Prescription Only Medicines
- Created by: Labake
- Created on: 27-12-16 15:21
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- Prescription Only Medicines
- Rx Requirements
- 2 NAMES- Rxer and Pt
- 2 ADDRESSES- Rxer and Pt
- 1 DATE- when Rx signed
- Rx valid for 6 months after date
- If CD 2,3 or 4 then 28 day validity
- If NHS then can also be valid from date Rxer asks for
- Rx valid for 6 months after date
- Rxer Signature
- AGE- of Pt if under 12
- EEA Prescriber Rx extra requirements
- Pt full name, surname and DOB
- Rxer full name, surname, qualifications, contact details (email and phone no. with prefix) and work address + country
- Medicine details- name, brand, dose, form, strength and quantity
- Date when Rx was signed
- Emergency supply ALLOWED at Rxer or Pt request
- Only for POMs and CD 4 and 5
- At Rxer request, Rx needed within 72 hours
- Signed in indelible ink, advances electronic signature or typewritten
- Repeatable Rx
- Not repeat dispensing- NHS Rx sent frequently for regular items
- ONLY PRIVATE
- Electronics Rx allowed for POMS and Sch 2-5 w/ advanced electronic signature
- Suspected forged Rx needs sig scrutiny and Rxer contacted using directory
- Types of Rxers
- For ALL POM Rxs
- Doctor- FP10NC
- Installment Rx form- FP10MDA (includes IPs and SPs)
- Dentist
- Contractually required to be DPF drugs or NHS won't reimburse
- Can legally Rx ANY POM
- Supple-mentary Rxer
- Led by Doctor or dentist
- Rx based on their patient specific clinical management plan
- Includes IP review date and all info about drug
- Rx based on their patient specific clinical management plan
- Pharmacists, midwives, nurses, podiatrists, physio-therapists, radiographers,dieticians and optometrists
- Led by Doctor or dentist
- Pharmacist Independent Rxer
- Nurse Independent Rxer- FP10P
- MUST be NPF
- Doctor- FP10NC
- For RESTRICTED POM Rxs
- Optometrist Independent Rxer
- No parenterals or CDs
- Physio-therapist Independent Rxer
- No CDs APART from Oral diazepam, lorazepam, temazepam, Dihydro-codiene, oxycodone, transdermal Fentanyl and Oral/Injection Morphine
- Podiatrist Independent Rxer
- No CDs APART from Oral Diazepam, Lorazepam, Temazepam and Dihydro-codiene
- Community Practitioner Nurse Rxer
- Restricted to NPF
- Therapeutic radiographer Independent Rxer
- No CDs EXCEPT temazepam, oxycodone, fentanyl, codiene, morphine, tramadol and midazolam
- Optometrist Independent Rxer
- EEA and Swiss Doctors, Dentists, Nurse IPs, Pharmacist IPs and midwives
- No CD 1, 2 or 3
- Independent Prescribers restricted to their expertise and are responsible and accountable for diagnosis and treatment
- For ALL POM Rxs
- POM, P and GSL titles introduced in Medicines Act 1968
- POM= Medicine sold in accordance of Rx given by practitioner
- Exemptions
- What makes a POM?
- New active substance
- Prevents damage to human health
- Widely misused and dangerous
- For parenteral admin
- Labelling
- Name of Pt
- Date of dispensing
- Directions for use
- Name and address of pharmacy
- Precautions
- Name of medicine
- "Keep out of sight and reach of children" and "External use only"
- If bottle/inhaler then label on it instead of outer box
- Blister pack/ broken down labels
- Needs names of medicine, quantity, ingredients, expiry date, ref number and handling and storage requirements
- Pharmacist label changes
- Name of medicine (not actual medicine)
- Optimise dose/regimen so easier to understand
- Add precautions
- Record Keeping
- NO POM RECORD NEEDED
- Wholesale deals (invoice kept for 2 years)
- Private Oral Contraceptive Rx
- NHS Rx
- Private Rx
- Signed order
- Record Requirements
- 2 DATES
- Date on Rx
- Date of sale/supply
- 2 NAMES
- 2 ADDRESSES
- Non- legal requirements
- Ref no. and £
- Medicine details
- 2 DATES
- Retaining for 2 years
- Private oral contraceptive Rx retained for 2 years
- NHS Rx (NHSBSA) and Sch 2 and 3 CDs sent off
- Wholesale invoice kept for 2 years
- Must be wriiten/computer generated within 24 hours of sale/supply
- NO POM RECORD NEEDED
- Rx Requirements
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