PH-PSC 211 Dispensing 1 Lecture 5: Dispensing Process PDF

___________________________________________________________________________________________________________ STEP 2: FILLING THE PRESCRIPTION/ MEDICATION ORDE...

___________________________________________________________________________________________________________ STEP 2: FILLING THE PRESCRIPTION/ MEDICATION ORDER PH-PSC 211: DISPENSING 1 LECTURE 5: DISPENSING PROCESS CONSIDERATIONS OUTLINE: 1. Steps in the Dispensing Process 5 2. Filling the Prescription a. Generic Dispensing -2 b. Common Calculations c. Retrieving and Preparing the Drug d. Extemporaneous Preparation 24 e. Partial Filling 3. Packaging and Labeling the Medication a. Packaging and Labeling 4. Rechecking and Dispensing I. GENERIC DISPENSING a. Dispensing to Senior Citizens/PWDS ee b. Dispensing Dangerous Drug GENERIC DISPENSING 5. Record and Filing Procedures a. Patient Medication Profile Act of dispensing customer’s choice from among itt generically equivalent drug THE DISPENSING PROCESS 1. 2. Receiving and validating Filling m om 3. Packaging 4. Rechecking 5. Dispensing GENERIC EQUIVALENTS / PHARMACEUTICAL EQUIVALENT C 6. Recording and Filling 7. Medication Advice or Patient Counseling Finished pharmaceutical products having the same active ingredients, same strength, & dosage forms s ic m de ca A Prepared by: Balasoto, RRC Reviewed by: Adan, AMG 4ADM-XWTT-L6XD-VXJU 1 ___________________________________________________________________________________________________________ Dosage III. RETRIEVING AND PREPARING THE DRUG To prevent medication errors: Pick the medicine by reading the label at least twice 5 ○ SALADs - sound alike, look-alike drugs -2 Cross-check the medicine name & strength against the prescription 24 If barcode system is available, it should be used to enable correct and accurate selection of the medicine Check expiry date of dispensed medicines ee itt m om C s II. COMMON CALCULATIONS Medicines should be dispensed in original ic packaging as much as possible DISPENSING Medicines that need to be packed such as loose Dosage m capsules/tablets should be packed into a clean, dry Quantity/ amount to be dispensed container, such as a bottle or plastic envelope which Duration of therapy/ supply (day supply) de will not compromise the the quality of the product after ○ example: a drug is to be given 3 times a day, dispensing 2 tablets are to be given per dose and the duration of therapy is for 7 days. How much ca will be the day supply? A 2 𝑡𝑎𝑏𝑠 3 𝑑𝑜𝑠𝑒𝑠 𝑑𝑜𝑠𝑒 × 𝑑𝑎𝑦 × 7 𝑑𝑎𝑦𝑠 Total price and discounting COMPOUNDING No. of tablets/dosage units to be used Counting tray and Spatula Amount/volume of components Prepared by: Balasoto, RRC Reviewed by: Adan, AMG 4ADM-XWTT-L6XD-VXJU 2 ___________________________________________________________________________________________________________ ○ Cleaned (before and after) with 70% alcohol Partially-filled prescriptions must be returned to the to prevent cross-contamination buyer with instructions after recording in the ○ Count in multiples of 5 prescription logbook The drugstore that fully serves the prescription If the patient is prescribed half-tablets, the patient should keep the prescription on file may be directed to purchase a pill cutter. Scored 5 tablets should be dispensed whenever possible -2 24 ee itt IV. EXTEMPORANEOUS PREPARATION Extemporaneous preparations should m only prepared if there is no equivalent product available be om commercially and the product has to be compounded based on the patient’s needs Compounding of extemporaneous preparation should only be done on a patient-specific basis C Ingredients used for compounding are sourced from Ex. The patient wishes to purchase 10 tablets of 𝐹𝑒𝑆𝑂4 recognized pharmaceutical suppliers s Ensure that the preparation is prepared according to STEP 3: PACKAGING AND LABELLING THE MEDICATION formulation from a reputable reference ic There should be master formulation records and PACKAGING AND LABELING compounding records for the compounding which m The ideal container should be: should be checked by a staff member knowledgeable 1. Robust enough to protect the contents against in compounding and counter-checked by a de crushing during handling and transport pharmacist/another qualified staff member 2. Convenient to use in order to promote good patient compliance ca V. PARTIAL FILLING 3. Easy to open and close Must be written on the prescription: 4. Constructed of materials that do not react with the medicine A ✔ Name and address of drugstore ✔ Date of partial filling 5. Sufficiently transparent to allow for inspection of the ✔ Quantity served contents (for liquid preparations) ✔ Balanced unserved Prepared by: Balasoto, RRC Reviewed by: Adan, AMG 4ADM-XWTT-L6XD-VXJU 3 ___________________________________________________________________________________________________________ 5 -2 24 ee itt m om The label should contain: C 1. Name of patient Auxiliary labels 2. Generic name Communicate instruction on: s 3. Brand name ✔ Administration ic 