UPDATES! UPDATES!

12/2/2019

8/7/2019 INTAL INHALERS : confirm if okay to dispense Intal 5mg

7/18/19 DO NOT SUBSTITUTE one Asacol HD 800 tablet for two mesalamine delayed-release 400 mg oral products

FOR PET USE: Flovent HFA™ is the liquid form of fluticasone, which comes in an inhaler. The inhaler creates a spray mist that is inhaled through the mouth and into the lungs an dis also appropriate for pets. Flovent Diskus™ contains the powdered form of fluticasone which must be inhaled using the power of your breath. The disc style inhaler opens and loads the measured amount of fluticasone for each dose. The disc style inhalers are not appropriate for pets.

For reference: https://canadaonlinehealth.ca/wp-content/uploads/2018/11/Flixotide-inhaler-versus-Flovent-COH.pdf

FLIXOTIDE vs FLOVENT

CREAMS

CONFIRMATIONS

GENERIC CONFIRMATION

ED CONFIRMATION

ERECTILE DYSFUNCTION MEDICATIONS

Qty to dispense:

**In excess to Dr’s qty auth, 20% of qty/ refills remaining may be given

**360 auth qty may be given for 1 year supply

ED meds prescribed to PETS - owners are not allowed to prescribe to his own pet

ED MEDS FOR FEMALE PATIENTS:

EMail sent to Robert:

Hi Robert,Good day!I just want to clarify if we have considerations in processing ED medications.We encounter another instance where a cx orders an ED medication, particularly Cialis 20mg. Rx received is for Tadalafil 20mg and so the csr place an order for Cialis 20mg.We did advise cx that we are not to dispense ED meds to females but cx insisted that she is using this for the treatment of her pulmonary hypertension. She wants us to call her Dr and verify. So, we did.Her Dr confirmed she is really using this for PH and okay to dispense generic Cialis 20mg.
We were informed before that we cannot process orders for Viagra to females regardless of the patient's diagnosis as it is solely indicated for the treatment of ED and not any other condition.Revatio 20mg is okay for female population provided cx has a valid rx and a confirmation from the Dr.
Will it also be safe to allow Cialis or Levitra to females?
Please advise.
Thank you so much.Kindest Regards,Camille D

His response:

Hi CamilleSince prescribing Cialis to females is considered as an off licence practice, I strongly recommend that we verify the Rx with the prescribing doctor and get either a recording of the confirmation.Hope this clarifies.RegardsRobert

** We may process ED MEDS to female pts provided we have a recorded confirmation as well as a signed confirmation from the Dr

**ED meds confirmation must include DIAGNOSIS AND FULL DR’S NAME

SYMBICORT

If not specified if inhaler / turbohaler - need to confirm.

Rx is for FLOVENT 110MCG

No need to verify if for inhaler or diskus

If with AERODAWG 0r AEROCAT - no need to confirm if inhaler or diskus

PROPECIA AND PROSCAR FOR FEMALE PT

PROPECIA - confirm with Dr

PROSCAR - not allowed, not for women

NMD Naturopathic doctors - may prescribe except orders from UDS pharmacy
Meds with constant strength - NO NEED TO CONFIRM

Example: SYMBICORT 160/4.5mcg - constant

EDEX

Difference of Starter pack and Continuation pack - Starter pack has applicator included

May be dispensed alternately due to applicator

11/01 Tacolimus ointment in generic form 0.1% FORTE and Tacolimus 0.1% brand are the SAME.

QVAR redihaler vs QVAR inhaler

QVAR RediHaler contains the same asthma control medicine as QVAR® (beclomethasone dipropionate HFA), but in a breath-actuated device. That means it waits for you to breathe in before it releases the medicine. There’s nothing to shake or prime.

With RediHaler, you open the cap, inhale the dose and close the cap to prepare the next dose.

***The Qvar Easi-Breathe is equivalent to the Redihaler.

If the RX is for Redihaler the order should be for Redihaler ( Easi Breathe in the UK).

10/30 : TRELEGY ELLIPTA 100/62.5/25mcg and 92/55/22mcg are equivalent.

10/12/2018 : Betimol (Timolol Hemihydrate) and Timoptic (Timolol Maleate) are NOT intechangeable. Needs dr approval before switching.

9/10 : Stiolto Respimat 2.5-2.5mcg inhalation aerosol is 100% the same as the one we have in our end Stiolto Respimat (Tiotropium Bromide & Olodaterol) 2.5mg/2.5mg. No need for strength confirmation.

07/12 : Several drugs containing Valsartan being recalled due to contamination with a potential carcinogen.

Click this link: http://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2018/67202a-eng.php

04/18 : Cosopt (Dorzolamide / Timolol) (2%-0.5%) is EQUIVALENT TO Cosopt 2.23%-0.68% .

04/03 : Generic GEODON 20 mg has been discontinued ( refer to order #3437068 ).

04/9 : As per Robert, Autohaler is breath-actuated while the Inhaler is manually actuated. The patient needs to be aware of this difference in the mode of administration

11/27 : UDS added as our dispensing pharmacy : also, send UDS PAF link will appear on summary page order list.

8/23 : DAY LEWIS will no longer process VETERINARY ORDERS (until further notice)

PREMARIN CREAM

UPDATE AS PER ROBERT-- Once the applicator is screwed onto the premarin cream tube half an inch is approximately 0.5g.

WE WILL NO LONGER SELL Neurontin (Gabapentin)!!

Neurontin (Gabapentin) has been subject to recent changes within the United States which take effect on July 1, 2017. CIPA members are expected to make the following restrictions:

Gabapentin will be a scheduled V controlled substance in the state of Kentucky under Kentucky law . Additionally, due to concerns of misuse and abuse of Gabapentin, other states, such as Massachusetts and Minnesota , will require the medication to be reported to the Prescription Drug Monitoring Program.

Based on these changes, Members (located outside the U.S.) will be prohibited from marketing, selling, processing and/or dispensing Gabapentin to Kentucky on or after July 1, 2017. This means that Members (located outside the U.S.) will need to ensure that their website contains a disclaimer that the medication is a controlled substance in Kentucky and cannot be shipped/dispensed to patients in Kentucky

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