Prescription Regulations WA - Medicines & Poisons - PDF

Valid Script ============ Prescriptions in WA must include all of the following information: - name, address and telephone number of the PRESCRIBER - name and address of the patient or species of animal and the name and address of the person caring for the animal for veterinary prescr...

Valid Script ============ Prescriptions in WA must include all of the following information: - name, address and telephone number of the PRESCRIBER - name and address of the patient or species of animal and the name and address of the person caring for the animal for veterinary prescriptions - S4 medicines which are not for veterinary use -- the patient's date of birth (unless the pharmacist is satisfied on reasonable grounds of the patient's date of birth) - medicine name, strength and formulation - precise directions for use (dosage and frequency) - quantity to be dispensed - number of repeats permitted (if any) - date the prescription was issued - signature of the prescriber. \*All prescriptions must be signed in ink by a prescriber S4 - patient DOB - **must be \ - Must be labelled with: - Name and address of pharmacy - Unique identification number or alpha-numeric code S4 Monitored Medicines - ScriptCheckWA - Staged supply or limited quantities -- must UPHOLD - NO early prescriptions - Ensure dose is clear -- INCLUDE: a max daily dose (e.g. no more than, max 200mg per day) - Limiting supply from a single pharmacy - Convo w/ Dr for management of dependence S4 Structured Administration and Supply Arrangement - Can authorise health practitioner who is NOT prescriber to supply or administer a medicine beyond circumstances that are explicitly listed in Medicines and Poisons Regulations (as long as make reference to SASA) - Urinary tract? - Contraception? S8 - Same as S4 AND - DOB of patient - Repeat intervals - When cannot be verified -- can supply up to 2 days treatment, provided the prescription is otherwise valid - Retain the prescription or with the approval of CEO, transfer the script to another pharmacist. If Rx does NOT state repeat interval -- INVALID - Can clarify S4 and S8 cannot be on the same script S8 and S8 cannot be on the same script Same S8 drug **can** be on the same script Emergency ========= A prescriber may direct a pharmacist to supply an S4 or S8 medicine to a patient in an emergency.  The prescriber who gives this order must then:  - prepare a valid prescription to cover the emergency supply; and - post the prescription to the pharmacist within 24 hours. - EMAILED SCRIPT NOT VALID - [DO NOT GIVE SCRIPT TO PATIENT & NO e-Script] Emergency supply of medicines ============================= A pharmacist may provide up to three days' emergency supply of a S4 medicine for a person or an animal without a prescription where satisfied that: - the person or animal is under regular treatment with the medicine - it is not practical to obtain a prescription in sufficient time to allow for treatment to continue uninterrupted - interruption of treatment is likely to cause harm. Pharmacists must label the medicine and make a record of the supply as usual. If the medicine is packaged in a non-divisible pack (e.g. eye drops), one standard pack can be supplied.  \*Schedule 8 **NOT PREMITTED -- can give 2 days supply if unable to verify but NOT if script is INVALID** To provide \ than three days' emergency supply, of a S4 or S8 medicine, a pharmacist must be in receipt of a: - verbal or electronic direction from a prescriber - prescription faxed from a medical practice.  \*label the medicine and make a record of the supply as usual. If a valid prescription is not received within **5** working days, the pharmacist should inform the Department of Health. Continued Dispensing rules ========================== **S4 ONLY** - Schedule 1 of the [*National Health (Continued Dispensing) Determination 2022 *(external site).](https://www.legislation.gov.au/Details/F2022C00991) - Criteria: Department of Human Services [PBS Continued Dispensing Arrangements](https://www.pbs.gov.au/info/general/continued-dispensing) (external site).  - [Guidelines for the Continued Dispensing of Eligible Prescribed Medicines by Pharmacists (external site)](https://my.psa.org.au/s/article/Continued-dispensing-guidelines). Only ONCE in any 12-month period: - The pharmacist MUST INFORM the patient's usual prescriber that the supply has occurred within **24 hours.** - Must label the medicine & make a record of the supply as usual.  For meds NOT covered by the Continued Dispensing rules, may supply medicines in an emergency, for: - 3 days treatment of a Schedule 4 medicine - according to the verbal instructions of a prescriber. Regulation of medicines & poisons -- SUSMP ========================================== Labelling by Pharmacists (ie dispensing labels) - Prescription medicines and controlled drugs supplied to patients by both pharmacists and prescribers (including veterinary surgeons) must be labelled in accordance with **Appendix L of the SUSMP.** Labels must be in English and include the following information: - "KEEP OUT OF REACH OF CHILDREN" (in red on a white background) - generic or brand name of the medicine\* - strength and form of the medicine - directions for use - total quantity in the container - patient name - name, address and telephone number of the supplying pharmacy/ prescriber - date of supply. - pharmacists must also include the prescription reference number corresponding to the record made in their dispensing system. TOPICAL USE - FOR EXTERNAL USE ONLY - POISEN - Check schedule requirements\* Appendix k (legal requirement) - SEDATION WARNING -- reinforce again somewhere on label page47image11751488  Schedule 4 MONITORED MEDICINES - Higher risk of patient abuse, misuse and physical or psychological dependence - All benzodiazepine in S4 - Codeine-based preparations in S4 - Gabapentin - Pregabalin - Quetiapine - Tramadol - Zolpidem - Zopiclone \*Capture on ScriptCheck WA \*Record prescriber's name and address & patient DOB Storage ======= **Schedule 2** - **Pharmacy Medicine** - Must be stored in an area or manner that prevents physical access to the medicine by the public. - Safe use of which may require advice from a pharmacist - Pharmacy -- behind counter - Licensed retailer -- closed display counter - For permit or license holders -- stored so that they are not visible or accessible to members of the public. **Schedule 3** - **Pharmacist Only** -- only by retail sale from a pharmacy - Must be stored to prevent any physical access by the public -- behind counter - Retail sale must be by pharmacist, intern or technician under supervision of a pharmacist - Permit holders/authorized health practitioners - must be stored so that they are not visible and prevents physical access. - **S3 RESTRICTED** - **Pharmacist only** - Must be stored in the dispensary, away from any retail area (pseudoephedrine) - The identity of the purchaser must be known to the pharmacist. If no known, ID is required. Must be labelled and the sale recorded. **Schedule 4** - **Prescription only** -- written, computer generated or electronic - **Must be \