DRUG SCHEMES Flashcards

Question

EUROPEAN HEALTH INSURANCE CARD (EHIC) ENTITLEMENTS

Answer 1

FREE if visiting on a temporary basis - GP/Hospital/Dental Visit - prescribed medication which would allow them to remain in Ireland in line with original planned schedule **not for travel specific to attaining medical treatment**

Answer 2

High Tech Medicines are **purchased by HSE** and supplied through local Pharmacies Pharmacy paid a **monthly patient care fee** by PCRS (including if not dispensed)

Answer 3

Methadone is prescribed and dispensed by doctors and pharmacists for **approved clients on Central Treatment List** (01 6488640) **Patient Care Fees** paid to participating professional providers **no charge of fees to clients** Clients have a unique PH number and an Opioid Substitution Treatment Card with name and photograph & name of doctor and pharmacy Treatment Card sent to patient’s pharmacy **Prescriptions for treatment of opiate dependent patients may only be dispensed if treatment card is valid**

Answer 4

Search for drug on: UNITED DRUG ORDERING WEBSITE MPS SOFTWARE? Details in Touchstore

Answer 5

GOOGLE ULM GMS CODES LIST and select the HSE CIRCULARS CORRESPONDENCE Ctrl F to find a document on circulars

Answer 6

Can search **UD/Uniphar** website to check stock, date of return HPRA.ie on menu tabs Google Medicine Shortages List Can also choose IPU List of shorts Usually **expected date of return** given Sometimes reason? Will say if **discontinued** (contact GP) Ring supplier AM for **allocation** of shorts

Answer 7

HPRA.ie menu options

Answer 8

Shingrix Expensive- not on any schemes 50yrs+ 18yrs+ if risk factors Does NOT prevent chicken pox (primary varicella infection) NOT PREGNANCY/Breast Surgery NOT IMMUNOSUPPRESSED See YouTube video **Shingrix Update for Pharmacists**

Answer 9

Find a medicine on HPRA.ie Under Status Also on European Medicines Agency ema.enropa.eu

Answer 10

Put in the ‘**chemist & code’** as the GP Put through scheme as **contraceptive claims** or whatever listed as in that pharmacy MUST HAVE **VALID PPS** & form completed Put through drug (eg Ella One) Put through the **EHC DISPENSING FEE** **BN/Expiry/PSI Number** on directions label

Answer 11

GMS patient hospital visit **Dispensed within 48hrs** (todays or next days date eg late discharge) Since Covid can give **upto 1/12 supply** Use doctor code **61559** Select correct hospital Put through as **HE Scheme** **attach Rx copy to receipt** **Scan Hospital Rx** for PMR

Answer 12

PCRS will send Healthmail to notify pharmacy of renewed High Tech Rx PCRS **Pharmacy Suite** High Tech Hub Search **My Patients** **Print PDF doc** **Order** correct medicine from the hub **File** green HSE High Tech Rx in folder

Answer 13

Persons homeless not in residential centre must pay GMS fees In residential setting, accommodation provider pays fees on their behalf and is responsible for collecting payment from residents Pharmacist can offer to register families on GMS if no access to internet on **www.medicalcard.ie**

Answer 14

Provider of accommodation required to pay GMS fees on their charge on behalf of each resident and responsible for collecting payment from them (Illegal to offer phased dispensing if qualified care/nursing staff)

Answer 15

All GMS RXs DENTAL HOSPITAL EMERGENCY EEA (EU) HARDSHIP any claimed strength of a particular product eg Warfarin

Answer 16

Children in HSE care under CHILD CARE ACTS (foster?) **exempt from GMS fees** Carers responsible for children in care (eg disability) will pay the charge to the pharmacy and **claim back from HSE/PCRS**

Answer 17

No fees for Methadone/Suboxone to addicts Will be charged for any other items on Rx The supply of Methadone/Suboxone for non-addicts must pay fees (pain?)

