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PRESCRIPTION REGULATIONS

A synopsis of federal and provincial laws and regulations governing the


distribution of drugs by prescription in British Columbia

PRESCRIPTION
CLASSIFICATION DESCRIPTION REFILLS SALES RECORD FILES AND RECORDS
REQUIREMENTS

Narcotic Drug * All single-entity narcotics. All Written or faxed prescription by a No refills allowed. All “re- All prescription sales (except 1. Narcotic and controlled drug
Examples: Butrans, Cesamet, narcotics for parenteral use. physician, dentist, veterinarian, orders” must be new written those for purchases must be recorded in a book
Codeine, Codeine Syrup, Cophylac, All narcotic compounds nurse practitioner, midwife or prescriptions. dextropropoxyphene) must be or register and must be readily
Darvon-N, Demerol, Dilaudid, containing more than one podiatrist. recorded in a register or a available.
Duragesic, Emtec-30 and -60, narcotic drug. All narcotic Written “part-fill” instruction computer-printed report. The
Hycodan, Jurnista, Kadian, Ketamine, compounds containing less Prescription must include can be included, specifying register or computer-printed 2. Prescriptions for narcotics, controlled
Lomotil, M-Eslon, Metadol, Methadose, than two other non-narcotic components detailed immediately the total prescription quantity report must be current and drugs and preparations of either may
Morphine, Nabilone, Novahistex-DH, ingredients in a therapeutic below. plus the interval between each kept for at least three years. be filed together, but must be
Nucynta, OxyNeo, Percocet, Percodan, dose. All products containing “part-fill.” separated from all other prescriptions.
Ratio-Lenoltec #4, Sativex, Sublocade, any substance listed in the Note: Prescription requirements
Suboxone, Talwin, Tramadol, schedule to the Narcotic for Schedule IA drugs are listed Transfer of “part-fills” and 3. All prescriptions, whether in writing
Tussionex, Tylenol No.4, Tylenol with Control Regulations. in this table under Controlled undispensed prescriptions are from the practitioner or received
Codeine Elixir. Prescription Program (CPP) not permitted. verbally and recorded by a pharmacist,
Drugs. must be filed in sequence according to
date and prescription number or
transaction number.
Verbal Prescription A combination for other than Written, verbal or faxed No refills allowed. All “re- Prescription sales do not need
parenteral use containing only prescription by a physician, orders” (written or verbal) to be recorded in a register or 4. All prescriptions must be kept for at
Narcotic Drug * one narcotic drug plus two (or dentist, veterinarian, nurse must be new prescriptions. computer-printed report, least three years after their most
Examples: Calmylin ACE, Coactifed, more) non-narcotic drugs in a except when an emergency
practitioner or podiatrist. recent activity, including refill
Cotridin, Dimetapp C, 282 and 292, Written or verbal “part-fill”
therapeutic dose, except supply is provided to another transactions.
Fiorinal C ½, Fiorinal C ¼, ratio- Midwives may prescribe verbal instruction can be included, as
Lenoltec-#2 and #3, Robitussin AC, products containing pharmacist and returns to
diacetylmorphine (heroin) prescription narcotic drugs. noted above. licensed dealers. 5. All dispensed prescription medication
Tylenol No.2 and No.3.
hydrocodone, methadone, and authorized refills must be recorded
oxycodone or pentazocine. All prescriptions must include: Transfer of “part-fills” and on a patient medication profile for each
undispensed prescriptions are patient.
• Patient’s name not permitted.
• Practitioner’s name and 6. At the time of dispensing a verbal
Drugs listed in Part I of the signature (for written No refills allowed if original All prescription sales must be prescription narcotic, a controlled drug,
Controlled Drug Part 1* prescriptions) or a targeted substance pursuant to a
Examples: Adderall XR, Biphentin, schedule to Part G of the prescription is verbal; recorded in a register or
Concerta, Dexedrine, Ritalin, Vyvanse. Food and Drug Regulations • Name, strength, and quantity however, part-fills are allowed. computer-printed report. verbal order, the written record must
(e.g. amphetamines and their of drug(s) or ingredients Register must be current and also include the patient’s address,
salts and derivatives, If written, the original kept for at least three years. practitioner’s initials and address, form
methylphenidate, • Complete directions for use, prescription may be refilled if of drug, and name or initials of the
phenmetrazine, pentobarbital, including the frequency, the practitioner has indicated pharmacist who transcribed the verbal
secobarbital) interval or maximum daily in writing the number of times order.
dose and interval between refills.
7. Each dispensing of a new prescription,
• Number of refills and intervals “Refill PRN” is not an
Combination containing only Prescription sales do not need a refill/part-fill, a renewal or a balance
Controlled Drug between refills/part-fills (when acceptable authority for owing must show the address of the
one controlled drug listed permitted) to be recorded in a register or
Preparation Part 1 immediately above plus one refilling a prescription. computer-printed report, patient, identification number from the
(or more) active non- • Date prescription written except when an emergency practitioner’s regulatory college,
Transfer of undispensed prescription number, date dispensed,
controlled non-narcotic supply is provided to another
prescriptions and authorized drug identification number or brand
drug(s). The written record of verbal pharmacist and returns to
refills or “part-fills” are not name of the product dispensed,
prescriptions must include the licensed dealers.
permitted. quantity dispensed, and the written
practitioner’s name and college
identification number, and the identification of the registrants who
Controlled Drug Part 2 * Drugs listed in Part II of the Refills may be authorized on verified the patient identification,
name, college identification
Examples: Nubain, Phenobarbital, schedule to Part G of the original written or verbal verified the patient allergy information,
number and signature or initial of
Apo-Butorphanol NS Food and Drug Regulations prescription and must indicate reviewed the patient’s PharmaNet
the pharmacist who receives the
(e.g. barbiturates and their the specific number of times profile, performed the final product
verbal prescription authorization
salts and derivatives [except and interval between refills. check, performed the consultation, and
either directly from a practitioner
pentobarbital & secobarbital], identified and addressed a drug
or from a practitioner’s recorded
butorphanol, “Refill PRN” is not an therapy problem (if any).
voice message.
chlorphentermine, acceptable authority for
diethylpropion, nalbuphine, refilling a prescription. 8. For methadone prescriptions, all part-fill
Note: Prescription requirements documentation must be recorded and
phentermine, thiobarbituric
for Schedule IA drugs are listed Requests for refills beyond filed with the original prescription. The
acid)
in this table under Controlled those originally authorized methadone part-fill accountability log
Prescription Program (CPP) necessitate the initiation of a which the patient and pharmacist both
Combination containing only Drugs. new prescription.
Controlled Drug sign at each part-fill may be used for
one controlled drug listed this purpose. Documentation for each
Preparation Part 2 * immediately above plus one Transfer of undispensed
Examples: Fiorinal, Tecnal, Bellergal methadone part-fill must show the
(or more) active non- prescriptions and authorized prescription number, date dispensed,
Spacetabs.
controlled non-narcotic refills are not permitted. quantity dispensed, the pharmacist’s
drug(s). initials and patient’s signature. For all
other narcotic and control drug
prescriptions, the part-fill history does
not have to be filed with the original
Drugs listed in Part III of the prescription provided that the software
Controlled Drug Part 3 program allows tracking between the
schedule to Part G of the
Examples: Andriol, Androderm, Food and Drug Regulations part-fills and the original prescription.
Androgel, Delatestryl Injection, Depo- (e.g. anabolic steroids, A “paper trail” copy of the part-fill
testosterone, Testim. zeranol) prescription must be created and filed
on the date of dispensing the part-fill.

