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Prescription Regulation Summary Chart 1

CLASSIFICATION DESCRIPTION PRESCRIPTION REQUIREMENTS REFILLS & TRANSFERS PURCHASE & SALES RECORDS
Narcotic Drugs (Schedule N All products containing only 1 Written or faxed prescription. Refills are not permitted. All Purchase Records:
drugs) narcotic (straight narcotic drugs). Dispensing Requirements: the record of prescriptions must be written or faxed. Purchases must be recorded in the
E.g. buprenorphine, codeine, All narcotics for parenteral use. dispensing for all prescriptions must show: Narcotic and Controlled Drug Register
fentanyl, hydromorphone, All narcotic compounds containing Name and address of patient Narcotics may be prescribed as part- or invoices filed in chronological order
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ketamine, Lomotil , Marinol , more than 1 narcotic drug. Name, strength, quantity and form of fills and dispensed in divided portions. for auditing purposes or other record
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methadone (prescriber All narcotic compounds containing drug maintained for such purposes and be
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exemption required ), less than 2 other non-narcotic Manufacturer of drug Part-fills: the total quantity dispensed readily available on the premises.
morphine, nabilone, ingredients. Directions for use must be indicated as well as the part-
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Novahistex DH , oxycodone, All products containing 1 of the Name and address of prescriber fill quantity. Sales Records:
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meperidine, Percocet , following 5 narcotics: Identification number Record of sales in Narcotic and
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Tussionex , Tylenol No. 4 etc. heroin, hydrocodone, methadone, Price Charged Transfers are not permitted, including Controlled Drug Register or in a
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oxycodone, pentazocine part-fills and logged Rx . computer from which a printout may
Date of dispensing
be readily obtained on request or be
Signature of pharmacist and pharmacy available on the premises.
technician and when different, signature
of person receiving verbal order (where
applicable).
*Refer to Notes (page 2) for requirements of
the Narcotic Safety and Awareness Act (NSAA).
Narcotic Preparations All combinations containing only 1 Written, faxed or verbal prescription. Refills are not permitted. Rx may be Purchase Records:
(Verbal Prescription narcotic drug (not from the 5 Verbal prescriptions may be accepted and written, faxed or verbal. Same as Above
Narcotics) narcotics listed above) and 2 or recorded by a pharmacist, intern, or registered
Schedule N preparations more non-narcotic ingredients in a pharmacy student under the direct supervision Narcotics may be prescribed as part- Sales Records:
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E.g. Fiorinal -C½, recognized therapeutic dose and of a pharmacist. fills and dispensed in divided portions. Not a requirement.
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Fiorinal -C¼, Tylenol No.2, not intended for parenteral use.
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Tylenol No.3, Robitussin AC , See above for Dispensing Requirements. Part-fills: the total quantity dispensed
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Dimetane Expectorant C , must be indicated as well as the part-
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282 , 292 etc. *Refer to Notes (page 2) for requirements of fill quantity
Contain codeine up to 8mg/solid the Narcotic Safety and Awareness Act
Exempted Codeine Products: dosage form or 20mg/30ml liquid (NSAA). Transfers are not permitted, including
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E.g. Tylenol No.1 and 2 or more active non-narcotic part-fills and logged Rx.
ingredients.
Controlled Drugs Part I All straight controlled drugs. Written Rx: May be refilled if the Purchase Records:
(Sch. G) amphetamines and All combinations containing more prescriber has indicated in writing, or Same as Above.
others E.g. methylphenidate, than 1 controlled drug. faxed, the number of refills and dates
dextroamphetamine, etc. for, or intervals between refills. Sales Records:
Controlled drugs may be prescribed Record of sales in Narcotic and
Controlled Drug Preparations All combinations containing 1 as part-fills and dispensed in divided Controlled Drug Register or in a
Part I (Sch. G) controlled drug in Part I and 1 or portions. computer from which a printout may
(Currently not available in Canada) more non-controlled ingredients in Verbal Rx: No refills allowed but part- be readily obtained on request or be
recognized therapeutic dose. fills are allowed. available on the premises.
Transfers are not permitted, including

September 2013
part fills and logged Rx.

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This is a summary; refer to official legislation for detailed information.
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Steps to follow when starting to dispense Methadone: www.ocpinfo.com, Professional Practice tab, Standards, Policies and Guidelines, “Methadone Maintenance Treatment and Dispensing Policy”.
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To confirm a methadone prescriber’s exemption for Pain or MMT: Contact Health Canada at 613-946-5139, 1-866-358-0453 or email exemption@hc-sc.gc.ca
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A logged prescription is a new, unfilled order that is on hold and may be dispensed at a later time.