Answer 18

**Direct provision** : accommodation, food, money and medical services you get while your international protection application is being assessed or while you are an asylum seeker Need full eligibility for GMS Card **NO FEES** if valid medical card living in Direct Provision

Answer 19

Supply of High Tech Medicines operates on basis of pharmacy claiming patient care fee so **no prescription charge to patient** Pharmacy can claim non-dispensed fee (if not required that month eg 3/12 injection)

Answer 20

Persons affected by the NATIONAL CERVICAL CHECK SERVICE **and their dependents** are exempt from prescription charges

Answer 21

Holders of a REDRESS FOR WOMEN RESIDENT IN CERTAIN INSTITUTIONS ACT 2015 SERVICES CARD **do not have to pay prescription charges**

Answer 22

Holders of HEALTH AMENDMENT ACT CARD are exempt from prescription charges on medical card

Answer 23

Pharmacy Suite Eligibility **SECURE SCHEME CHECKER** **Patient Specific Arrangements** listed will verify if person exempt from Rx charges (also if GMS card valid, dual registration eg LTI and GMS)

Answer 24

If you have spent €114.00 euro in your pharmacy, and then needed to get a prescription filled in another pharmacy in the same calendar month, (DPS) you can claim back the excess of €114.00 from the HSE using a claim form

Answer 25

The 3-part carbon copy GMS Rx For items to be repeated (if legal) If only 1 repeat, give parts 2&3 (shred 1) If 2 repeats, all 6 sheets Details must be legible on back copies Only paid for claims where patient had full GMS eligibility within 2/12 of date of claim

Answer 26

Only claims where the claiming pharmacy’s Incomplete Claims Percentage is decreasing progressively ( percentage is 0.1% or less) will process for payment

Answer 27

**NOT CONTROLLED DRUGS** in Schedule 2 & 3 of Misuse of Drugs Regulations **S1A** Medicinal Products cannot be repeated unless **explicitly specified in writing repeat once (or twice)** **NRT & ONS** are not reimbursed **NOT for EU/EEA** visitors Patient must present **complete set to pharmacy** for dispensing Back 2 copies validated with GR number, top copy stamped/dated in ‘1st Dispensing’ Remaining forms returned to patient **Pharmacist must sign the dispensed set** Submitted for payment to PCRS as **Regular or Exception Claims** and entered as such on the summary forms with other GMS claims (numerical order located AFTER the standard GMS (green) forms in monthly claim bundle (if required to be physically sent) **Dispensed at reasonable time intervals** according to dosage instructions on Rx

Answer 28

Hospital Emergency Scheme: GMS patients provided with a Hospital prescription or discharge from a residential palliative care setting (hospice) to obtain a maximum of **one month supply (except CDs)** Must have **valid GMS card** Claim Forms need **photocopy of Rx** **Doctor code 61559** **Must be dispensed on the day of issue** of a hospital/hospice prescription - in special circumstances an emergency supply may be dispensed on the following day (late discharge) **only GMS reimbursable items** Patient (or representative) **must sign for receipt of supply** When a person other than the named person is collecting drug/medicines under this arrangement, the **relationship should be recorded** on the form Rx from **approved public hospital** CUH SIVUH MERCY MALLOW BANTRY

Answer 29

Available to all medical card holders **over 16yrs** Duplicate is pharmacy copy Payment of Dental claims is **drug reimbursement price and GMS fee** Must be **fully hand coded** Submitted separately with GMS Claims Payment included in GMS payment each month and reported on GMS itemised listings Medicines must be on **List of Dental Prescribable Items** available on PCRS.ie Patient **must sign form** as received Must be **correct dental prescriber**

Answer 30

Submitted as **EEA CLAIMS** on claims certificate and summary of claims form Top copy sent for reimbursement Second copy for Pharmacy records Third copy for GP records

Answer 31

**€80 per family per month** Approved items only Pharmacy reimbursed for cost of drugs **above** the copayment threshold **List of GMS Reimbursable Items** found at PCRS.ie **NRT** & **Compression Hoisery** are not allowed on the DPS

