This is the text extract for Close Control Changes Table, browse documents here.

1 JULY 2012 CHANGES ‘Close Control’ becomes ‘Dispensing Frequency’

The table below lists whether or not there has been a change to the Dispensing Frequency Rule and Section F: Part II Certified Exemption, the requirement to access these rules and whether it is prescriber or pharmacist initiated. This is a guide only. For detailed information visit www.pharmac.govt.nz/ccc Rule Dispensing Frequency for Community Residential Care and Age Related Residential Care (ARRC) patients ‘Patient is intellectually impaired, frail, infirm or unable to manage their medicine without additional support’ Patients who require more frequent dispensing than the default period in Schedule Trial Periods for new medicines or a change of dose. Safety medicines Changes and requirements for prescription Prescriber may endorse prescription Pharmacist may annotate prescription

No change This has been removed. These patients need to be reviewed by the pharmacist under the LTC criteria in the Pharmacy Services Agreement. They should be maintained on current dispensing frequency until reviewed. - patient is registered for LTC and pharmacist determines dispensing frequency; or - Core patient requiring more frequent dispensing (monthly at pharmacist discretion; if higher frequency e.g. weekly need verbal confirmation from prescriber and this to be annotated on prescription). No change except that prescribers no longer need to initial each trial period Prescribers no longer have to endorse safety medicines. Codeine and buprenorphine with naloxone (Suboxone) have been added. - Can be dispensed at the same frequency as the safety list medicine Requirement: pharmacist has annotated on prescription, dispensing frequency, quantity and reason for co-dispensing No change No change Pharmacists can now initiate as well as prescribers. No change as this is still patient initiated - Pharmaceutical is not identified with an * - To be used for stock management purposes by the pharmacy (e.g. avoiding broken packs) and/or patient synchronisation Requirement: pharmacists annotates script with reason for flexible dispensing

✓

✓

✓

✓ ✓ ✓ ✓ ✓ ✓ ✓

Medicines co-prescribed with safety list medicine Out of Stock management Section F: Part I Section F: Part II(a) Section F: Part II(b)

✓ ✓

Section F: Part III Flexible dispensing periods

✓

Note 1: where both prescriber and pharmacist are ticked this means either can endorse / annotate Note 2: these changes are not mandatory and should only be used where appropriate Note 3: LTC = Long-Term Condition service under the Pharmacy Services Agreement Note 4: Core patient as defined in the Pharmacy Services Agreement