 This table is intended to provide a summary of prescription regulations governed by federal and provincial legislation and is subject to change.
Temporary federal and provincial exemptions due to the COVID-19 pandemic are not included in this table. Refer to this page for more information:
https://www.bcpharmacists.org/covid19. Ensure you refer to the most up-to-date legislation when using this document, including but not limited to
the underlined hyperlinks referred to in this document.

* Some (but not all) products in this category may also be included in the list of drugs monitored by the Controlled Prescription Program (CPP), the requirements for
which exceed the requirements for this classification.

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PRESCRIPTION REGULATIONS
PRESCRIPTION
CLASSIFICATION DESCRIPTION REFILLS SALES RECORD
REQUIREMENTS FILES AND RECORDS
A product or compound that Written, verbal or faxed Refills may be authorized on Prescription sales do not need Same as point 1, 4, 5, 6 and 7 on page 1.
Targeted Drug contains any substance listed prescription by a physician, original written or verbal to be recorded in a register or
Substances in Schedule 1 of the dentist, veterinarian, nurse prescription and must indicate computer-printed report, Prescriptions for targeted drug substances
(Part 1) Benzodiazepines and Other practitioner or podiatrist. the specific number of times except when an emergency are filed with the Prescription Drug List
Targeted Substances and interval between refills. supply is provided to another prescriptions.
Regulations (e.g. all Midwives may prescribe pharmacist and returns to
benzodiazepines and their benzodiazepines. “Refill PRN” is not an licensed dealers. All prescriptions, whether in writing from
salts and derivatives (but acceptable authority for the practitioner or received verbally and
excluding the Requirements of a prescription refilling a prescription. recorded by a pharmacist, must be filed
thienobenzodiazepines:, as on page one. systematically and maintained in a
flunitrazepam, olanzapine), Requests for refills beyond manner that is secure, auditable and
clotriazepam, ethchlorvynol, those originally authorized allows for easy retrieval.
ethinamate, fencamfamin, necessitate the initiation of a
fenproporex, mazindol, new prescription.
mefenorex, meprobamate,
methyprylon, pipradol) Pharmacist transfer of
undispensed prescriptions
and authorized refills is only
permitted once in the lifetime
of the prescription.