Answer 32

**Core Lists** for each LTI condition Anything else must be **specifically individually approved** and can be verified under special conditions using PPS number on **Scheme Checker** for Eligibility Patient must have an **LTI Number** **Pharmacist can request reimbursement approval for additional drugs from the reimbursement list** for a patient using the Secure Scheme Checker (Link at bottom that says ‘to request additional drugs for this patient click here’) **Pharmacist must upload copy of Rx and any supporting documents for the request** must be obvious it’s for LTI Request will remain **pending approval** until reimbursement decision made and until that point, patient must pay for item on DPS if no medical card Once approved, item will be listed under specific approvals for patient on the Scheme Checker Also a **link to the LTI Core List** is on Secure Scheme Checker LTI Drug Codes often start 777.. Can be **dual registered** for LTI and GMS Items for anything other than LTI not allowed

Answer 33

Pharmacist obtains drug from wholesaler by **ordering via High Tech Hub** Check **valid Rx** first and dosage (eg 3/12) Can only be ordered for **specific person** **List of HT drugs available to order** on the Hub located in the Help Tab On discharge, patient asked to **nominate one community pharmacy** to obtain supply Send copy of High Tech Rx to High Tech Coordination Unit to **register new patients** If patient moving elsewhere, they must sign **Change of Nominated Pharmacy** form (Sent to High Tech Coordination Unit) A **monthly Patient Care Fee** is payable to the pharmacy for each registered patient claim

Answer 34

**USE CODE 88999** Need **reason** not dispensed Acceptable reasons are listed on software eg only given intermittent, pack size, admission to hospital **Maximum of 3/12** not dispensed patient care fee can be claimed Not for **deceased patients** Inform HSE if High Tech Drug no longer required Submit **Supplier’s Delivery Docket** with the claim Should be sent separately in an envelope marked **High Tech Drug Arrangements** to PCRS **not later than 5th each month**

Answer 35

Medical card holders are entitled to all High Tech items **from the agreed list FREE of charge**

Answer 36

Persons covered under the HAA (Hep C) are entitled to all High Tech items **from the agreed list FREE of charge**

Answer 37

LTI patients are entitled to an item from the agreed High Tech list free of charge **ONLY if the item has been authorised for their particular long term condition**

Answer 38

DPS cardholders will continue to **pay the relevant copayment (€80)** toward the total cost of High Tech medication

Answer 39

T-Numbers are issued by High Tech Coordination Unit in **exceptional circumstances** eg patient stranded in Ireland and required High Tech Medicines

Answer 40

A patient with entitlement under any other scheme (GMS/LTI/DPS) will retain existing authorisation number - **this number must be quoted on pharmacy claim forms**

Answer 41

Pharmacy entitled to **full patient care fee if both HT & DPS items dispensed =€80** If a DPS patient **only collects the HT item** the pharmacy owes the PCRS the difference between the patient care fee and the copayment paid (If high tech medicine **less than €80** the pharmacy is credited with patient care fee amount and excess balance goes to PCRS) Any debt to PCRS gets taken off other claim payments

Answer 42

Year end stock value for PCRS accounting PCRS will **send electronic list of HT drugs ordered by that pharmacy** - pharmacist should **confirm quantity** of each drug. Complete stock take via High Tech Module on Pharmacy Suite **High Tech Stock Take** Help tab on RHS supports the application Pharmacies **do not** include HT meds in their own stock take

Answer 43

Methadone Rx’s now called **Opioid Substitution Treatment Prescription Form** to reflect 2017 change in legislation (Done to inc Buprenorphine products authorised to treat opioid dependence) See Circular **NOT MORE THAN 7 DAYS SUPPLY** Maximum of 8 days for **Additional Bank Holiday Supply** where required and indicated on the Rx under **Supervision Instructions** Must have **quantity per day** and **number of days at that dose** specified on the form **Total dose in both words and figures** **Opioid Dependent Patients must have a valid Treatment Card with PH Number** Must be written on dedicated form For non opioid dependence **must be prescribed by hospital consultant only** and still on the dedicated form

