CD Supply

Question 1

When can pharmacist be in possession of CD schedule 1?

Answer 1

If possessing for purpose of destruction or handing in to police

Question 2

What is the validity of a CD Rx?

Answer 2

28 days and full quantity must be supplied within time frame

Question 3

What is the good practice - MAX supply of CDs?

Answer 3

30 days

Question 4

What address must an appropriate prescriber have when prescribing CDs?

Answer 4

UK address

Question 5

State the type of prescription that a CD 2 and 3 must be written on for a private Rx

Answer 5

FP10PCD

Question 6

What must be included on a FP10PCD that is not usually required on a normal FP10?

Answer 6

Prescriber’s ID number

Question 7

What happens to an FP10PCD after dispensing, and how long should you keep any copies?

Answer 7

Send to NHSBSA at the end of the month, keep copy of Rx for 2 years

Question 8

What schedule CDs can be prescribed on repeat Rx

Answer 8

CD 4 and 5

Question 9

When should the 1st dispensing be for a CD 4 and 5?

Answer 9

CD 4 within 28 days
CD 5 within 6 months

Question 10

List the legal requirement for CD 2 and 3 Rx

Answer 10

• Patient full name and address
• Age/ DOB if under 12
• Prescribers’ signature
• Prescribers’ name and address
• Drug name, strength, form and dose
• Total quantity written in words and figures
• If issued by a dentist ‘for dental treatment only’
• Instalment wording where appropriate

Question 11

List the 3 conditions which allow a pharmacist to supply a CD 2/3 if the Rx has a minor technical error e.g. spelling

Answer 11

• Rx is genuine
• Amendments made in permanent ink
• Name, date and sign Rx when amendments are made

Question 12

List the requirements that should be included in CD reg for CDs received

Answer 12

• Date of supply
• Name and address of supplier
• Quantity

Question 13

List the requirements that should be included in CD reg for CDs being given out

Answer 13

• Date of supply
• Patient name and address
• Prescriber name and details e.g. ID
• Person collecting
• ID requested Y/N
• Quantity
• Drug class
• Drug Brand
• Strength
• Form

Question 14

What form must legally be used for CD requisition?

Answer 14

HO requisition form - FP10CDF

Question 15

List the CD requisition requirements

Answer 15

• Signed by recipient
• Recipient name, address, profession
• Total quantity
• Purpose of request

Question 16

What happens to the CD requisition form after dispensing?

Answer 16

Send to NHSBSA at the end of the month
Good practice to keep a copy in the pharmacy for 2 years

Question 17

Can CD2/3s be supplied to a doctor/dentist in an emergency without a requisition?

Answer 17

Yes if the requisition form is supplied in the next 24 hours

Question 18

If the supply is collected by a messenger what must be supplied and how long should it be kept for?

Answer 18

Letter of authority and keep for 2 years

Question 19

List 3 drugs that registered midwives can supply and what form must be signed by who?

Answer 19

Morphine, diamorphine, pethidine
signed order by appropriate medical officer e.g. Dr

Question 20

List the requirements of the signed order

Answer 20

• Name of midwife
• Occupation of midwife
• Name of patient
• Purpose of CD request
• Total quantity
• Signature of appropriate medical officer

Question 21

How long should the pharmacist retain the supply order for?

Answer 21

2 years - don’t send to NHSBSA

Question 22

What other records should be made for CD 2?

Answer 22

CD reg - legal

Question 23

Why is it important to denature CDs prior to disposal?

Answer 23

• To prevent environmental harm
• Retrieval or misuse
• Reduce risk when transporting waste

Question 24

What are the legal requirements for the destruction schedule 2 drugs?

Answer 24

• Destruction must be observed by an authorised person or accountable officer
• Authorised person records quantities destroyed in CD reg and signs the entry

Question 25

What are the good practice requirements when destroying CDs for patient return?

Answer 25

- Record (not in the CD reg) returned CD and keep for 7 years - No authorised person required

Question 26

List the requirements for records of destroyed CDs

Answer 26

- Date received - Name and signature of recipient - Patient name and address - Name, strength, form, quantity - Date destroyed - Name and signature of pharmacist - Name and signature of witness

Question 27

How are CDs destroyed?

Answer 27

CD 2-4-1 placed in waste containers with other pharmaceutical waste after denaturing. Denaturing kits inactivate CDs

Question 28

Describe the destruction of solid dosage forms

Answer 28

Crush tablets/caps and add small amount of water to reduce release into air before adding to denaturing kit

Question 29

Describe the destruction of liquid dosage forms

Answer 29

Pour into denaturing kit and mix. Rinse empty bottle with water and empty into kit, so bottle can be thrown into bin

Question 30

Describe the destruction of parenteral forms

Answer 30

Ampoules are opened and contents poured into denaturing kit, and put empty ampoules in sharps bin. Powder ampoule - add water and pour into denaturing kit

Question 31

Describe the destruction of fentanyl/buprenorphine patches

Answer 31

Remove backing on patch and fold over onto itself and put into kit

Question 32

Describe the destruction of aerosol formulations

Answer 32

Expel into water and dispose in denaturing kit

Question 33

What errors may the pharmacist amend on a CD Rx?

Answer 33

- Minor typographical errors - Minor spelling mistakes - If the quantity is missing in words OR figures

Question 34

In an emergency can a doctor or a dentist be supplied with a CD 2/3 without requisition?

Answer 34

Yes, must be supplied within the next 24 hours