Regulations in NSW require the pharmacist personally hand a Schedule 3 substance to the person who is being supplied with it from a community pharmacy (when supplied without prescription). This safeguard ensures a pharmacist can assess therapeutic need and appropriateness of the medicine and reinforces for consumers the importance of professional advice when using Schedule 3 medicines.
A pharmacist can exercise professional judgment about supply to carers or other persons presenting on behalf of a patient. The pharmacist can directly supervise a pharmacy assistant to assist them.
The Poisons and Therapeutic Goods Regulation 2008 (clause 18) specifies that to supply a Schedule 3 substance the pharmacist must ‘personally hand’ the substance to the person, and give the person an opportunity to seek advice on use of the substance.
Yes, you are not legally compelled to supply a medicine. In some cases you may even be legally compelled to refuse. If you have reasonable grounds for believing that the request is for a quantity or a purpose not in accordance with the recognised therapeutic standards of what is appropriate, you should refuse to supply.
No. In NSW, a pharmacy cannot supply by wholesale. A pharmacy may only supply scheduled medicines to patients of that pharmacist for their personal treatment. (A pharmacy may supply to doctors or similarly authorised practitioners for bona fide emergency treatment only.)
Certain shopkeepers in rural areas, and other persons who may be authorised to obtain scheduled medicines, should obtain them from a licensed wholesaler.
It is illegal to supply any medicine in Australia unless:
Yes, if you have extemporaneously prepared it yourself for a particular patient's order or prescription in the course of your practice as a pharmacist. Otherwise, it is illegal to supply any medicine in Australia unless it is on the Australian Register of Therapeutic Goods (i.e. it has an AUST L or AUST R number on the label).
No. It is illegal to supply any medicine (even unscheduled medicines, vitamins and herbal remedies) past the expiry date to anyone. Sending expired or unordered medicines to needy countries is generally not helpful, may exacerbate health problems and provide logistical issues for disposal.
This is not recommended, and may be illegal if numerous and complex conditions are not complied with. For example, you must remove from the label (and not supply any other material which contains) any references to “prescription only” and any references to dose, pack size, indications, patient age, and length of treatment which would make the medicine a Schedule 4 medicine. Labelling must be as for a dispensed prescription medicine, including patient name, directions, date and so on. You can supply individual patients only, and only for the permitted purpose/s (i.e. not for any purpose which is included in the Schedule 4 entry for the substance); you must not supply it if you suspect (or ought to suspect) that the customer intends to use it for other purposes. You must also avoid using a prescription product brand name in any advertising.
A pharmacist may supply a quantity in accordance with the recognised therapeutic standards of what is appropriate under the circumstances for the treatment of the customer or the person for whom the medicine is intended, e.g. a member of the customer’s immediate family.
If the doctor is not on the Australian national register of medical practitioners, the doctor should be treated as any member of the general public. The registration status of a practitioner can be accessed on AHPRA . If the doctor is Australian-registered the normal prescription requirements apply.
No. If a Schedule 3 drug is not supplied by prescription, a pharmacist must personally hand the medicine to the customer and give them the opportunity to seek advice about its use, including dose and possible toxicity of the medicine.