Answer 44

Claims submitted to HSE PCRS no later than **14 days after the last day of the month in which supply was completed** HSE PCERS PO BOX 6422 Finglas Dublin 11

Answer 45

Must always be on the **correct form** **ink, signed and dated by prescriber** Full name and address of patient **PH NUMBER** as Treatment Card Number For **non-opiate dependent patients, use GMS/DPS/EEA number on form** Name of practitioner, dates and all drug details **drug name, form, strength, treatment period, daily dosage, number of days at that dose, total quantity** Supervision/Instalment instructions Doctor Number/Name/Contact Details **Pharmacy Number, Drug Code & Quantity Dispensed** **Pharmacist Signatures** Pharmacy Stamp **Signed by Patient** For non-opioid dependence, **complete the bottom yellow section of the form**

Answer 46

Rare circumstances (eg addict in Garda station) supply from GP to user **official opioid treatment prescription form used** with words **Requisition: For Professional Use** written in the place allocated for patient name and address Usually top copy submitted as notification, but in requisition **carbon copy** submitted. **top copy retained by pharmacist to comply with Misuse of Drugs Regulations** **Practitioners must pay** for Methadone/Buprenorphine/Naloxone obtained in this manner

Answer 47

Dispensing doctor can **obtain supplies of GMS reimbursable items from a contractor pharmacist** whose premises in normal area of doctor’s practice **only GMS coded items can be obtained on stock order form** Exempt medicinal products not covered Consists of 4 sheets Original - pharmacist claim form Copy 1 - pharmacist records Copy 2 - HSE records Copy 3 - GP records **Dispensing Doctor must submit Stock Order Forms to their Community HSE Office for prior approval by relevant HSE Pharmacist** All yellow panels completed before supply Pharmacy cannot supply unauthorised stock order forms

Answer 48

All yellow panels completed before supply and approved by Community HSE Phamacist Clearly indicate quantity and strength of drugs required in Columns 1 & 2 **blue declaration NOT signed until GP checked stock received vs ordered and query discrepancies** **expiry dates of received drugs checked** and should have minimum of **12 months shelf life remaining** Supplies obtained should be checked **before month end** to enable submission of completed signed forms to PCRS for reimbursement

Answer 49

The pink order form should be used by all participating doctors to obtain supplies of: - **Non-Insulin Disposable Syringes and Needles (combined or separate)** - **Dressings** for use in surgeries for **GMS Patients** from the list of reimbursable items (see **PCRS Online Service>List of Reimbursable Items**) Declaration not signed & dates until GP has checked stock received vs requested and discrepancies resolved All parts of form must be completed before supply Inc computer sequence number

Answer 50

Services in Community Pharmacy commenced January 2019 **Mifepristone** & **Misoprostol** are available to order by approved **GPs & centres** through the **Stock Order** system in pharmacies Approved providers have the **blue stock order forms** Quantities ordered should be in line with expectation of service needs at the practice

Answer 51

Initial **pharmacy authorisation by HSE** to **access stock from supplier** can take 48hrs (once off process) Pharmacy notifies the HSE by **forwarding scanned copy of blue form** to pharmacy.response@hse.ie Form must be fully completed in ink Must list the item’s strength & quantity **Quantities should correspond to pack size of product and be such that they fulfill the service requirement in the surgery at that time** So OP for immediate use? **One coded item per line** Doctor signs stock order form certifying correct stock received as ordered Top copy of blue form goes to PCRS and claimed as **Pink Stock Order Form** with **invoice attached** at end of each month

Answer 52

Claim back money for items allowed on drug schemes **www.pcrs.ie>List of Reimbursable Items** Needs the 5 digit **DRUG CODE** and quantity dispensed to be eligible Refer to existing information sources for rules regarding dispensing eligibility

