Drug diversion red flags - MPJE
With the growing national focus on the Opioid crisis, pharmacists play a key role in preventing Opioid abuse and over use. A key role of pharmacy staff if to detect and stop drug diversions. Questions related to drug diversion can appear on the MPJE so make sure as a pharmacist you are aware of these red flags and that you train your staff accordingly as well. Your pharmacist license and pharmacy registration can be impacted if drug diversion happens during your watch. The FDA revoked the pharmacy registration for a few pharmacies. Details about this can be found on the FDA law blog here.
We are capturing below some FDA published red flags related to diversion that every pharmacy staff member should be trained to identify:
Multiple customers filling prescriptions written by the same prescriber for the same drugs in the same quantities
Customers with the same last name and street address presenting similar prescriptions on the same day or within a short time span
Two short-acting opiates prescribed together
Patients traveling long distances to fill opioid prescriptions
Drug cocktails
Payment by cash
Unusually large quantity of a controlled substance
Pattern prescribing
Irregular dosing instructions
Lack of individualized therapy or dosing
Early fills/refills
Other pharmacies' refusals to fill the prescriptions
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