MEP

Question 1

Prescriptions for which schedules of CDs require the prescribers address to be in the UK?

Answer 1

Schedule 2
Schedule 3

Question 2

How long are prescriptions for CDs valid for after the date they are written?

Answer 2

Schedule 2 - 28 days
Schedule 3 - 28 days
Schedule 4 - 28 days
Schedule 5 - 6 months

Question 3

Can you make an emergency supply of schedule 2 CDs?

Answer 3

No

Question 4

Can you make an emergency supply of schedule 3 CDs?

Answer 4

No, with the exception of phenobarbital for the treatment of epilepsy by a UK-registered prescriber

Question 5

Can you make an emergency supply of Schedule 4 CDs?

Answer 5

Yes

Question 6

Can you make an emergency supply of Schedule 5 CDs?

Answer 6

Yes

Question 7

Which schedules of CD can EU and Swiss healthcare professionals legally prescribe?

Answer 7

Schedule 4
Schedule 5

Question 8

What is legally required to be on a prescription for a schedule 2 or 3 controlled drug?

Answer 8

1. Prescribers signature
2. Date of signature
3. Prescriber’s address
4. Name, form, strength of CD
5. Dosage
6. Quantity (words and figures)
7. Name of patient
8. Address of patient

When supplied, the Rx must be clearly marked with the date and time the supply was made

No more than 30 days supply should be made for Sch 2 and 3 CDs

Question 9

How long should veterinary prescriptions be retained for?

Answer 9

5 years

Question 10

What is the maximum amount of pseudoephedrine that can be supplied at once?

Answer 10

720mg

Question 11

What is the maximum amount of ephedrine that can be supplied at once?

Answer 11

180mg

Question 12

How long are prescriptions made under the pregnancy prevention program valid for?

Answer 12

7 days
No more than 30 days supply

Question 13

Which schedules of CDs are available on repeat prescriptions?

Answer 13

Schedule 4
Schedule 5

Question 14

What pregnancy prevention measures need to be taken for male patients taking mycophenolate?

Answer 14

They or their female partner must use effective contraception during treatment and for 90 days after discontinuation

Question 15

What pregnancy prevention measures need to be taken for female patients taking mycophenolate?

Answer 15

They need to use 2 effective types of contraception during treatment for 6 weeks after discontinuation

Question 16

Do methadone scripts (non-instalment) have to be dispensed 28 days from the date signed or the “to be dispensed on” date?

Answer 16

They have to be dispensed within 28 days of the date to be dispensed

Question 17

How many days supply of a CD can be legally supplied?

Answer 17

There is no legal limit to the number of days supply of a CD can be supplied. However the home office recommends no more than 30 days so make sure to check with the prescriber if more than 30 days is requested.

Question 18

Which facilities are exempt from using the approved form for CD requisitions?

Answer 18

Hospices and prisons

Question 19

What are the legal requirements for a controlled drug requisition?

Answer 19

1. Signature of the recipient
2. Name of the recipient
3. Address of the recipient
4. Profession or occupation
5. Total quantity of the drug
6. Purpose of the requisition

Question 20

When does a requisition for CDs to a hospital pharmacy have to be on an approved form?

Answer 20

When the request is on behalf of a ward or department outside the same legal entitiy

Question 21

When an emergency supply of a CD is requested by a doctor or dentist, a requisition form must be supplied within how long of the request?

Answer 21

24 hours

Question 22

How long must a pharmacy retain an authorisation for CDs to be received by a messenger on behalf of the purchaser?

Answer 22

2 years

Question 23

How long should a CD requistion form for Sch 1, 2, or 3 CDs be retained for?

Answer 23

2 years

Question 24

How long should a veterinary CD requisition form for Sch 1, 2, or 3 CDs be retained for?

Answer 24

5 years

Question 25

How should CD requisition forms be processed in the community?

Answer 25

- Marked with the suppliers name and address (of the pharmacy) or stamped - Send the original requisition form to the relevant NHS agency - Retain a copy of the requisition for 2 years

Question 26

How long are veterinary prescriptions for PoMs valid for?

Answer 26

6 months

Question 27

How long are veterinary prescriptions for Sch 2, 3, and 4 CDs valid for?

Answer 27

28 days

Question 28

What phrase needs to be on a veterinary prescription for Sch 2 and 3 CDs?

Answer 28

"the item has been prescribed for an animal or herd under the care of the veterinarian"

Question 29

How do veterinary prescriptions vary from human prescriptions?

Answer 29

- Veterinary Rxs require no standard form provided they meet legal requirements, even if they are for Sch 2 and 3 CDs / Human private Rxs require a standardised form for Sch 2 and 3 CDs - Veterinary Rxs should be retained for 5 years and do not need to be sent to a NHS agency / Human Rxs for Sch 2 and 3 CDs must be sent to relevant NHS agency - It is good practice to supply 28 days for all veterinary Rxs unless long-term treatment is required / Sch 2, 3, and 4 CD supplies should not exceed 30 days for human Rxs unless justified on the script by the prescriber - Sch 2 and 3 CDs require the Royal college of Veterinarian Surgeons reg number / Human private Rxs for Sch 2 and 3 CDs require prescriber identification number

Question 30

Briefly outline the veterinary cascade

Answer 30

1. UK marketing authorisation for use in species and condition 2. NI marketing authorisation 3. UK or NI marketing authorisation for use in different species or condition 4. (a) UK or NI human medicine / (b) Veterinary medicine authorised outside of UK 5. Extemporaneous preparation

Question 31

Do veterinary medicines not prescribed under the cascade legally need to be labelled when dispensed?

Answer 31

No, as long as they are in their original packaging

Question 32

What is the maximum quantity of a Sch 4 or 5 CD that can be supplied as an emergency supply at the request of a patient?

Answer 32

5 days

Question 33

What is the maximum quantity any non-controlled drug that can be supplied as an emergency supply at the request of a patient?

Answer 33

30 days ## Footnote Unless it is insulin or oral contraceptive, in which case a full cycle should be supplied