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FP10 (green) Legal requirements: 1. Patient's FULL name & address (need city not postal code) 2. If <12 years of age, then need age OR DOB (must say years/months/days) 3. Appropriate date (valid for 6 months unless, FP10CD in which is 28 days) 4. Written in ink 5. Can be written on carbon paper, NOT Schedule 1,2, or 3 6. CD 2-3 must have; name, strength (if > 1), form, dose, and total quantity in words and figures 7. Prescriber's signature 8. Prescriber's full address, and type of prescriber (Dr., nurse and etc.) 9. Stamp- sign & date it Records: e Sent to NHSBSA at end of month e CD register keep for 2 years after last entry is made General.. . . > . Always give PIL Remember it is good practice to not supply over 30 days CDs check with prescriber All CDs expiry is 28 days not 6 months (unless scd 5) GD Schedules 2-5: Schedule 2 [CD POM] © (diamorphine, morphine, methadone, pethidine and oxycodone) © all except quinalbarbitone in the CD cupboard, incl. returns o Import & export licence © Identity of person collecting the CD, and ALL records in CD Schedule 3 [CD No Reg POM] °o Only Temazepam, Buprenophine, Diethylpropion, Flunitrazpam are in the CD cupboard © same legal requirements as CD 2 but no CD register record Schedule 4 [CD Benz POM] and [CD Anab POM] o Part 1 [CD Benz POM): benzodiazepines such as nitrazepam and diazepam (need licence) © Part 2[CD Anab POM]: most steroids and growth hormones (no licence for import or export) © NoCDregister Schedule 5 [CD Inv POMIP]: © Dilute Schedule 2 drugs (invoice kept for 2 years) © No safe custody, No CD entry, No import/export restrictions Private Rx (white) Legal requirements (same as FP10 green rx); e Cannot give CD 2-3 (must be on pink FP10PCD), may give CD 4 e Fill out POM register (refer to details below) Records: e Keep at pharmacy or give to patient e Keep POM register for 2 years (do not send to NHSBSA) © Date of sale or supply o Name and quantity and, strength or form where not apparent © Date on the Rx o Name and address of practitioner o Name and address of patient © Reference#: on Rx, dispensing label and register © Norecord for health RX, OC, CD register or wholesale dealing . . Have RA (master prescription)- signed, and cannot be amended RD: the dispensing prescription (Upto 12 months of RDs) Legal requirements (same as FP10 green NHS Rx); First RD must be dispensed within 6 months unless CD 4 then must be 28 days (CD 2-3 not allowed) Final RD must be supplied within 12 months Records: e RAshould be stored until the final RD is dispensed then sent to NHSBSA at end of the month Each RD is sent to the NHSBSA at the end of the month of dispensing Private Repeat Rx Legal requirements (same as private rx): e Cannot supply CD 2-3 Can supply CD 4, BUT within 28 days Must write number of dispensing Complete POM register After dispensing, Rx can be handed back to patient or can keep at pharmacy Records: e If outstanding repeats, offer to give Rx to patient e Keep in the Pharmacy for 2 years after final dispensing Community Nurse (Liliac) Rx (FP10P) Note independent/supplementary nurse prescribers should use FP10 green (they are not restricted to NPF) Legal requirements (same as FP10s with 1 additional); Community nurse must prescribe within NPF (No CD 2-3 are in here, may see CD 4- but only valid for 28 days) Records: e Sent to NHSBSA at end of the month EP10MDA (blueish) Rx: to treat addiction; instalment prescribing Legal requirements: Must not exceed 14 day supply (CD 2,3,4) Doctors may prescribe cocaine, diamorphine or dipipanone withf licence Installment direction must contain: © the amount to dispense and when to dispense (date of each instalment) Same details as CD Rx, but also any supervision directions for pharmacists Check HOME OFFICE APPROVED WORDING on MEP PG 111 or 99 Records; Must fill out right hand side (date supplied, product supplied, quantity, and your signature) Keep at pharmacy until all have been dispensed then send NHSBSA at end of month Need letter of authority, or verbal confirmation from prescriber to allow this Private Control (pink) Rx (FP10PCD) © Only contain CD 2-3 on FP10CD standardised form Legal requirements (same as FP10 (green) rx, CD with 1 additional) e Must have prescribers ID # Records; e Must make CD entry for CD 2, keep for 2 years and good practice to do POM register (since private) Must make POM register for CD 3 & keep for 2 years © — Sent original to NHSBSA © Keep copy at pharmacy for 2 years (annotate the PMR that unsupervised) Patient must be interviewed, present immediate need, reason unable to obtain Rx, and previously prescribed To get information on patient's