WHAT ELEMENTS CAN THE PHARMACIST CHANGE ON A CII PRESCRIPTION?
– Per letter received from the DEA in October 2008, until the DEA issues additional rules on the subject, pharmacists are instructed to adhere to state regulations or policy regarding those changes that a pharmacist may make to a schedule II prescription after oral consultation with the prescriber. – Currently Wisconsin allows the pharmacist after consultation with the prescriber to add, modify or clarify the following per Phar 8.05 (7): – Strength – Dosage Form – Quantity – Date of issuance (Date written) – Directions for use – DEA Registration number of prescriber – Address of prescriber and patient – A pharmacist may not add, modify or clarify the following per Phar 8.05 (7): – Patient’s name – Product prescribed (except thru valid generic substitution) – Signature of prescriber – Wisconsin does not specify that a pharmacist can change the Dispense/Fill on Date written on a ladder prescription. DEA rules will apply in this circumstance and the rules specify that this date may NOT be
- Can a pharmacist use PHI to fill a prescription that was telephoned in by a patient’s physician without the patient’s written consent if the patient is a new patient to the pharmacy?
- My pharmacist refuses to fill my prescription for the morning after pill based upon her moral beliefs. Can a pharmacist refuse to fill my birth control prescription?
- What changes can a pharmacist make to a CII prescription after speaking to the prescriber over the phone?