M4L2- DISPENSING LEC PART 2

NEW

original prescription order

filled the first time

REFILL

any repeat filling of an original prescription order

Partial Filling of Prescription

means dispensing less than the number of units

prescribed.

The following shall be written on the face of

the prescription in partial filling:

 The date of partial filling

 The quantity served and the balance of the

prescription unserved

 Name and address of the drugstore

Generic Dispensing

means dispensing the patient’s/buyer’s choice from among generic equivalents.

Dispensing of Controlled Drugs

Dispensing must be done by the pharmacist who shall affix his/her signature on the prescription filled

Requirements in Dispensing List A Drugs (partial filling is NOT allowed):

S-2 license of the physician

Special DDB prescription form

(Form No. 1-72) must be used

Recording system

Magistral Rx

• A prescription that is very often prescribed by the same doctor, of the same ingredients and compounded by the same pharmacist

Coded Rx

• A prescription containing words or symbols to represent the name of drugs, it is also known as “blind prescription.

Prescriber’s Information

It usually contains the name of the physician or dentist, his specialty, clinic address, contact number and clinic hours.

Patient’s Information

• It contains pertinent information

about the patient such as the

name, address, sex, age and

weight and sometimes BSA

Date

• Prescriptions are dated at the time

they are written and also when

they are received and filled in the

pharmacy.

Superscription

• The Rx symbol is a Latin verb

“recipe” meaning “take though” or

“you take”

• Historians believed that this

symbol originated from the sign of

Jupiter employed by ancients in

requesting aid for healing

Inscription

• The medication prescribed

• It is the body or principal part of

the prescription order

Subscription

• Dispensing directions to the

pharmacist

• It contains directions to the

pharmacist for preparing and

labeling the prescription

• It usually contains the quantity of

the medication to be dispensed

Transcription

• Directions for the patients

• It is also known as “signature” or

“signa” meaning “mark though” or

“let it be labeled”

• The instructions are usually written

using abbreviated forms of English

or Latin terms

Refill Information

• If refill information is not supplied,

it is generally assumed that no

refills are authorized

Prescriber’s Signature and License Numbers

• It contains the signature of the prescriber as well as the doctor’s license number to practice his profession, PTR number, and sometimes S2 number

Processing the Prescription Order

1. Receiving the RX

2. Reading and checking

Receiving the Rx

• It is desirable that the patient

presents the prescription order

directly to the pharmacist

• Greet properly and ask politely what

you can do for the patient

Reading and Checking

• Upon receiving the prescription, it should

first be read completely and carefully.

• Try to answer the following questions:

• Is the prescription legal?

• Who is it for?

• What is the name of the medication?

• What are the instructions for the patients?

• What quantity is to be dispensed

Violative Prescriptions

SHALL NOT BE FILLED; SHALL BE KEPT

AND RECORDED

Where generic name is not written

Where the generic name is not legible

and a brand name is legible written

Where the brand name is indicated and

instructions added (such as phrase “no

substitution”

Erroneous Prescription – SHALL BE FILLED;

SHALL BE KEPT AND RECORDED

• Where the brand name precedes the generic

name

• Where the generic name is the one in

parenthesis

• Where the brand name is not in parenthesis

• Where more than one drug product is

prescribed on one prescription form (amended,

allowed already

Impossible Prescription – SHALL NOT BE

FILLED; SHALL BE KEPT AND RECORDED

When only the generic name is written but it

is not legible

When the generic name does not correspond

to the brand name

When both the generic name and the brand

name are not legible

When the drug product prescribed is not

registered with the FDA

Pricing

Each pharmacy/drugstore should have

a method for _____ the prescription

that is applied consistently by each

pharmacist and it should be

established to ensure the profitable

operation of the department

The charge applied to the prescription

must cover the following:

 Cost of ingredients

 The time of the pharmacist and auxiliary

personnel involved

 Cost of inventory maintenance and other

operational costs of the department

 A reasonable margin of profit/investment

Percent Mark Up

• SP = Cost of ingredients + (cost x % mark-up)

• The desired percent mark-up is taken of the cost of the ingredients to obtain the prescription price

• The percentage mark-up applied varies

depending on the cost of the ingredients:

• A lower % mark-up for prescription items with

higher cost

• A higher % mark-up for prescription items with

lower cost

Percent Mark Up Plus a Minimum Fee

• In this method, both a percent mark-up

and a minimum fee are added to the

cost of the ingredients.

• SP = Cost of ingredients + (cost x %

mark-up) + minimum fee

Professional Fee

This method involves the addition

of a specified professional fee to

the cost of the ingredients used in

filling a prescription.

SP = Cost of ingredients +

Professional fee

Numbering and Dating

It is a legal requirement to number the

prescription order and to place the

same number on the label.

Dating of the prescription on the date

filled is also a legal requirement, it is

different from the date the prescription

was made

Labeling

 Labeling is primarily indicated for drug

products which are not in their original

containers and transferred to another

container.

 The label represents the professionalism

of the dispensing pharmacist

 It should be neat, attractive and legible

The prescription label should contain the following

information:

 Name and address of the pharmacy

 Date of dispensing

 Prescription number

 Prescriber’s name

 Patient’s name

 Name and strength of the medication

 Directions for use

 Manufacturer’s lot number and expiration date

 Auxiliary and cautionary labels

 Name and initials of the dispensing

pharmacist

Preparing

The pharmacist should decide on the

exact procedure to be followed in

dispensing or compounding the

ingredients

Packaging

 In filling a prescription, the pharmacist may

select from a variety of containers.

 Selection is primarily based on the type and

quantity of medication and the method of

its use.

 Prescription containers must protect the

contents from air, moisture, light, loss of

drug and entrance of contaminants

Types of Containers

 Round vials

 Prescription bottles

 Wide-mouth bottles

 Dropper bottles

 Application bottles

Ointments jars and collapsible tubes

 Sifter-top containers

 Hinged-lid or slide boxes

 Aerosol containers

Rechecking

 Every prescription filled should be

rechecked to avoid any errors.

 If another pharmacist is available, he

should ask the other pharmacist to

help in checking the prescription

Delivering and Patient Counseling

 The pharmacist should give the prescription

directly to the patient and instruct the

patient on what to do with the prescription

 The pharmacist should reinforce the

information that the patient already is

aware of, call attention to any auxiliary

labeling instructions and provide further

information with the filled prescription

Recording and Filing

 The prescription should be recorded in prescription books and other books where the filled prescription should be recorded.

 The prescription are then filed and maintained by the pharmacy.

 Prescription drugs – 2 years

 Dangerous drugs – 1 year

 Poisonous drugs – 5 years

 Abortive drugs – 5 years