Sales and Supply Flashcards
(40 cards)
How long are Sch 1,2,3 and 4 CD Rx valid for?
28 days
How long are Sch 5 CD Rx valid for (pholcodine, codeine)
6 months
POM-V
Prescription-only medicines that can only be prescribed by a veterinary surgeon or supplied by a pharmacist if prescribed by the vet after clinical examination of the animal, with a written prescription
POM-VPS
POM that can be prescribed and supplied by a veterinary surgeon, a pharmacist or a qualified person, on an oral or written prescription. A written script is only required if the supplier is not the prescriber. Clinical assessment of animal by prescriber is not required
POM-v medicines
A veterinary medicinal product (VMP) that has been classified as a POM-V, can only be supplied if prescribed by vet surgeon following a clinical assessment of an animal under veterinary surgeon’s care
NFA-VPS
Veterinary medicine supplied by vet, pharmacist an appropriately qualified sqp (suitably qualified person) if requirements for supply are met. Script not required
AVM-GSL
No legal restrictions in the VMR (veterinary medicines regulation) for retail supply of these meds, but a responsible approach is still expected for the supply
What should a pharmacist prescribing a POM-VPS or NFS-VPS supply always do?
- Advice of the safe administration of the product
- Advice of any warnings or contraindications on label, package/leaflet
- Be satisfied that the person administering is competent and intends to use it for authorised use
- Not prescribe or supply more than the minimum amount required for treatment
What exemption within the veterinary medicines regulations allows for the supply of human medicine that are not otherwise licensed for use in animals?
The Cascade. Must be prescribed by a vet and prescription must specifically state “ for administration under the cascade). However, there is a legal requirement to supply a licensed veterinary medicines where there is one available
What are three types of collection and/or delivery service?
- Standard Prescription Collection Service
- Managed Prescription Collection Service
- Delivery Service
All governed by GPhC standards
What is the Standard Prescription Collection Service?
The patient or their representative will make arrangements directly with the prescriber for the prescription to be produced, then the Pharmacy e.g staff or driver will collect it on behalf of the patient and bring to the pharmacy for dispensing.
What is the pharmacy’s responsibility to do for a standard prescription collection service?
- Obtain consent to receive the patient’s prescriptions
- Explain to patients/carers what the service involves, including when to collect the medication
- Have safeguarding confidentiality and privacy procedures
- Request for an ongoing service must come directly from patient or carer ideally in writing
- Any prescription received without consent should be returned to the surgery
What is the managed prescription collection services?
Where the pharmacy representative acts as a third party on behalf of the patient to order, collect, dispense and establish what medications are needed and will inform the patient when the medication will be ready to collect - helps reduce work load
Prescription Delivery Services
- Medicines are handed to patient/carer someplace other than registered pharmacy e.g home or work.
- Must obtain written consent and appropriate records must be kept for the purpose of audit
It is the responsibility of the pharmacist to ensure that the delivery mechanisms:
- Are safe
- Ensure prompt delivery with instructions for use
- Medicines are handed to the patient/carer unless alternative arrangements have been made
- Confirm the correct name and address of recipient
- Cater for special storage requirements e.g refrigerated lines
- Clear audit train and confidentiality
- Obtain a signature to verify safe delivery (good practice)
Benefits of repeat dispensing to the Pharmacy
Better workload planning
Benefits of repeat dispensing to the paitent
- Convenient access to meds w/o visiting GP monthly
- Improved medication adherence due to regular pharmacy contact (pharmacists ask what is still needed)
- Reduced risk of running out of medicines
Special considerations for the Pharmacist when counselling an RD patient
- Always check if the medication is still needed before dispensing.
- Confirm no side effects or changes in the patient’s condition.
- Ensure no hospital admissions or therapy changes since last supply.
- Be alert to non-adherence or missed doses.
- Document any concerns and contact the prescriber if needed.
- Provide clear advice on storage, use, and what to do if treatment changes.
A faxed prescriptions legally valid Rx
No. They are not written in indelible ink and has not been signed in ink by an appropriate practitioner
Risks of faxed prescriptions
- Misinterpretation
- Fraud
- Deception
- Duplicate dispensing
- Risk of OG prescripiton if subsequently amended by prescriber
- Fax could be sent to multiple pharmacies
What are CLINICAL requirements and not LEGAL requirements?
Details of medicinal product such as name, strength, quanity and dose as well as patient’s date of birth (on labels)
Q: What is the MHRA’s stance on pharmacies supplying medicines to healthcare professionals?
A: MHRA allows pharmacies to supply medicines to healthcare professionals without a Wholesale Dealer’s Licence (WDA(H)) as long as specific conditions are met.
Q: What are the conditions under which a pharmacy is exempt from holding a WDA(H)?
A: The supply must:
- Be occasional
- Involve small quantities
- Be not-for-profit
- Be for direct use in healthcare, not for onward wholesale
What is a Signed Order (SO) in the context of pharmacy?
A Signed Order is a document allowing a pharmacy to supply POMs to certain healthcare professionals without a prescription, for use in their clinical practice.
