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Authority To Refill Existing Prescriptions Mo
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Authority To Refill Existing Prescriptions Mo



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  • 1. Authority to Refill Existing Prescriptions March 15, 2011 The OCP issued an advisory Notice Pertaining to new regulations under the Drug and Pharmacies Regulation Act (DPRA)
  • 2. Does this authority apply to pharmacists practicing in community pharmacies? Only pharmacist in community pharmacies
  • 3. Rationale
      • Differs from the proposed regulation to enhance the scope of practice under the Pharmacy Act
      • Continue medication therapy for patient
      • Ensure consistency in practice
  • 4. What are the criteria?
      • Conditions (all must apply)
        • Made reasonable efforts to contact the prescriber but unsuccessful
        • the prescriber would have authorized
        • Patient has chronic or long term condition
        • Patient has stable history of drug
      • No Narcotics or controlled drugs/no targeted substances
  • 5. What quantity can be refilled and how often?
      • The total quantity
        • not to exceed amount previously dispensed
        • or 3 months supply
      • The pharmacist must apply professional judgment;
  • 6. How is the prescription processed and what name is entered in the prescriber field?
      • Record keeping/documentation
        • unique prescription identification number
        • Prescription identification number and original prescriber recorded in patient chart
        • Name of pharmacist authorizing
        • Sufficient documentation to support decision making process
  • 7. Must the pharmacist notify the prescriber?
        • authorization/dispensing date,
        • name of drug and quantity dispensed.
  • 8. What if the prescriber does not respond to pharmacist’s faxes?
      • apply the required criteria and make reasonable efforts to contact the prescriber.
  • 9. Can this process be used to circumvent a scenario where a prescriber charges for prescription refills?
  • 10. Will there be communication to prescribers?
      • The CPSO is also preparing communication to their members.
      • The College recommends that pharmacists communicate with their local physicians and nurse practitioners.
  • 11. What if the patient presents in the evening or during the weekend and the pharmacist cannot reach the doctor?
      • The pharmacist can authorize the refill if the patient requires the medication immediately and the criteria have been met.
  • 12. Discussions