expired

Question 29

when is the only time a pharmacy would require a license for waste disposal of medicines?

Answer 29

for pt returns

Question 30

which CD schedule would require an authorised witness when you denature it?

Answer 30

schedule cd 2

Question 31

what type of license must a pharmacy have in order to supply chemicals/poisons?

Answer 31

home office license

Question 32

what mark must ALL medical devices carry?

Answer 32

CE mark

Question 33

is there a legal age requirement for children to come in and collect prescriptions or medicines?

Answer 33

no pharmacists should just use their professional judgement