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Prescription Regulation Summary Chart 1

CLASSIFICATION DESCRIPTION PRESCRIPTION REQUIREMENTS REFILLS & TRANSFERS PURCHASE & SALES RECORDS
Controlled Drugs, Part II Most barbiturates and others Written, faxed or verbal prescription. Written or verbal Rx permitted. Purchase Records:
(Sch. G) butorphanol and Verbal prescriptions may be accepted and Refills permitted for written or verbal Purchases must be recorded in the
barbiturates E.g. phenobarbital recorded by a pharmacist, intern, or registered Rx if the prescriber has authorized Narcotic and Controlled Drug Register
pharmacy student under the direct supervision (at the time of issuance) the number or invoices filed in chronological order
Controlled Drug Preparations All combinations containing 1 of a pharmacist. of refills and dates for, or intervals for auditing purposes or other record
Part II (Sch. G) E.g. Bellergal controlled drug in Part II and 1 or between refills. maintained for such purposes and be
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Spacetabs , Tecnal more non-controlled ingredients in Dispensing Requirements: the record of Controlled drugs may be prescribed readily available on the premises.
recognized therapeutic dose. dispensing for all prescriptions must show: as part-fills and dispensed in divided
Name and address of patient portions. Sales Records:
Name, strength, quantity and form of drug Transfers are not permitted, including Not a requirement.
Manufacturer of drug part-fills and logged Rx.
Controlled Drugs, Part III Anabolic Steroids and Derivatives Directions for use Same as above. Purchase Records:
(Sch. G) E.g. testosterone etc. Name and address of prescriber Same as above
Identification number
Controlled Drug Preparations Price Charged Sales Records:
Part III (Sch. G) All combinations containing 1 Date of dispensing Not a requirement.
(Currently not available in Canada) controlled drug in Part III and 1 or
more non-controlled ingredients in Signature of pharmacist and pharmacy
technician and when different, signature
recognized therapeutic dose.
of person receiving verbal order (where
applicable).
Benzodiazepines & Other *Refer to Notes (below) for requirements of Refills are permitted via written, faxed Purchase Records:
Targeted Substances All drugs listed in the schedule to the Narcotic Safety and Awareness Act or verbal prescriptions. Transfer of Rx Same as above
E.g. alprazolam, diazepam, the Benzodiazepines and other (NSAA). permitted except for a Rx that has
flurazepam, lorazepam, Targeted Substances Regulations. been already transferred. Sales Records:
chlordiazepoxide, clobazam, Note: prescriptions for Not a requirement.
clorazepate, midazolam, benzodiazepines and targeted
oxazepam, temazepam, substances are valid for 1 year from
triazolam, etc. the date prescribed.
Other Prescription Drugs All drugs listed in Schedule F of the Written, faxed or verbal prescription. Verbal Refills are permitted via written, faxed Purchase Records:
(Sch. I of NAPRA) Food and Drugs Regulations. prescriptions may be accepted and recorded or verbal prescriptions. Not a requirement
E.g. digoxin, ramipril, zopiclone by a pharmacist, intern, pharmacy technician
etc. and pharmacy student (direct supervision). Transfers of authorized refills are Sales Records :
See above for Dispensing Requirements. permitted between pharmacies. Not a requirement
*Refer to Notes (below) for requirements of
the Narcotic Safety and Awareness Act
(NSAA).
Notes:
*
Original Rx must be retained for 2 years as per the DPRA S.156 (2).
Patient Record is a complete reference of all documentation related to the care of a patient and must be retained electronically for 10 years from the last recorded professional pharmacy service
provided to the patient or until 10 years after the day on which the patient reached or would have reached the age of 18 years, whichever is longer. (Reg. 58/11 to DPRA, S.55 (1)). Of note, both the
scanned copy of the original Rx and the dispensing record (hard copy containing pharmacist and pharmacy technician signatures) are part of the patient record.

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As per the NSAA, prescribers are required to record on an Rx for a monitored drug, their College Registration #, the patient’s ID and the type of patient ID provided; dispensers have to record the information.
To report Loss, Theft, Forgeries (within 10 days), expired, unused or wasted Narcotic and Controlled drugs: Contact Office of Controlled Substances at Tel. 613-954-1541or Fax: 613-957-0110.

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