2DRx SOP - LloydsPharmacy

The electronic endorser must be used for all endorsing. When the prescription has been
endorsed this should be checked to ensure that it reflects what has been dispensed. All
prescription forms must be endorsed as dispensed.
Should the electronic endorser fail, in the first instance refer to IT helpdesk. If a fix or
replacement is not available the prescription should be endorsed by hand using the
information as detailed in CoMPaSS.
Ensure the number of tablets endorsed is the same as number dispensed.
Ensure the pack size dispensed from is correctly endorsed.
Ensure the correct brand dispensed is endorsed where applicable.
The Pharmacist is legally responsible for endorsing. Incorrect endorsing could be subject to
allegations of fraud and will result in re-submissions.
If a pharmacist is self-checking an adequate mental break should be taken between assembly
and accuracy checking.
Pharmacists must use their professional judgement to assess if an out-of-stock prescription
is clinically urgent and take all reasonable steps to source the owed item if not available
from the wholesaler. Ensure the customer is kept informed of the progress of supplying the
owed medication in order to maintain customer service levels.
When an owing slip is handed to a customer on collection of their medication, they should
be advised of the need to collect the owed items within 2 months. For Controlled Drugs
this must be within 28 days from the appropriate date on the prescription (date of signing
or start date specified by prescriber if different to date of signing).
All owings for controlled drugs should be marked as CD on the owing slip. This will allow
all members of staff to inform patients their prescription is only valid for 28 days from the
appropriate date on the prescription and cannot be issued after this time.
Once an owing for a schedule 2 and 3 Controlled Drug (except Phenobarbitone and
Midazolam) has been dispensed, the owing slip must be annotated with “CD cabinet” and
filed with the owing slip crossed out in the IPSS box or attached to the clear prescription
bag depending on the storage solution used. A completed CD sticker must be attached to
the prescription bag (including the collection date (within 28 days of the appropriate date on
the prescription) and if it requires entry into the CD register).
Owings for schedule 4 CDs or a schedule 3 CD exempt from safe custody requirements
(Phenobarbitone or Midazolam) should be dispensed after receipt of delivery of the CD and
follow the same storage requirements as all other medication. However the prescription
must have a CD sticker placed on the prescription bag with the date highlighted when the
owed CD must be collected by.
Owing medication should only be stored in the pharmacy for a max of 2 months, after
which time it should be dealt with as outlined in the flowchart. However certain owed items
may need to be stored for longer than 2 months if the prescription was for a large volume
or the medication is being used for a long period of treatment e.g. contraceptive pill, HRT.
2DRx Standard Operation Procedure July 2011 Page 28