SLIDE 6 1/11/2018 6 Retu turn or Exch change of f Drugs gs
- Is that ideal?
- Current Board discussion:
- (a) A pharmacy or pharmacist may accept a drug for return or
exchange after the drug has been taken from the premises where the drug was sold, distributed, or dispensed if
- (1) the prescription was dispensed in a manner
inconsistent with the original prescription drug order; or
- (2) the medication was recalled by the manufacturer or
FDA; and
- (3) it is segregated from the normal pharmacy inventory
and may not be dispensed.
Alaska Board of Pharmacy
February 10, 2018
Con Contr trol l Substance Presc escripti tion Drug g Order ers
- Sec. 08.80.345. PRESCRIPTION FOR AN OPIOID; VOLUNTARY
REQUEST FOR LESSER QUANTITY.
- (a) A pharmacist filling a prescription for an opioid that is a
schedule II or III controlled substance under federal law may, at the request of the individual for whom the prescription is written, dispense the prescribed opioid in a lesser quantity than prescribed.
- (b) Nothing in this section shall be construed to prevent
substitution of an equivalent drug under AS 08.80.295.
Alaska Board of Pharmacy
February 10, 2018
Con Contr trol l Substance Presc escripti tion Drug g Order ers
Current Board Discussion: CONTROLLED SUBSTANCE PRESCRIPTION DRUG ORDERS. (a) A prescription drug order for a Schedule II controlled substance may be partially filled if prescribed for
- (A) a terminally ill patient or a patient residing in a long term care facility, in
accordance with 21 CFR §1306.13; or
Alaska Board of Pharmacy
February 10, 2018
Con Contr trol l Substance Presc escripti tion Drug g Order ers
- (B) a patient who is not terminally ill or residing in a long term care facility if;
- (i) the partial fill is requested by the patient or the practitioner that
wrote the prescription;
- (ii) the total quantity dispensed in all partial fillings does not exceed the
total quantity prescribed;
- (iii) each partial fill is electronically documented in the patient record;
- (iv) the remaining portions are filled not later than 30 days after the
date on which the prescription is written; and
- (v) it only occurs at the pharmacy where the original prescription order
is on file.
Alaska Board of Pharmacy
February 10, 2018
Refi fills ls
12 AAC 52.470. REFILLS. (a) A pharmacist may dispense a refill of a prescription drug
- rder only in accordance with the prescribing practitioner’s authorization as indicated on
the prescription drug order. If there are no refill instructions on the prescription drug
- rder, or if all refills authorized on the original prescription drug order have been
dispensed, a pharmacist shall obtain authorization from the prescribing practitioner before dispensing a refill. (b) A pharmacist may not dispense a refill of a prescription drug order for a noncontrolled substance after one year from the date of issue of the original prescription drug order. (c) Each time a prescription drug order is dispensed, the pharmacist shall record the refill electronically or on the back of the prescription drug order by listing the date of dispensing, the written initials or identification code of the dispensing pharmacist, and the amount dispensed if different from the quantity on the original prescription drug
Alaska Board of Pharmacy
February 10, 2018
Refi fills ls
If a prescription drug order has sufficient quantity remaining on a refill, would you like the ability to increase the quantity to a 90-day supply WITHOUT having to call and get permission? Board Discussion is to add: (d) If an original prescription drug order is prescribed as a 30-day supply, the pharmacist may dispense up to a 90-day supply on refills provided that the (1) patient has completed an initial 30-day supply of the drug; (2) total quantity of dosage units dispensed does not exceed the total quantity of dosage units authorized by the prescriber on the prescription, including refills; (3) drug is not a control substance; and (4) the pharmacist is exercising professional judgment. (e) To indicate that an increased supply shall not be dispensed pursuant to this section, a prescriber may indicate “No change to quantity”, or words of similar meaning, on the prescription drug order. (f) Nothing in this section shall be construed to require a health care service plan, health insurer, workers’ compensation insurance plan, pharmacy benefits manager, or any other person or entity, including, but not limited to, a state program or state employer, to provide coverage for a drug in a manner inconsistent with a beneficiary’s plan benefit. Alaska Board of Pharmacy
February 10, 2018