Answer 53

**GMS EXTEMP** Submit code and description of product, formula used, quantity dispensed and ingredient cost (as per the Health Professionals (Reduction of Payments to Community Pharmacy Contractors) Regulations) The **claiming code will trigger the relevant extemp fee and VAT amounts** where applicable **99159 - oral medication (€6.53)** **99160 - powders (€19.60)** **99161 - oint/creams (€13.07)**

Answer 54

**DPS/LTI/HAA** Submit code and description of product, formula used, quantity dispensed and ingredient cost (as per the Health Professionals (Reduction of Payments to Community Pharmacy Contractors) Regulations) The **claiming code will trigger the relevant extemp fee and VAT amounts** Covers ointments, creams, powders and mixtures in various quantities rather than just single blanket code on GMS **also includes ear/eye/nasal drops and lotions** If an item already has a code on Reimbursement List **cannot use EXTEMP code** even if extemp prep was required Eg reconstitution of antibiotic powder to form oral suspension

Answer 55

Item codes **777??** For following **non GMS products** ie on DPS/LTI/HAA **- Ostomy/Urinary - Dressings - Incontinence - Infertility Drugs - Unauthorised Medicines - Food Supplement Products (ONS?)** Pharmacy inserts the codes and quantity dispensed **exact quantity of each item supplied must be specified in writing for clarification in the Drug Name and Strength panel** **Copy of the invoice** must accompany the claim or rejected

Answer 56

**Certain EMPs have been granted codes** GMS/LTI/DPS/HAA can submit for payment in normal manner with monthly claims if it has a code **Must be initiated by a CONSULTANT** Pharmacist must document which **hospital and consultant patient attended** HSE will accept a GMS Rx where pharmacist is satisfied it was initiated by consultant

Answer 57

**Consultant initiated & patient informed** Must have a code (Google list) Doctors/Pharmacists must ensure **use of EMPs/ULM restricted to situations where no licensed alternative available** Must ensure **patient understands that their medicine is not licensed in Ireland** meaning safety, quality and efficacy not established in this country - drug must be ‘allopathic’ ie **industrially produced** for appropriate use in community - **copy of invoice** required for PCRS claim - if necessary, **explanation required** of circumstances why EMP prescribed - the EMP must be the **only item** on the prescription form - **cost of item** must be reasonable (in context of licensed alternative)

Answer 58

Where GMS patient prescribed ULM from hospital consultant that has no code and no suitable alternative **special approval** required at local level and subsequent submission to that office under the **Discretionary Hardship Arrangements** Approval should be sought via PCERS for EMPs not coded to ensure payment authorised through exceptional **777** arrangements for Community Drug Schemes Novel items will require completion of an **Individual Reimbursement Application Form** by consultant for consideration Queries: PCRS.ExemptMed@hse.ie

Answer 59

The agreed upon reasons for claiming **phased dispensing fees** are: **1.** At the **request of the patient’s physician** **2.** Due to the inherent nature of a medicinal product ie **shelf life or product stability** (eg ongoing liquid antibiotic course expires after 5/7) **3.** Where patient is commencing new drug therapy to **establish dose tolerance** before full treatment regime **4.** Exceptional circumstances where **patient incapable of safely & effectively managing medication regimen** **Prior approval necessary under reasons 1 & 4** 2&3 are obvious from the product & dose

Answer 60

**Approval required BEFORE dispensing** **PHASED DISPENSING FEE ONLY ON GMS** **Phased Dispensing Approval Request** screens are completed on **Pharmacy Suite** **Claiming > Phased Dispensing > New Application** Enter GMS Number, pharmacy number and select reason from menu and explain clinical risks **(for reasons 1 & 4 only, not required for shelf life or dose tolerance)** If GP has made the request to the pharmacy by inserting words **phased dispensing**, reason 1 selected and a **copy of the Rx attached to application suite before submitting** **Can check the patient’s eligibility for Phased Dispensing on Scheme Checker**

