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pharmacy technician - Ontario College of Pharmacists

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DPRA<br />

the patient reached 18 years,<br />

whichever is longer. While original<br />

prescriptions are only required<br />

to be kept for two years, scanned<br />

copies are also required as part <strong>of</strong><br />

the patient record. Safeguards must<br />

also be in place to ensure privacy<br />

and adequate storage.<br />

PRESCRIPTION REFILL<br />

AUTHORIZATION BY<br />

PHARMACISTS<br />

It is important to note that this<br />

authorization differs from the<br />

proposed regulations to enhance<br />

the scope <strong>of</strong> practice under the<br />

Pharmacy Act. The intent in the<br />

DPRA is to continue medication<br />

therapy for patients under all <strong>of</strong> the<br />

following conditions:<br />

o Reasonable efforts to contact<br />

the prescriber have been made<br />

but the pharmacist has been<br />

unsuccessful<br />

o The Pharmacist believes that the<br />

prescriber would have authorized<br />

the continuing medication<br />

therapy<br />

o The patient has chronic or long<br />

term condition<br />

o The patient has a stable history<br />

with drug<br />

o The medication is not a narcotic,<br />

controlled drug or targeted<br />

substance<br />

o The total amount <strong>of</strong> the refill does<br />

not exceed the amount previously<br />

dispensed or is a three-month<br />

supply, whichever is less<br />

o The pharmacist must provide<br />

notification <strong>of</strong> the date, drug,<br />

quantity to the prescriber or<br />

primary health care provider<br />

within seven days <strong>of</strong> refilling the<br />

prescription<br />

In terms <strong>of</strong> record-keeping and<br />

documentation, a refill prescription<br />

authorized by the pharmacist<br />

must have a unique prescription<br />

identification number. Further,<br />

the prescription identification<br />

number, the name <strong>of</strong> the authorizing<br />

pharmacist and the original<br />

prescriber must be recorded in<br />

the patient record. In short, there<br />

must be sufficient documentation<br />

within the patient record to support<br />

the decision-making process. The<br />

name <strong>of</strong> the authorizing pharmacist<br />

should also appear on the prescription<br />

label as the prescriber.<br />

REGISTERED PHARMACY<br />

TECHNICIANS<br />

These changes to the DPRA<br />

Regulations allow for registered<br />

<strong>pharmacy</strong> <strong>technician</strong>s to accept<br />

and record a verbal prescription,<br />

except for narcotic and controlled<br />

substances. However, they may not<br />

transfer and accept a transfer until<br />

changes are made to the Food and<br />

Drug Act, which is under federal<br />

jurisdiction.<br />

PROPRIETARY MISCONDUCT<br />

The provisions under the new<br />

DPRA Regulations mirror those<br />

<strong>of</strong> pr<strong>of</strong>essional conduct and are<br />

intended to hold owners and<br />

operators equally accountable as<br />

members for <strong>pharmacy</strong> operations.<br />

CONFLICT OF INTEREST<br />

Conflict <strong>of</strong> interest is declared when<br />

any arrangement or agreement<br />

that is likely to adversely influence<br />

member’s pr<strong>of</strong>essional judgment<br />

or ethical care <strong>of</strong> the patient is<br />

in question. There must be full<br />

disclosure prior to patient choice.<br />

ADVERTISING REGULATIONS<br />

The language has been updated<br />

to be more applicable to current<br />

practice. The language is parallel to<br />

that under the Pharmacy Act which<br />

refers to member responsibility.<br />

REMOTE DISPENSING<br />

The DPRA Regulations make<br />

remote dispensing locations<br />

(RDL) legal in <strong>Ontario</strong>, effective<br />

immediately.<br />

DEFINITIONS:<br />

Remote Dispensing Location means<br />

a premises where drugs are<br />

dispensed or sold by retail to the<br />

public and that is operated by, but<br />

is not at the same location as, a<br />

<strong>pharmacy</strong> whose certificate <strong>of</strong><br />

accreditation permits its operation.<br />

Automated Pharmacy System means<br />

a mechanical system that performs<br />

operations or activities with respect<br />

to the storage and packaging <strong>of</strong><br />

PHARMACY CONNECTION ~ SPRING 2011 ~ PAGE 13

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