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Split-pack supply — GPhC CRA MCQ

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ModerateDispensing and SupplySplit-pack supplyGPhC CRA

A prescription requests 28 tablets of a medicine supplied in a manufacturer's calendar pack of 30 tablets. The patient has dexterity problems and relies on the calendar pack for adherence. The pharmacy has no smaller original pack available. What is the legal classification/requirement?

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Correct answer: B — Consider supplying the original pack quantity if clinically and contractually appropriate, documenting the reason

Original pack dispensing may be appropriate where breaking the pack would compromise patient information, adherence aids or product integrity, subject to professional judgement and reimbursement rules. The reason should be documented and the patient counselled. Removing the leaflet or mislabelling the quantity would be unsafe. Refusal is not necessarily needed if a safe lawful supply can be made.

Reference: Human Medicines Regulations 2012; MEP