Pharmacist Poisons Regulations Ready Reference June 2018

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SCHEDULE 4 – Restricted Substances

S4

General

SCHEDULE 4 – Restricted Substances

S4D

Specified Psychotropic Substances and Declared Restricted Substances

SCHEDULE 8 – Narcotic Substances

S8

Opioids, flunitrazepam and alprazolam

SCHEDULE 8 – Narcotic Substances

Psychostimulants

Dexamfetamine, methylphenidate, and lisdexamfetamine

Medical Practitioner

(Defined in Section 3 of the Act)

Any medical practitioner registered with AHPRA

The Medical Practitioner must be present and practising in Tasmania. For a repeat, the interval must be endorsed1R.41(4)(a)(vi) (NB: see Repeat Intervals1 overleaf)

The Medical Practitioner must be present and practising in Tasmania.

Repeats allowed R.15(7)(a)(iv)

Interval must be endorsed R.23(5)-(7)1

Repeats to be retained where first dispensed2R.23(2)

Authority required from DHHS before supply of items listed under R.19(1)

The Medical Practitioner must be present and practising in Tasmania.

Repeats allowed R.15(7)(a)(iv)

Interval must be endorsed R.23(5)-(7)1

Repeats to be retained where first dispensed2R.23(2)

Authority required from DHHS before supply of all psychostimulants R.19(1)

Nurse Practitioner (Defined in S3 of the Act)

Must be Authorised under S25B of the Act to prescribe certain substances or classes of substances

The Nurse Practitioner must be present and practising in Tasmania.

Must be Authorised under S25B of the Act to prescribe S4Ds

For a repeat, the interval must be endorsed1R.41(4)(a)(vi) (NB: see Repeat Intervals1 overleaf)

The Nurse Practitioner must be present and practising in Tasmania.

Must be Authorised under S25B of the Act to prescribe certain S8 substances

Repeats allowed R.15(7)(a)(iv)

Interval must be endorsed R.23(5)-(7)1

Repeats to be retained where first dispensed2R.23(2)

Authority required from DHHS before supply of items listed under R.19(1)

The Nurse Practitioner must be present and practising in Tasmania.

Must be Authorised under S25B of the Act to prescribe psychostimulants

Veterinary Surgeon

Prescription to be endorsed: "For animal treatment only"

Must be registered in Tasmania or hold full registration in another Australian State or Territory

Veterinary Surgeon must be present and practicing in Tasmania

For repeat, interval must be endorsed

R.41(4)(a)(vi)

Veterinary Surgeon must be present and practicing in Tasmania

No repeat allowed

R.23(12)

Cannot prescribe drugs listed under regulation 19(1)

Prescribing prohibited unless State authority issued for methylphenidate R.15(12)

Dentist

Only for dental treatment only

Any dentist registered with AHPRA

Dental Practitioner must be present and practicing in Tasmania. For repeat, interval must be endorsed. R.41(4)(vi)

Dental Practitioner must be present and practicing in Tasmania No repeat allowed R.15(9)

Cannot prescribe drugs listed under regulation 19(1)

Prescribing prohibited

R.15(14)

Optometrists (Endorsed) Authorised by AHPRA to prescribe

Only Class 1 drugs approved under S38 (1) of the Act

No

R.11(2)

No

R.11(2)

No

R.11(2)

Prescription validity from date of writing

12 months

R.46(17)(a)

6 months

R.46(17)(b)

6 months

R.23(17)

6 months

R.23(17)

Prescribe for self

No restriction under the Act

Self-prescribing prohibited

R.15(4)

Number of items per prescription

No restriction under the Act

One preparation only

R.15(7)(ab)

Emergency supply

(no prescription)

3 days' supply only

R.48(b)(i), or unit pack R.48(b)(ii) also see3

No supply without prescriber's authority

R.18

No supply without prescriber's authority

R.18

1Repeat Intervals

R.23(5)-(7) & R.46(3)-(5)

Where the prescription is for a narcotic substance and the dispensing of the prescription is authorised to be repeated, the minimum intervals at which it may be dispensed must be handwritten on the prescription by the prescriber. Where the prescription is for a declared restricted substance and the dispensing of the prescription is authorised to be repeated, the minimum intervals at which it may be dispensed must be indicated on the prescription by the prescriber. If this has not occurred, the pharmacist may do one of the following –

(1) dispense original supply only, then cancel script;

(2) contact prescriber for further instructions;

(3) if the script has specific dose directions, calculate when new supply required and allow up to 4 days before that date. In the case of (2) and (3), the pharmacist is to write on script how minimum interval was ascertained, and sign and date the script.

In the case of (3) where a pharmacist is dispensing a repeat, the due date for dispensing should be calculated using the date of first supply (not the date of the dispensing of the previous repeat).

NB All directions, including the repeat interval MUST be handwritten by the prescriber

2Retaining S8 repeats R.23(2)

All repeats must be retained by pharmacy where they were first dispensed. If a patient requests a transfer to another pharmacy the pharmacist must seek verbal or written authorisation from dhhs.tas.gov.au/psbtas

3Supply without prescription

The following Regulations also apply:

R.43 Emergency prescribing and dispensing of restricted substances

R.43A Continued dispensing without prescriptions in specified circumstances

R.49 Supply of restricted substance in a medical institution

Verifying S8

R.24(1)

R24 (2). Authenticate validity. If unable to authenticate the validity of the prescription a pharmacist may provide 2 days' supply only until validity can be confirmed

Recording all prescriptions R.46(8)(c)

All prescriptions must be recorded (including those containing unscheduled substances) in an appropriate recording system and the record retained for 2 years

Marking prescriptions R.46(8)(a)(d) and R46(12)(a)(b)

NB for PBS scripts, mark the duplicate.  The prescription must be labelled with the following:
Date and signature of the pharmacist at each supply. Address of dispensary and name of seller

Identification code (numbers, letters) to match each label and prescription record At last supply, mark 'CANCELLED' and retain for 2 years

Repeats and quantity

The Regulations do not specify any limits on number of repeats or quantity of drug

Schedule 3 substances

Pharmacy must be identified on Schedule 3 items. R.53(4)

Narcotic Storage R.25

All narcotic storage must comply with R.25.  A "day safe" is allowed during the hours a pharmacy is open. The ‘day safe’ must be capable of being securely locked when not in use.  The key must be retained by the pharmacist so no other person has access. The contents of the ‘day safe’ must be stored in the approved safe when a pharmacist is not onsite.