Controlled Prescription Program - College of Pharmacists of BC

1 Controlled Prescription Program August 2011. Program OBJECTIVE ADDITIONAL INFORMATION. To prevent forgeries and reduce inappropriate Prescription forms are personalized and numerically prescribing of selected drugs. recorded and cannot be exchanged between prescribers. HOW THE Program WORKS. More than one medication or strength of medication The selected drugs may only be prescribed in writing can be included on one Controlled Prescription using a special Controlled Prescription Program Program form, provided the orders are legible. duplicate pad printed for the purpose. Once the Prescription is written, the prescriber retains the Part-fills are not encouraged but are acceptable, bottom copy marked PRESCRIBERS COPY and subject to the usual legal and recordkeeping provides the patient with the original identified as requirements. The total quantity of drug being PHARMACY COPY, which the patient gives to the prescribed, the quantity to be dispensed on each pharmacist.

2 Part-fill and the interval of time to be observed between these fillings must be specified. Program PARTICIPANTS. Outpatient prescriptions written at hospital emergency College of Pharmacists of BC and outpatient departments for a monitored drug College of Physicians & Surgeons of BC must be written on a Controlled Prescription Program College of Dental Surgeons of BC duplicate form. BC Veterinary Medical Association Ministry of Health Services (PharmaCare Prescriptions for long-term and extended-care facility Program ) patients do not require the use of Controlled Prescription Program forms. LEGISLATION. Void after 5 days means that the Prescription cannot The legislation supporting pharmacy's involvement in be honoured after midnight of the fifth day following the Program is detailed in the Pharmacy Operations the date of issue. Therefore, a Prescription written on and Drug Scheduling Act, Bylaw 4(6) and 4(8). January 10th can be accepted for filling or logging on until midnight January 15th.

3 The list of drugs covered by the Program has been agreed to by all the participating organizations. Locum physicians receive a pad of blank forms at the Unless otherwise specified, both single-entity time of registration from the College of Physicians products and preparations or mixtures of the and Surgeons. These are to be completed by the scheduled drugs require the use of Controlled physicians with their name and CPSBC ID number, Prescription forms. plus the name, address, and telephone number of the employing physician. DISPENSING INFORMATION. Physicians working in a permanent capacity as a Prescriptions for the listed drugs must be written on a locum will have their names printed on the Controlled Prescription Program duplicate form. Prescription forms and are obliged to print or stamp Prescriptions for these drugs written on any other the name, address and telephone number of the form or transmitted verbally cannot be accepted by employing physician. the pharmacist.

4 Prescribers have been advised that failure to complete the Prescription forms may result in rejection of the Prescription by the pharmacist with resulting patient and prescriber inconvenience. However, if the Prescription includes all the information required in pharmacy legislation, the medication may be dispensed. Controlled Prescription Program August 2011. The following drugs require the use of a Controlled Prescription Program form. The noted product names are examples only and are not intended to represent a complete list of all products available. Alfentanil Hydrocodone (Dihydrocodeinone) Normethadone Alfenta (continued). Hycomine-S (pediatric syrup) Oxycodone Anileridine Novahistex DH Endocet Novahistex DH Expectorant Endodan Buprenorphine Oxycocet Butran Novahistine DH. Ratio-Coristex-DH Oxycodan Suboxone OxyContin Tussionex Butalbital Percocet Fiorinal Hydromorphone Percocet-Demi Fiorinal C 1/2 (Dihydromorphinone) Percodan Fiorinal C 1/4 Dilaudid Percodan-Demi Ratio-Tecnal Dilaudid-HP Supeudol Ratio-Tecnal C 1/2 Dilaudid-XP.

5 Hydromorph Contin Pentazocine Ratio-Tecnal C 1/4 Talwin Butorphanol Levorphanol Propoxyphene Stadol NS. Meperidine (Pethidine) (Dextropropoxyphene). Codeine when prescribed as a Demerol Darvon-N. single entity or when included 692 Tablets Methadone 642 Tablets in a preparation containing 60. mg or more per dosage unit Methaqualone Novo-Propoxyn Codeine 15, 30 and 60 mg tablets Novo-Propoxyn Compound Codeine Contin Morphine M-Eslon Sufentanil Empracet-60. Morphitec Sufenta Ratio-Lenoltec No. 4. Tylenol with Codeine No. 4 Morphine HP. Tapentadol Ethchlorvynol Nucynta Placidyl MS-IR. MS Contin Fentanyl Tincture of Opium Duragesic Hydrocodone (Dihydrocodeinone). Coristine-DH. Dimetane Expectorant-DC. Hycodan Hycomine syrup The following drug products are not Controlled Prescription Program drugs and do NOT. require the use of a Controlled Prescription form: Amobarbital Ketamine Anabolic Steroids Methylphenidate Cocaine eye drops / topical Nabilone (Cesamet). Delta-9-tetrahydrocannabinol (Sativex, Marinol) Opium and Belladonna Suppositories Dextroamphetamine (Dexedrine) Pentobarbital Diphenoxylate (Lomotil) Secobarbital More than one medication or strength of medication can be included on one Controlled Prescription Program form, provided the orders are legible.

6 Cope378/dw 5015- Controlled Prescription Program (amended 2011-08-08) Page 2. College of Pharmacists of British Columbia Controlled Prescription Program August 2011.