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

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