1 / 6

New Dispensing Rules in Community Pharmacy

Presentation for Prescribers: Learn about changes in dispensing rules in community pharmacy as of August 2015, including the shift from Close Control to the Community Pharmacy LTC Service and flexible dispensing frequencies. Understand the reasons behind these changes and how they impact prescribing practices.

kristinwilliams
Download Presentation

New Dispensing Rules in Community Pharmacy

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. New Dispensing Rules in Community Pharmacy Presentation for Prescribers August 2015

  2. The previous term, ‘Close Control’, was used to indicate the need for high frequency dispensing. There had been a significant and unsustainable rise in the use of Close Control. Use of Close Control varied considerably across the country (and could not be explained by population difference) $82M of $320M total dispensing fees (26%) was spent on Close Control in 2009/10. $46M of that $82M (56%) was spent on weekly Close Control. Receiving medicines more frequently didn’t necessarily relate to the level of service needed by any particular patient. Aside from trialing new medicines, weekly close control should have been the exception, rather than the rule, e.g. for people with safety issues. Close Control – Why it Changed

  3. The term “Close control” is no longer valid on prescriptions. Close Control for patients who are “frail, infirm or unable to manage medicines” has been removed These patients are now assessed for eligibility for the Community Pharmacy LTC Service. This service is designed for people who need extra help to manage their medicines. Patients who were receiving Close Control will most likely have been assessed for (and already be on) the Community Pharmacy LTC Service by now. Once in the Community Pharmacy LTC Service, dispensing frequency is determined by the pharmacist, and you will be informed of any changes and the reason why. Specific Changes to Dispensing Frequency

  4. Flexible periods of supply for trial periods or safety Safety medicines Codeine and buprenorphine with naloxone (Suboxone) has been added to the list of safety medicines pharmacists use. Prescribers no longer need to initial trial periods. Prescribers can request that pharmacy must dispense at a higher frequency. Where required, the pharmacist will discuss the frequency further with the prescriber. Pharmacists determine the dispensing frequency of other medicines prescribed. Specific Changes (cont.)

  5. Trial Period for dose change or new medicine: The Prescriber doesn’t need to initial trial periods but does need to specify period of supply and write ‘trial’ or ‘trial period’. MedTech has incorporated this in Version 20 Other Close Control Changes

  6. For More Information see the Community Pharmacy page at www.centraltas.co.nz

More Related