Case scenario

Jane, the pharmacist, has received a repeat prescription from a regular patient, Natasha, for 60 controlled-release quetiapine 50 mg tablets, with the directions to take 1 tablet at night. While reviewing Natasha’s dispensing history, Jane notices that she last had quetiapine dispensed 2 weeks ago.

Jane invites Natasha into the pharmacy’s private consultation room to discuss her prescription. Natasha admits that she often takes more than one tablet a day. She explains that she is finding it hard to sleep most nights so has been taking additional tablets.

Learning objectives

After successful completion of this CPD activity, pharmacists should be able to:

  • Explain the principles of and clinical need for staged supply
  • Summarise the legal, documentation and claiming requirements when offering a staged supply service
  • Discuss how pharmacists can transfer knowledge to practice to implement a staged supply service.

Competency standards (2016) addressed: 1.1, 1.3, 1.4, 1.5, 4.2, 4.3

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Introduction

Pharmacists have a key responsibility in promoting quality use of medicines and ensuring medicine safety in the community.1,2 In Australia, the use of pharmaceutical drugs for non-medical purposes remains an ongoing issue.3 This problem is not limited to Australia, with a 2018 report from the United Nations finding that 35.6 million people worldwide experienced a drug use disorder.4

Staged supply is ‘a clinically indicated, structured pharmacist se

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