Lecture 17: Juris Application

Question 1

Can I receive part fills verbally on C1s?

Answer 1

BC explicitly states that pharmacists can receive part fills on C1 drugs verbally.

You could accept part-fills with an interval verbally for C1s that are not on a TPP. However, you are not obligated

Question 2

What if a non-triplicate drug is written on a triplicate prescription?
What if a Type 2 drug is written on a triplicate prescription?

Answer 2

TPP suggests treating the TPP as you would for any other TPP Type 1 Drug. Once the TPP is logged on your system, you default to the federal regulations. I.e. You could transfer a BZD that has part-fills once to another pharmacy.

Question 3

What if a Type 1 drug is not written on a triplicate?

Answer 3

Cannot fill this prescription. Request a triplicate to be faxed in.
 In certain circumstances, if we can validate the authenticity and appropriateness, we may fill a verbal or “regular” prescription for a Type 1 drug BUT we will still request a TPP form from the prescriber as soon as it is reasonable for the prescriber to fax in.
Use your judgment

Question 4

Are electronic signatures ever valid as the only signature on a prescription?

Answer 4

No. Never, at the moment. However, you may accept prescriptions faxed directly to your pharmacy from a physician’s EMR. In the absence of a handwritten signature, the physician’s password access to their EMR may be considered the prescriber’s direct authorization

Question 5

In BC, prescription written by a pharm from Alberta

Answer 5

out of province pharmacists are not recognized prescribers in BC
- must be written by a practitioner

Question 6

You receive a prescription for 3 months of birth control pills for one of your patients from their Dentist, can you fill this prescription?

Answer 6

No. Just because they can does not mean they should. This prescription requires a dialogue with the Dentist and patient. Is this within the scope of a Dentist? Is there a need for this therapy to manage a condition that is typically managed by a dentist? Why did this patient seek a prescription from the Dentist for this medication? Be professional and ask questions as
applicable.