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Remote prescription concern — GPhC CRA MCQ

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HardPharmacy Law and EthicsRemote prescription concernGPhC CRA

A UK online pharmacy receives a first-time prescription for semaglutide for weight management after a text-only commercial questionnaire. Identity is not independently verified, height and weight are self-entered, comorbidities and concurrent medicines cannot be checked, and the prescriber is unreachable. What should the pharmacist do?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Pause supply until the service can verify the missing identity and clinical information

Explanation lettering: C = shown as A · E = shown as B · D = shown as C · B = shown as D · A = shown as E

A is wrong because legal form does not displace the pharmacist’s independent duty to make a safe supply. B is wrong because a low starting dose does not cure missing identity, history or monitoring information. C is wrong because contractual acceptance cannot transfer professional responsibility. D is wrong because commercial management cannot authorise an unsafe clinical act. E is correct: distance services need robust identity and clinical checks, secure information exchange and appropriate monitoring and follow-up; supply should wait until the deficits are resolved.

Reference: GPhC: guidance for registered pharmacies providing services at a distance. https://assets.pharmacyregulation.org/files/2025-02/gphc-guidance-registered-pharmacies-providing-pharmacy-services-distance-february-2025.pdf GPhC: standards for pharmacy professionals. https://assets.pharmacyregulation.org/files/standards_for_pharmacy_professionals_may_2017_0.pdf