Other Prescription All other drugs listed as Written, verbal or faxed Refills may be authorized on Prescription sales do not need Same as points 4, 5 and 7 on page 1.
Schedule I in the Drug prescription by a physician, original written or verbal to be recorded.
Drugs (Prescription Drug Schedules Regulation to the dentist, veterinarian, podiatrist, prescriptions and must All prescriptions, whether in writing from
List) Pharmacy Operations and nurse practitioner, optometrist, indicate the specific number of the practitioner or received verbally and
Drug Scheduling Act (which naturopathic physician, times and interval between recorded by a registrant, must be filed
Formerly known as Schedule F to the
Food and Drug Regulations contains all drugs in the pharmacist or midwife. refills. systematically and maintained in a
Prescription Drug List to the manner that is secure, auditable and
Regulations to the Food and All prescriptions must include: “Refill PRN” is not an allows for easy retrieval.
Drugs Act (Canada), plus a acceptable authority for
• Patient’s name
number of others). refilling a prescription.
• Practitioner’s name and
signature (for written Transfer of undispensed
prescriptions) prescriptions and authorized
refills is permitted. A registrant
• Name, strength, and quantity, who transfers a prescription to
of drug(s) or ingredients another registrant must enter
• Complete directions for use, the date of the transfer, the
including the frequency, registrant’s identification,
interval or maximum daily identification of the community
dose pharmacy to which the
prescription was transferred,
• Number of refills and interval
and identification of the
between refills if applicable
person to whom the
• Date prescription written prescription was transferred
The written record of verbal on the patient record.
prescriptions must include the
practitioner’s name and college
identification number, and the
name, college identification
number and signature or initial of
the registrant who receives the
verbal prescription authorization
either directly from a practitioner
or from a practitioner’s recorded
voice message.

A drug listed in the table under


section 1 of the Drug Schedules
(Limits on Sale) Regulation must
not be sold from a pharmacy to a
person unless at least one of the
following conditions is met:
(a) the person is a citizen or
permanent resident of Canada;
(b) the drug is sold directly to the
person, while the person is on
the premises of the pharmacy

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PRESCRIPTION REGULATIONS
PRESCRIPTION
CLASSIFICATION DESCRIPTION REFILLS SALES RECORD
REQUIREMENTS FILES AND RECORDS

Controlled Prescription All drugs listed as Schedule Written prescription on an No refills permitted. All “re- CPP prescriptions for straight Same as points 1, 2, 3, 4, 5, 6, 7 and 8 on
Program (CPP) Drugs 1A in the Drug Schedules approved two-part form. orders” must be new written narcotic drugs and Schedule page 1.
Regulation to the Pharmacy CPP forms. G, Part I drugs (Controlled
Operations and Drug Schedule IA drugs cannot be Drugs Part 1) must be The patient’s or agent’s signature must be
Scheduling Act. prescribed by a podiatrist. Written “part-fill” instruction recorded in a register or a obtained on the “Pharmacy Use Only”
can be included (as for computer-printed report. section of the CPP form upon receipt of
narcotics). the dispensed drug.
Note: Fax transmission is not
allowed in community Transfer of “part-fills” and
pharmacies, except in licensed undispensed prescriptions are
facilities, or in a public health not permitted.
emergency declared by the
provincial health officer. The
pharmacy must receive a
completed copy of the CPP form
transmitted by fax prior to
dispensing the medication.

A verbal prescription from a


practitioner is allowed if
permitted under a section 56
exemption to the CDSA. The
original prescription form or copy
of the completed form
transmitted by fax must be
received as soon as possible.

More than one strength of


medication can be included on
one Controlled Prescription
Program form, provided the
orders are legible.

The prescription expires after


midnight of the fifth day following
the date of issuance by the
practitioner, unless the
prescription is for OAT.

A registrant (a) must not dispense a prescription more than two years from the prescribing date, and (b) despite paragraph (a), must not dispense a
prescription for a benzodiazepine or other targeted substance more than one year from the prescribing date. HPA Bylaw, Community Pharmacy
Standards of Practice s.10(5)

Despite subsection (5), a registrant may dispense a prescription for a benzodiazepine or other targeted substance up to two years from the prescribing
date, if permitted by a section 56 exemption to the Controlled Drugs and Substances Act. HPA Bylaw, Community Pharmacy Standards of Practice
s.10(5.1)

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