Can CDs go in MDS, and other questions answered
A selection of recent questions answered for members by the NPAâ€™s Pharmacy Services Team
Q Are Controlled Drugs allowed to be placed in a monitored dosage system?
A There is no legal restriction on thes upply of Controlled Drugs (CDs) in a monitored dosage system (MDS) â€“ thisÂ would be at the pharmacistâ€™s professional discretion. Before supplying, the pharmacist would need to: ensure the supply satisfies all the CD legal requirements as stipulated in The Misuse of Drugs Regulations 2001; be satisfied that the CD remains stable and pharmaceutically active outside of its original container; and ensure that the supply is appropriate, for example, a supply to a patient whose dosing changes frequently or requires titration.
If the MDS contains a CD which requires safe custody, the entire MDS would need to be stored in the CD cabinet until collection. The pharmacist should establish if storage in the CD cabinet is feasible as smaller CD cabinets may have restrictions on space.
If the MDS contains a CD which requires entry into the CD register, this should only be done when the MDS is supplied to the patient representative or when it leaves the premises for delivery.
Q Can I dispense a prescription written by a European Economic Area doctor where the contact details of theÂ doctor are missing?
A No. An amendment to The Human Medicines Regulations 2012 requires the doctor to state their direct contact details,Â including their work address, their email address and telephone or fax number with the appropriate international prefix. Pharmacists can use this information to contact the prescriber, but may wish to use additional checks to verify the information on the prescription and confirm that both the prescription and prescriber are genuine.
Q I have received an NHS prescription for â€œOral syringe 10 x 5mlâ€; can I dispense this?
A No. Oral syringes are classified as medical devices and are CE marked and are not listed in the Appliances section ofÂ the England and Wales Drug Tariff August 2016, the Northern Ireland Drug Tariff August 2016 or the Scottish Drug Tariff August 2016. Therefore, an NHS prescription for oral syringes will not be reimbursed because only those medical devices listed in the Appliances section of the Tariffs would be passed for payment. However, oral syringes can be sold to the patient over-the-counter.