Private Prescriptions Flashcards
Green Prescription Form Type
-FP10SS: GP, community, nurse, independent, hospital unit, supplementary prescribers
-FP10NC: GP
FP10HNC: Hospital Unit
Yellow Prescription Type
- FP10D
- Only items in the dental formulary can be prescribed
- Dentists are strongly advised to prescribe generically
- Can prescribe by brand equivalent name provide its not listed in the section of drug tariff (black list)
Lilac Prescription Form Type
- FP10PN
- FP10SP
- FP10-REC
FP10SP
- Community practitioner nurse prescriber
- Nurse Independent prescriber
- Out of hours centre prescribers
- Prescriptions must include type of prescriber issuing it
- Unless annotated with independent or supplementary only items in nurse formulary
FP10-REC
Used by OOH providers to record items supplied directly to a patient and not dispensed through a community pharmacy
Submitted directly to NHSBSA for reimbursement
Blue Prescription Form Type
FP10MDA-SS: GP, nurse, independent, supplementary, hospital unit
FP10MDA-S: GP
FP10MDA-SP: Independent, supplementary
-FP10HMDA: Hospital Unit
–Prescriptions must be annotated with type of prescriber issuing it
Pink Prescription Form Type
- FP10PCDSS: Private prescribers issuing a Schedule 2-3
- CD dispensed by a community pharmacy
- Rx must be annotated with type of prescriber issuing it
- Send to NHS at the end of the month.
- Require a private dispensing code.
White Online Prescription Form Type
- FP10PCDF
- Controlled drug requisition form
- CD requisition form to obtain schedule 2 and 3 CD for stock from community pharmacy has been replaced with a new approved mandatory requisition form, available from NHSBA website
Private Prescriptions
- Non-NHS Prescriptions
- Can be written on any piece of paper, no specific layout
- However, prescription requirements of FP10 still apply
- Pharmacist can charge any amount
How long does Rx need to be retained
Rx for a POM must be retained for 2 years from the date of last sale/supply
Legal Requirements of FP10
- Signature/ address/ particulars of prescriber
- Name/address/age (if under 12) of pt
- Date (must be dispensed within 6 months)
Legal Requirements of Private Rx
Same as FP10
How long is a Rx valid for?
up to 6 months from the appropriate date
Repeat Prescriptions
- Can be repeated as indicated by prescriber (eg. repeat x3 = prescription is dispensed 4 times in total)
- If the number of repeats isn’t stated, the prescription can only be repeated once (dispensed twice), UNLESS it is for an oral contraceptive - can be repeated 5 times = dispensed 6 times.
CD repeat Rx
Prescriptions for Schedule 2 and 3 CDs are not repeatable; however, those for Schedule 4 and 5 are repeatable
Repeat dispensing period for POM or Sch5 CD
must be made within 6 months of the appropriate date
Repeat dispensing period for Sch4 CD
the first dispensing must be made within 28 days of the appropriate date, following which there is no time limit for remaining repeats
Private prescription - Record of Supply
POM register (book or electric)
Entry must be made on the day or following day
POM register retained for 2 years from date of last entry
Private prescription - Record of Supply exemptions
Prescriptions for OC (Oral contraceptives)?
Schedule 2 CD drugs (CD register record would have been made, however good practice to still record)
Private Prescription Record- LEGAL REQUIREMENTS
Supply date
Prescription date
Medicine info: name, quantity, formulation, strength
Prescriber name and address
Patient name and address
Private Prescription Record - GOOD PRACTICE
Dosage
Price charged
Reference number
How to endorse private RX
- Pharmacy Stamp
- Date Dispensed
What do pharmacist do when there is no time limit remaining for repeats?
1) use professional judgement
2) taking into consideration clinical factors, to determine whether further repeat dispensing is appropriate.
What do you do if a pt chooses to have repeats dispensed from another pharmacy
- Pt can choose to have repeats dispensed from different pharmacies and can retain the Rx.
- To maintain an audit trail mark on the Rx the name and address of the pharmacy from where supply has been made and the date of supply.
