DP 3,4,5

• osd meaning


  original supply deferred
• right to privacy unless

  it is required to facilitate the best healthcare for patients and is required by law
• streamlined vs phone approval?

  streamlined authorities only require a streamlined authority code. the extra step of sourcing the code is meant to give prescribers an opportunity to ensure the medication is appropriate. phone approval authorities or authorities required, required a phone approval number from a chief health officer (or DVA for repat scripts) who ensures the medication is appropriate. the medicines that fall into this category include medications with increased potential for misuse, abuse and side affects and or s100. authority scripts must be written on an authority script form
• schedule 8 special legislation

  controlled medicines. prescribers must have CHO approval to prescribe controlled medicines for a drug-dependant patient or for ongoing treatment of more than two months in ACT.
• patient counselling key points?

  Used before - checking dose and knowing how to use What is it used for - pbs eligibility Liver issues - dose Confirm dose and instructions - how often they take it
• how long do extemporaneously compounded medicines usually last?

  28 days
• what is required on an extemporaneously compounded medicine label if there is a standard APF formula?

  a description of the compounded product as it appears in the APF, the form, instructions for use, CALs, expiry date, batch number, l23
• what is required on an extemporaneously compounded medicine label if there is not a standard formula?

  a description of the product including dosage form and quantity. concentration of all active ingredients and name and quantity/concentration of any preservatives. directions for the product. appropriate CALS, l23, expiry date, batch number and storage requirements
• how to approach clarifying prescribers’ intentions

  so gather evidence as to why the script may have an error and suggest an alternative to the prescriber.
• if the prescriber does not agree with suggested changes

  you consider patient therapeutic need - reduced quantity supply

  right to decline supply of medicines if unsafe
• PBS script requirments

  max 3 PBS items per script except authority items which must be on an authority script

  cannot write more than one script for one medication for an individual on the same day

  restricted benefits must be relevant to the use of the patient
• Writing a pbs script

  l writing a PBS script

  indelible (ink pen), legible must be in duplicate, PBS/RPBS and brand substitution not permitted
• types of restriction in pbs

  the restricted benefit, unrestricted benefit and authority-required benefit (streamlined only streamlined code, authority also phone approval)
• reg 49

  was previously known as reg 24, original and repeat supplies of pbs meds can be supplied at one time if hardship conditions apply such as: maximum pbs quantity is insufficient for the patients treatment, and the patient has a chronic illness or lives in a remote area where access to PBS supplied is limited and the patient would suffer great hardship trying to get the medication on separate occasions. all repeats and original supply can be supplied at once, or less, but the patient surrenders the remaining repeat/s on the script. each supply is covered by the pbs.
• when compound?

  appropriate circumstances for compounding medicines

  an appropriate commercial product is unavailable, unsuitable or when undertaking sanctioned research
• legal script requirements

  the prescriber name, address and contact number, prescriber number - signature

  patient name, residential address

  medication name (preferably ingredient), dose, dosage form, sufficient instructions and quantity - repeats

  authority approval number and streamlined author code for relevant items

  date of script
• what is pbs

  Pharmaceutical Benefits Scheme since 1948. it exists to provide all Australians with affordable medicines by subsidising the cost of medicines through the government’s National Medicines Policy. The PBS will subsidise the cost of certain medications for certain health conditions, for anyone with a Medicare card or people from countries with reciprocal health care agreements. the government subsidises part of the cost of medicine so that general patients pay up to a co-payment of 31.60 while concession patients pay up to 7.70 (excluding brand price premiums).
• How long do prescriptions last once they have been prescribed?

  ;12 months or 6 months depending on state and territory laws for specific medications
• j what concessions exist for the PBS?

  healthcare cards

  DVA card, white gold and orange (white concession only for some meds and conditions, gold and orange for all) - RPBS

  Commonwealth Seniors Health card

  pensioner concession card
• safety net


  safety net is a part of the PBS that reduces the cost of medicines for patients who regularly take medication. the safety net threshold for concession patients is 277.20 while the threshold for general patients is 1,647.90. general patients get a concession price and concession patients get free for the rest of the year. this excludes getting medications early (before 20 days have passed for a month’s supply or before 50 days for 2 2-month supply), brand premiums and non-PBS medications.
• family entitlement

  the safety net applies to the family of an individual provided they are married or ‘de facto’ and living together on a permanent basis unless to due to illness they live apart, and dependant children under 16 years or children that are full-time students between 16 and 25 years.
• active ingredient prescribing

  AIP active ingredient prescribing is prescribing a medication using it’s active ingredients rather than its brand name. this increases clarity from prescribers to pharmacies (standardisation) and increases health literacy in patients so they do not necessarily pay brand price premiums (promoting uptake of generic and biosimilar medicines). there are some exceptions, list of excluded medicines LEMI.
• annotating script procedure

  t speak to the prescriber in person or on the phone, clearly annotate the prescription with the details of the change. sign and date. keep a record of the changes in patient dispensing history
• new script needed for incorrect

  patient’s name, the prescribers details, the medication, the quantity, repeats and form. the date, adding another item. s8 scripts
• restricted benefit


  aa PBS subsided medication but only for particular conditions for example, fluoxetine subsided for use only in patients with depression and OCD.
• dispensing checklist


  legal, PBS status, PBS eligibility, dose, directions, interaction, special considerations, cals
• what is reg 49

  owing
• what is reg 51

  emergency supply