4. Dosage strength ✔ Storage 5. Expiry date ✔ Special instructions m 6. Direction for Use Required for: 7. Name & Address of Pharmacy ✔ Dangerous drugs de 8. Name of doctor ✔ External-use only drug 9. Name of dispensing pharmacist ✔ Drugs with special storage & administration instructions ca A Prepared by: Balasoto, RRC Reviewed by: Adan, AMG 4ADM-XWTT-L6XD-VXJU 4 ___________________________________________________________________________________________________________ 20% discount and VAT exemption: On the purchase of generic/ branded medicines by or for senior citizens, including the purchase of influenza & pneumococcal vaccines Vitamins and supplements which are medically prescribed 5 Medicines that are already exempt from VAT will only -2 receive a 20% discount. Double discounts are not allowed. 24 STEP 4 & 5: RECHECKING AND DISPENSING Discount Computation: Preferably performed by another person aside from VAT shall be deducted from the retail price of the the one who performed the previous steps ee medicine to get the Net Retail Price (RP/1.12) 20% shall be deducted from the Net Retail Price to Objective: get the Senior Citizen’s Price itt To ensure that all the previous steps were performed accurately To double-check for incompatibilities DISPENSING TO SENIOR CITIZENS/PWDS m om AO No. 2012-0007 Guidelines implementing the Expanded Senior How much is the PWD price for 10 pcs. of Metformin tablet C Citizens Act of 2010 (RA No. 9994) costing 3.50 pesos each (already VAT exempt)? 10𝑝𝑐𝑠 × 3. 50 𝑝𝑒𝑠𝑜𝑠 = 35 Net Retail Rice P 35 s Less: 20% discount 7 ic PWD Price P 28 m Requirements: 1. National ID card and purchase slip booklet issued by de the LGU through the OSCA/ PDAO AO No. 2017-008 2. Doctor’s prescription Guidelines implementing RA No. 10754 [An act ca Expanding the Benefits and Privileges of Persons with Dispensing Limits: Disability (PWD)] 1 month supply for medicines A Full treatment course for antibiotics 3-month supply in cases of public health emergency, quartine Prepared by: Balasoto, RRC Reviewed by: Adan, AMG 4ADM-XWTT-L6XD-VXJU 5 ___________________________________________________________________________________________________________ STEP 6: RECORD AND FILING Records/Logbooks in the pharmacy: 5 -2 24 PATIENT MEDICATION PROFILE (RA.10918) ee All prescriptions dispensed should be recorded in a patient medication profile (electronic/manual), indicating the following: 1. Name of prescriber itt 2. Name and address of patient 3. Product name (generic and brand name, if any) DISPENSING DANGEROUS DRUG m 4. 5. Dosage strength and form Quantity of drug dispensed om S3 license - retailers of dangerous drugs 6. Date 7. Batch no. Requirements: 8. Initials of pharmacist 1. Original copy of complete and valid prescription 9. Other information as may be required C 2. Valid ID of the buyer s Written at the back of the prescription: ic Type of ID used ID number m Full name of buyer Address of buyer de Dispensing dangerous drugs: “USED IN FULL” should be stamped across the ca original copy of the prescription if fully filled. For partial filling, “USED FOR (dosage/units) ONLY” shall be stamped A ○ The balance should be indicated in words and Roman numeral equivalent Pharmacist shall affix his/her signature on the prescription Prepared by: Balasoto, RRC Reviewed by: Adan, AMG 4ADM-XWTT-L6XD-VXJU 6 ___________________________________________________________________________________________________________ Patient Medication Profile: Kept for not less than 2 years after the last entry Shall be open for inscription SUMMARY POINTS: 5 THE DISPENSING PROCESS -2 1. Receiving and validation of prescription 2. Filling the Prescription/Medication Order a. Generic Dispensing - Selection among 24 generic equivalents with identical active ingredients, strength, and dosage. b. Common Calculations i. For extemporaneous ee preparations, only when necessary and done per patient need. 3. Packaging and Labeling the Medication itt a. Ideal container b. Labeling: Include patient and prescriber information, drug details, instructions, and auxiliary labels if necessary (e.g., "External Use Only"). 4. Rechecking and Dispensing m om 5. Rechecking and Dispensing a. Double-checking: Ideally by a second person to verify accuracy and avoid incompatibilities. b. Dispensing to Senior Citizens and C PWDs i. Discounts and VAT exemptions (20%) per AO Nos. 2012-0007 s and 2017-008 for eligible purchases, with required ic documentation. c. Dispensing Dangerous Drugs i. Documentation Requirements: m Original copy of the complete and valid prescription and ID. d. Partial Filling: Document balance on de prescription with pharmacist’s signature. 6. Record and Filing a. Patient Medication Profile: Maintain records (electronic/manual) for each ca patient for at least two years. Include prescriber, patient, product, and pharmacist details. A General reminder: This will be the midterms reviewer released for the subject of Dispensing 1. Prepared by: Balasoto, RRC Reviewed by: Adan, AMG 4ADM-XWTT-L6XD-VXJU 7