Answer 61

**Approval required BEFORE dispensing** If pharmacist decides **patient is incapable of managing medicines (Reason 4)** - it will likely be approved only if following criteria: - patient is **over 80** - patient is on **one or more psychotropic medicines** (*provide codes on application*) - patient is on **5+ oral medicines per month** Include **PSI Registration of Pharmacist** and **date of patient assessment** on the **Phased Dispensing Application under Claiming on Pharmacy Suite**

Answer 62

On Pharmacy Suite under Claiming, look at **Recent** tab or **Under Review** *Pending* will be displayed on screen while application under consideration If application is *Not Approved*, the **pharmacist can appeal** to the HSE by providing additional information on patient’s particular circumstances **Dates of each supply and collection should be recorded for audit and inspection purposes**

Answer 63

MDS/Blister Packing and Phased Dispensing are **separate processes** *Phased Dispensing* requires **patient to make multiple trips** to pharmacy each month eg every week to collect *MDS* is where medication is blister packed for the whole month to indicate when medication should be taken and **given in one visit** **MDS/BLISTER PACKING ARE NOT REIMBURSED BY HSE**

Answer 64

Where **nursing supervision** is available in a patient’s residential setting, **phased dispensing not reimbursed** and should not be submitted. Some claims are presented as four separate prescriptions, each for one week’s supply **this is not acceptable** either and seen as attempted circumvention of rules

Answer 65

In order to meet requirements of an **expensive prescription** and **remainder of pack not dispensed** after agreed period - full cost of balance will be paid. **Pack balance must exceed €12.70** Not dispensed within **3 months prior to claim** For reimbursement claim send: **- copy of Rx - endorse with stock balance & value - product invoice** Send to **Community HSE Office who forward it to PCRS**

Answer 66

**Each family pays max €80 x 12 per year** Second dispensing in a month only if advance collection due to circumstances To ensure complete supply due to 28 day pack dispensing, **one extra pack per year is granted at no charge** If 30 day packaging, this might be questioned

Answer 67

PCRS introduced *reimbursement application system* for high cost drugs **DOAC - direct oral anticoagulants (Dabigatran, Edoxaban, Rivaroxaban)** **Fampridine (Fampyra)** MS Walking **Versatis** Lidocaine 5% Plaster **Entresto** (Valsartan/Sacubitril) HF **FreeStyle Libre** Sensor (Flash Glucose Monitoring) **Non-first line ONS** Standard Oral Nutritional Supplements **PrEP** (Pre-exposure Prophylaxis) Plus any **Additional** Blood Glucose Test Strips **PRESCRIBER APPLIES NOT PHARMACY** Approval can be confirmed through Eligibility *Secure Scheme Checker* on Pharmacy Suite under **Patient Specific Arrangements**

Answer 68

**Apixaban (Eliquis®)** will no longer require prior approval through the online reimbursement application system. The Medicines Management Programme (MMP) have considered **Apixaban as the Direct Oral Anticoagulant (DOAC) of choice** If the prescriber chooses to prescribe another DOAC (**Dabigatran, Edoxaban and Rivaroxaban**) an application for reimbursement approval must still be made through the online portal. **Claims for Apixaban (Eliquis®) can be submitted in the normal manner** Further information of the MMP Preferred Drugs initiative can be found at https://www.hse.ie/eng/about/who/cspd/ncps/medicines-management/preferred-drugs/.

Answer 69

If you are HIV-negative and do not always use condoms for anal or vaginal/frontal sex then you may be at risk of HIV. PrEP is available through the HSE free of charge to those who are considered to be at high risk of contracting HIV through sex. PrEP is available in some public sexual health services and through some general practice (GP) and private providers. PrEP is given through community pharmacies DPS/GMS/LTI card required to access free PrEP through the HSE. Approval can be confirmed through the *Secure Scheme Checker* under **Patient Specific Arrangements**