past medication you can; contact GP surgery, contact usual pharmacy, access PMR, and SCR with consent Cannot supply CD 2-3 except phenobarbital (sodium) for epilepsy amount of CD 3,4,5 cannot exceed 5 days of treatment supply POM can be given but for a max of 30 days (except oral contraceptives, ointments/creams, insulin, inhaler for asthma, and antibiotic in liq. form for oral admin) For contraceptive or antibiotic supply full cycle worth of medicine or else try to give minimum amount needed The words “emergency supply” and “keep out of reach of children” must appear on the label Records: GOOD practice to complete POM register; should include: patients full name/address date of supply drug details-name, form, strength, total quantity supplied purpose of supply, Reason why rx can not be obtained, ref #, keep for 2 years POM Requisition (signed order) No legal requirements however good to ensure; Person requesting is a recognized and qualified prescriber Good practice to supply whole packs of medicines & label stock Batch #, Ref # and expiry date NO LEGAL EXPIRY Records; e Pom register is good practice, and kept for 2 years and should include: name/address of person requesting © their profession o date of supply © drug details: name, form, strength, total quantity supplied © purpose of supply ref # @ POM requisition should be kept at pharmacy for 2 years (becomes legally required if no signed order available) e Sent to the NHSBSA at the end of the month > Standard Labelling Requirements (POM and P in rectangle boxes) Name of the product (trade name) Recommended International Proprietary name (rINN) Statement of active ingredients and strength Pharmaceutical form AND Route of Administration statement List of excipients (with known actions/effects) BUT if eye prep, injection, or topical PREP, must list all excipients Special warning: Keep out of reach & sight of children Any warnings particular to the product Expiry date in clear terms (if any) 9. Special storage conditions, precautions for disposal, if any 10. MA holder’s name, address, PL number 11. Batch reference (or LOT #) 12. If product is for self administration, then instructions for use 13. GOOD PRACTICE: BNF cautionary labels in patient friendly terms 14. > Paracetamol If symptoms persist contact your GP Contains paracetamol Do not exceed the stated dose Do not take with any other paracetamol-containing products Immediate medical advice should be sought in the event of an overdose even if you feel well (if PIL included) © Immediate medical advice should be sought in the event of an overdose, even if you feel well, because of the risk of delayed, serious liver damage (if no PIL) Dihydrocodeine and Codeine Can cause addiction. For three days use only. Child Safety Regulations e All products with aspirin, paracetamol, and elemental iron > 24 mg in tablet, capsule, lozenge, pastille, suppositories, or oral liquid form sold or supplied must LEGALLY be in the CRC e All cough and cold oral liquid products for children with al itamines, antitussives, expectorants, and decongestants must LEGALLY be in the CRC ON: aS ved ooeeery . Veterinary Prescriptions AVM-GSL: authorized VMP that is available on general sale NFA-VPS: for a non-food producing animal. Vet, pharmacist and a suitably qualified person can supply without a prescription POM-VPS: VMP that a vet, pharmacist and suitably qualified person can prescribe, and supply on ORAL or WRITTEN prescription. Written prescription needed if the supplier is not the prescriber. POM-V: VMP that ONLY a vet can prescribe on a written prescription. Vet and pharmacist can supply. e The Rx is only valid for 6 months e Needs to say “prescribed under the cascade” and “for animal treatment only (on the label)” Name, address, and telephone number of the prescriber Professional qualification of the prescriber Name/address of owner Type of species Animal's address if different from the owner/keeper Signature of prescriber Date of prescription Name/quantity of product Dosage and administration instructions (‘as directed’ is not ok) e Any necessary warning and/or withdrawal effects if necessary Scds % legals: The prescriber’s address must be in UK RCVS Registration # of prescriber Dosage form of the medicine Strength when appropriate Total quantity in (words & figures) Statement confirming ‘item has been prescribed for animal/herd under care of the veterinarian’ Name/address of recipienT NO REPEATS for CD 2-3 © Valid for 28 days (CD 2-4), not sent to the NHSBSA, and specials forms N/A Records: POM register kept for 5 years; © Date of supply, Name of medicine, Batch number, Quantity © name/address of recipient and prescriber, Reference # 