Answer 70

Angiotensin Receptor Neprilysin Inhibitor **(ARNI)** Sacubitril/Valsartan (Entresto®) is approved for reimbursement under the Community Drug Schemes. Due to the **significant budget impact** associated with this medicine, the HSE introduced an online reimbursement application system. Clinicians submit an online application on behalf of each individual patient. **Applications should be made by the clinician responsible for the initiation of treatment** due to the information required to be submitted as part of an application. To be eligible for reimbursement of sacubitril/valsartan patients must meet **specific criteria** at the time of application Approval can be confirmed through the Eligibility confirmation on the Pharmacy Application Suite under **Patient Specific Arrangements**

Answer 71

In **postmenopausal women osteoporosis** Prolia significantly reduces the risk of vertebral, non-vertebral and hip fractures In men with **prostate cancer receiving hormone ablation** Prolia significantly reduces the risk of vertebral fractures Treatment of **bone loss associated with long-term systemic glucocorticoid therapy** in adult patients at increased risk of fracture Single subcutaneous injection **once every 6 months** into the thigh, abdomen or upper arm. Patients must be adequately supplemented with **calcium and vitamin D**

Answer 72

In line with Infectious Diseases Regulations- **medication for Notifiable Diseases such as TB are provided free of charge regardless of scheme** Submit claim to **Local Health Office** who then submit to PCRS **PPSN not required** Some meds (eg Rifater) are already GMS coded and claimed in normal manner under all drug schemes Other drugs (eg Ethambutol) are provided with admin codes under EMP List

Answer 73

Make sure GMS R’s signed by representative/patient collecting medicines

Answer 74

Endorse the Rx with **PC, date and pharmacist signature** when you contact prescriber for amendments to the Rx If **prescriber cannot be contacted** then pharmacist can supply **upto 7 days** if sufficient information to make a professional judgement (depending on nature of prescribed item) **Based on PMR, upto 1 month can be supplied** if pharmacist satisfied greater quantity justified. Endorse Rx with **PNC** and date/initials **Cannot add items to a prescription (even if usually prescribed) or make a claim with no prescription** considered fraud If Rx is **typed, handwritten items will not be reimbursed** unless countersigned by prescriber in their own handwriting

Answer 75

Nurses & Midwives who have - completed an approved education programme - appropriate clinical experience - registered as a **Registered Nurse Prescriber** with INB - authority from health service provider (eg HSE/GP Practice) who employs them to prescribe a **range of medications within their scope of practice** **Community RNP** issued with a **Primary Care Prescription Pad** in book format with original & 3 copies (Must record their PIN) RNP employed in **acute/specialist hospitals, mental health services, private hospitals, private nursing homes and general practice** will **not** be issued with Primary Care Prescription Pads

Answer 76

Misuse of Drugs Regulations (2007) **RNP are not authorised to prescribe Methadone** https://healthservice.hse.ie/about-us/onmsd/onmsd/specific-programmes/nurse-midwife-medicinal-product-prescribing.html https://healthservice.hse.ie/filelibrary/onmsd/national-nurse-and-midwife-medicinal-product-prescribing-policy.pdf

Answer 77

www.irishstatuebook.ie (Search *Misuse of Drugs*) (Search *Medicinal Products (Prescription and Control of Supply) Regulations 2003* and amendments) www.thepsi.ie

Answer 78

Misuse of Drugs Regulations 2017: insert Lisdexamfetamine into Schedule 8, Part 5, to allow registered nurses and registered midwives to prescribe Lisdexamfetamine for use in mental health or intellectual disability care.

Answer 79

Schedule 1A (**S1A**) cannot be repeated unless doctor *specifies in writing* Eg antibiotics, antidepressants and hypnotic drugs Controlled Drugs in Schedules 2 and 3 (**CD2 CD3**) of the Misuse of Drugs Regulations **should not be written on or dispensed from a repeat prescription** under any circumstances

Answer 80

No reimbursement unless **signed by prescriber in ink** **Unsigned GMS Rx’s submitted to PCRS will not be paid** **Detailed Payment Listing** will have message *Form not signed by doctor*

DRUG SCHEMES Flashcards

(104 cards)